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| Inactivation Reason | Association | Definition |
|---|
Concept Moved Elsewhere | ALTERNATIVE | The inactivation reason “Component Moved Elsewhere” with association type ALTERNATIVE is the mechanism by which SNOMED records when jurisdictional control of a concept passes between extensions, or between the international core and an extension. |
| Guidance |
|---|
- Consultation with the Community of Practice
Moving content from SNOMED International Edition to a local NRC must always be done in consultation with the recipient authority. Consideration should also be given to wider consultation with the community of practice to establish whether the proposed inactivation of the concepts causes significant concern.
- Provision of an ALTERNATIVE target concept
It is possible that the concept moved from the International Edition to a local NRC may have been used by other members of the Community of Practice, therefore, where possible a suitable alternative, where it exists, should be provided.- This would normally be a single "Alternative"
- The use of 2 or more alternatives would indicate that there is some ambiguity in the inactivated concept but this does not imply that the sum of the “Alternatives” is semantically equivalent e.g. this is not “POSSIBLY_EQUIVALENT_TO”.
- Where no "alternative" is chosen this implies that the concept is so specific to the recipient jurisdiction that its use in any other jurisdiction would be deemed inappropriate. A drop-down box stating “No suitable alternative exists” with an additional text field to give the reason why no historical association is deemed appropriate.
- Annotation
Describe the reasons for moving the concept elsewhere e.g., Veterinary content or forms only relevant to the UK, etc.
If the return of the content results from a change in Editorial Policy state the policy. - Dropdown list (Where no replacement is appropriate): No suitable replacement concept identified
| Info |
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| Dropdown list (Where no replacement is appropriate): No - suitable replacement concept identified
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Examples:
| Panel |
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| title | Removal of O/E concepts and return to the UK NRC |
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Concept Moved Elsewhere: | Concept |
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| t | 114457004 |Klebsiella ornithinolytica (organism141188002 |O/E - retinal exudates (finding)| |
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ALTERNATIVE: | Concept |
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| t | 416832000 |Raoultella ornithinolytica (organism39832008 |Cotton wool spots (disorder)| |
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| Panel |
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| title | Transfer of UK specific administration concepts back to the UK |
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Concept Moved Elsewhere: | Concept |
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| t | 114457004 |Klebsiella ornithinolytica (organism152287007 |Patient reg. form sent to: [FPC] or [HB] (situation)| |
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ALTERNATIVE: | Concept |
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| t | 416832000 |Raoultella ornithinolytica (organism)| |
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Semantic meaning the same but FSN different:
235998001 Perinephric abscess (disorder) - inactivated
SAME_AS
80640009 Perirenal abscess (disorder)
Both concepts had an effective date of 2002-01-31 and so the decision was based on current clinical usage and the retained concept already had a synonym of Perinephric abscess.
Identical FSN but different semantic tag:
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- No suitable replacement concept identified
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Managing incoming historical associations:
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