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Page At A Glance
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Introduction
SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care.
The International Health Terminology Standards Development organisation (IHTSDO®), trading as SNOMED International, maintains the SNOMED CT technical design, the content architecture, the SNOMED CT content (includes the concepts table, the descriptions table, the relationships table, a history table, and ICD mappings), and related technical documentation.
Background
This document provides a summarized description of the content changes included in the August 2024 Production release of the SNOMED Clinical Terms® Managed Service Austria Extension package.
It will also include technical notes detailing the known issues which have been identified (should any of these exist). These are content or technical issues where the root cause is understood, and the fix has been discussed and agreed, but has yet to be implemented.
This Austria Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT® July 2024 International Edition release.
Scope
This document is written for the purpose described above and is not intended to provide details of the technical specifications for SNOMED CT or encompass every change made during the release.
Content Development Activity
Summary
Content from the SNOMED CT® July 2024 International Edition release has been incremented, using additional components for use in Austria.
This extension contains concepts, relationships and reference sets for healthcare professionals.
New and Updated Content
This release contains no inactivated or newly added Austria specific refsets, concepts, relationships etc. For details on added translations please view the section "Translated Content".
Translated Content
New/Changed translated descriptions
This release contains translations from the Common German Translation. 7680 new, 122 changed and 682 inactivated descriptions were added, updated or inactivated. This affects 4660 concepts,
| Hierarchy | SemTag | New Descriptions | Changed Descriptions | Inactivated Descriptions | Concepts Affected |
|---|---|---|---|---|---|
| Body structure (body structure) | (body structure) | 24 | 0 | 0 | 12 |
| Clinical finding (finding) | (finding) | 4312 | 77 | 569 | 2519 |
| Environment or geographical location (environment / location) | (environment / location) | 6 | 0 | 0 | 3 |
| Event (event) | (event) | 33 | 0 | 0 | 23 |
| Observable entity (observable entity) | (observable entity) | 23 | 12 | 2 | 22 |
| Organism (organism) | (organism) | 13 | 2 | 5 | 11 |
| Pharmaceutical / biologic product (product) | (product) | 56 | 2 | 15 | 47 |
| Physical force (physical force) | (physical force) | 0 | 0 | 0 | 0 |
| Physical object (physical object) | (physical object) | 9 | 0 | 0 | 7 |
| Procedure (procedure) | (procedure) | 2280 | 5 | 28 | 1357 |
| Qualifier value (qualifier value) | (qualifier value) | 177 | 3 | 0 | 90 |
| Record artifact (record artifact) | (record artifact) | 10 | 0 | 0 | 7 |
| SNOMED CT Concept (SNOMED RT+CTV3) | (SNOMED RT+CTV3) | 0 | 0 | 0 | 0 |
| SNOMED CT Model Component (metadata) | (metadata) | 1 | 0 | 1 | 1 |
| Situation with explicit context (situation) | (situation) | 493 | 6 | 13 | 327 |
| Social context (social concept) | (social concept) | 64 | 2 | 0 | 51 |
| Special concept (special concept) | (special concept) | 41 | 0 | 0 | 40 |
| Specimen (specimen) | (specimen) | 0 | 0 | 0 | 0 |
| Staging and scales (staging scale) | (staging scale) | 4 | 0 | 0 | 2 |
| Substance (substance) | (substance) | 132 | 13 | 49 | 139 |
| Unknown | Unknown | 2 | 0 | 0 | 2 |
| Total | 7680 | 122 | 682 | 4660 |
Total number of translated Conceptsconcepts & descriptions
In total this release contains 45407 concepts that have been translated into German (i.e. have at least one German description) totalling 62397 active German descriptions.
| Hierarchy | SemTag | Total Active Descriptions |
|---|---|---|
| Body structure (body structure) | (body structure) | 73 |
| Clinical finding (finding) | (finding) | 29326 |
| Environment or geographical location (environment / location) | (environment / location) | 50 |
| Event (event) | (event) | 50 |
| Observable entity (observable entity) | (observable entity) | 222 |
| Organism (organism) | (organism) | 24238 |
| Pharmaceutical / biologic product (product) | (product) | 238 |
| Physical force (physical force) | (physical force) | 1 |
| Physical object (physical object) | (physical object) | 30 |
| Procedure (procedure) | (procedure) | 4566 |
| Qualifier value (qualifier value) | (qualifier value) | 274 |
| Record artifact (record artifact) | (record artifact) | 39 |
| SNOMED CT Concept (SNOMED RT+CTV3) | (SNOMED RT+CTV3) | 1 |
| SNOMED CT Model Component (metadata) | (metadata) | 71 |
| Situation with explicit context (situation) | (situation) | 850 |
| Social context (social concept) | (social concept) | 157 |
| Special concept (special concept) | (special concept) | 47 |
| Specimen (specimen) | (specimen) | 3 |
| Staging and scales (staging scale) | (staging scale) | 7 |
| Substance (substance) | (substance) | 2152 |
| Unknown | 2 | |
| Total | 62397 |
Technical notes
Known Issues
Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented. This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.
For the SNOMED CT Managed Service - Austria Extension Release, the following Known Issues were identified, and agreed to be resolved in the next editing cycle:
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Technical notes
Notice of changes to the AT Extension Release package
In line with the refined implementation of Annotations, we are updating all Extensions in order to align them with the updated version of the refsets in the International Edition Release package (which were first published in June 2024).
1. After discussions with the community, SNOMED International made changes to the coverage of language in the Annotations refsets in the following way:
- The languageCode field was specified as the two characters of ISO-639-1 code for the language of the annotation text. The change includes support for specifying dialect when it is applicable by adhering to RFC 5646, which allows the combination of two characters of ISO 639-1 code and two uppercase letters of country code (ISO 3166) separated by a hyphen.
- The column "languageCode" has therefore been changed to "languageDialectCode".
- Component Annotations (1292992004)
- OLD: id effectiveTime active moduleId refsetId referencedComponentId languageCode typeId value
- NEW: id effectiveTime active moduleId refsetId referencedComponentId languageDialectCode typeId value
- Member Annotations (1292995002)
- OLD: id effectiveTime active moduleId refsetId referencedComponentId referencedMemberId languageCode typeId value
- NEW: id effectiveTime active moduleId refsetId referencedComponentId referencedMemberId languageDialectCode typeId value
- The concept 1296895003|Language code (foundation metadata concept)| has been inactivated and replaced by 1304275002 |Language or dialect code (foundation metadata concept)|
- The changes apply to both the Member Annotations String Value Reference Set + Component Annotation String Value reference set
2. In line with the changes to the Annotations refsets, the following refinements have also been made to the RefsetDescriptor records:
- 1. The AttributeType for the (attributeOrder=0) refsetDescriptor record for both Member + Component Annotations has been changed from:
- 900000000000461009 |Concept type component| to
- 900000000000460005 |Component type (foundation metadata concept)|
- (eg)
- OLD: 6cc1d4ca-32fd-44cb-8ad3-e49f23ec7760 20231201 1 900000000000012004 900000000000456007 1292992004 900000000000518009 900000000000461009 0
- NEW: 6cc1d4ca-32fd-44cb-8ad3-e49f23ec7760 20240601 1 900000000000012004 900000000000456007 1292992004 900000000000518009 900000000000460005 0
- OLD: f6d9647b-6ee6-400d-9c7f-77818fa1f986 20231201 1 900000000000012004 900000000000456007 1292995002 900000000000518009 900000000000461009 0
- NEW: f6d9647b-6ee6-400d-9c7f-77818fa1f986 20240601 1 900000000000012004 900000000000456007 1292995002 900000000000518009 900000000000460005 0
- OLD: 6cc1d4ca-32fd-44cb-8ad3-e49f23ec7760 20231201 1 900000000000012004 900000000000456007 1292992004 900000000000518009 900000000000461009 0
- 2. The languageDialect column for a) the (attributeOrder=2) refsetDescriptor record for Member Annotations + b) the (attributeOrder=1) refsetDescriptor record for Component Annotations has been changed from:
- 1296895003 |Language code (foundation metadata concept)| to the new concept
- 1304275002 |Language or dialect code (foundation metadata concept)|
- (eg)
OLD: 2c0d0378-c28c-4705-b8af-f5f0f8276dfd 20231201 1 900000000000012004 900000000000456007 1292992004 1296895003 900000000000465000 1
NEW: 2c0d0378-c28c-4705-b8af-f5f0f8276dfd 20240601 1 900000000000012004 900000000000456007 1292992004 1304275002 900000000000465000 1
OLD: afe9824b-1323-4407-a0b7-a028ae2b780a 20231201 1 900000000000012004 900000000000456007 1292995002 1296895003 900000000000465000 2
NEW: afe9824b-1323-4407-a0b7-a028ae2b780a 20240601 1 900000000000012004 900000000000456007 1292995002 1304275002 900000000000465000 2
- 3. The AttributeType for a) the (attributeOrder=4) refsetDescriptor record for Member Annotations (1292995002) + b) the (attributeOrder=3) refsetDescriptor record for Component Annotations (1292992004), needs to be changed from:
- 900000000000459000 (AttributeType) to
- 900000000000465000 (String)
- (eg)
- OLD: 54af9962-2a35-4538-86f3-a8c38de9200b 20231201 1 900000000000012004 900000000000456007 1292995002 900000000000519001 900000000000459000 4
- NEW: 54af9962-2a35-4538-86f3-a8c38de9200b 20240601 1 900000000000012004 900000000000456007 1292995002 900000000000519001 900000000000465000 4
- OLD: b46405ec-5ff1-46a3-a9cc-b2ef2bba23cc 20231201 1 900000000000012004 900000000000456007 1292992004 900000000000519001 900000000000459000 3
- NEW: b46405ec-5ff1-46a3-a9cc-b2ef2bba23cc 20240601 1 900000000000012004 900000000000456007 1292992004 900000000000519001 900000000000465000 3
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Approvals
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Draft Amendment History
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