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Overview of Current Notices

For additional Relevant links with regards to Content Development Information please click here Content Development Information

1

ItemsProposed improvement

Planned Release date

(*this is provisional only and is subject to change)

2LOINC timeline changes - please refer to Roadmap link here LOINCJuly 2018 and potentially other future releases - On hold
3

Revision of IS A relationships for anatomy concepts 

The new anatomy concept model implemented the enhanced Description Logic features, e.g. reflexive and transitive properties, additional axioms, for consistent logical modeling. The inferred IS A relationships from the OWL anatomy ontology have been reviewed and the changes have been implemented in the production. The potential impact to other hierarchies, such as disorders, procedures, observables, situations etc are also reviewed as part of the project.

The revision of sub-hierarchy 26107004|Structure of musculoskeletal system (body structure)| has been planned for the January 2019 release. The rest body systems will be revised in the future releases.

The subject area for revision of IS A relationships will be determined and updated in the following confluence page.

January 2019 International Release
4

Planned changes to 'Co-occurrent and due to' pattern

During the implementation of the new Description Logic features a conflict was uncovered between the modeling of 'Co-occurrent and due to' and General Concept Inclusions (GCIs). This has resulted in the need to reconsider the modeling of "Co-occurrent and due' and update the Editorial Guide for this area.

There are a number of new concepts in the January 2019 release that are based upon the existing guidance for 'Co-occurrent and due to'. The plan is to update the Editorial Guide and all concepts that are currently modeled as 'Co-occurrent and due to' for the July 2019 release.

July 2019 International Release
5

Summary of Substances Changes

    • Flattening of Substance hierarchy: Implement/updated “Is modification” attribute where applicable
    • Add new substances required for creation of new medicinal products
    • Add new dispositions and structural grouper concepts to model existing content
    • Update modelling for existing concepts by adding "has disposition" attribute where applicable
    • Update modelling for existing concepts by adding missing structural parents
    • Improve substance concepts in the areas of 
      • Updating case sensitivity based on editorial guidelines
      • Alignment to the International Nonproprietary Name
    • Changes in the substance hierarchy as the result of Allergy project requirements:
      • Inactivate top level groupers/Allergen classes in substance hierarchy by reassigning their children to appropriate structural and/or functional parents:
        • 414052000 | Drug allergen by structure |
        • 414058001 | Drug pseudoallergen by function |
        • 414057006 | Drug pseudoallergen |
        • 414053005 | Drug allergen or pseudoallergen |
      • Inactivate “Allergy to X” concepts where X is a modification of a base substance and replace it with Allergy to the base substance
January 2019 International Release
6

Remodeling of hypersensitive conditions

  • Immunoglobulin E-mediated allergic contact hypersensitivity process (qualifier value) and Non-immunoglobin E-mediated allergic contact hypersensitivity process (qualifier value) have been created.
  • Hypersensitivity, allergy and pseudoallergy condition classes will be moved under 404684003 |Clinical finding (finding)| and modeled using GCIs in order to encompass allergic disorders, dispositions and processes (reactions).
  • Hypersensitivity, allergy and pseudoallergy dispositions (the latter renamed as Non-allergic hypersensitivity based on feedback from the Allergy CRG) will be moved under 404684003 |Clinical finding (finding)| and remodeled using proximal primitive parents with a role group consisting of 719722006 |Has realization (attribute)| with a value of 472963003 |Hypersensitivity process (qualifier value)| or an appropriate subtype and a causative agent relationship to a substance and follow a naming pattern of Hypersensitivity/Allergy/Non-allergic hypersensitivity to X (finding).
  • 414029004 |Disorder of immune function (disorder)| will be remodeled and fully defined using a pathological process of 769247005 |Abnormal immune process (qualifier value).
  • A new hierarchy of Intolerance to substance (finding) will be created.

Hypersensitivity, allergy and pseudoallergy condition are modelled by general concept inclusion (GCI) axioms. The relationships in the GCIs are sufficient conditions which are excluded from the inferred relationships. The GCIs in the OWL axiom refset must be used with stated relationship file to enable correct classification for hypersensitivity conditions.

In addition to the changes to the concept model, the FSNs and Preferred terms will be updated to ensure consistent description patterns. The changes are word order in descriptions and they do not change the meaning. For example, Amoxicillin allergy (disorder) would be changed to Allergy to amoxicillin (disorder).

changes in the substance hierarchy as the result of Allergy project requirements (Allergies-30 and Allergies-32):

  • Inactivate the following two top level groupers/Allergen classes in substance hierarchy by reassigning their children to appropriate structural and/or functional parents :
    • 414052000 | Drug allergen by structure |
    • 414058001 | Drug pseudoallergen by function
January 2019 International Release
7

Summary of Organism Changes

  • Improve Organism concepts by
    • Applying consistent case sensitivity to organism descriptions containing "Taxon Rank"
    • Fixing spelling mistakes in FSN and synonyms
  • Correct Influenza virus descriptions
January 2019 International Release
8

Quality Improvement Changes

Abrasion - As a result of changes made during the QI project for the January 2019 release, there are now 2 concepts which have the same preferred term. 781488002 |Abrasion of foot (finding) and 211402004 |Abrasion of foot (disorder)

782201009 |Abrasion (finding)| and 399963005 |Abrasion (disorder)|

These concepts will be addressed as part the QI project for the July 2019 release.

July 2019 International Release
9

Replacement of OWL conversion script with a link to the open source directory

In January 2017 the original OWL conversion script (a.k.a. the "Spackman OWL script") was removed from the International Edition package, and has since been published as a separate artefact alongside each Release. 

Because this script does not recognize the two new OWL refsets (see section 3.3.2 of these Release Notes), the Terminology Release Advisory Group has determined that the script should no longer be distributed.

Going forward, Release Notes will now include a link to the new open source OWL conversion toolkit that can be found in the following repository (including documentation on its use):

https://github.com/IHTSDO/snomed-owl-toolkit

Please contact SNOMED International at support@snomed.org if you would like to provide any feedback on ways to extend and improve the new toolkit.

July 2018 International Release
10

Deprecation of the Technical Guide Exemplars document from the International Edition release package

The Terminology Release Advisory Group has confirmed that there should be no impact from removing this almost entirely static document from the International Edition release package, and hosting it instead in a Confluence Page. From the July 2018 International release then, we will deprecate this file (doc_Icd10MapTechnicalGuideExemplars_[date].xlsx) from the Release package, and instead provide a link in the Release Notes to the new Confluence Page. Please see section 2.4.1.3 of the Release Notes for the relevant link.

July 2018 International Release
11

Replacement of the Stated Relationship files with the new OWL Axiom refset files

Following the feedback, the normal stated relationship file will still be available in the January 2019 release package and the partial OWL axiom refset will include all description logic features that cannot be represented in the stated relationship file.

The complete OWL axiom reference set, which includes all logical definitions and the enhanced DL features, will be available on request in the January 2019 release.

In the July 2019 release, the stated relationship file will be replaced by the complete OWL Axiom refset file. The stated relationship file will NOT be included in the international release; however, it may still be available on request to support migration to the OWL Axiom refset.

IMPORTANT NOTE FOR USERS

Users should carefully analyse any potential impact to their systems (upload routines, etc) and make provisions for these changes urgently (if not already done), in order to prevent any issues when these changes come into effect in January 2019.  Please contact SNOMED International at support@snomed.org with “OWL Axiom refset files implementation question” in the subject line.    

  

The inferred relationship file will maintain the same format and structure, though it will no longer contain all necessary and sufficient conditions. The inferred relationship file is represented in Necessary Normal Form for distribution of relationships. It is a collection of all the necessary conditions and represents a subset of the full semantics from the 2018 July release and onwards. Most users will benefit from the improvements in the inferred relationships without requiring changes to their existing systems.

A set of documentations has been developed to support the Logic Profile Enhancements. 

January 2019 International Release
12

Planned Change to Content

420934007 |Skin graft material (substance)| will be significantly revised and additional concepts created to comprehensively capture both the origin of the skin graft and thickness (full thickness, split thickness etc). Text definitions will be included.

July 2019 International Release



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