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where [sctid] is the concept id that identifies the given SNOMED CT edition (based on the identifier of the most dependent module), and "YYYYMMDD" is the date of release. Examples of sctids that identify a specific edition are listed here.


4.2.1.0.3 Display

TODO Advice on the following (requested from LP in comments):  What is the guidance when we need to refer to the language refset? what is the guidance when and if we want to define a display term for an expression? What if another term than the preferred term is selected for the display term?

Any number of terms in additional languages and dialects can be specified for a given code in the "Designation" field (eg ValueSet.compose.include.concept.designation ) where the particular language refset to be referred to can be mapped from the language code field  "Language"(eg ValueSet.compose.include.concept.designation.language)  and the type of the term (ie FSN, Synonym, Definition) is held in the "Use" field ValueSet.compose.include.concept.designation.use.


4.2.1.0.4 SNOMED CT Expressions

SNOMED CT Expression is a structured combination of one or more clinical concepts, stated using Compositional Grammar Syntax.

Expressions may optionally contain display terms.


4.2.1.0.5 Copyright and Licenses Note that many implementations are in the habit of simply using the date of release in the form YYYYMMDD (e.g. "20140531"), and assuming that the edition is known. However this is not always safe, so implementations that populate the version element must use the URI form.

This specification includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct  or info@snomed.org.

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The SNOMED International URI specifications use the namespace http://snomed.info/sct for the code system, and the URI http://snomed.info/id for the individual concepts in the code system. This means that when a SNOMED CT concept is converted from the system::code pair, where the system is http://snomed.info/sct, to the RDF ontological form, the representation is http://snomed.info/id/[concept-id]. Expressions are represented using the URI pattern http://snomed.info/scg/[expression]. Expressions represented in this way SHALL not contain whitespace, terms, or comments.

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In addition to the standard properties, the following properties are defined for SNOMED CT:

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Note that when a $lookup operation is performed on a SNOMED CT concept, servers SHALL return the full URI for the edition and version being used (see above) in the version property. Other properties are at the discretion of the server and the client.

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This section documents the property filters that can be used with the SNOMED CT code system in value set composition statements.

For implementer convenience, some of the property filters are documented in terms of the SNOMED CT Expression Constraint Language, but this does not imply that its use is required.

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DescriptionSelect a set of concepts based on subsumption testing
Property Nameconcept
Operations Allowedis-a
Values Allowed[concept id]
CommentsIncludes all concept ids that have a transitive is-a relationship with the concept Id provided as the value (including the concept itself)
ExampleAdministration Methods
<< [concept]  (Long syntax: descendantOrSelfOf [concept])

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DescriptionSelect a set of concepts based on their membership of a SNOMED CT reference set
Property Nameconcept
Operations Allowedin
Values Allowed[concept id]
CommentsIncludes all concept ids that are active members of the reference set identified by the concept Id provided as the value
^ [concept]   (Long syntax: memberOf [concept])

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DescriptionSelect a set of concepts based on a formal expression constraint
Property Nameconstraint
Operations Allowed=
Values Allowed[expression constraint]
Comments

The result of the filter is the result of executing the given SNOMED CT Expression Constraint 
Example:

 "compose": {
  "include": [
    {
      "system": "http://snomed.info/sct",
      "filter": [
        {
          "property": "constraint",
          "op": "=",
          "value": "<< 30506011000036107 |Australian product|: 700000101000036108 |hasTP| = 17311000168105 |Panadol|"
        }
      ]
    }
  ]
}

   

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DescriptionSpecify whether postcoordination is allowed or not
Property Nameexpressions
Operations Allowed=
Values Allowedtrue or false
CommentsExpressions, if allowed, are subject to the same rules as precoordinated concepts. (Note: simple reference sets do not include expressions).
ExampleAdministration Methods
n/a

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Implicit value sets are those whose specification can be predicted based on the grammar of the underlying code system, and the known structure of the URL that identifies them. SNOMED CT has two common sets of implicit value sets defined: By Subsumption, and By Reference Set. These implicit value sets do not use complex queries. This allows a single URL to serve as a value set definition that defines a value set, and can serve as the basis for the $expansion operation.

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<ValueSet xmlns="http://hl7.org/fhir">
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
     [Some HTML that describes this value set as all concepts in the reference set identified by conceptid]
    </div>
  </text>
  <url value="[edition/version]?fhir_vs=refset/[sctid]"/>
  <version value="[edition/version]"/>
  <name value="SNOMED CT Reference Set [conceptid]"/>
  <description value="All SNOMED CT concepts in the reference set [concept id or preferred description]"/>
  <copyright value="This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"/>
  <status value="active"/>
  <compose>
    <include>
      <system value="http://snomed.info/sct"/>
      <filter>
        <property value="concept"/>
        <op value="in"/>
        <value value="[conceptid]"/>
      </filter>
    </include>
  </compose>
</ValueSet>

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Implicit concept maps are those whose specification can be predicted based on the grammar and/or content of the underlying code system, and the known structure of the URL that identifies them. This allows a single URL to serve as a concept map definition that defines a mapping between two sets of concepts, and which can serve as the basis for the $translate operation. SNOMED CT has two common sets of implicit concept maps defined:

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