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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.
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
, the relationship Concept ShowParts term t 12676007 |Fracture of radius|
= Concept ShowParts term t 363698007|Finding site|
is inherited from Concept ShowParts term t 299701004|Bone structure of radius and/or ulna|
, which is a redundant relationship because Concept ShowParts term t 65966004|Fracture of forearm|
is a subtype of Concept ShowParts term t 62413002|Bone structure of radius|
. The relationship Concept ShowParts term t 299701004|Bone structure of radius and/or ulna|
= Concept ShowParts term t 116676008|Associated morphology|
is inherited from Concept ShowParts term t 19130008|Traumatic abnormality|
, which is a redundant relationship because Concept ShowParts term t 429353004|Injury of radius|
is a subtype of Concept ShowParts term t 72704001|Fracture (morphologic abnormality)|
. Concept ShowParts term t 19130008|Traumatic abnormality|
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Example in OWL axiom refset and RF2 relationship file (NNF) |
referencedComponentId | owlExpression (stated relationships) | Inferred Relationships in Necessary Normal Form | |||
sourceId | destinationId | relationshipGroup | typeId | ||
125605004 | EquivalentClasses(:125605004 ObjectIntersectionOf(:64572001 ObjectSomeValuesFrom(:609096000 ObjectIntersectionOf(ObjectSomeValuesFrom(:116676008 :72704001) ObjectSomeValuesFrom(:363698007 :272673000))))) | 125605004 | 284003005 | 0 | 116680003 |
125605004 | 72704001 | 1 | 116676008 | ||
125605004 | 272673000 | 1 | 363698007 | ||
12676007 | EquivalentClasses(:12676007 ObjectIntersectionOf(:64572001 ObjectSomeValuesFrom(:609096000 ObjectIntersectionOf(ObjectSomeValuesFrom(:116676008 :72704001) ObjectSomeValuesFrom(:363698007 :62413002))))) | 12676007 | 65966004 | 0 | 116680003 |
12676007 | 429353004 | 0 | 116680003 | ||
12676007 | 72704001 | 1 | 116676008 | ||
12676007 | 62413002 | 1 | 363698007 | ||
62413002 | SubClassOf(:62413002 :299701004) | 62413002 | 299701004 | 0 | 116680003 |
Example for Role inclusion
Stated relationships
Inferred relationships before the removal of redundant relationship
Inferred relationships after reduction
For concept
, the relationship Concept ShowParts term t 7246002|Kidney biopsy|
= Concept ShowParts term t 363704007|Procedure site|
is inherited from Concept ShowParts term t 64033007|Kidney structure|
, which is a redundant relationship to Concept ShowParts term t 118851004|Procedure on kidney|
= Concept ShowParts term t 405813007|Procedure site - Direct|
because Concept ShowParts term t 64033007|Kidney structure|
is a subtype of Concept ShowParts term t 405813007|Procedure site - Direct|
. Because Concept ShowParts term t 363704007|Procedure site|
is a subtype of Concept ShowParts term t 64033007|Kidney structure|
and Concept ShowParts term t 122489005|Urinary system structure|
, the inherited relationships for Concept ShowParts term t 82849001|Retroperitoneal compartment structure|
are also redundant. Concept ShowParts term t 405813007|Procedure site - Direct|
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Example in OWL axiom refset and RF2 relationship file (NNF) |
referencedComponentId | owlExpression (stated relationships) | Inferred Relationships in Necessary Normal Form | |||
sourceId | destinationId | relationshipGroup | typeId | ||
118851004 | EquivalentClasses(:118851004 ObjectIntersectionOf(:71388002 ObjectSomeValuesFrom(:609096000 ObjectSomeValuesFrom(:363704007 :64033007)))) | 118851004 | 71388002 | 0 | 116680003 |
118851004 | 64033007 | 1 | 363704007 | ||
7246002 | EquivalentClasses(:7246002 ObjectIntersectionOf(:71388002 ObjectSomeValuesFrom(:609096000 ObjectIntersectionOf(ObjectSomeValuesFrom(:260686004 :129314006) ObjectSomeValuesFrom(:405813007 :64033007))))) | 7246002 | 118851004 | 0 | 116680003 |
7246002 | 362995002 | 0 | 116680003 | ||
7246002 | 430212007 | 0 | 116680003 | ||
7246002 | 129314006 | 1 | 260686004 | ||
7246002 | 64033007 | 1 | 405813007 | ||
405813007 | SubObjectPropertyOf(:405813007 :363704007) | 405813007 | 363704007 | 0 | 116680003 |
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
Inferred relationships before the removal of the redundant relationship
Inferred relationships after reduction
For
, the relationship Concept ShowParts term t 422453004|Product containing ethyl morphine|
= Concept ShowParts term t 127489000|Has active ingredient|
is inherited from Concept ShowParts term t 373529000|Morphine|
. If the rule 1 for class inclusion was to apply, the relationships would not be considered as redundant because Concept ShowParts term t 73572009|Product containing morphine|
is not a subconcept of Concept ShowParts term t 74905005|Ethylmorphine (substance)|
. Because Concept ShowParts term t 373529000|Morphine (substance)| Concept ShowParts term t 74905005|Ethyl morphine| Concept ShowParts term t 738774007|Is modification of|
and property chain of Concept ShowParts term t 373529000|Morphine|
and Concept ShowParts term t 127489000|Has active ingredient|
is a sub-property of Concept ShowParts term t 738774007|Is modification of|
, the rule 2 actually compares the anonymous concepts for subsumption, i.e. Concept ShowParts term t 127489000|Has active ingredient|
= Concept ShowParts term t 127489000|Has active ingredient (attribute)|
with Concept ShowParts term t 373529000 |Morphine (substance)|
= Concept ShowParts term t 127489000|Has active ingredient|
. 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. Concept ShowParts term t 74905005|Ethyl morphine|
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Example in OWL axiom refset and RF2 relationship file (NNF) |
referencedComponentId | owlExpression (stated relationships) | Inferred Relationships in Necessary Normal Form | |||
sourceId | destinationId | relationshipGroup | typeId | ||
73572009 | EquivalentClasses(:73572009 ObjectIntersectionOf(:763158003 ObjectSomeValuesFrom(:609096000 ObjectSomeValuesFrom(:127489000 :373529000)))) | 73572009 | 764887005 | 0 | 116680003 |
73572009 | 360204007 | 0 | 116680003 | ||
73572009 | 373529000 | 1 | 127489000 | ||
422453004 | EquivalentClasses(:422453004 ObjectIntersectionOf(:763158003 ObjectSomeValuesFrom(:609096000 ObjectSomeValuesFrom(:127489000 :74905005)))) | 422453004 | 73572009 | 0 | 116680003 |
422453004 | 74905005 | 1 | 127489000 | ||
127489000 | SubObjectPropertyOf(ObjectPropertyChain(:127489000 :738774007) :127489000)) | N/A | N/A | N/A | |
74905005 | SubClassOf(:74905005 ObjectIntersectionOf(:440327007 ObjectSomeValuesFrom(:738774007 :373529000))) | 74905005 | 440327007 | 0 | 116680003 |
74905005 | 373529000 | 0 | 738774007 |
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
Read the Stated Form from RF2 files.
The following files are required: Concept, OWL Ontology Reference Set, OWL Axiom Reference Set.
If the edition has any active stated relationships then the Stated Relationship and MRCM Attribute Domain Reference Set files are also required.
Use the OWL API to infer the class hierarchy
Build the Ontology object using:
Axioms from the OWL Axiom Reference Set, making a note of any Transitive property and Property Chain axioms.
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.
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
Walk the class hierarchy in a top-down, breadth first, order.
For each class visited gather the stated attributes of this class and each inferred parent.
Compare the attributes and remove those which are found to be redundant because they are less specific in terms of depth in the hierarchy.
During this first pass build a hierarchy for property chains and transitive properties.
Walk the class hierarchy again in the same order reducing the attributes of each class further.
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
Concept | ||||
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Concept | ||||
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Concept | ||||
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Concept | ||
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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.
All
relationships should be assigned in role group 0;Concept t 116680003 |Is a| Attribute that is not grouped, not a value of
or grouped=0 in MRCM, should be assigned in role group 0;Concept ShowParts term t 609096000 |Role group (attribute)| - Attribute that is grouped, value of
or grouped=1 in MRCM, should be assigned a role group number that is not 0. EachConcept ShowParts term t 609096000 |Role group (attribute)|
in the OWL axiom should be presented by a unique role group number. Note, role group merging is not covered here.Concept ShowParts term t 609096000 |Role group (attribute)|
Concept | ||
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An example for the current diagram representation for attribute in role group 0 in the stated relationship file and concept model diagram
sourceId | destinationId | relationshipGroup | typeId |
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90708001 | 64033007 | 0 | 363698007 |
After the complete OWL axiom refset is implemented,
Concept | ||||
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referencedComponentId | owlExpression |
---|---|
90708001 | EquivalentClasses(:90708001 ObjectIntersectionOf(:64572001 ObjectSomeValuesFrom(:609096000 ObjectSomeValuesFrom(:363698007 :64033007)))) |
Representation of
Concept | ||||
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sourceId | destinationId | relationshipGroup | typeId |
---|---|---|---|
90708001 | 734045002 | 0 | 116680003 |
90708001 | 443820000 | 0 | 116680003 |
90708001 | 249578005 | 0 | 116680003 |
90708001 | 64033007 | 1 | 363698007 |