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Purpose

An 

Concept
t723604009|MRCM attribute domain reference set|
 allows attributes to be associated with the domains in which they may be applied. It also allows grouping and cardinality constraints to be specified for each attribute and domain combination. For each attribute-domain rule, the strength of the rule (e.g. 
Concept
t723597001|Mandatory concept model rule|
 or 
Concept
t723598006|Optional concept model rule|
) and the content type over which this rule applies (e.g. 
Concept
t723596005|All SNOMED CT content|
|Precoordinated
Concept
t723594008|All precoordinated SNOMED CT content|
) is also specified. 

Each attribute is identified by its concept id, while each domain is identified by the same concept id used in the referencedComponentId of the 

Concept
t723589008|MRCM domain reference set|
. To assist implementation, the domain constraint for each domain is repeated in the |MRCM attribute domain reference set|. However, as this repetition is redundant, it is recommended that the domain constraint is always edited in the |MRCM domain reference set|, and then automatically updated where it reappears in this reference set.
.

Data Structure

An 

Concept
t723604009|MRCM attribute domain reference set|
 is structured as shown in the following table.

...

Field

...

Datatype

...

Purpose

...

Immutable

...

id

...

UUID

...

A 128 bit unsigned integer, uniquely identifying this reference set member.

Different versions of a reference set member share the same id but have different effectiveTimes. This allows a reference set member to be modified or made inactive (i.e. removed from the active set) at a specified time.

...

Y

...

effectiveTime

...

Time

...

The inclusive date or time at which this version of the identified reference set member became the current version.

The current version of this reference set member at time T is the version with the most recent effectiveTime prior to or equal to time T.

...

N

...

active

...

Boolean

...

The state of the identified reference set member as at the specified effectiveTime.

If active= 1 (true) the reference set member is part of the current version of the set, if active=0 (false) the reference set member is not part of the current version of the set.

...

N

...

moduleId

...

SCTID

...

Identifies the SNOMED CT module that contains this reference set member as at the specified effectiveTime.

The value must be a subtype of 900000000000443000 |Module (core metadata concept)| within the metadata hierarchy.

...

N

...

refsetId

...

SCTID

...

Identifies the reference set to which this reference set member belongs.

In this case, set to a subtype of |MRCM attribute domain reference set|

...

Y

...

referenced ComponentId

...

SCTID

...

A reference to the SNOMED CT attribute concept to which the attribute-domain rule defined by this member applies.

...

Y

...

domainId

...

SCTID

...

A reference to the SNOMED CT concept that identifies the relevant concept domain.

...

 

...

domainConstraint

...

String

...

An expression constraint, which defines the set of concepts to which the given attribute (identified by referencedComponentId) may be applied.

The domainConstraint must be the same as the one defined for this domainId in the |MRCM domain reference set|.

This string can be parsed using the ABNF syntax defined for the Expression Constraint Language.

...

N

...

grouped

...

Boolean

...

Whether or not the given attribute (identified by referencedComponentId) may be used in a relationship group.

If groupable = 1 (true) then the given attribute (identified by referencedComponentId) may be grouped in a relationship group. If groupable = 0 (false) then the given attribute (identified by referencedComponentId) may not be grouped in a relationship group.

...

N

...

attributeCardinality

...

String

...

The number of times the given attribute can be assigned a distinct (non-redundant) value within the definition of each concept or expression.

This string can be parsed using the following ABNF rule (together with the subrules defined in the Expression Constraint Language):

attributeCardinality = minimum to maximum

...

N

...

attributeInGroup Cardinality

...

String

...

The number of times the given attribute can be assigned a distinct (non-redundant) value within a single relationship group as part of the definition of a concept or expression.

This string can be parsed using the following ABNF rule (together with the subrules defined in the Expression Constraint Language):

attributeCardinality = minimum to maximum

...

N

...

ruleStrengthId

...

SCTID

...

A subtype of |Concept model rule strength|, which specifies whether the given rule is mandatory (resulting in an error) or optional (resulting in a warning).

...

N

...

contentTypeId

...

SCTID

...

A subtype of |Content type value|, which indicates the type of SNOMED CT content over which this rule applies. In many cases, this will be set to |All SNOMED CT content|.

...

N

Refset spec table
Sizefs7
RefsetTypeMRCM Attribute Domain Reference Set

Metadata

The following metadata hierarchy supports this reference set:

  • Concept
    t900000000000454005|Foundation metadata concept|

    • Concept
      t900000000000455006|Reference set|
       

      • Concept
        t723564002|MRCM reference set|
         

        • Concept
          t723604009|MRCM attribute domain reference set|

          • Concept
            t723561005|MRCM attribute domain international reference set|

    • Concept
      t900000000000457003|Reference set attribute|
       

      • Concept
        t723571007|Cardinality|

        • Concept
          t723602008|Attribute cardinality|

        • Concept
          t723603003|Attribute in group cardinality|

      • Concept
        t723574004|Content type|
        ShowFormatinline

        Footnote Macro


        Please note that the

        Concept
        t723574004|Content type|
        ShowFormatinline
        hierarchy is designed using 'universal restriction' logic. The hierarchy may therefore appear to be 'upside down'. However, it was designed in this way because if an MRCM rule applies to
        Concept
        t723596005|All SNOMED CT content|
        ShowFormatinline
        then it also applies to the Content Types that are a supertype of this - including
        Concept
        t723594008|All precoordinated SNOMED CT content|
        ShowFormatinline
        and
        Concept
        t723595009|All postcoordinated SNOMED CT content|
        .



        • Concept
          t723593002|All new precoordinated SNOMED CT content|

          • Concept
            t723594008|All precoordinated SNOMED CT content|

            • Concept
              t723596005|All SNOMED CT content|

        • Concept
          t723595009|All postcoordinated SNOMED CT content|

          • Concept
            t723596005|All SNOMED CT content|

      • Concept
        t609431004|Domain|

      • Concept
        t723572000|Grouped|

      • Concept
        t723573005|Concept model rule strength|

        • Concept
          t723597001|Mandatory concept model rule|

        • Concept
          t723598006|Optional concept model rule|


...


Display Footnotes Macro

...

Excerpt Include
REUSE:Notes on Reference Set Example Tables
REUSE:Notes on Reference Set Example Tables
nopaneltrue

Metadata

The following metadata hierarchy supports this reference set:

...

  • MRCM reference set
    • MRCM attribute domain reference set
      • MRCM attribute domain (INT) reference set

...

  • Attribute cardinality
  • Attribute in group cardinality

...

  • Mandatory concept model rule
  • Optional concept model rule

...

  • All precoordinated SNOMED CT content
    • All SNOMED CT content

...

Descriptor Template

The table below shows the reference set descriptor for a reference set that follows the 

Concept
t723604009|MRCM attribute domain reference set|
 pattern. Footnote MacroConcepts for which an identifier has not been assigned have been shown with an identifier of '111115'.

...

refsetId

...

referenced ComponentId

Table width manager
Col1*,1*,1*,1*,80



refsetId

referencedComponentId

attributeDescription

...

attributeType

attribute Order

Concept
t900000000000456007|Reference set descriptor|

...

Concept
t723604009|MRCM attribute domain reference set|

Concept
t449608002|Referenced component|

Concept
t900000000000461009|Concept type component|

0

Concept
t900000000000456007|Reference set descriptor|

...

Concept
t723604009|MRCM attribute domain reference set|

Concept
t

...

609431004|Domain|

Concept
t900000000000461009|Concept type component|

1

Concept
t900000000000456007|Reference set descriptor|

Concept

...

t723604009|MRCM attribute domain reference set|

...

111115 |Domain constraint|

...

707000009 |SNOMED CT parsable string|

...

2

Concept
t723572000|Grouped|

Concept
t

...

900000000000456007 |Reference set descriptor|

...

111115 |MRCM attribute domain reference set|

...

900000000000478000|Unsigned integer|

2

Concept

...

t900000000000456007|Reference set descriptor|

...

Concept
t723604009|MRCM attribute domain reference set|

...

Concept
t723602008|Attribute Cardinality|

Concept
t707000009|SNOMED CT parsable string|

3

Concept

...

t900000000000456007|Reference set descriptor|

Concept

...

t723604009|MRCM attribute domain reference set|

...

Concept
t723603003|Attribute In Group Cardinality|

Concept
t707000009|SNOMED CT parsable string|

...

4

Concept
t900000000000456007|Reference set descriptor|

Concept
t

...

723604009|MRCM attribute domain reference set|

...

Concept
t723573005|Concept model rule Strength|

Concept
t900000000000461009|Concept type component|

5

Concept

...

t900000000000456007|Reference set descriptor|

...

Concept
t723604009|MRCM attribute domain reference set|

Concept

...

t723574004|Content type|

Concept
t900000000000461009|Concept type component|

...

7

6




PDF: Landscape

Example Data

Note: The table above omits the initial four columns of data present in the release file. These follow the standard format for id, effectiveTime, active and moduleId. Additionally, to aid understanding, the table above also shows the term from one of the descriptions associated with each of the identified concepts. The release file only includes the identifier of these concepts.

...

 The table below shows some example rows from a reference set that follows the format of

...

the  

Concept
t723604009|MRCM attribute domain reference set|
.

Footnote Macro

Concepts for which an identifier has not been assigned have been shown with an identifier of '111115'

...


Table width manager
Col1*,1*,1*,80,120,120,1*,1*
Widertrue


refsetId

referencedComponent Id

domainId

...

domainConstraint

grouped

...

attribute Cardinality

attribute InGroup
Cardinality

ruleStrengthId

contentTypeId

...

Concept

...

t

...

723561005|MRCM attribute domain

...

international reference set|

Concept
t255234002|After|

...

404684003 |Clinical finding (finding)|

...

Concept
t404684003|Clinical finding (finding)|

1

0..*

0..*

Concept
t

...

723597001|Mandatory concept model rule|

Concept
t

...

723596005|All SNOMED CT content|

Concept

...

t723561005|MRCM attribute domain

...

international reference set|

Concept
t255234002|After|

...

272379006 |Event (event)|

Concept
t

272379006|Event (event)|

1

0..*

0..*

...

Concept
t723597001|Mandatory concept model rule|

Concept
t

...

723596005|All SNOMED CT content|

Concept

...

t723561005|MRCM attribute domain

...

international reference set|

Concept
t408729009|Finding context|

...

413350009 |Finding with explicit context (situation)|

...

Concept
t413350009|Finding with explicit context (situation)|

1

0..*

0..1

...

Concept
t723597001|Mandatory concept model rule|

Concept
t

...

723596005|All SNOMED CT content|

...

Concept
t723561005|MRCM attribute domain

...

international reference set|

Concept

...

123005000 |Part of|

...

91723000 |Anatomical structure (body structure)|

...

t272741003|Laterality|

Concept
t91723000|Anatomical structure (body structure)|

0

0..

...

1

0..0

...

Concept
t723597001|Mandatory concept model rule|

Concept
t

...

723594008|

...

All precoordinated SNOMED CT content|

...

Note: The table above omits the initial four columns of data present in the release file. These follow the standard format for id, effectiveTime, active and moduleId. Additionally, to aid understanding, the table above also shows the term from one of the descriptions associated with each of the identified concepts. The release file only includes the identifier of these concepts.

...