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All Descriptions are of a specific type and the most common description types are the

Gloss
SpacePreSpacetruefalse
tFully Specified Name
and
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tSynonym.
The Description file holds descriptions that describe SNOMED CT concepts. The description file is released with the International Edition of SNOMED CT. National or Affiliate Editions may develop their own description file, e.g. to represent description in their own language and/or dialects.

The Language reference set is essential to enable the preferred terms to be identified for each concept. Language reference sets refers to Descriptions that is used in a particular language or dialect. For each Description referenced in the language reference set a value for the acceptability of the term associated with that Description is assigned. The values for the Acceptability attribute is represented by descendants of the concept

Concept
t900000000000511003 | Acceptability |
, which is placed in the foundation metadata subhierarchy of SNOMED CT.

Caption label
CapIdavailable-values-for-acceptability
CapTypeTable
Available values for acceptability


ValueDescription
900000000000548007 | Preferred (foundation metadata concept) |The term associated with this description is the preferred description, of the specified Description.typeId, for the associated concept, in the language or dialect represented by this reference set.
If the Description.typeId is synonym, this description is the preferred term.
If the Description.typeId is fully specified name this description is the preferred fully specified name.
For each concept there should be exactly one preferred description of each Description.typeId in each language reference set.
900000000000549004 | Acceptable (foundation metadata concept) |The term associated with this description is acceptable for use in language or dialect represented by this reference set.

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The following diagram shows an example of the description file included in the International Release and the US Language reference set, which is also distributed with the International Release of SNOMED CT. The language reference set states the acceptability of the descriptions, i.e. whether they are preferred or synonym. For each concept there may be any number of acceptable descriptions of each description type in each language reference set. The diagram below shows how the description file holds information about the description type, and the language reference set specify the acceptability of the descriptions.


Caption label
CapIdexample-of-the-description-file-included-in-the-international-release-and-the-us-language-reference-set
CapTypeFigure
Example of the description file included in the International Release and the US Language reference set



Even though a concept has several descriptions of the type

Concept
t900000000000013009 | Synonym (core metadata concept) |
ShowFormatinline
related to it, the language reference set allows automatic identification of the
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tpreferred term
. The language reference set does not contain any terms, as these are represented in the description file. Hence, it refers to descriptions by referencing the descriptionId, and the description release file is therefore a prerequisite for retrieving the actual term when applying the language reference set .

Caption label
CapIdreference-set-specific-attributes
CapTypeTable
Reference Set Specific Attributes


Field

Data type

Purpose

Specref
RefTypefield
treferencedComponentId

SCTID

The identifier of a 

Gloss
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tdescription
 included in the language reference set.

Specref
RefTypefield
tacceptabilityId

SCTID

A

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tsubtype
of
Concept
t900000000000511003 | Acceptability |
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indicating whether the
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tdescription
is acceptable or preferred for use in the specified
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SpacePreSpacetruefalse
tlanguage
or
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tdialect
.


Tip

See specification: 45.2.4 . Language Reference Set


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