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Overview of Current Notices

For additional Relevant links with regards to Content Development Information please click here Content Development Information

2018 Edition

Improvement to the Release file naming convention for the Asssociation Reference file

In order to improve the description of this file, we will be updating the file naming convention from:

'der2_cRefset_AssociationReferenceSnapshot_INT_*.txt'

to:

'der2_cRefset_AssociationSnapshot_INT_*.txt'

....as of the January 2018 International Edition

TBC (ongoing)
ItemsProposed improvement

Planned Release date

(*this is provisional only and is subject to change)

1

Replacement of the Stated Relationship files with the new OWL Axiom refset files

Following on from all of the previous announcements providing early visibility of the transition plan, SNOMED International would now like to provide technical details of the planned migration from Stated Relationships to OWL files.  This plan has been discussed and agreed with numerous stakeholders from the community, and will be implemented over the course of the next two International Releases, as follows:

January 2019:

  • The International Edition package (packageA) will include both active Stated Relationships plus a partial OWL file containing a subset of the OWLAxioms.  This file will contain both OWLAxiom + OWLOntology refsets combined into one OWLExpression file, in each section of the International Release package (Full, Snapshot and Delta):
    • sct2_sRefset_OWLExpressionFull_INT_20190131.txt
    • sct2_sRefset_OWLExpressionSnapshot_INT_20190131.txt
    • sct2_sRefset_OWLExpressionDelta_INT_20190131.txt
  • We will also publish a separate optional package (packageB) containing a complete set of OWL records (including all Axioms - sufficient, transitivity etc) set to January 2019 effectiveTimes, as if this was the complete OWL file that we will introduce in July 2019.  This package would also contain all stated relationships from the previous release (July 2018 International Edition) marked as inactive.  
  • packageB will therefore act as a second Demonstration release (similar to the September 2018 package), allowing everyone to thoroughly trial how the July 2019 Int Edition will work for them in practice.  It will, therefore, retain the same nomenclature and formatting as the Sept 2018 Demo release, with everything x prefixed and labelled to warn against use in Production clinical systems.
  • packageB will be published in MLDS alongside the International Edition, and will therefore be available to everyone who has access to the International Edition, so that they can choose to either download it or not.
  • Release Notes will be updated to clearly explain all of the above.

July 2019:

  • The International Edition package (packageCwill include both inactive Stated Relationships plus a complete OWL file (combined) from July 2019 effectiveTime onwards (ie) with NO history of OWL records that weren’t included in the Jan 2019 International Edition package itself (as opposed to the optional package).
  • We will also publish a separate optional package (packageD) containing an OWL (combined) Delta file, identifying which of the concepts have had modelling changes in relation to packageB.
  • No support for Stated Relationships will be provided from this point onwards, however we will continue to include the inactivated Stated Relationships in future International Edition packages, until it is decided that this is no longer required.
  • Anyone who isn’t yet ready to move forward with OWL will therefore remain on the January 2019 International Edition until they are ready to update to OWL with the July 2019 version onwards.
  • Release Notes will be updated to clearly explain all of the above.

  

The inferred relationship file will maintain the same format and structure, though it will no longer contain all necessary and sufficient conditions. The inferred relationship file is represented in Necessary Normal Form for distribution of relationships. It is a collection of all the necessary conditions and represents a subset of the full semantics from the 2018 July release and onwards. Most users will benefit from the improvements in the inferred relationships without requiring changes to their existing systems.

A set of documentations has been developed to support the Logic Profile Enhancements. 


Users should carefully analyse any potential impact to their systems (upload routines, etc) and make provisions for these changes urgently (if not already done), in order to prevent any issues when these changes come into effect in January 2019.  Please contact SNOMED International at support@snomed.org with “OWL Axiom refset files implementation question” in the subject line.    


January 2019 International Release +

July 2019 International Release

2LOINC timeline changes - please refer to Roadmap link here LOINCJuly 2018 and potentially other future releases - On hold
3

Revision of IS A relationships for anatomy concepts 

The new anatomy concept model implemented the enhanced Description Logic features, e.g. reflexive and transitive properties, additional axioms, for consistent logical modeling. The inferred IS A relationships from the OWL anatomy ontology have been reviewed and the changes have been implemented in the production. The potential

Revision of IS A relationships for anaotmy concepts 

The new anatomy concept model has implemented the new Description Logic features, e.g. reflective and transitive property, general concept axioms, for consistent logical modeling. However, the new model cannot be implemented in production because these DL features currently are not available in production. The implementation of them will depend on the enhanced logic profile for SNOMED CT which is under development by the Modeling AG. Yet, the inferred IS A relationship from the OWL anatomy ontology can be reviewed and implemented in the production. This will utilise the outcomes of the new anatomy model as well as evaluate the design of the new model. In particular, it is important to review the changes of IS-A relationships in anatomy for quality assurance and minimise impact to other hierarchies, such as disorders, procedures, observables, situations etc are also reviewed as part of the project.

The first subject area is concepts under skin structure. Majority changes are completed in the January 2018 revision of sub-hierarchy 26107004|Structure of musculoskeletal system (body structure)| has been planned for the January 2019 release. The rest body systems will be completed in July 2018 releaserevised in the future releases.

The subject area for revision of IS A revision in July 2018 relationships will be determined and updated in the following confluence page.

July 2019 International Release
2

Improvement to the Release package naming convention

In order to ensure that the status of each package is correctly identified, we will be capitalising the third element of the naming convention. For example therefore, instead of the January 2018 International Edition release package being called:

SnomedCT_InternationalRF2_Production_20180131T120000Z.zip

It will instead be called:

SnomedCT_InternationalRF2_PRODUCTION_20180131T120000Z.zip

Alpha/Beta releases will be called:

SnomedCT_InternationalRF2_ALPHA_20180131T120000Z.zip

SnomedCT_InternationalRF2_BETA_20180131T120000Z.zip

This should have no impact on most users, this is provided for visibility of anyone who's upload routine might be case-sensitive.

January 2018 International Edition
3
4

Planned changes to 'Co-occurrent and due to' pattern

During the implementation of the new Description Logic features a conflict was uncovered between the modeling of 'Co-occurrent and due to' and General Concept Inclusions (GCIs). This has resulted in the need to reconsider the modeling of "Co-occurrent and due' and update the Editorial Guide for this area.

There are a number of new concepts in the January 2019 release that are based upon the existing guidance for 'Co-occurrent and due to'. The plan is to update the Editorial Guide and all concepts that are currently modeled as 'Co-occurrent and due to' for the July 2019 release.

July 2019 International Release
5

Planned Inactivation of 186005001|Other ethnic non-mixed (NMO)|

186005001|Other ethnic non-mixed (NMO)| and children will be inactivated with a status of MOVED ELSEWHERE.

July 2019 International Release
6

Summary of Substances Changes

  • 420934007 |Skin graft material (substance)| will be significantly revised and additional concepts created to comprehensively capture both the origin of the skin graft and thickness (full thickness, split thickness etc). Text definitions will be included. 304040003 |Skin graft operation (procedure)| and descendants will be significantly revised as a result of changes to the substance hierarchy.

July 2019 International Release

7

Summary of Changes for the Drug Project

For 2019-January, CDs that had not yet been sufficiently defined were relocated to be descendants of 770654000 |TEMPORARY parent for CDs that are not updated (product)| (n≈2700). Concepts that could not be mapped to a corresponding dm+d or RxNorm concept have been inactivated as Outdated for the 2019-July Release with a historical relationship to a corresponding MPF-only concept (or to a MP-only concept if no appropriate MPF-only concept existed at the time of inactivation). (n≈870). The remainder of the concepts (n≈1800) being reviewed and most are expected to be sufficiently defined for the 2019-July Release. Further early visibility updates will be provided as work progresses.

July 2019 International Release
8

Summary of Organism Changes

  • Content tracker IHTSDO-1003 - Clarification, simplification and correction of the top levels of the SNOMED CT Organism hierarchy.
July 2019 International Release
9

Quality Initiative

Abrasion - As a result of changes made during the QI project for the January 2019 release, there are now 2 concepts which have the same preferred term. 781488002 |Abrasion of foot (finding) and 211402004 |Abrasion of foot (disorder)

782201009 |Abrasion (finding)| and 399963005 |Abrasion (disorder)|

These concepts will be addressed as part the QI project for the July 2019 release.

Note there are changes to the Service Level Agreement for the CRS as a result of the Quality Initiative:

https://www.snomed.org/SNOMED/media/SNOMED/documents/Early-Visibility-of-Changes-to-Service-Level-Agreement-International-Content-Request-Service-(CRS).pdf

July 2019 International Release
10

Concrete domains and numeric representation

Numerics are represented by concepts in the Medicinal product concept model in SNOMED CT, which is an interim solution before the implementation of concrete domains to support data types, such as decimal, integer, string and date/time. The implementation of concrete domains depends on the OWL expression reference set and the update of inferred relationship file. The first complete OWL expression refset will be available in the July 2019 international release. It will take time to update the specification for the inferred relationship file and consult with the community of practice. When they are ready, strength in medicinal product model can be transformed to concrete domains. The transformation will be completed by technical changes without impact to classification results.

July 2019 International Release
11

Replacement of OWL conversion script with a link to the open source directory

In January 2017 the original OWL conversion script (a.k.a. the "Spackman OWL script") was removed from the International Edition package, and has since been published as a separate artefact alongside each Release. 

Because this script does not recognize the two new OWL refsets (see section 3.3.2 of these Release Notes), the Terminology Release Advisory Group has determined that the script should no longer be distributed.

Going forward, Release Notes will now include a link to the new open source OWL conversion toolkit that can be found in the following repository (including documentation on its use):

https://github.com/IHTSDO/snomed-owl-toolkit

Please contact SNOMED International at support@snomed.org if you would like to provide any feedback on ways to extend and improve the new toolkit.

July 2018 International Release
12

Deprecation of the Technical Guide Exemplars document from the International Edition release package

The Terminology Release Advisory Group has confirmed that there should be no impact from removing this almost entirely static document from the International Edition release package, and hosting it instead in a Confluence Page. From the July 2018 International release then, we will deprecate this file (doc_Icd10MapTechnicalGuideExemplars_[date].xlsx) from the Release package, and instead provide a link in the Release Notes to the new Confluence Page. Please see section 2.4.1.3 of the Release Notes for the relevant link.

July 2018 International Release
January 2018 International Edition
4

Summary of Drug Changes The following describes some of the deliverables scheduled for the January 2018 that continue to contribute to the delivery of this Strategy:

NOTE: Numbers are still evolving and will likely change before the final version of the release notes are generated.

New hierarchies

  • Basic dose form (basic dose form): New concepts created (n ≈ 150)
  • Dose form administration method (administration method): New concepts created (n ≈ 10)
  • Dose form intended site (intended site): New concepts created (n ≈ 25)
  • Dose form release characteristic (release characteristic): New concepts created (n ≈ 10)
  • Dose form transformation (transformation): New concepts created (n ≈ 5)
  • Pharmaceutical dose form (dose form):
    • New concepts created (n ≈ TBD)
    • Concepts remodeled (n ≈ TBD)
  • State of matter (state of matter): New concepts created (n ≈ 5)

New semantic tags 

  • (administration method)
  • (basic dose form)
  • (dose form)
  • (intended site)
  • (release characteristic)
  • (state of matter)
  • (transformation)

New attribute types

  • Has basic dose form
  • Has concentration strength denominator unit
  • Has concentration strength denominator value
  • Has concentration strength numerator unit
  • Has concentration strength numerator value
  • Has dose form administration method
  • Has dose form intended site
  • Has dose form release characteristic
  • Has dose form transformation
  • Has state of matter

Attribute type changes (for existing attributes) None

Grouper None

Medicinal product (MP) Updated ≈ 1100 existing concepts in accordance with new modeling and/or terming guidelines

  • Existing concept IDs, stated parents and definition status were retained
  • Missing |Has active ingredient| attributes were added; errors in existing content were corrected as they were identified

Medicinal product form (MPF) Negligible number of changes

Clinical drug (CD) Updated ≈ 3000 existing concepts changing terming from "Product containing X" to "Product containing only X"

Note that the terming for these concepts was updated in the 2017-July release to reflect "Product containing X"; upon advice from the Working Group, we elected to notify the Member Forum, Project Group, and Working Group of the retraction/substitution rather than inactivate/replace these concepts

New or updated concepts to support future simple map refset development    

For SNOMED CT to EDQM simple map refset:

  • 741068007|SNOMED CT to European Directorate for the Quality of Medicines & HealthCare simple map reference set module (core metadata concept)
  • 735233007|European Directorate for the Quality of Medicines & HealthCare simple map reference set (foundation metadata concept)

For SNOMED CT to UCUM simple map refset:

  • 741814003|SNOMED CT to Unified Code for Units of Measure simple map reference set module (core metadata concept)
  • 733900009|Unified Code for Units of Measure simple map reference set (foundation metadata concept)

Documentation created or updated including:

  • Position Statement
  • Briefing Paper re: update terming for Clinical Drug concepts changing "Product containing X" to "Product containing only X"
  • Editorial Guidelines for Modeling and Terming for Dose Form related hierarchies, including identification of |Pharmaceutical dose form| concepts to be used for modeling concepts in the International Release moving forward
  • Editorial Guidelines for Modeling and Terming for Product hierarchy

General content maintenance including:

  • Inactivation of concepts that are missing strength denominator (incomplete)
  • Inactivation of concepts that refer to color (out of scope)
  • Inactivation of concepts containing caplet (out of scope)
  • Inactivation of concepts containing "controlled-release" (ambiguous)
TBC (ongoing)
5Summary of Substances Changes

New hierarchies: Disposition (disposition)

New semantic tags (disposition)

New attribute types Has disposition

Is modification of

Attribute type changes Populated |Has disposition| grouper (n ≈ 150)

Groupers Updated modeling, definition status, and terming for groupers representing disposition (n ≈ 150) with associated change in stated parents for existing descendants (n ≈ 9000)

Briefing papers:

Documentation created or updated including:

  • Editorial Guidelines for Modeling and Terming for Substance hierarchy
  • Editorial Guidelines for Modeling and Terming for Disposition concepts

General content maintenance including:

  • Addition of X concepts as a result of gap analysis to identify missing concepts representing hydrates.
  • Addition of X concepts to represent substances as a result of content requests, new drug approvals, or gaps identified internally.
where X will be updated in the next week or so.