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

Specref

RefType	(field)
t	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.

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 .

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.

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

.

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, set to a

Gloss

Space	true
t	subtype

of

Concept

t	900000000000480006\|Attribute value type reference set\|

Specref

RefType	(field)
t	referencedComponentId

Specref

RefType	(data type)
t	SCTID

A reference to the

Gloss

Space	true
t	SNOMED CT component

being tagged with a value.

Specref

RefType	(field)
t	valueId

Specref

RefType	(data type)
t	SCTID

The tagged value applied to the

Specref

RefType	(field)
t	referencedComponentId

. 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

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

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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Data Structure

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Descriptor Template

Example Data

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