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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.
Inactivation reason | Association type | Cardinality | Notes |
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Ambiguous | Possibly equivalent to | 1..* | - The inactivated concept is inherently ambiguous.
| Use with disjunction (and/or).- 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 - 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.
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Classification-derived component | Replaced by | 0..1 | - Applies to concepts with classification type descriptions
| and conjunction - - do not have to appear in a classification.
| Examples are - Use with "not otherwise specified", "NOS", "not elsewhere classified", "NEC", "unspecified", "other"
| , "with", "and". |
Partially equivalent to | 0..* | | use where - 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.
| 0..* |
Duplicate component | Same as | 1..1 | - The concept has been made inactive because it has the same meaning as another concept.
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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.
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Meaning of component unknown | No association type applied | 0..0 | - Meaning of the concept cannot be determined.
- The FSN is vague, not ambiguous.
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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.
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Replaced by | 0..1 |
Alternative | 0..* |
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.
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Possibly replaced by | 0..* |
Replaced by | 0..1 |
Info |
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title | Historical relationships |
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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. |
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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.
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Info |
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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. |