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The Description file holds descriptions that describe SNOMED CT concepts. A description is used to give meaning to a concept and provide well-understood and standard ways of referring to a concept .

Table 10. Description file - Detailed Specification

 

 

 

Field

Data type

Immutable

Purpose

id

SCTID

Y

Uniquely identifies the description .

effectiveTime

Time

N

Specifies the inclusive date at which the component version's state became the then current valid state of the component

active

Boolean

N

Specifies whether the description 's state was active or inactive from the nominal release date specified by the effectiveTime .

moduleId

SCTID

N

Identifies the description version's module. Set to a child of 900000000000443000 $$ Module $$ within the metadata hierarchy .

conceptId

SCTID

Y

Identifies the concept to which this description belongs. Set to an Identifier of a concept in the 138875005 $$ SNOMED CT Concept $$ hierarchy within the Concept file. Note that versions of descriptions and concepts don't belong to each other. Which version of any given description is combined with which version of its owning concept depends on the point in time at which they are accessed.

languageCode

String

Y

Specifies the language of the description text using the two character ISO -639-1 code. Note that this specifies a language level only, not a dialect or country code.

typeId

SCTID

Y

Identifies whether the description is an FSN, Synonym or other description type. This field is set to a child of 900000000000446008 $$ Description type $$ in the Metadata hierarchy .

term

String

N

The description version's text value, represented in UTF-8 encoding.

caseSignificanceId

SCTID

N

Identifies the concept enumeration value that represents the case significance of this description version. For example, the term may be completely case sensitive, case insensitive or initial letter case insensitive. This field will be set to a child of 900000000000447004 $$ Case significance $$ within the metadata hierarchy .

Only one description record with the same id field will be current at any point in time. The current record will be the one with the most recent effectiveTime before or equal to the point in time under consideration.
If the active field of this record is false ('0'), then the description is inactive at that point in time. If the active field is true ('1'), then the description is associated with the concept identified by the conceptId field.
The conceptId field, the languageCode field and the typeId field will not change between two rows with the same id, in other words they are immutable. Where a change is required to one of these fields, then the current row will be de-activated (by appending a row with the same id and the active field set to false) and a new row with a new id will be appended. Only limited changes may be made to the ' term ' field, as defined by editorial rules.
Each concept will have at least one active description with a typeId of | Synonym | for a given languageCode (like "en"). Where a concept only has one active description with a typeId of | Fully Specified Name | for a given language code, then that Description can be taken as the Fully Specified Name for that language and each of its dialects, and need not therefore be explicitly included in language reference sets for that language. Where a concept only has one active description with a typeId of | Fully Specified Name | across all language codes within a release, then that Description can be taken as the Fully Specified Name for all languages and dialects, and need not therefore be explicitly included in any language reference sets in that release.
The Term field will be restricted as follows:

  • to an overall maximum length of 32Kb;
  • to a maximum length, configurable for each description type (as defined by the Description Type reference set member associated with that description type - see the " SNOMED CT Release Format 2 - Reference Set Specifications" document for more details);
  • The format of the term field (plain text, limited HTML, XHTML, DITA) will also be configurable for each description type, using the same mechanism as above;
  • Control characters (including TABs, CRs and LFs) will not appear in |Plain text| and |Limited HTML| format types.

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