The logic definitions are represented by the OWL axiom refset that is a replacement of the RF2 stated relationship file. As a result, the nature of the inferred relationship file in the distribution normal form (DNF) has changed, because the new DL features are not representable in the current relationships file. The inferred relationship file will maintain the same format and structure, but it is no longer equivalent to the stated form (containing all necessary and sufficient conditions). In fact, it is a collection of all the necessary conditions of precoordinated concepts and represents a subset of the full semantics.

Necessary Normal Form

The Necessary Normal Form (NNF) is a replacement for the Distribution Normal Form for inferred relationships. The NNF is a precalculated distribution form for practical purposes, for example, to support the continuity of existing implementations based on relational databases and queries by the expression constraint language.

The NNF consists of the full set of necessary relationships of precoordinated concepts after removal of redundant relationships within a given concept definition. Within the scope of a SNOMED CT terminology, necessary relationships are defined only for precoordinated concepts (aka OWL’s named classes). Let C be a precoordinated concept and D be either a precoordinated concept or a complex expression. If an axiom is in the form of SubClassOf(C D) or EquivalentClasses(C D), then all of the derivable and necessary relationships of D are necessary relationships of C.

The NNF does not include class disjointness, transitive properties, reflexive properties and sufficient conditions represented as General Concept Inclusions (GCIs) in the OWL axiom refset.

Inferred relationships for concrete values, e.g. decimal, integer, string, or dateTime, should be included in a separate relationship file.

Rules for Determining Redundant Relationships

Rule 1  - Class and Role inclusions

Given two relationships, A and B, A with r = C and B with s = D, within the same role group, A is redundant if:

• r is the same as or a supertype of s, and

• C is the same as or a supertype of D

Note, “crossover relationships”, where r is a supertype of s, and C is instead a subtype of D do not result in a redundant relationship.

Example for Class inclusion

Stated relationships

Inferred relationships before the removal of redundant relationships

Inferred relationships after the reduction

For | Fracture of radius| , the relationship | Finding site|  =  | Bone structure of radius and/or ulna| is inherited from | Fracture of forearm| , which is a redundant relationship because  | Bone structure of radius| is a subtype of | Bone structure of radius and/or ulna| . The relationship  | Associated morphology|  =  | Traumatic abnormality| is inherited from | Injury of radius| , which is a redundant relationship because  | Fracture (morphologic abnormality)|  is a subtype of | Traumatic abnormality| .

Table 2.5-1: Example in OWL axiom refset and RF2 relationship file (NNF)

Example for Role inclusion

Stated relationships

Inferred relationships before the removal of redundant relationship

Inferred relationships after reduction

For concept | Kidney biopsy| , the relationship  | Procedure site| =  | Kidney structure| is inherited from | Procedure on kidney| , which is a redundant relationship to  | Procedure site - Direct| =  | Kidney structure| because  | Procedure site - Direct| is a subtype of | Procedure site| . Because  | Kidney structure| is a subtype of  | Urinary system structure| and | Retroperitoneal compartment structure| , the inherited relationships for  | Procedure site - Direct| are also redundant.

Table 2.5-2: Example in OWL axiom refset and RF2 relationship file (NNF)

Rule 2  - Property chains including transitive properties

Given attribute r, s and t with a property chain SubObjectPropertyOf(ObjectPropertyChain(t s) r), and two relationships A and B, A with r = C and B with u = D, within the same role group, A is redundant if:

• Attribute u is the same as or a subtype of t, and

• D has a relationship to C via attribute s

Note the following:

• C does not need to subsume D

• Attribute t does not need to be the same as or a subtype of r

• Transitive properties are defined by a property chain in the form of

     SubObjectPropertyOf(ObjectPropertyChain(r r) r) and thus it is a special case of the above.

Example for property chain:

Stated relationships of | Product containing precisely amoxicillin (as amoxicillin sodium) 1 gram/1 vial powder for conventional release solution for injection (clinical drug)|  (the other model detail has been omitted):

Stated relationships of | Amoxicillin sodium (substance)| :

Inferred relationships before the removal of the redundant relationship

Inferred relationships after the reduction

For | Product containing precisely amoxicillin (as amoxicillin sodium) 1 gram/1 vial powder for conventional release solution for injection (clinical drug)| , the relationship  | Has active ingredient| =  | Amoxicillin|  is inherited from | Product containing amoxicillin| . If rule 1 for class inclusion was applied, the relationships would not be considered redundant because  | Amoxicillin sodium (substance)|  is not a subconcept of  | Amoxicillin (substance)| . Since   | Amoxicillin sodium|   | Is modification of|   | Amoxicillin| and property chain of " | Has active ingredient|  o   | Is modification of| " is a sub-property of  | Has active ingredient| , rule 2 actually compares the anonymous concepts for subsumption, i.e.  | Has active ingredient|  =  | Amoxicillin|  with  | Has active ingredient|  =  | Amoxicillin sodium| . Therefore, the inherited relationship is redundant and can be removed from the NNF.   Their relationships and property chain can be demonstrated in the following diagram.

Table 2.5-3: Example in OWL axiom refset and RF2 relationship file (NNF)

Technical Implementation for Calculating the NNF

This fairly complex process uses the stated form and the output of the reasoner to calculate the necessary normal form which is represented in the relationship RF2 file.

The most straightforward way to produce the necessary normal form would be to use the Snomed OWL Toolkit or the Classification Service REST API which is language agnostic.

High Level Process

Classification

1. Read the Stated Form from RF2 files.

1. The following files are required: Concept, OWL Ontology Reference Set, OWL Axiom Reference Set. 

2. If the edition has any active stated relationships then the Stated Relationship and MRCM Attribute Domain Reference Set files are also required.

2. Use the OWL API to infer the class hierarchy

1. Build the Ontology object using:

1. Axioms from the OWL Axiom Reference Set, making a note of any Transitive property and Property Chain axioms.

2. Axioms created by converting Stated Relationships to OWL Axioms using the MRCM Attribute Domain Reference Set for list of attributes which should not be grouped in the given domain.

2. Use a reasoner to pre-compute the class hierarchy.

Necessary Normal Form Calculation

Calculating the necessary normal form happens in two passes of the hierarchy.org.snomed.otf.owltoolkit.normalform

1. Walk the class hierarchy in a top-down, breadth first, order.

1. For each class visited gather the stated attributes of this class and each inferred parent.

2. Compare the attributes and remove those which are found to be redundant because they are less specific in terms of depth in the hierarchy.

3. During this first pass build a hierarchy for property chains and transitive properties.

2. Walk the class hierarchy again in the same order reducing the attributes of each class further.

1. Compare the attributes and remove those which are found to be redundant because they are less specific in terms of depth in one of the alternate hierarchies.

For fine level detail the best source of information is the Java class org.snomed.otf.owltoolkit.normalform.RelationshipNormalFormGenerator which performs the Necessary Normal Form calculation.

Assignment for Role Group Number

It is important to clearly indicate if an attribute is grouped or not because  | Role group (attribute)| has impact to semantics and classification results.  | Role group| is represented by an integer in the field of relationshipGroup in the relationship file. In contrast, | Role group|  is represented by  609096000 | Role group (attribute)|  as an object property in the OWL axiom refset. After the stated relationship file is replaced by the OWL expression refset, role group numbers need to be generated for inferred relationships.  

The following rules should be followed in the inferred relationship file to provide consistent representation aligned with the concept model diagram and the OWL axiom refset.

1. All  116680003 | Is a|  relationships should be assigned in role group 0;

2. Attribute that is not grouped, not a value of  | Role group (attribute)|  or grouped=0 in MRCM, should be assigned in role group 0;

3. Attribute that is grouped, value of  | Role group (attribute)|  or grouped=1 in MRCM, should be assigned a role group number that is not 0. Each  | Role group (attribute)|  in the OWL axiom should be presented by a unique role group number. Note, role group merging is not covered here.

609096000 | Role group (attribute)|  is explicitly represented for self-grouped attributes where there is only a single attribute in a role group in an OWL axiom. However, these self-grouped attributes and values are not explicitly represented in the current relationship files. This representation has caused confusion if an attribute in role group 0 is grouped or not. The following example demonstrates the changes to assignment of role group number after the implementation of the complete OWL axiom refset.

An example for the current diagram representation for attribute in role group 0 in the stated relationship file and concept model diagram

After the complete OWL axiom refset is implemented, | Role group|  in the OWL axiom refset and concept model diagram should be represented as following.

Representation of  | Role group| in the NNF relationship file and concept model diagram