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Purpose

A

Concept
t447250001|Complex map type reference set|
ShowFormatinline
enables representation of maps where each
Gloss
SpacePreSpacetruefalse
tSNOMED CT concept
may map to one or more codes in a
Gloss
PreSpacefalse
ttarget scheme
. The type of
Gloss
SpacePreSpacetruefalse
treference set
supports the general set of mapping data required to enable a
Gloss
SpacePreSpacetruefalse
ttarget code
to be selected at run-time from a number of alternate codes. It supports
Gloss
SpacePreSpacetruefalse
ttarget code
selection by accommodating the inclusion of machine readable rules and/or human readable advice. An
Concept
t609331003|Extended map type reference set|
ShowFormatinline
adds an additional field to allow categorization of maps.

Data structure

A Complex map reference set is an Integer - Integer -

Specref
RefType(data type)
tString
-
Specref
RefType(data type)
tString
-
Specref
RefType(data type)
tString
-
Gloss
SpacePreSpacetruefalse
tComponent
Gloss
PreSpacefalse
treference set
. The pattern is currently used for the map to ICD-9-CM. Its structure is as shown in the following table, with one exception - the table includes an additional field (
Specref
RefType(field)
tmapCategoryId
) which is not used for this type of map.

An Extended map reference set follows the same pattern but adds one additional column. It is an Integer - Integer -

Specref
RefType(data type)
tString
-
Specref
RefType(data type)
tString
-
Specref
RefType(data type)
tString
-
Gloss
PreSpacefalse
tComponent
-
Gloss
SpacePreSpacetruefalse
tComponent
Gloss
SpacePreSpacetruefalse
treference set
and this pattern is currently used for maps to ICD-10. Its structure is shown in the following table.

...

Values for

Specref
RefType(field)
tmapGroup
are allocated on a sequential basis (for each
Specref
RefType(field)
trefsetId
and
Specref
RefType(field)
treferencedComponentId
combination) during authoring starting at 1. However, distributed
Specref
RefType(field)
tmapGroup
are not necessarily sequential, as some
Specref
RefType(field)
tmapGroup
may be created and removed during a mapping process between releases. For maps where each
Gloss
SpacePreSpacetruefalse
tSNOMED CT concept
only maps to at most one of a group of alternate
Gloss
PreSpacefalse
ttarget codes
, the mapGroup field are usually be set to '1'.

...

Where both fields are populated, and a vendor's system is capable of processing a machine readable rule, this should take priority over the human readable advice. Where neither field is populated, a vendor's system should allow the end-user to select the appropriate

Gloss
SpacePreSpacetruefalse
ttarget code
from the alternates.

For more details on this topic in relation to the ICD-10 maps released as part of the SNOMED CT International Edition please see the ICD-10 Mapping Technical Guide

Mapping Rule Specifications

The specific grammar and content of the rules for resolving complex mapping cases depends on the nature of the 

Gloss
SpacePreSpacetruefalse
ttarget code
system or classification. In general, each map is accompanied by a rule which is tested against other data and can be evaluated to return one of the following values:

...

Detailed definitions of the mapping rules used forms part of individual specifications for maps to particular 

Gloss
SpacePreSpacetruefalse
ttarget code
systems and classifications. This will initially be provided separately and will accompany the release of the relevant mapping files. For example, the set of rules used for mapping to 
Gloss
SpacePreSpacetruefalse
tICD-10
are included in the ICD-10 Mapping Technical Guide.

Metadata

The following metadata supports this

Gloss
PreSpacefalse
treference set
:


Scg expression
Borderridge
  900000000000454005 |Foundation metadata concept|
		900000000000455006 |Reference set|
				447250001 |Complex map type reference set|
				609331003 |Extended map type reference set|


Excerpt Include
REUSE:Notes on Reference Set Example Tables
REUSE:Notes on Reference Set Example Tables
nopaneltrue



Descriptor Templates

The tables below examples of the descriptors for specific

Gloss
SpacePreSpacetruefalse
treference sets
that follow the
Concept
t447250001|Complex map type reference set|
ShowFormatinline
and
Concept
t609331003|Extended map type reference set|
ShowFormatinline
patterns.

...

refsetId

referencedComponentId (Referenced component)

attributeDescription (Attribute description)

attributeType (Attribute type)

attributeOrder (Attribute order)

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t900000000000500006|Map source concept|

Concept
t900000000000461009|Concept type component|

0

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t900000000000501005|Map group|

Concept
t900000000000478000|Unsigned integer|

1

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t900000000000502003|Map priority|

Concept
t900000000000478000|Unsigned integer|

2

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t900000000000503008|Map rule|

Concept
t900000000000465000|String|

3

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t900000000000504002|Map advice|

Concept
t900000000000465000|String|

4

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t900000000000505001|Map target|

Concept
t900000000000465000|String|

5

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t447247004|SNOMED CT source code to target map code correlation value|

Concept
t900000000000461009|Concept type component|

6

Concept
t900000000000456007|Reference set descriptor|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t609330002|Map category value|

Concept
t900000000000461009|Concept type component|

7

Example Data



refSetId

referencedComponentId (Map source concept)

mapGroup (Map group)

mapPriority (Map priority)

mapRule (Map rule)

mapAdvice (Map advice)

mapTarget (Map target)

correlationId (SNOMED CT source code to target map code correlation value)

mapCategoryId (Map category value)

Concept
t447562003|ICD-10 complex map reference set|

Concept
t127009|Miscarriage with laceration of cervix|

1

1

TRUE

ALWAYS O03.8

O03.8

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t127009|Miscarriage with laceration of cervix|

2

1

TRUE

ALWAYS O08.6

O08.6

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t140004|Chronic pharyngitis|

1

1

IFA 90979004 |Chronic tonsillitis (disorder)|

IF CHRONIC TONSILLITIS CHOOSE J35.0
MAP OF SOURCE CONCEPT IS CONTEXT DEPENDENT

J35.0

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447639009|Map of source concept is context dependent|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t140004|Chronic pharyngitis|

1

2

IFA 232406009 |Chronic pharyngeal candidiasis (disorder)|

IF CHRONIC PHARYNGEAL CANDIDIASIS CHOOSE B37.8
MAP OF SOURCE CONCEPT IS CONTEXT DEPENDENT

B37.8

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|


Concept
t447639009|Map of source concept is context dependent|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t140004|Chronic pharyngitis|

1

3

OTHERWISE TRUE

ALWAYS J31.2

J31.2

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t162004|Severe manic bipolar I disorder without psychotic features|

1

1

TRUE

ALWAYS F31.1

F31.1

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t177007|Poisoning by sawfly larvae|

1

1

TRUE

ALWAYS T63.4

T63.4

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t177007|Poisoning by sawfly larvae|

2

1

TRUE

ALWAYS X25

X25

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|


Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t181007|Hemorrhagic bronchopneumonia|

1

1

TRUE

ALWAYS J18.0

J18.0

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Concept
t447562003|ICD-10 complex map reference set|

Concept
t183005|Autoimmune pancytopenia|

1

1

TRUE

ALWAYS D61.8

D61.8

Concept
t447561005|SNOMED CT source code to target map code correlation not specified|

Concept
t447637006|Map source concept is properly classified|

Related Links

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