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All reference sets require a concept to be created that represents the meaning of the reference set, provides the identification of the reference set, and names the reference set. These reference set concepts are created in the 

Concept
ShowPartsterm
t900000000000455006 |Reference set (foundation metadata concept)|
 subhierarchy as subtypes of a reference set concept that represents the associated reference set pattern. For more information about creating a reference set concept in an extension, please refer to  5.4.5.1 Create New Reference Set in an Extension.

In this section, we discuss an example reference set concept (

Concept
ShowPartsterm
t22321000087101 |Route of administration reference set|
) from the 20170430 Canadian extension, and explain how this concept and its associated descriptions, relationships and language preferences are represented.

Reference Set Concept

In 

Caption reference
CapRefIdadding-a-concept-to-identify-a-reference-set
CapRefTypeFigure
 below, a row from the concept table is shown for the concept 
Concept
ShowPartsterm
t22321000087101 |Route of administration reference set|
.

Caption label
CapIdadding-a-concept-to-identify-a-reference-set
CapTypeFigure
Example reference set concept in the concept table

Please note the following:

  • The concept id uses a namespace identifier allocated to Canada Health Infoway.
  • The concept id uses a partition identifier of “10” to indicate that this concept was create in an extension.
  • The moduleId indicates that this concept belongs to the
    Concept
    ShowPartsterm
    t22091000087100 |Canada Health Infoway Reference Set Module|
    .
  • The definitionStatusId indicates that this concept is 
    Concept
    ShowPartsterm
    t900000000000074008 |Primative|
    . Please note that all metadata concepts in SNOMED CT are
    Concept
    ShowPartsterm
    t900000000000074008 |Primative|
    .

Reference Set Description

In 

Caption reference
CapRefIddescriptions-associated-with-the-refset-identification-concept
CapRefTypeFigure
 below, a set of rows from the description table are shown. These descriptions provide terms that describe the concept 
Concept
ShowPartsterm
t22321000087101 |Route of administration reference set|
.

Caption label
CapIddescriptions-associated-with-the-refset-identification-concept
CapTypeFigure
Example descriptions for the reference set concept

Please note the following:

  • The description id uses a namespace identifier allocated to Canada Health Infoway.
  • The description id uses a partition identifier of “11” to indicate that these descriptions were created in an extension.
  • The moduleId indicates that these descriptions belong to the
    Concept
    ShowPartsterm
    t22091000087100 |Canada Health Infoway Reference Set Module|
    .
  • The conceptId links the descriptions to the reference set concept
    Concept
    ShowPartsterm
    t22321000087101 |Route of administration reference set|
    .
  • A languageCode of "en" indicates that the terms are written in English.
  • The typeId indicates that the first description is a 
    Concept
    ShowPartsterm
    t900000000000003001 |Fully specified name|
    , while the following two are of type 
    Concept
    ShowPartsterm
    t900000000000013009 |Synonym|
    .
  • The term is used to name the associated reference set.
  • The caseSignificanceId indicates that the terms is
    Concept
    ShowPartsterm
    t900000000000020002 |Only initial character case insensitive|
    .

Reference Set Relationship

In 

Caption reference
CapRefIdrelationship-associated-with-the-refset-identification-concept
CapRefTypeFigure
, a row from the relationship table is shown. This relationship defines the supertype concept of 
Concept
ShowPartsterm
t22321000087101 |Route of administration reference set|
.

Caption label
CapIdrelationship-associated-with-the-refset-identification-concept
CapTypeFigure
Example relationships for the reference set concept

Please note the following:

  • The relationship id uses a namespace identifier allocated to Canada Health Infoway.
  • The relationship id uses a partition identifier of “12” to indicate that this relationship was originally created in an extension.
  • The moduleId indicates that these relationships belong to the
    Concept
    ShowPartsterm
    t22091000087100 |Canada Health Infoway Reference Set Module|
    .
  • The sourceId indicates that the relationship applies to the concept 
    Concept
    ShowPartsterm
    t22321000087101 |Route of administration reference set|
    .
  • The typeId indicates that the relationship represents an
    Concept
    ShowPartsterm
    t 116680003 |Is a|
     relationship.
  • The destinationId indicates that 
    Concept
    ShowPartsterm
    t22011000087106 |Canada Health Infoway Simple Type Reference Set|
     is a supertype of
    Concept
    ShowPartsterm
    t 116680003 |Is a|
    .
  • The characteristicTypeId and modifierId columns have been omitted from this diagram for brevity.

Reference Set Language preferences

In 

Caption reference
CapRefIdlanguage-preferences-for-descriptions-associated-with-the-refset-identification-concept
CapRefTypeFigure
 below, a set of rows from the 
Concept
ShowPartsterm
t19491000087109 |Canada English language reference set|
 are shown. These rows define the language preferences for the descriptions associated with the concept 
Concept
ShowPartsterm
t22321000087101 |Route of administration reference set|
.

Caption label
CapIdlanguage-preferences-for-descriptions-associated-with-the-refset-identification-concept
CapTypeFigure
Example language preferences for the reference set concept

Please note the following:

  • The id is a UUID that was generated for the corresponding refset member.
  • The moduleId indicates that these refset members belong to the
    Concept
    ShowPartsterm
    t22091000087100 |Canada Health Infoway Reference Set Module|
    .
  • The refsetId column indicates that these rows are members of the
    Concept
    ShowPartsterm
    t19491000087109 |Canada English language reference set|
    . Note, that if the relevant language reference set does not exist, this must be created using the same process.
  • The referencedComponentId column refers to the descriptions for which the acceptability is being specified.
  • The acceptabilityId column indicates the
    Concept
    ShowPartsterm
    t900000000000548007 |Preferred|
     and
    Concept
    ShowPartsterm
    t900000000000549004 |Acceptable|
     descriptions in the given language dialect (in this case Canadian English).