1. MBR - root concept synonym - SNOMED Clinical Terms version: 20250501 [R] (May 2025 Release)
   5455393018
   https://authoring.ihtsdotools.org/#/tasks/task/DAILYPROMO/DAILYPROMO-8526/edit
   
2. MBR - copyright date on synonym - not required for May release.
3. SEP - https://docs.google.com/spreadsheets/d/1X2Fbk87PqQsZDrQqtTO8hHt49ewC56iev0D2x33VrKo/edit?usp=sharing
4. Laterality - https://docs.google.com/spreadsheets/d/1X2Fbk87PqQsZDrQqtTO8hHt49ewC56iev0D2x33VrKo/edit?usp=sharing

Duplicate descriptions discussed here

QI-900 - Getting issue details... STATUS

After review of BN feedback, these warnings will be permanently exception listed and the content issue will be raised with DEUSG for follow up.

The concepts require review for inactivation as duplicates.

Related tickets

https://jira.ihtsdotools.org/browse/ISRS-7157

https://jira.ihtsdotools.org/browse/ISRS-7135

Both tickets relate to traceability warnings for MRCM changes, these are expected after MRCM updates, they have been checked by Chris Swires and validated as expected changes.

Traceability https://jira.ihtsdotools.org/browse/INFRA-14829

Traceability https://jira.ihtsdotools.org/browse/INFRA-14787

Update to Attribute Cardinality
The following attributes used in modeling << 363787002 |Observable entity (observable entity) had cardinality updated from 0..1 to 0..*. The changes support modeling observable entity concepts where two (or more) types of observations are modeled in one concept and the result is reported in one value.
370132008 |Scale type (attribute)| to be changed for June 2025 release
370134009 |Time aspect (attribute)|
704323007 |Process duration (attribute)|
370130000 |Property (attribute)|
246514001 |Units (attribute)|

Related tickets:

• https://jira.ihtsdotools.org/browse/INFRA-14787
• https://jira.ihtsdotools.org/browse/ATF-1701

• Ref set descriptor changes - none in description file 20250416 May 2025 release new descriptions.xlsx
• New annotations - 20250416 May 2025 release new annotations.xlsx
• New permanent exceptions -20250416 May 2025 release permanent exceptions NEW.tsv
• All permanent exceptions  - 20250416 May 2025 release permanent exceptions ALL.tsv
• New temporary exceptions - 20250416 May 2025 release temporary exceptions NEW.tsv
• All temporary exceptions - 20250416 May 2025 release temporary exceptions ALL.tsv

April 2025 Release

• New content 
  • ICD-10 = 407 new concepts mapped (this is not expected to change as promotion of in-scope content ceased on 28th Feb)
  • ICD-O = No new concepts this release
• Map QA
  • ICD-10 = 1505 concepts that have gone through Mapping QA. Exact number of changes currently unknown (MT does not provide this level of detail)
  • ICD-O = Two concepts have been through Mapping QA but no changes were made to these records
• Actual release values:
  • ICD-10
    • Total Changed mapped concepts this release = 334
      Total New mapped concepts this release = 407
      Total Retired mapped concepts this release = 110
      Total Changes = 851
      
  • ICD-O
    • Zero (0) new concepts or changes

May 2025 Release

• New content 
  • ICD-10 = 
  • ICD-O = 
• Map QA
  • ICD-10 = 
  • ICD-O = 

Concepts deleted from Main, not in scope for mapping, there was a problem with the concept ID from an extension that necessitated the deletion of these concepts

• 1366205006 |Risperidone tartrate (substance)|
• 1366194009 |Bilastine monohydrate (substance)|
• 1366193003 |Diphenhydramine citrate (substance)|
• 1366165002 |Lanthanum carbonate dihydrate (substance)|
• 1366168000 |Levomilnacipran hydrochloride (substance)|
• 1366170009 |Edoxaban tosylate monohydrate (substance)|
• 1366164003 |Pantoprazole magnesium hemipentahydrate (substance)|
• 1366163009 |Cefprozil monohydrate (substance)|
• 1366142007 |Sitagliptin malate (substance)|
• 1366133000 |Sitagliptin fumarate (substance)|
• 1366018006 |Codeine sulfate trihydrate (substance)|
• 1366014008 |Risedronate sodium monohydrate (substance)|
• 1366015009 |Tenapanor hydrochloride (substance)|
• 1366016005 |Trimethoprim sulfate (substance)|
• 1366017001 |Telmisartan sodium (substance)|
• 1365963001 |Atorvastatin calcium propylene glycol solvate (substance)|
• 1365932000 |Pantoprazole magnesium (substance)|
• 1365940006 |Valaciclovir hydrochloride monohydrate (substance)|
• 1365943008 |Sumatriptan hemisulfate (substance)|
• 1365962006 |Paroxetine hydrochloride acetone solvate (substance)|

Plan is to follow the new processes as now defined:

May 2025 International Edition Release Schedule - Production Monthly Release - INTERNAL

Summary Component Stats Report

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Mapping jobs taking even longer overnight now, so Chris + Rick to investigate and confirm what the fix needs to be... (potentially related to back end upgrade a couple of months ago)

• MySQL is usig up way too much memory and overrunning the server memory - Chris' changes helped some (swap memory no longer maxed), but STILL at 80% and so definitely not resolved yet....
• Rick therefore is concerned that this is not resolved and so we need to shepherd the process through tonight (bounce SQL during the mapping process) 
• HOWEVER, as Donna is away this month, we have already shut down the Mapping promotions a week early, in order to prevent impact to Michael.
  • Therefore, even if the process runs longer than usual again tomorrow, it won't have the normal painful impact on the mapping team.
  • AAT and Rick therefore agreed to let things run themselves with no intervention this time around, to see exactly what kind of positive impact Chris' changes have had on the times.
  • If they're still bad, we'll look at more mitigation measures in May's release...

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Release notes