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Overview

Concepts can be added to an extension, either to address content gaps or to expand the scope of SNOMED CT to include concepts that are used locally. Extension concepts are distributed in a concept file, which follows the standard RF2 release file format. For more details on the principles and processes for authoring concepts in an extension, please refer to 5.4.2 Authoring Concepts.

Attributes

In addition to the four  common attributes, extension concepts also have a definitionStatusId.

definitionStatusId

The definitionStatusId attribute specifies whether the concept is

Gloss
tprimitive
GlosTermprimitive concept
 or
Gloss
tfully defined
GlosTermSufficiently defined concept
. If defining relationships are added, which sufficiently define the concept, then the definitionStatusId should be set to 
Concept
ShowPartsterm
t900000000000073002 |Defined|
. Otherwise, the extension concept is 
Concept
ShowPartsterm
t900000000000074008 |Primative|
.

Anchor
Concept example
Concept example
Example

In

Caption reference
CapRefIdadding-a-new-concept-starts-with-adding-a-row-to-the-concepts-table
CapRefTypeFigure
 below, a row from the concept table of the 20170901 US edition is shown, which represents the concept
Concept
t5281000124103 |Persistent asthma|
.

Note that the attribute values in this row have been set according to the rules previously described.


Caption label
CapIdadding-a-new-concept-starts-with-adding-a-row-to-the-concepts-table
CapTypeFigure
A row from the concept table in the 20170901 US Edition

Please note the following:

  • The concept id uses a namespace identifier allocated to the National Library of Medicine (NLM). This indicates that this concept was originally created by the NLM.
  • The concept id uses a partition identifier of “10”. This indicates that the concept was created in an extension.
  • The moduleId indicates that this concept is included in the
    Concept
    ShowPartsterm
    t731000124108 |US National Library of Medicine maintained module|
    , which is a module in the US Edition.
  • The definitionStatusId states that this concept is
    Concept
    ShowPartsterm
    t900000000000074008 |Primative|
    .