• Forma farmacéutica básica (forma farmacéutica básica)
  • Nuevos conceptos creados (n ≈ 125)
• Método de administración de forma farmacéutica (método de administración)
  • Nuevos conceptos creados (n ≈ 10)
• Sitio de administración previsto de forma farmacéutica (sitio de administración previsto)
  
  • Nuevos conceptos creados (n ≈ 20)
• Característica de liberación de forma farmacéutica (forma de liberación)
  
  • Nuevos conceptos creados (n ≈ 5)
• Transformación de forma farmacéutica (transformación)
  
  • Nuevos conceptos creados (n ≈ 5)
    
• Forma farmacéutica (forma farmacéutica)
  • Nuevos conceptos creados o remodelados (n ≈ 250)
    
• Estado de la materia (estado de la materia)
  
  • Nuevos conceptos creados (n ≈ 5)
    

• (método de administración)
• (forma farmacéutica básica)
• (forma farmacéutica)
• (sitio de administración previsto)
• (forma de liberación)
  
• (estado de la materia)
  
• (transformación)

• tiene forma farmacéutica básica
• tiene unidad de denominador de potencia de concentración 
• tiene valor de denominador de potencia de concentración 
• tiene unidad de numerador de potencia de concentración 
  
• tiene valor de numerador de potencia de concentración 
• tiene método de administración de forma farmacéutica
• tiene sitio de administración previsto de forma farmacéutica
• tiene forma de liberación de forma farmacéutica
• tiene transformación de forma farmacéutica
• tiene estado de la materia
• tiene ingrediente
• tiene ingrediente activo preciso

Se actualizaron ≈ 1100 conceptos existentes de acuerdo con los nuevos lineamientos terminológicos y/o para el modelado

• Se retuvieron los identificadores, padres en la forma definida y estados de definición
• Se agregaron atributos |tiene ingrediente activo| faltantes y se corrigieron errores identificados en el contenido existente.

• Cantidad mínima de cambios

Se actualizaron ≈ 3000 conceptos existentes, cambiando "producto que contiene X" por "producto que contiene solamente X"

• Nótese que los términos de estos conceptos se actualizaron en la edición de julio de 2017 para reflejar "producto que contiene X"; por consejo del Grupo de Trabajo decidimos notificar al Foro de Miembros, al Grupo de Proyecto y al Grupo de Trabajo sobre la retractación/sustitución en vez de inactivar/reemplazar estos conceptos.

Para el conjunto de referencias cruzadas simples de SNOMED CT a EDQM:

• 741068007 |conjunto de referencias cruzadas simples de SNOMED CT al Directorio Europeo para la Calidad de los Medicamentos y de la Atención de la Salud (metadato fundacional)|
• 735233007 |módulo de conjunto de referencias cruzadas simples al Directorio Europeo para la Calidad de los Medicamentos y de la Atención de la Salud (metadato del núcleo)|

Para el conjunto de referencias cruzadas simples de CNOMED CT a UCUM:

• 741814003 |módulo del conjunto de referencias cruzadas simples de SNOMED CT al Código Unificado para Unidades de Medición (metadato del núcleo)|
• 733900009 |conjunto de referencias cruzadas simples al Código Unificado para Unidades de Medida (metadato fundacional)|

• Contenido:
  
  • Inactivación de conceptos sin denominador de potencia
  • Inactivación de conceptos con referencias a colores
  • Inactivación de conceptos con "caplet" (comprimido oblongo)
  • Inactivación de conceptos con "liberación controlada"
• Creación o actualización de documentación
  • Declaración de posición
  • Documento informativo sobre: actualización de los conceptos de Medicamentos Clínicos que cambian "Producto que contiene X" a "Producto que contiene solo X"
  • Guía editorial para el modelado y denominación para los conceptos de las jerarquías relacionadas con "forma farmacéutica", incluyendo la identificación de conceptos de |forma farmacéutica| que se utilizarán para el modelado de conceptos en la próxima Edición Internacional
  • Guías editoriales para el modelado y denominaciones para la jerarquía de productos

"Part-of" relationships are not currently maintained - they were originally defining relationships, which were changed to "additional" in 2005 and left in the relationship table. In 2008, when stated relationships became part of the distributed files, the stated "part-of" relationships were not included because they were non defining and were not available. Therefore, only inferred “part-of” relationships were distributed until 2005, after which they became non-defining. The Anatomy remodelling, which resolves this issue, is due for completion in future editing cycles. 

KNOWN ISSUE:  An interim solution has been implemented, through the inclusion of the SE and SP refsets, which also to enable us to further improve our Quality Assurance processes. Please see the following page for details of the new Refsets:  SEP maps and refset

A small percentage of the records updated for the caseSignficance changes have been identified as not having been implemented for July 2017 as expected.

Due to their relatively low impact we are proposing to retain these as Known Issues for the January 2018 release, and resolve them as part of future  editing cycles.

KNOWN ISSUE: The SNOMED International Content Team have confirmed that deferring these fixes to later editing cycles is the correct approach. These will therefore be fixed in future editing cycles.

There are 3308 instance of 363705008|Has definitional manifestation| being used. -ATF-1463- indicates this attribute was deprecated. 90 new instances have been added for this (January 2018) release.  There are 6 relationships using 726633004|Temporally related to|. It may be valid, but I can’t find any information about this attribute.

KNOWN ISSUE:  These are restricted to inferred relationships only, and are already identified for resolution by SNOMED International Content Team in future editing cycles.  ADHA confirmed that this is acceptable and so will whitelist the issues in their tests until the fixes are complete.

As SNOMED International may soon open-source this file, we may then remove it from the International Edition release package.

RESOLUTION:  This was discussed with the Release AG and agreed to be removed - it is therefore now being published as a separate file in the MLDS repository.

This is a duplicate of ISRS-153, created to ensure that we track and test the fix for the International Edition.

RESOLUTION:  RVF assertions added as planned to cover these scenarios.

The description id is first, with the concept id in the square brackets.

3313707012[718744009]: Revised Children's Anxiety and Depression Scale obsession compulsion subscale is active with no Acceptability map (since 20170131).
2994493012[702130007]: Isoflurane/sevoflurane recycling anaesthesia vaporizer is active with no Acceptability map (since 20170731).
3313673018[718732006]: Revised Children's Anxiety and Depression Scale Parent Version separation anxiety subscale is active with no Acceptability map (since 20170131).
2994874016[702281005]: Evacuated blood collection tube IVD, thrombin/clot activator/gel separator is active with no Acceptability map (since 20140731).
3313676014[718733001]: Revised Children's Anxiety and Depression Scale Parent Version generalized anxiety subscale is active with no Acceptability map (since 20170131).
2994770017[702250001]: Coagulation timer IVD is active with no Acceptability map (since 20140731).
2994922018[702297000]: Non-evacuated blood collection tube IVD, clot activator is active with no Acceptability map (since 20140731).
3313667019[718730003]: Revised Children's Anxiety and Depression Scale Parent Version panic subscale is active with no Acceptability map (since 20170131).
2994919015[702296009]: Non-evacuated blood collection tube IVD, sodium citrate is active with no Acceptability map (since 20140731).
2994883014[702284002]: Non-evacuated blood collection tube IVD, lithium heparin is active with no Acceptability map (since 20140731).
3313670015[718731004]: Revised Children's Anxiety and Depression Scale Parent Version obsession compulsion subscale is active with no Acceptability map (since 20170131).
2992315016[701159005]: Sevoflurane anaesthesia vaporizer is active with no Acceptability map (since 20170731).
2994916010[702295008]: Non-evacuated blood collection tube IVD, clot activator/gel separator is active with no Acceptability map (since 20140731).
2994880012[702283008]: Non-evacuated blood collection tube IVD, gel separator is active with no Acceptability map (since 20140731).
2994913019[702294007]: Syringe-blood collection tube transfer IVD is active with no Acceptability map (since 20140731).
2992275013[701146002]: Ether anaesthesia vaporizer is active with no Acceptability map (since 20170731).
2994709015[702229005]: Nephelometer IVD is active with no Acceptability map (since 20140731).
2994946013[702305000]: Microcapillary blood transfer tube IVD, sodium fluoride is active with no Acceptability map (since 20140731).
3312649018[718563007]: Revised Children's Anxiety and Depression Scale Parent Version total anxiety subscale is active with no Acceptability map (since 20170131).
2994864019[702278000]: Evacuated blood collection tube IVD, no additive/metal-free is active with no Acceptability map (since 20140731).
2994886018[702285001]: Non-evacuated blood collection tube IVD, lithium heparin/gel separator, sterile is active with no Acceptability map (since 20140731).
2994861010[702277005]: Microcapillary blood collection tube IVD, no additive is active with no Acceptability map (since 20140731).
2994898011[702289007]: Evacuated urine specimen container IVD, ethyl paraben/sodium porpionate/chlorhexidine is active with no Acceptability map (since 20140731).
2994892012[702287009]: Non-evacuated blood collection tube IVD, potassium oxalate/sodium fluoride is active with no Acceptability map (since 20140731).
2994895014[702288004]: Evacuated urine specimen container IVD, boric acid (H3BO3)/sodium formate is active with no Acceptability map (since 20140731).
2994855012[702275002]: Microcapillary blood collection tube IVD, ammonium heparin is active with no Acceptability map (since 20140731).
2994822019[702266004]: Gas chromatography analyser column IVD is active with no Acceptability map (since 20140731).
2994931018[702300005]: Non-evacuated blood collection tube IVD, lithium heparin/gel separator, non-sterile is active with no Acceptability map (since 20140731).
2994830018[702268003]: General specimen container IVD, no additive, non-sterile is active with no Acceptability map (since 20140731).
2994721016[702233003]: Blood tube mixer IVD is active with no Acceptability map (since 20140731).
2994833016[702269006]: General specimen container IVD, no additive, sterile is active with no Acceptability map (since 20140731).
2994940019[702303007]: Evacuated urine specimen container IVD, multiple preservative is active with no Acceptability map (since 20140731).
2994692014[702223006]: Sputum specimen container IVD is active with no Acceptability map (since 20140731).
2994943017[702304001]: Microcapillary blood transfer tube IVD, clot activator is active with no Acceptability map (since 20140731).
3312777016[718729008]: Revised Children's Anxiety and Depression Scale Parent Version social phobia subscale is active with no Acceptability map (since 20170131).
2994937019[702302002]: Evacuated urine specimen container IVD, boric acid (H3BO3) is active with no Acceptability map (since 20140731).
2994695011[702224000]: Midstream urine specimen container IVD is active with no Acceptability map (since 20140731).
2992117016[701094000]: Methoxyflurane anaesthesia vaporizer is active with no Acceptability map (since 20170731).
2994794017[702258008]: High performance liquid chromatography analyser pump IVD is active with no Acceptability map (since 20140731).
2992259010[701141007]: Isoflurane anaesthesia vaporizer is active with no Acceptability map (since 20170731).
2992481019[701214006]: Enflurane anaesthesia vaporizer is active with no Acceptability map (since 20170731).
2994753013[702244006]: Sterile urine specimen container IVD is active with no Acceptability map (since 20140731).
2994788013[702256007]: Non-evacuated blood collection tube IVD, no additive is active with no Acceptability map (since 20140731).
2994901012[702290003]: Cervical cytology microscopy slide IVD is active with no Acceptability map (since 20140731).
3313222015[718688008]: Distal deletion 6p is active with no Acceptability map (since 20170731).
2991982016[701049006]: Desflurane anaesthesia vaporizer is active with no Acceptability map (since 20170731).
2992391014[701184008]: Halothane anaesthesia vaporizer is active with no Acceptability map (since 20170731).

RESOLUTION:  A previous Known Issue from the July 2017 International Edition, as these were historical issues with no perceived clinical impact, and as such were designated as low priority by the SNOMED International Content Team.  They were therefore fixed in the next editing cycle, and will now be released in the January 2018 International Edition.

Four concepts using the 363705008 | HAS DEFINITIONAL MANIFESTATION | attribute, that according to our checks shouldn’t – our test restricts the domain to 64572001|Disease (disorder)|
This may very well be an issue with our check, as the editorial rules (old+new) I have both indicate the domain is |Clinical finding|. Which would make these concepts acceptable.
However… The editorial rules do state “This attribute links disorders to the manifestations (observations) that define them” (emphasis added)
I’m not sure if the rules were domain was loosened since we created our checks, or we tightend the test based on the above statement.
But given these (4) are the first and only non-disorders to use this attribute, they’re for same type of concept (and from an extension). I’ll leave as an issue until confirmed as correct by the content team.
My suspicion is that the definition of these should be using the Interprets/Has Interpretation attribute pair.

15748521000119101 Tightness of bilateral gastrocnemius muscles (finding)
15748561000119106 Tightness of left gastrocnemius muscle (finding)
15748601000119106 Tightness of right gastrocnemius muscle (finding)
15968741000119100 Low back pain co-occurrent with and due to bilateral sciatica (finding)

RESOLUTION:  Stated Relationships for the above 4 concepts have had HAS DEFINITIONAL MANIFESTATION (363705008) inactivated in the January 2018 International Edition release

This is to prevent the issues we've experienced in past releases, whereby the release branch (taken at time of versioning) has been accidentally re-based by the content team against the MAIN branch, thus polluting it with new content for the next release cycle.

RESOLUTION:  We have therefore updated the SCA to allow us to set a flag at branching time to ensure that this is not even an option. 

The concept model has an 'optional' rule that the domain (ie sourceConcept) of all 272741003 |Laterality| relationships should be a descendant or self of a member of the 91723000 |Lateralizable body structure reference set| (see row 4 of 'Attribute domain (edit)' and row 19 of 'Domain (edit)' sheet). There are 13 concepts (see below) that are lateralized (ie the source of a |Laterality| relationship) which are not a descendant or self of a member of |Lateralizable body structure reference set|.

This optional rule is intended to raise a warning, to allow the appropriate concepts to be added to the |Lateralizable body structure reference set|. This rule is optional so we need to discuss and agree whether or not to fix/address any lateralized body structures that are not in this refset. 

27441005|Structure of right aorticopulmonary cushion (body structure)|
338434007|Entire right aorticopulmonary cushion (body structure)|
86300003|Structure of left aorticopulmonary cushion (body structure)|
338536007|Entire left aorticopulmonary cushion (body structure)|
361403005|Primitive left dorsal aorta (body structure)|
361404004|Primitive right dorsal aorta (body structure)|
370084000|Right lateral portion of upper third of esophagus (body structure)|
370089005|Right lateral portion of middle third of esophagus (body structure)|
370094005|Right lateral portion of lower third of esophagus (body structure)|
721984004|Structure of left visual system (body structure)|
721985003|Structure of right visual system (body structure)|
723212007|Structure of right nerve plexus (body structure)|
723213002|Structure of left nerve plexus (body structure)|

RESOLUTION:   The failures of this "optional" rule are Warnings only, and therefore not critical to the use of the Lateralizable Body Structure refset. As such, they have been resolved by the SNOMED International content team during the January 2018 editing cycle, as part of the planned refinement of the editorial rules for the representation of lateralities for embryonic structures and lateral half structures.

All concepts should have a fully-specified name of appropriate status.

There are 10 inactive International concepts that have come through the RF2 to RF1 conversion with their attached descriptions still as status 0. Highly likely that this is an RF2 to RF1 conversion issue rather that a problem in the base RF2 data.

RESOLUTION:  Firstly, the RF2 to RF1 conversion process has been refined to assign "Status 8" to the descriptions even if an inactivation indicator has not been set.  Secondly, an RVF improvement ticket has been opened to identify these cases, allowing them to be resolved early in the cycle in future.

All concepts except the Root must be children in the IS_A hierarchy. Three odd metadata concepts have crept into the release without any kind of IS_A relationship attached. These may in fact be supporting items from the International authoring environment and not even true RF2!

733929006 "General concept axiom (metadata)"

734146004 "OWL ontology namespace (metadata)"

734147008 "OWL ontology header (metadata)"

Additionally, two new concepts have been created which should have been specified in the model module, not the core module:

734866006 0 Concept attribute (foundation metadata concept) XUy1X 1
734867002 0 Expression definition status (foundation metadata concept) XUy1Y 1

RESOLUTION:  RF2 to RF1 Conversion Utility refined in order to bring it in line with current RF2 definitions of metadata concepts.  Modules for the relevant RF2 concepts have also been corrected accordingly in the final January 2018 Member Release package.

No changes are allowed to released relationships, except for the Relationship Group or Refinability fields. Is this a bug in the RF2 to RF1 conversion? Seems to be re-using relationship IDs at random from one release to the next. Will Investigate further, this is just a heads up to the fact that we found 442 fails of this rule.

RESOLUTION:  this has been resolved in the RF2 to RF1 conversion utility as part of the January 2018 Editing cycle.

RESOLUTION:  the MRCM validation tool has been updated to report issues found in current authoring cycle and published contents separately.

For the Jan 2018 International Edition, we need to add multiple new refsetDescriptor records (for 705111002 |Map correlation and origin type reference set| and 705109006 |Code).  These should be similar to this (only with the International ModuleID instead of LOINC!): 

906cb361-895c-4f9f-b8f1-1716843770c0 20170731 1 715515008 900000000000456007 705111002 449608002 900000000000461009 0
9144910b-7654-4bd3-99a8-784c4b7f8d2f 20170731 1 715515008 900000000000456007 705111002 900000000000505001 900000000000465000 1
38dbee28-ffe1-4c6b-9637-8b2981bddb01 20170731 1 715515008 900000000000456007 705111002 410662002 900000000000461009 2
e48daa01-677f-47f5-807c-f9e744566977 20170731 1 715515008 900000000000456007 705111002 447247004 900000000000461009 3
4a5589f4-a67e-493d-9ec7-88a91dd14503 20170731 1 715515008 900000000000456007 705111002 705116007 900000000000461009 4
2a144425-9c7c-4acf-b763-f80e72e8d807 20170731 1 715515008 900000000000456007 705109006 449608002 900000000000461009 0
dead17d5-a52f-4da3-9a71-187e820494c1 20170731 1 715515008 900000000000456007 705109006 900000000000505001 900000000000465000 1
9a39d251-d87e-4362-92a6-25d9245b8522 20170731 1 715515008 900000000000456007 705109006 706999006 707000009 2
873b63e4-fa7f-4ec5-acc6-db15b2b444a4 20170731 1 715515008 900000000000456007 705109006 900000000000444006 900000000000461009 3
17055ffd-ff4a-42ae-a2f9-17985e2ebdf0 20170731 1 715515008 900000000000456007 705109006 447247004 900000000000461009 4
3d5b6959-3b96-4df0-aef7-ef5179aa54e5 20170731 1 715515008 900000000000456007 705109006 705116007 900000000000461009 5

These rows represent the refset patterns used by the LOINC reference sets, and belong in the international edition, so that they can be used for other purposes (besides just for the LOINC refsets).

RESOLUTION:  Confirmed SRS and RVF had no issues with the additional records, so this ticket can be closed down without any action required.

As part of the US Edition testing, several records were found where the components had been assigned different moduleID's to the concepts to which they were connected.

For both Stated and Inferred relationship files:

Concept:
726633004 20170731 1 900000000000207008 900000000000074008
Relationship:
6930855020 20170731 1 900000000000012004 288556008 726633004 0 116680003 900000000000011006 900000000000451002

Concept:
726634005 20170731 1 900000000000207008 900000000000074008
Relationship:
6930853029 20170731 1 900000000000012004 255234002 726634005 0 116680003 900000000000011006 900000000000451002
6930857028 20170731 1 900000000000012004 371881003 726634005 0 116680003 900000000000011006 900000000000451002

+*For description file:*+

Concept:
723264001 20170131 1 900000000000012004 900000000000074008
Description:
3335274013 20170731 1 900000000000207008 723264001 en 900000000000013009 Lateralisable body structure reference set 900000000000448009

Concept:
733983009 20170731 1 900000000000012004 900000000000074008
Description:
3481613013 20170731 1 900000000000207008 733983009 en 900000000000013009 IHTSDO (International Health Terminology Standards Development Organisation) - Nursing Health Issues module 900000000000017005

Concept:
733984003 20170731 1 900000000000012004 900000000000074008
Description:
3481610011 20170731 1 900000000000207008 733984003 en 900000000000013009 IHTSDO (International Health Terminology Standards Development Organisation) - Nursing Activities module 900000000000017005

Concept:
734535006 20170731 1 900000000000012004 900000000000074008
Description:
3508979019 20170731 1 900000000000207008 734535006 en 900000000000013009 Extension Namespace 1000209 900000000000448009

RESOLUTION:  ModuleID's on the Relevant concepts/descriptions updated accordingly.

assertionUuid: "19423070-7118-45bd-98ba-6d0dc18bc619",
assertionText: "For each active FSN there is a synonym that has the same text.",
failureCount: 4,
firstNInstances: 

conceptId: "723618002",
detail: "723618002 |Assessment using Ages and Stages Questionnaires Social-emotional second edition (procedure)|"

conceptId: "71516007",
detail: "71516007 |Product containing vitamin D>2< (medicinal product)|"

conceptId: "723616003",
detail: "723616003 |Ages and Stages Questionnaires Social-emotional second edition (assessment scale)|"

conceptId: "723617007",
detail: "723617007 |Ages and Stages Questionnaires Social-emotional second edition score (observable entity)|"

RESOLUTION:  Synonyms added as required.

Concept found incidentally after close of editing and usual validation and QA.

205802006|Oculo-palato-digital syndrome (disorder)|
IS_A 263934009|X-linked inheritance (qualifier value)|

The error did not show up in existing reports.

Also earlier in release cycle found 116224001|Complication of procedure (disorder)| with IS_A relationship to 263718001|Complication (attribute)|

An MRCM rule could be designed to pick these types of errors up, existing MRCM rules only check attributes other than (IS_A) are applied to correct domains.

Refinement to QA rules in SCA requested and reprioritised to highest priority
https://jira.ihtsdotools.org/browse/ATF-1243

RESOLUTION: Stated Relationship parent 263934009 (IS_A relationship ID 7333028021) removed for Concept ID 205802006, and replaced with new stated parent 128430005

Several metadata concepts were accidentally not included in the July 2017 LOINC content editing cycle, and so missed the cut for the July 2017 International release.

We therefore added them in manually to the July 2017 LOINC Release - however they should reside in the International Edition, and we therefore need to promote them into the Jan 2018 International Edition.

Please see the linked LOINC-357 ticket for full details.

RESOLUTION: LOINC metadata concepts, plus refsetDescriptor records added to the January 2018 International Edition as planned. 

assertionUuid: "89ceaf00-79b9-11e1-b0c4-0800200c9a66",
assertionText: "All stated relationships inactivated in current release must have been active in the previous release.",
 
failureCount: 1,
 
firstNInstances: 
 [ {conceptId: "205802006",
detail: "Stated relationship: id=7333028021 is inactive in the current release but no active state found in the previous snapshot."}],

RESOLUTION:  Born inactive relationship resolved.

assertionUuid: "b88b9f46-4c33-4d8e-b9ab-ddb87aef3068",
assertionText: "New inactive states follow active states in the ASSOCIATION REFSET snapshot file.",
 
failureCount: 1,
 
firstNInstances: 
 [ {conceptId: "81003012",
 
detail: "ASSOC RS: id=b409f226-de0e-4159-887d-ce79974165c4 is inactive but no active state found in the previous release."}],

RESOLUTION:  Inactive state resolved in final Production release.

assertionText: "Terms that contain en-us specific words are in the en-us language refset.",
assertionUuid: "c3249e80-84f0-11e1-b0c4-0800200c9a66",failureCount: 11,
 
firstNInstances: 
 [{conceptId: "736535009",
detail: "DESCRIPTION: id=3518059016: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: analogue"},
  {conceptId: "735529004",
detail: "DESCRIPTION: id=3514776016: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: entamoeba"},
  {conceptId: "737347005",
detail: "DESCRIPTION: id=3527485012: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: entamoeba"},
 {conceptId: "735516004",
detail: "DESCRIPTION: id=3514737017: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: gonorrhoeae"},
 {conceptId: "762257007",
detail: "DESCRIPTION: id=3636261016: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: gonorrhoeae"},
 {conceptId: "762311008",
detail: "DESCRIPTION: id=3636373019: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: neurilemmoma"},
 {conceptId: "762312001",
detail: "DESCRIPTION: id=3636376010: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: neurilemmoma"},
 {conceptId: "735916009",
detail: "DESCRIPTION: id=3515711010: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: neuroepithelial"},
 {conceptId: "735919002",
detail: "DESCRIPTION: id=3515717014: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: neuroepithelial"},
 {conceptId: "735920008",
detail: "DESCRIPTION: id=3515719012: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: neuroepithelial"},
 {conceptId: "735921007",
detail: "DESCRIPTION: id=3515721019: Synonym is prefered in en-us language refset but refers to a word that has en-gb spelling: neuroepithelial"}],

RESOLUTION:  This assertion is for warning purposes only, and in this case no action is required for the January 2018 International Edition.

assertionUuid: "cc9c5340-84f0-11e1-b0c4-0800200c9a66",

assertionText: "Terms that contain en-gb specific words are in the en-gb language refset.",
failureCount: 24,
 
firstNInstances: 
 [{conceptId: "737243006",
detail: "DESCRIPTION: id=3527250010: Synonym is preferred in the en-gb language refset but refers to a word that has en-us spelling: fragility"},
 {conceptId: "737244000",
detail: "DESCRIPTION: id=3527251014: Synonym is preferred in the en-gb language refset but refers to a word that has en-us spelling: fragility"},
 {conceptId: "734289007",
detail: "DESCRIPTION: id=3503193012: Synonym is preferred in the en-gb language refset but refers to a word that has en-us spelling: gram"},
 {conceptId: "734291004",
detail: "DESCRIPTION: id=3503198015: Synonym is preferred in the en-gb language refset but refers to a word that has en-us spelling: gram"},
{conceptId: "734290003",
detail: "DESCRIPTION: id=3503201013: Synonym is preferred in the en-gb language refset but refers to a word that has en-us spelling: gram"},

RESOLUTION:  This assertion is for warning purposes only, and in this case no action is required for the January 2018 International Edition.

assertionUuid: "0cc708af-6816-4370-91be-dba8da99d227",
assertionText: " There must be actual changes made to previously published descriptions in order for them to appear in the current delta.",
 
failureCount: 1,
 
firstNInstances: 
 [{conceptId: "48611009",
 
detail: "Description: id=81003012 is in the detla file, but no actual changes made since the previous release."}],

RESOLUTION: This is an expected result of the content fix, and therefore no action is required for the January 2018 International Edition.

assertionUuid: "2aa0bea1-b1fa-4543-b277-b4392a6f864d",
assertionText: "New inactive states follow active states in the ATTRIBUTEVALUE snapshot.",
 
failureCount: 3,
 
firstNInstances: 
 [ {conceptId: "503829013",
 
detail: "AttributeRefsetId=0e23696e-a8d3-5624-b6ae-8def187d2c01 should not have a new inactive state as it was inactive previously."},
 
 {conceptId: "468037015",
 
detail: "AttributeRefsetId=1661c0fb-8fde-5edf-ae65-4612ca4a9a92 should not have a new inactive state as it was inactive previously."},
 
 {conceptId: "81003012",
 
detail: "AttributeRefsetId=8a033490-69d3-4227-b0d7-e73e26f13478 is inactive but no active state found in the previous snapshot."}],

 
RESOLUTION:  The record for concept 81003012 has been removed, and the failures for the other two concepts have been proven to be for warning purposes only, and therefore no action is required for these two records for the January 2018 International Edition.
 

Validation of the January 2018 Alpha release content, using the MRCM refsets has passed.  

However, validation of the new MRCM refsets themselves has failed, with errors that need to be resolved before the validation of the content can be run again...

RESOLUTION:  MRCM refsets repaired and MRCM validation run successfully. 

RESOLUTION:  After review of content changes in attached validation report, a small number were escalated to principle terminologist for review, 3 changes were made in this task RFJ-3.

1. Changed stated parent for 723830005|Keratosis follicularis, dwarfism, cerebral atrophy syndrome(disorder) to remove autosomal dominant parent

2. Changed stated parent for 205802006|Oculo-palato-digital syndrome (disorder)| to remove qualifier value as IS_A - this is logged separately https://jira.ihtsdotools.org/browse/ISRS-286

3. Reinstated synonym that was inactivated in error on 48611009|Keratosis follicularis (disorder)|

The UKTC found one issue in the Association Reference set, a duplication with all fields except for the ID:

This was identified during the RF2 to RF1 conversion process - the rest of the RF1 conversion has passed their load testing. 

RESOLUTION:  The first record was removed (c9973797-b81c-4ec9-b816-707d8fa96e01) and the second record was retained (c9d735f4-de2f-4362-934e-8963bd553b04).

The second entry is thought to be unnecessary:

RESOLUTION:  The second record was removed (6dc07e8a-2f70-4eb2-a7f3-7194a996fb32) and the first record was retained (1fd6713a-d6a3-4de5-b33f-dd85cfb075e3).

ADHA have got this coming up in a dual lineage check, but it looks OK… (they can’t access the daily build at the moment, so please verify if this is a valid issue or not).

RESOLVED:  ADHA confirmed no issue - tests refactored to prevent false positives.  Ticket has therefore been closed down with no action required.

Invalid Range concept -

Incorrect Domain - 

70 relationships do not have a domain that is subtype of Anatomical structure (body structure).  Specifics available upon request.

RESOLUTION:  SNOMED International Content Team confirmed that these issues will be resolved as part of the overall Anatomy model refactoring, due to be completed within the next 3 years.  The relevant validation tests will be whitelisted until this Anatomy remodelling is complete.

The following concepts do not appear to be lateralizable. I think I reported these in October, but in any case. No new instances.

RESOLUTION:  Relevant concepts inactivated in the Lateralizable Body Structure reference set.

• There are 449 descriptions marked as Initial character case insensitive, but are not Sentence case.
• There are 279 Case insensitive, but are not sentence case.
• There are 520 descriptions marked Case insensitive, but contain upper case characters.

Descriptions available on request (can attach to a ticket). 

RESOLUTION:  Case significance changed for all relevant records.  Rules to be continually refined in 2018 to prevent future issues of a similar nature.

• 12 members are not referencing types of 123037004 | body structure | (some are inactive concepts).

·       18 Topography codes are not mapped to 442083009|Anatomical or acquired body structure (body structure)|. (Most of these already identified in previous above)

RESOLUTION:  All 68 members inactivated in the Simple Map snapshot accordingly

attributeCardinality

35e812ae-cfae-4e6f-a86c-95d7fc2d8b28 363705008|Has definitional manifestation|

• this cardinality [*0..0*] suggests the attribute is never used. If the attribute is deprecated, should the MRCM entry just be inactivated?

dfd2d19e-eb7f-4d3e-9ae5-65e36af00d42 736518005 |Has state of matter (attribute)|

• The cardinality [*.1*] suggests the attribute is mandatory, may be valid? However it’s suspicious as no other attribute is mandatory.

These cardinalities are unique across the entire refset. If they are valid, I’ll update the checks.

RESOLUTION:  SNOMED International Content Team confirmed that no action is required for this, as the explanation was acceptable to the users.

rangeConstraint is immutable – the rangeConstraint value has changed for two entries

• 38cf03ea-0326-4049-b930-41728495b33e
• 762cf268-c2f6-4138-af6f-849dbb0fc3fc

This may be valid as the specs currently indicate the field is mutable. Was changed in May 2017. Please confirm if correct.
(Note the language changed from immutable to mutable – suggest the language be kept consistent across all specifications as it’s easy to miss the difference).

RESOLUTION:  SNOMED CT Product support team confirmed that this is valid, and therefore no action is required. The rangeConstraint was intentionally made mutable in the |MRCM attribute range reference set| to avoid churn of UUIDs when the range of an attribute changes.  With respect to the specifications including a "Mutable" column (rather than an "Immutable" column) ... this was changed consistently across all our specifications to improve the readability of this information. 

Attribute description values 410662002 and 900000000000444006 are not descended from "Reference set attribute". The following records are affected:-

• c4de4be5-6d39-4ae8-8974-ebb1aadf0f92
• cf88d18f-d05a-407a-bea8-cd46fc79accb

RESOLUTION:  Both records updated accordingly:

c4de4be5-6d39-4ae8-8974-ebb1aadf0f93 20180131 1 900000000000012004 900000000000456007 705111002 734866006 900000000000461009 2

cf88d18f-d05a-407a-bea8-cd46fc79accc 20180131 1 900000000000012004 900000000000456007 705109006 734867002 900000000000461009 3

The following concepts belong to module 900000000000012004, but their fully-specified names in the descriptions table belong to 900000000000207008:

• 733900009
• 733929006
• 734146004
• 734147008

RESOLUTION:  ModuleID's updated on relevant concepts, plus on the related Relationship records.

This refers to concepts in the RF1 release with status 5 (Erroneous) which are mapped to valueid 723277005 ("Nonconformance to editorial policy component") in the Concept inactivation indicator refset (900000000000489007). Ordinarily we would exect to see them mapped to "Erroneous component" (900000000000485001). See attached list.

RESOLUTION:  Reporters confirmed that this ticket can be closed down with no action required, as the issue reported was a result of a local conversion process, and therefore has no impact on the RF2 Release package.

Similar to the concepts with incorrect values in ISRS-309.

A number of descriptions are mapped to values other than those suggested by their RF1 statuses. See attached report.

RESOLUTION:  Reporters confirmed that this ticket can be closed down with no action required, as the issue reported was a result of a local conversion process, and therefore has no impact on the RF2 Release package.

{"testCategory": "file-centric-validation",
"assertionUuid": "48118153-d32a-4d1c-bfbc-23ed953e9991",
"assertionText": "There is a 1:1 relationship between the id and the immutable values in the description snapshot.",
"queryInMilliSeconds": 45132,
"failureCount": 1,
"firstNInstances": [

{ "conceptId": "24891006", "detail": "Concept:482041016 has multiple description ids for the same term:Sodium amidotrizoate" }}

RESOLUTION:  Erroneous changes to Description snapshot reverted, so records once again are as follows:
id effectivetime active moduleid conceptid languagecode typeid term casesignificanceid
482041016 20030731 0 900000000000207008 24891006 en 900000000000013009 Sodium amidotrizoate 900000000000020002
2153861015 20170731 1 900000000000207008 24891006 en 900000000000013009 Sodium amidotrizoate 900000000000448009

assertionText: "The FSN term should be unique in active content when case sensitivity is ignored.",

 
failureCount: 1,
 
firstNInstances: 
 [{conceptId: "406004001",
detail: "FSN=cdE haplotype (finding) concept=406004001: FSN term is not unique in description snapshot when case is ignored"}

RESOLVED:  SNOMED CT Content team confirmed that these variations are valid, and this ticket can therefore be closed down without any action required

assertionUuid: "0cc708af-6816-4370-91be-dba8da99d227",
assertionText: " There must be actual changes made to previously published descriptions in order for them to appear in the current delta.",
 
failureCount: 9,
 
firstNInstances: 
 [{conceptId: "48611009",
detail: "Description: id=81003012 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "406757009",
detail: "Description: id=2158402015 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "409708007",
detail: "Description: id=2471470016 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "160436004",
detail: "Description: id=2666134019 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "160447006",
detail: "Description: id=2666604013 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "160452001",
detail: "Description: id=2666609015 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "160457007",
detail: "Description: id=2666614016 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "160442000",
detail: "Description: id=2666928013 is in the detla file, but no actual changes made since the previous release."},
{conceptId: "160430005",
detail: "Description: id=2667273015 is in the detla file, but no actual changes made since the previous release."}

 
RESOLUTION: This is an expected result of the content fix, and therefore no action is required for the January 2018 International Edition.

An erroneous preferred term has been identified on concept:

1086561000119100|Hemorrhage of duodenum co-occurrent and due to diverticulosis (disorder)|

This duplicates the preferred term on concept:

1086571000119106|Hemorrhage of ileum co-occurrent and due to diverticulosis (disorder)| 

RESOLUTION:  Removed 2 invalid descriptions (3512606011 + 3512607019) due to status of erroneous (not inactivated, completely removed as otherwise these would have been born inactive as they were new to the January 2018 International Edition), and replaced them with 2 new descriptions (3658075016 + 3083724012)

An erroneous preferred term has been identified on concept:

259720006|Substance with white blood cell enzyme mechanism of action (substance)|

RESOLUTION:  Description 3520664018 inactivated with a status of erroneous, and Description 3658178016 added as a new description (preferred term)