Purpose

A

Concept

t	900000000000506000\|Language type reference set\|

supports the representation of

Gloss

t	language

and

Gloss

t	dialects

preferences for the use of particular

Gloss

t	descriptions

. The most common use case for this type of

Gloss

t	reference set

is to specify the acceptable and preferred terms for use within a particular country or region. However, the same type of

Gloss

t	reference set

can also be used to represent preferences for use of

Gloss

t	descriptions

in a more specific context such as a clinical specialty, organization or department.

...

Data structure

A

Gloss

t	Language reference set

is a

Gloss

Space	true
t	Component

Gloss

t	reference set

that is used to indicate which

Gloss

t	descriptions

contain

Gloss

t	terms

that are acceptable or preferred in a particular

Gloss

t	language

or

Gloss

t	dialect

. Its structure is shown in the following table.

Field

Data type

Purpose

Gloss

specref

t	Mutable

RefType

LinkType

(field)t

subtle

Part of Primary Key

id

Specref

RefType	(data type)
t	UUID

A 128 bit unsigned

Specref

RefType	(data type)
t	Integer

, uniquely identifying this

Gloss

t	reference set member

.

Different versions of a reference set member share the same

Specref

RefType	(field)
t	id

but have different

Specref

RefType	(field)
t	effectiveTime

. This allows a reference set member to be modified or made

Specref

RefType	(field)
t	active

(i.e. removed from the active set) at a specified time.

NO

YES (Full/Snapshot)

Specref

RefType	(field)
t	effectiveTime

Specref

RefType	(data type)
t	Time

The inclusive date or time at which this version of the identified

Gloss

Space	true
t	reference set member

became the current version.

The current version of this

Gloss

Space	true
t	reference set member

at time T is the version with the most recent

Specref

RefType	(field)
t	effectiveTime

prior to or equal to time T .

YES

YES (Full)

Optional (Snapshot)

Specref

RefType	(field)
t	active

Specref

RefType	(data type)
t	Boolean

The state of the identified

Gloss

Space	true
t	reference set member

as at the specified

Specref

RefType	(field)
t	effectiveTime

.

If

Specref

RefType	(field)
t	active

= 1 (true) the

Gloss

Space	true
t	reference set member

is part of the current version of the set, if

Specref

RefType	(field)
t	active

= 0 (false) the

Gloss

Space	true
t	reference set member

is not part of the current version of the set.

YES

NO

Specref

RefType	(field)
t	moduleId

Specref

RefType	(data type)
t	SCTID

Identifies the

Gloss

Space	true
t	SNOMED CT module

that contains this

Gloss

Space	true
t	reference set member

as at the specified

Specref

RefType	(field)
t	effectiveTime

.

The value must be a

Gloss

Space	true
t	subtype

of

Concept

t	900000000000443000\|Module (core metadata concept)\|
ShowFormat	inline

within the metadata

Gloss

t	hierarchy

.

YES

NO

Specref

RefType	(field)
t	refsetId

Specref

RefType	(data type)
t	SCTID

Identifies the

Gloss

Space	true
t	reference set

to which this

Gloss

Space	true
t	reference set member

belongs.

In this case,

a

Gloss

t	subtype

of

Concept

t	900000000000506000\|Language type reference set\|

.

set to as subtype descendant of: ??

NO

Specref

RefType	(field)
t	referencedComponentId

Specref

RefType	(data type)
t	SCTID

The identifier of a

Gloss

t	description

included in language

A reference to the

Gloss

t
Space	true

	SNOMED CT component

to be included in the

Gloss

t	reference set

.

NO

Specref

RefType	(field)
t	acceptabilityId

Specref

RefType	(data type)
t	SCTID

A

Gloss

t	subtype

of

Concept

t	900000000000511003\|Acceptability\|

indicating whether the

Gloss

t	description

is acceptable or preferred for use in the specified

Gloss

t	language

or

Gloss

t	dialect

.

YES

NO

Language Reference Rules and Guidance

In a

Gloss

t	Language reference set

:

...

_34c500ea-cf90-4029-8071-ad7e8a4bdd7b__u_34c500ea-cf90-4029-8071-ad7e8a4bdd7b__uNo more than one
Gloss
t description
of a specific
Gloss
t description type
associated with a single
Gloss
t concept
may have the
Specref
RefType (field)
t acceptabilityId
value
Concept
t 900000000000548007|Preferred|
.
Every active concept should have one preferred synonym in each language. At least one
Gloss
t description
of
Gloss
Space true
t description type
Gloss
t synonym
associated with each
- This means that a language reference set should assign the acceptabilityId
  Concept
  t 900000000000548007|Preferred|
  to one
  Gloss
  t synonym
  (a
- Gloss
  t
concept
- description
should have the
- with
  Specref
RefType(field)
- t
acceptabilityId
- typeId
value
- value
  Concept
  t
900000000000548007
- 900000000000013009 |
Preferred|
- synonym |
  ) associated with each
  Gloss
  t concept
  .
- This description is the
  Gloss
  t preferred term
  for that
  Gloss
  t concept
  in the specified
  Gloss
  t language
  or
  Gloss
  t dialect
  .

...

Any
Gloss
t description
which is not referenced by an active row in the
Gloss
t reference set

...

Concept

t	900000000000454005\|Foundation metadata concept\|

...

Concept

t	900000000000455006\|Reference set\|
ShowFormat	inline

...

Concept

t	900000000000456007\|Reference set descriptor\|

...

Concept

t	900000000000480006\|Attribute value type\|

...

Concept

t	900000000000496009\|Simple map\|

...

is regarded as unacceptable (i.e. not a valid
Gloss
t synonym
in the language or
Gloss
t dialect
).
- If a description becomes unacceptable, the relevant language reference set member is inactivated by adding a new row with the same id, the effectiveTime of the the change and the value active=0.
- For this reason there is no requirement for an "unacceptable" value.

Metadata

The following metadata supports this

Gloss

t	reference set

:

Scg expression

Border	ridge


  900000000000454005 |Foundation metadata concept|
		900000000000506000 |Language type|
				900000000000507009 |English|
						900000000000508004 |GB English|
						900000000000509007 |US English|

Concept

t	900000000000506000\|Language type\|

...

Concept

t	900000000000507009\|English\|

...

Concept

t	900000000000508004\|GB English\|

...

The immediate

Gloss

t	children

of | gloss

Concept

ShowParts	term


t	900000000000506000 \|Language type\|

will be

Gloss

t	languages

will represent languages. This level may be used to represent the "correctformal approved"

Gloss

t	language

, where a

Gloss

t	language

authority existslanguage authority is formally recognized. In most cases, however, this level is likely to be empty.

...

will not identify a specific reference set. Subtype of the language level are used to represent different dialects, national or regional variants.

Excerpt Include

	REUSE:Notes on Reference Set Example Tables
	REUSE:Notes on Reference Set Example Tables
nopanel	true

Language Reference Descriptor

...

The table below shows an example of the descriptor for a specific
Gloss
t reference sets
that follows the
Concept
t 900000000000506000|Language type reference set|
pattern.

refsetId
referencedComponentId (Referenced component)
attributeDescription (Attribute description)
attributeType (Attribute type)
attributeOrder (Attribute order)

Concept
t 900000000000456007|Reference set descriptor|
Concept
t 900000000000508004|GB English|
Concept
t 900000000000510002|Description in dialect|
Concept
t 900000000000462002|Description type component|
0
Concept
t 900000000000456007|Reference set descriptor|
Concept
t 900000000000508004|GB English|
Concept
t 900000000000511003|Acceptability|
Concept
t 900000000000461009|Concept type component|
1

Note: The tables above omit the initial four columns of data present in the release file. These follow the standards versioning pattern
Specref
RefType (field)
t id
,
Specref
RefType (field)
t effectiveTime
,
Specref
RefType (field)
t active
,
Specref
RefType (field)
t active
. Additionally, to aid understanding, the tables above also show the
Gloss
t term
from one of the
Gloss
t descriptions
associated with each of the identified
Gloss
t concept
. The release file only contains the
Gloss
t identifier
.
...

Language Reference Set Examples

refsetId

referencedComponentId (Description in dialect)

acceptabilityId (Acceptability in dialect)

Concept

t	900000000000509007\|US English\|

Concept

t	42969009\|Cauterization of skin {id:71693012}\|

Concept

t	900000000000548007\|Preferred\|

Concept

t	900000000000509007\|US English\|

Concept

t	42969009\|Fulguration of subcutaneous tissue {id:71695017}\|

Concept

t	900000000000549004\|Acceptable\|

Concept

t	900000000000509007\|US English\|

Concept

t	80146002\|Appendectomy {id:132967011}\|

Concept

t	900000000000548007\|Preferred\|

Concept

t	900000000000509007\|US English\|

Concept

t	80146002\|Excision of appendix {id:132972019}\|

Concept

t	900000000000549004\|Acceptable\|

Concept

t	900000000000509007\|US English\|

Concept

t	271737000\|Anemia {id:406636013}\|

Concept

t	900000000000548007\|Preferred\|

Concept

t	900000000000509007\|US English\|

Concept

t	271737000\|Absolute anemia {id:406640016}\|

Concept

t	900000000000549004\|Acceptable\|

refsetId

referencedComponentId (Description in dialect)

acceptabilityId (Acceptability in dialect)

Concept

t	900000000000508004\|GB English\|

Concept

t	42969009\|Cauterisation of skin {id:493493018}\|

Concept

t	900000000000548007\|Preferred\|

Concept

t	900000000000508004\|GB English\|

Concept

t	42969009\|Fulguration of subcutaneous tissue {id:71695017}\|

Concept

t	900000000000549004\|Acceptable\|

Concept

t	900000000000508004\|GB English\|

Concept

t	80146002\|Excision of appendix {id:132972019}\|

Concept

t	900000000000549004\|Acceptable\|

Concept

t	900000000000508004\|GB English\|

Concept

t	80146002\|Appendicectomy {id:132973012}\|

Concept

t	900000000000548007\|Preferred\|

Concept

t	900000000000508004\|GB English\|

Concept

t	271737000\|Anaemia {id:406638014}\|

Concept

t	900000000000548007\|Preferred\|

Concept

t	900000000000508004\|GB English\|

Concept

t	271737000\|Absolute anaemia {id:406641017}\|

Concept

t	900000000000549004\|Acceptable\|

In the above examples,

Concept

t	80146002\|Excision of appendix\|

is acceptable in both US and GB English. However,

Concept

t	80146002\|Appendectomy\|

is preferred in US English and

Concept

t	80146002\|Appendicectomy\|

is preferred in GB English. Note: Any

Gloss

t	description

which is not referenced by an active row in the relevant language

Gloss

t	reference set

is regarded as unacceptable (i.e. not a valid

Gloss

t	synonym

in the language or

Gloss

t	dialect

).

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Versions Compared

Old Version 4

New Version 5

Key

Purpose

Data structure

Language Reference Rules and Guidance

Metadata

Language Reference Descriptor

Language Reference Set Examples

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Page History

Versions Compared

Old Version 4

New Version 5

Key

Purpose

Data structure

Language Reference Rules and Guidance

Metadata

Language Reference Descriptor

Language Reference Set Examples