Purpose

An

Concept

t	900000000000480006\|Attribute value type reference set\|
ShowFormat	inline

allows a value from a specified range to be associated with a

Gloss

PreSpace	false
t	component

. This type of

Gloss

SpacePreSpace	truefalse
t	reference set

can be used for a range of purposes where there is a requirement to provide additional information about particular

Gloss

PreSpace	false
t	concepts

,

Gloss

SpacePreSpace	truefalse
t	descriptions

or

Gloss

PreSpace	false
t	relationships

. For example, an

Concept

t	900000000000480006\|Attribute value type reference set\|
ShowFormat	inline

is used to indicate the reason why a

Gloss

SpacePreSpace	truefalse
t	conceptsconcept

has been

Gloss

PreSpace	false
t	inactivated

.

...

Data Structure

An A

Gloss

SpacePreSpace	truefalse
t	Attribute value reference set

is a

Gloss

SpacePreSpace	truefalse
t	component

Gloss

SpacePreSpace	truefalse
t	reference set

used to apply a tagged value to a

Gloss

PreSpace	false
t	SNOMED CT component

. Its structure is shown in the following table.

Field

Data type

Purpose

id (field)

UUID (data type)

A 128 bit unsigned Integer (data type), uniquely identifying this

Gloss

t	reference set member

.

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

effectiveTime (field)

Time (data type)

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 effectiveTime (field) prior to or equal to time T .

active (field)

Boolean (data type)

The state of the identified

Gloss

Space	true
t	reference set member

as at the specified effectiveTime (field) .

If active (field) = 1 (true) the

Gloss

Space	true
t	reference set member

is part of the current version of the set, if active (field) = 0 (false) the

Gloss

Space	true
t	reference set member

is not part of the current version of the set.

moduleId (field)

SCTID (data type)

Identifies the

Gloss

Space	true
t	SNOMED CT module

that contains this

Gloss

Space	true
t	reference set member

as at the specified effectiveTime (field) .

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

.

refsetId (field)

SCTID (data type)

Identifies the

Gloss

Space	true
t	reference set

to which this

Gloss

Space	true
t	reference set member

belongs.

In this case, set to a

Gloss

Space	true
t	subtype

of

Concept

t	900000000000480006\|Attribute value type reference set\|

referencedComponentId (field)

SCTID (data type)

A reference to the

Gloss

Space	true
t	SNOMED CT component

being tagged with a value.

valueId (field)

SCTID (data type)

The tagged value applied to the referencedComponentId (field). A

Gloss

Space	true
t	subtype

of

Concept

t	900000000000491004\|Attribute value\|

.

...

The following metadata in the "Foundation metadata

Gloss

t	concept

"

Gloss

Space	true
t	hierarchy

supports this

Gloss

t	reference set

:

...

Concept

t	900000000000454005\|Foundation metadata concept\|

Concept

t	900000000000455006\|Reference set\|

Caption label

CapId	attribute-value-reference-set-data-structure
CapType	Table

Attribute Value Reference Set - Data Structure

Refset spec table

Size	fs7
RefsetType	Attribute Value Reference Set

Metadata

The

Gloss

t	metadata concepts

shown in

Caption reference

CapRefId	attr-val-refsets
CapRefType	Table

are examples of concepts that identify attribute value reference sets.

Caption label

CapId	attr-val-refsets
CapType	Table

Attribute Value Reference Sets in the Metadata Hierarchy

Bookmarker

Type	start
Name	attr-val-refsets

Scg expression

Border	ridge

  900000000000454005 |Foundation metadata concept|
		900000000000455006 |Reference set|
				900000000000480006 |Attribute value type|
						900000000000489007 |Concept inactivation indicator reference set|
						900000000000490003 |Description inactivation indicator reference set|
						900000000000547002 |Relationship inactivation indicator reference set| /* <-- Not currently used */
						/* Other attribute value reference sets exist but are not used to track component inactivation */

Bookmarker

Type	end
Name	attr-val-refsets

Caption label

CapId	cpt-inactivation-vals
CapType	Item

Concept Inactivation Values (with usage notes)

Bookmarker

Type	start
Name	cpt-inactivation-vals

Scg expression

Border	ridge

  900000000001043018 |Concept inactivation value|     
		723277005 |Nonconformance to editorial policy component|  /* <-- New value introduced in 2017-07-31 International Release */
		900000000000482003 |Duplicate|
		900000000000483008 |Outdated|
		900000000000484002 |Ambiguous|
		900000000000485001 |Erroneous|
		900000000000486000 |Limited|
		900000000000487009 |Moved elsewhere|
		900000000000492006 |Pending move|     /* <-- NEVER used for descriptions in the International Release - may have been used in extensions */

Bookmarker

Type	end
Name	cpt-inactivation-vals

Caption label

CapId	desc-inactivation-vals
CapType	Table

Description Inactivation Values (with usage notes)

Bookmarker

Type	start
Name	desc-inactivation-vals

Scg expression

Border	ridge

  900000000001077011 |Description inactivation value|
		723277005 |Nonconformance to editorial policy component|  /* <-- New value introduced in 2017-07-31 International Release */
		723278000 |Not semantically equivalent component|         /* <-- New value introduced in 2017-07-31 International Release */
		900000000000483008 |Outdated|
		900000000000485001 |Erroneous|
		900000000000495008 |Concept non-current|
		900000000000486000 |Limited|          /* <-- NOT used for description inactivations after 2010-07-31 International Releases */
		900000000000487009 |Moved elsewhere|  /* <-- NOT used for description inactivations before 2016-07-31 or after 2017-07-31 International Releases */
		900000000000482003 |Duplicate|        /* <-- NOT used for description inactivations before 2016-07-31 or after 2017-07-31 International Releases */
		900000000000494007 |Inappropriate|    /* <-- NOT used for description inactivations before 2008-07-31 or after 2017-07-31 International Releases */
		900000000000492006 |Pending move|     /* <-- NEVER used for descriptions in the International Release - may have been used in extensions */

Bookmarker

Type	end
Name	desc-inactivation-vals

Excerpt Include

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

Descriptor Template

...

Concept

t	900000000000480006\|Attribute value type\|

...

Concept
t 900000000000488004|Relationship refinability reference set|
Concept
t 900000000000489007|Concept inactivation indicator reference set|
Concept
t 900000000000490003|Description inactivation indicator reference set|
Concept
t 900000000000547002|Relationship inactivation indicator reference set|

...

The tables below show the descriptors that define examples of

Gloss

SpacePreSpace	truefalse
t	reference sets

that follow the

Concept

t	900000000000480006\|Attribute value type reference set\|
ShowFormat	inline

pattern.

Caption label

CapId	refset-descriptor-rows-for-the-concept-inactivation-indicator-reference-set
CapType	Table

Refset Descriptor Rows for the Concept Inactivation Indicator Reference Set

refsetId

referencedComponentId (Referenced component)

attributeDescription (Attribute description)

attributeType (Attribute type)

attributeOrder (Attribute order)

Concept

t	900000000000456007\|Reference set descriptor\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	449608002\|Referenced component\|

Concept

t	900000000000461009\|Concept type component\|

0

Concept

t	900000000000456007\|Reference set descriptor\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	900000000000481005\|Concept inactivation value\|

Concept

t	900000000000461009\|Concept type component\|

1

Caption label

...

CapId	refset-descriptor-rows-for-the-description-inactivation-indicator-reference-set
CapType	Table

Refset Descriptor Rows for the Description Inactivation Indicator Reference Set

...

refsetId

referencedComponentId (Referenced component)

attributeDescription (Attribute description)

attributeType (Attribute type)

attributeOrder (Attribute order)

Concept

t	900000000000456007\|Reference set descriptor\|

Concept

t	900000000000490003\|Description inactivation indicator reference set\|

Concept

t	449608002\|Referenced component\|

Concept

t	900000000000462002\|Description type component\|

0

Concept

t	900000000000456007\|Reference set descriptor\|

Concept

t	900000000000490003\|Description inactivation indicator reference set\|

Concept

t	900000000000493001\|Description inactivation value\|

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 id (field), effectiveTime (field), active (field), active (field). Additionally, to aid understanding, the tables above also show the

Gloss

Space	true
t	term

from one of the

Gloss

Space	true
t	descriptions

associated with each of the identified

Gloss

t	concept

. The release file only contains the

Gloss

t	identifier

.

...

Example Data

Caption label

CapId	cpt-inactivation-refset-eg
CapType	Example

Sample Rows from the Concept Inactivation Indicator Reference Set

...

refsetId

referencedComponentId (Referenced component)

valueId (Concept inactivation value)

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	105000\|Poisoning by pharmaceutical excipient\|

Concept

t	900000000000482003\|Duplicate\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	123008\|Channel catfish virus disease\|

Concept

t	900000000000487009\|Moved elsewhere\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	141000\|Glaucoma as birth trauma\|

Concept

t	900000000000482003\|Duplicate\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	157000\|AIDS with low vision\|

Concept

t	900000000000484002\|Ambiguous\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	190000\|Partial hysterectomy\|

Concept

t	900000000000484002\|Ambiguous\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	203004\|Replacement of pacemaker in brain\|

Concept

t	900000000000484002\|Ambiguous\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	212002\|Salmonella III arizonae 53:k:z\|

Concept

t	900000000000483008\|Outdated\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	215000\|Operative procedure on fingers\|

Concept

t	900000000000482003\|Duplicate\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	220000\|Unspecified monoarthritis\|

Concept

t	900000000000486000\|Limited\|

Concept

t	900000000000489007\|Concept inactivation indicator reference set\|

Concept

t	236003\|Incision of vein\|

Concept

t	900000000000484002\|Ambiguous\|

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Example Data

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