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Whenever a new description is added to SNOMED CT, the language preferences associated with that description must also be specified. Naturally this applies to extension specific descriptions which have been added to establish a preferred term within a country or region. When used in a national or local edition, this specification can override the language preferences established in the International Edition. The technical specifications are defined by adding the associated rows to a language reference set to indicate a description is acceptable or preferred in a particular language or dialect.

Attributes

As previously mentioned, all reference sets use six common attributes. Language reference sets use one additional attribute which is acceptabilityId. A description of how these attributes are applied to language sets is provided in below.

AttributeData typeComment(s)
The first four attributes of the language refset are used in the same way across all reference sets.
idUUID

Can be generated using a generic UUID generator

effectiveTimeTimeSpecifies the specific version of the refset member
activeBoolean

Indicates if the specific version of the refset member is active or not. The value is most often true for the first version of a refset member. The only exception would be if an incorrect dependency released earlier was corrected.

moduleIdSCTIDIdentifies the module that this refset member belongs to. This will be a module within the extension.
The next three attributes have specific implications when used in a language refset.
refsetIdSCTID

The refsetId points to the previously generated reference set identification concept which specifies the relevant language or dialect. This may be an existing language refset in a module on which the extension module depends, or a language refset created in the extension module.

referencedComponentIdSCTID

The referencedComponentId attribute is set to indicate the description specified by this refset row. This links the refset row to the description which is specified by the language refset row.

acceptabilityIdSCTID

The acceptabilityId attribute indicates the acceptability of the description referenced in referencedComponentId for a specified language, dialect or use case. The attribute value must be a descendant to the concept | Acceptability|  such as  | Acceptable|  or  | Preferred| .


Note that a prerequisite to specifying the language preferences for a given description is the establishment of the language reference set itself.

Practically speaking, a language refset set has been established once

  • The refset identification concept has been created (along with it's associated components and derivatives)
  • Individual members of the refset have been defined in refset rows
  • A language refset file has been generated (in RF2 format) and published

Note some extension producers may need to establish separate language reference sets. For example, one for language translations and another for the addition of patient friendly terms.

Example

 below shows two rows from the 20581000087109 | Canada French language reference set| , 20170430. Note that these rows are associated with language specific descriptions for the concept | Herpes labialis| .

Key points as follows


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