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For each of these use cases, the set of acceptable terms and the preferred term for that clinical use can be identified. However, when searching SNOMED CT it is recommended that any term that is considered "acceptable" for use in a given context should be available to support searching for an appropriate concept, while theis the

Gloss
Spacetrue
tpreferred term
is often used to confirm the intended meaning of the selection.

Representing a subset of descriptions can be done using a simple reference set, as illustrated in the diagram below. However, other types of reference set types may be feasible if additional features are required, such as specifying which descriptions are preferred or acceptable (language reference set), ordering or prioritizing the descriptions (ordered reference set), annotating the description with some textual information (annotation reference set) or associating the descriptions to other components (association reference set). 

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Language Reference Set

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The table below shows an excerpt from two language reference sets, which are both distributed with the International release of SNOMED CT, i.e. the

Concept
scg-expression
t900000000000509007
|
United
States
of
America
English
language
reference
set
|
ShowFormatinline
and the
Concept
scg-expression
t900000000000508004
|
Great
Britain
English
language
reference
set
|
. Both reference sets reference Descriptions available in the Description file in the International Edition.

id

effective Time

active

moduleId

moduleId_term

refsetId

refsetId_term

referencedComponentId

ReferencedComponentId_term

acceptabilityId

acceptabilityId_term

20160731

1

900000000000207008

 SNOMED CT core module

900000000000509007

United States of America English language reference set

132967011

Appendectomy

900000000000548007

 Preferred

20160731

1

900000000000207008

 SNOMED CT core module

900000000000509007

United States of America English language reference set

132972019

Excision of appendix

900000000000549004

Acceptable

20160731

1

900000000000207008

 SNOMED CT core module

900000000000508004

Great Britain English language reference set

132972019

Excision of appendix

900000000000549004

Acceptable

20160731

1

900000000000207008

 SNOMED CT core module

900000000000508004

Great Britain English language reference set

132973012

Appendicectomy

900000000000548007

 Preferred

The diagram below illustrate the use of language reference sets and show the relation between the language reference set and the description file. Even though three descriptions are specified for the same concept in the description file, the language reference set specifies which of these descriptions are preferred and acceptable within a given language, dialect or organisation. If a description is not referenced in the language reference set, then that particular description can be regarded as not acceptable within the context where the language reference set apply. 

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Find more information here: 4.2.1 Language Reference Sets

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