SNOMED CT® Release Format 1 (RF1) Guide - ihtsdo

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248 | SNOMED CT Release Format 1 (RF1) Guide July 2012 CONCEPTID 409063005 409073007 416118004 119265000 119270007 122545008 32485007 58000006 107724000 633004 107727007 107728002 86078004 50659003 SNOMEDID P0-00B19 P0-00B27 P0-00B68 P0-04001 P0-04003 P0-04006 P0-10000 P0-20000 P0-20301 P0-80000 P0-80001 P0-80002 P0-80500 P0-80600 FULLY SPECIFIED NAME Counseling (procedure) Education (procedure) Administration (procedure) Assisting (procedure) Management procedure (procedure) Stimulation procedure (procedure) Hospital admission (procedure) Patient discharge (procedure) Patient transfer (procedure) Chart review by physician (procedure) Chart related administrative procedure (procedure) Chart evaluation by healthcare professional (procedure) Quality of care procedure (procedure) Medical audit procedure (procedure) DEFINITION Psychosocial procedure that involves listening, reflecting, etc. to facilitate recognition of course of action / solution. Procedure that is synonymous with those activities such as teaching, demonstration, instruction, explanation, and advice that aim to increase knowledge and skills, change behaviors , assist coping and increase adherence to treatment. Introduction of a substance to the body Helping the body perform a function it normally does on its own A plan or recommendation for services, based on an evaluation Procedure to arouse the body or any of its parts or organs to increase functional activity Performance of the steps necessary to admit a patient to a hospital Performance of the steps necessary to discharge a patient from a location of care delivery Performance of the steps necessary to transfer a patient between locations of care delivery A chart evaluation performed by a physician An administrative procedure that involves a medical record chart An evaluation of a medical chart by a health care professional A procedure that assesses the quality of health care service delivery A quality of care determination performed retrospectively © 2002-2012 International Health Terminology Standards Development Organisation CVR #: 30363434
CONCEPTID 16817006 15367004 15807005 57430006 54455007 29064005 6035001 42965003 118662001 118629009 118635009 34896006 76145000 122458006 122459003 SNOMEDID P0-80660 P0-80690 P0-806A0 P0-80800 P0-80820 P0-80850 P0-80860 P0-80890 P0-90003 P0-A0201 P1-00031 P1-01000 P1-01001 P1-01002 P1-01003 FULLY SPECIFIED NAME Medical service audit (procedure) Ancillary service audit (procedure) Financial audit (procedure) Chart evaluation by non-healthcare professional (procedure) Chart review, verification of charges (procedure) Chart opening (procedure) Chart abstracting (procedure) Chart completion by medical records (procedure) Medicolegal procedure (procedure) Functional training (procedure) Revision (procedure) Incision (procedure) Exploratory incision (procedure) Exploration procedure (procedure) Dissection procedure (procedure) DEFINITION A medical audit of direct care providers A medical audit of ancillary services (such as physical therapy, dietary) A financial procedure that assesses a financial situation A chart-related administrative procedure that checks a chart for completion and accuracy and conformance to chart policy A financial audit to review and/or verify charges A chart-related administrative procedure that involves opening the chart A chart related administrative procedure that involves abstracting information from the chart A chart related administrative procedure done by the medical records department An administrative legal procedure Procedure aimed at enhancing functioning, frequently includes repetition of actions to develop, re-create or maintain physiological/cognitive processes. Repeating a prior procedure to correct or improve the results Making a cut in something An incision done for the purpose of performing an exploration An observation of the body or a body part done by inspection and/or palpation A separation of different structures along natural cleavage lines by dividing the connective tissue framework Formats | 249 © 2002-2012 International Health Terminology Standards Development Organisation CVR #: 30363434
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SNOMED CT ® Release Format 1 (RF1)
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Contents | 3 Release Format 1 - Det
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Chapter 1 Preface The purpose of th
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Table 3: Document Types Type Name a
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IHTSDO Glossary (DRAFT) • On line
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Chapter 2 Structure and Content Gui
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Figure 1: Multiple levels of granul
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Table 5: Example: Defining arthriti
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The full definitions of the concept
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Other components (i.e. Relationship
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2.1.2.2.1.3. Linking related Concep
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• Local content requirements that
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Consistent representation is a prer
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Figure 8: Abstract logical model of
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1. As originally stated: : • | Ha
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2.2.1.3.2.3.1. Supertype aspects of
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Figure 11: Example hierarchy with l
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Concept E F G H J K L M Note: Compr
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Concept M List of proximal primitiv
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Table 11: Non-redundant attribute v
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G. | Severe upper limb laceration |
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As a result of this limitation some
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2.2.1.4.3. Historical relationships
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2.2.2.1.1.2. Refinement attribute n
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2.2.2.1.4.3. Use of "unapproved att
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Interim recommendations 1. Wherever
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2.2.2.3.1. Close-to-user expression
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It is important to note that combin
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2.2.2.3.6.1. Example of equivalent
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Figure 25: Alternative expressions
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Figure 27: Possible expressions of
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Figure 28: SCTID Short Format - App
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PartitionId 05 Description A Cross
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SctId 999999990989121104 2.3.2.9. T
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2.3.3.2. Specification for Namespac
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2.3.3.3.1.4. Procedures 2.3.3.3.1.4
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1. Every Concept in an Extension:
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Table 17: Processing Transfers betw
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In May 2008, the HL7 Version 3 Stan
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An expression supports combinations
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digitNonZero= %x31-39 The first cha
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excision of left fallopian tube. No
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This existential restriction is lab
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• In order to generate the OWL ve
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• Though there are many candidate
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2.3.7.2.2.1. Single byte encoding C
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9 0 9 Table 29: The full array for
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else {document.getElementById("out"
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http://www.augustana.ab.ca/~mohrj/a
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version. It seems unwise to prevent
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Table DescDualKey Table ConcDualKey
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The IHTSDO recognizes that, while i
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3.2.2. Release Format 1 - Structure
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3.2.3.2. Core Tables Data - Structu
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Data Fields InitialCapitalStatus De
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3.2.4.1. Subset Mechanism - Structu
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Data Fields ContextId 3.2.4.2.2. Su
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Subset SNOMED CT Top Level Navigati
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• as a combination of codes; •
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Table 41: Cross Mapping Tables Cros
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Table 44: Cross Map Targets Table K
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The History Mechanism is also used
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In addition, the ReferencedId field
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Table Descriptions Descriptions Rel
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Table 49: Relationships depending o
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Table 51: Changes to Relationships
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Table 52: Changes to Relationships
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• The only Relationships that it
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ComponentId ConceptId ReleaseVersio
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A readme.txt file is distributed wi
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Value 6 10 11 Limited Moved elsewhe
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As new concepts are added to SNOMED
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Table 73: DescriptionStatus Values
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3.2.9.2.2.4. InitialCapitalStatus T
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3.2.9.3. relationships tables Each
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3.2.9.3.2.3. ConceptId2 Table 84: -
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An integer value that expresses an
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3.2.9.4.1.2.4. SubsetType Table 95:
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A string that identifies a Context
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3.2.9.4.2.1.2. Data Fields Table 10
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• MemberStatus 3.2.9.4.2.3.1.1. S
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3.2.9.4.2.4.1.3. MemberStatus Table
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3.2.9.4.2.5.2. Data Fields Table 11
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3.2.9.4.2.7.1.1. SubsetId Table 124
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3.2.9.4.2.8.1.3. MemberStatus Table
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3.2.9.4.3. Subset Definition File P
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3.2.9.5.1.2.3. MapSetSchemeId Table
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This discussion of rules is include
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3.2.9.5.1.3.2.3. MapRule Table 151:
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3.2.9.5.1.4.2.3. TargetRule Table 1
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RELAT_NMS = column in the LOINC tab
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The value of the SNOMED CT / LOINC
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The SNOMED CT Relationships Table e
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LOINC Analyte Name(s) DESMETHYLAMIO
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LOINC Analyte Name(s) COMPLEMENT IC
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The information provided includes d
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3.2.9.6.4.1.2. ReleaseVersion Table
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Value 6 7 8 9 10 11 Note: Name Limi
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Page 199 and 200: Release Format 1 is represents a sn
Page 201 and 202: RF1 Descriptions Table Descriptions
Page 203 and 204: Table 177: Concepts Table Use of re
Page 205 and 206: Use of recommended additional indic
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Page 209 and 210: Table 184: Cross Map Sets Table Use
Page 211 and 212: Keys Partition Size Type Field Name
Page 213 and 214: Table 192: Word Equivalents Table U
Page 215 and 216: 3.2.10. The Stated relationships ta
Page 217 and 218: Figure 41: Overview of Cross Map Sc
Page 219 and 220: Table 197: Cross Maps Sets Table Ma
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Page 223 and 224: Table 205: Cross Map Sets Table Map
Page 225 and 226: If this approach is followed, there
Page 227 and 228: This approach allows a more consist
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Page 247: CONCEPTID 339008 47002008 128419007
Page 267 and 268: 3.2.13. Enumerated values Value 0 1
Page 269 and 270: Table and Field Subsets SubsetType
Page 271 and 272: 3.3. Release Format 2 Update Guide
Page 273 and 274: • The Release Format should minim
Page 275 and 276: 3.3.3.4. Backward compatibility The
Page 277 and 278: 3.3.4.5. Field Ordering Records in
Page 279 and 280: externalised structures such as Ref
Page 281 and 282: ContextId If either the RealmId fie
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Page 285 and 286: descriptions associated with concep
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Page 289 and 290: was inactivated. Each Reference ind
Page 291 and 292: Finally, add members to the Referen
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VersionDate refers to the official,
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Example: Excluding the Fully Specif
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4.2.1.3. Pre-processing of distribu
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• Reject, highlight or apply othe
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Table 236: Essential concept Identi
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The purpose of this section of the
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Table 240: Example results for a Se
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• For each dual key, add rows to
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• Description104951019 is elimina
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4.4.1.4.1. Avoiding multiple hits o
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Table 248: Relationship Example Con
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• Since the depth of the hierarch
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4.4.2.5. Using navigation Subsets t
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Table 253: Concepts used in the Exa
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SubsetId Mem
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• 302402006 | radius and/or ulna
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Now we have tree nodes and their ch
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Subsets may be used to derive table
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• One Subset can be used as the b
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• A Context Concept Subset only r
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• A Navigation Subset specifies a
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• A RealmID identifies the specia
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4.5. Testing and traversing subtype
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This approach removes the need for
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4.5.5.2.4. Using the transitive clo
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Figure 55: Terminology server provi
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A field in the Component History Ta
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Cross maps table A data table consi
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• References Table Inactive compo
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A field in the Cross Maps Table tha
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A Subset that specifies sets of Nav
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A field in the Concepts Table that
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TargetId A SNOMED CT Identifier tha
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WordText A field in the Word Equiva
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