Search


Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

A value from the choices below must be chosen as a reason for inactivating a concept.  Inactivation replacement associations are ultimately at the author's discretion.  Especially in the instance of an infinite number of possible replacements, clinical relevance and subset inclusion should be considered.  Non-synonymous synonyms should also be inactivated and reassigned.

  • Use with disjunction (and/or).
  • It and conjunction Examples are , "with", "and".use where 0..*
    Inactivation reasonAssociation typeCardinalityNotes
    Ambiguous

    Possibly equivalent to 

    1..*
    • The inactivated concept is inherently ambiguous.
    • Every effort should be made to identify all of the clinically useful "POSSIBLY_EQUIVALENT_TO" target concepts, which should be semantically as close as possible to the meaning of the inactivated concept. Where appropriate, new concepts should be created if they are clinically valid. 
    • POSSIBLY_EQUIVALENT_TO target may be singular where the second target is a concept that is of little or no clinical usefulness.
    •   It is not necessary to represent all of the semantic meaning of the inactivated concept if the concepts needed should not exist in SNOMED CT.
    • If the FSN is vague, not ambiguous, consider using Meaning of component unknown.

    Classification-derived component

    Replaced by 

    0..1

    • Applies to concepts with classification type descriptions
    • - do not have to appear in a classification.
    • Use with "not otherwise specified", "NOS", "not elsewhere classified", "NEC", "unspecified", "other"
    • .
    Partially equivalent to 0..*
    • Partially equivalent to: 
    • use where there is a conjunction, ("with", "and", "and/or") and replacement must include all of the clinically valid elements of the conjunction, e.g. has two or more concepts as target values.
    Partially equivalent to 
    •  
    • Every effort should be made to identify all of the clinically valid PARTIALLY_EQUIVALENT_TO target concepts, which should be semantically as close as possible to the meaning of the inactivated concept. Where appropriate, new concepts should be created if they are clinically valid.
    Duplicate componentSame as 1..1
    • The concept has been made inactive because it has the same meaning as another concept.
    Erroneous component

    Replaced by 

    1..1
    • Applies to FSNs which contain an error, that when corrected, potentially changes the semantic meaning of the concept.
    • Where the error is grammatical or a spelling mistake, which when corrected does not change the meaning, the description rather than the concept should be inactivated.

    Meaning of component unknown

    No association type applied0..0
    • Meaning of the concept cannot be determined.
    • The FSN is vague, not ambiguous.
    Non-conformance to editorial policy

    No suitable replacement identified


    0..0

    • A suitable replacement cannot be identified or concept is no longer in scope, e.g. administrative, occupation or country concepts are under discussion. 
    • When jurisdictional control of a concept passes between extensions, eg. international core and the veterinary extension, or relates to specific forms, legal entities, etc.; no replacement is required.
    • Applies to a concept which does not adhere to editorial guidelines eg. grouper that cannot be defined. 
    • Applies to concept that does not adhere to Precoordination Naming Patterns
    • Replaced by: Where conformance to editorial policy potentially changes the meaning of a concept and it is possible to replace this with a concept that is semantically very close to the inactivated concept.
    • Alternative: Editorial policy results in a change in scope e.g. branded products were considered out of scope for SNOMED CT, an Alternative would be the generic product.

    Replaced by 

    0..1
    Alternative0..*
    Outdated component

    No suitable replacement identified

    0..0

    • The inactivated concept is an outdated concept that is no longer considered to be clinically acceptable or semantically interoperable internationally.
    • In some circumstances, an outdated concept simply falls into disuse without any appropriate replacement.
    • Possibly replaced by is used when two or more potential replacements exist; two or more concepts as targets can be selected. 
    • Replaced by is used when a concept exists that is semantically similar to, or more general than, the inactivated concept for the purposes of reconciling historical data analysis.
    Possibly replaced by 0..*
    Replaced by 0..1




    Info
    titleHistorical relationships

    When changes are made to a historical relationship for a concept that was previously inactivated, such as Limited/WAS_A, assign a new historical relationship that facilitates traceability of the concept (duplicate, ambiguous, classification derived, etc.).  The Limited component inactivation reason (WAS_A association type) is no longer in use for new content inactivations as of the July 2018 release.  

    ...

    Ambiguous concepts with a single replacement target may be used if one of the two possible meanings of the ambiguous concept is not clinically useful.

    Classification-derived

    Note:  Many, but not all, concepts precoordinated with "with" and "and" are derived from classifications; regardless, this is the acceptable inactivation reason.  

    ...

    Info

    For more information, see the SNOMED CT Editorial Advisory Group Confluence page, Management of Concept Inactivation Confluence page for details on continuing work in this area