Introduction
SNOMED CT terminology provides a common language that enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care.
The International Health Terminology Standards Development organisation (IHTSDO®), trading as SNOMED International, maintains the SNOMED CT technical design, the content architecture, the SNOMED CT content (includes the concepts table, the descriptions table, the relationships table, a history table, and ICD mappings), and related technical documentation.
Background
This document provides a summarized description of the content changes included in the August 2024 Production release of the SNOMED Clinical Terms® Managed Service Austria Extension package.
It will also include technical notes detailing the known issues which have been identified (should any of these exist). These are content or technical issues where the root cause is understood, and the fix has been discussed and agreed, but has yet to be implemented.
This Austria Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT® July 2024 International Edition release.
Scope
This document is written for the purpose described above and is not intended to provide details of the technical specifications for SNOMED CT or encompass every change made during the release.
Content Development Activity
Summary
Content from the SNOMED CT® July 2024 International Edition release has been incremented, using additional components for use in Austria.
This extension contains concepts, relationships and reference sets for healthcare professionals.
New and Updated Content
This release INACTIVATES the 15 refset concepts that were previously added in the February 2024 AT Release, as it was determined that these refsets had been added in error:
Id | FSN | SemTag |
---|---|---|
71001000103 | MIO Basis-Profile (foundation metadata concept) | (foundation metadata concept) |
81001000100 | MIO Mutterpass (foundation metadata concept) | (foundation metadata concept) |
91001000102 | MIO Impfpass (foundation metadata concept) | (foundation metadata concept) |
10071001000102 | MIO Children's examination booklet (foundation metadata concept) | (foundation metadata concept) |
20081001000107 | Substances reference set (foundation metadata concept) | (foundation metadata concept) |
30101001000100 | Microorganism reference set (foundation metadata concept) | (foundation metadata concept) |
30111001000102 | Allergy manifestation reference set (foundation metadata concept) | (foundation metadata concept) |
30121001000107 | Allergens reference set (foundation metadata concept) | (foundation metadata concept) |
30131001000105 | Immunization: Adverse reactions reference set (foundation metadata concept) | (foundation metadata concept) |
30141001000103 | Immunization: Allergy/Intolerances reference set (foundation metadata concept) | (foundation metadata concept) |
30151001000101 | Immunization: Target disease reference set (foundation metadata concept) | (foundation metadata concept) |
30161001000104 | Immunization: Vaccination Plan reference set (foundation metadata concept) | (foundation metadata concept) |
30171001000108 | Vaccine products reference set (foundation metadata concept) | (foundation metadata concept) |
30181001000106 | Unit codes reference set (foundation metadata concept) | (foundation metadata concept) |
30191001000109 | Top-level Concepts and common terms reference set (foundation metadata concept) | (foundation metadata concept) |
Translated Content
New/Updated translated descriptions
This release contains translations from the Common German Translation. 27484 new, 31 updated and 85 inactivated descriptions were added, updated or inactivated. This affects 17943 concepts,
SemTag | New Descriptions | Changed Descriptions | Inactivated Descriptions | Concepts Affected |
---|---|---|---|---|
(body structure) | 36 | 0 | 0 | 25 |
(finding) | 24240 | 4 | 18 | 16012 |
(environment / location) | 41 | 0 | 0 | 22 |
(event) | 16 | 0 | 0 | 12 |
(observable entity) | 16 | 1 | 1 | 10 |
(organism) | 74 | 1 | 26 | 58 |
(product) | 23 | 3 | 0 | 12 |
(physical force) | 1 | 0 | 2 | 1 |
(physical object) | 15 | 0 | 2 | 10 |
(procedure) | 2109 | 3 | 5 | 1135 |
(qualifier value) | 14 | 11 | 0 | 12 |
(record artifact) | 3 | 0 | 2 | 3 |
(SNOMED RT+CTV3) | 0 | 0 | 0 | 0 |
(metadata) | 14 | 2 | 1 | 14 |
(situation) | 297 | 0 | 8 | 188 |
(social concept) | 71 | 6 | 0 | 20 |
(special concept) | 1 | 0 | 0 | 1 |
(specimen) | 0 | 0 | 0 | 0 |
(staging scale) | 0 | 0 | 1 | 1 |
(substance) | 513 | 0 | 19 | 407 |
27484 | 31 | 85 | 17943 |
Total number of translated Concepts
In total this release contains 41846 concepts that have been translated into German (i.e. have at least one German description).
Technical notes
Known Issues
Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented. This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.
For the SNOMED CT Managed Service - Austria Extension Release, the following Known Issues were identified, and agreed to be resolved in the next editing cycle:
Technical notes
Removal of the Common German refsets
In the August 2023 AT Extension release, 15 Common German refsets were added to the release package. It was later determined that these should not have been added, and therefore the Austrian NRC decided to remove them completely from the February 2024 Extension package, plus all future AT Extension releases.
These refsets have therefore had their:
- Concepts inactivated +
- Refset files (both full + snapshot) removed completely from the package. This step is not usually applied, as inactivation is usually preferable to deletion, but in cases of error like this, it is sometimes decided that the complete removal will be less confusing for end users going forward, as opposed to retaining completely irrelevant content in all future packages.
- NOTE: RefsetDescriptor records remain ACTIVE (as per precedent) as the refset patterns themselves have not been inactivated, just these particular examples of the refsets.
The refsets in question are as follows:
Refset ID | Refset Name |
71001000103 | MIO Basis-Profile (foundation metadata concept) |
81001000100 | MIO Mutterpass (foundation metadata concept) |
91001000102 | MIO Impfpass (foundation metadata concept) |
10071001000102 | MIO Children's examination booklet (foundation metadata concept) |
20081001000107 | Substances reference set (foundation metadata concept) |
30101001000100 | Microorganism reference set (foundation metadata concept) |
30111001000102 | Allergy manifestation reference set (foundation metadata concept) |
30121001000107 | Allergens reference set (foundation metadata concept) |
30131001000105 | Immunization: Adverse reactions reference set (foundation metadata concept) |
30141001000103 | Immunization: Allergy/Intolerances reference set (foundation metadata concept) |
30151001000101 | Immunization: Target disease reference set (foundation metadata concept) |
30161001000104 | Immunization: Vaccination Plan reference set (foundation metadata concept) |
30171001000108 | Vaccine products reference set (foundation metadata concept) |
30181001000106 | Unit codes reference set (foundation metadata concept) |
30191001000109 | Top-level Concepts and common terms reference set (foundation metadata concept) |
Notice of changes to the AT Extension Release package
In line with the refined implementation of Annotations, we are updating all Extensions in order to align them with the updated version of the refsets in the International Edition Release package (which were first published in June 2024).
1. After discussions with the community, SNOMED International made changes to the coverage of language in the Annotations refsets in the following way:
- The languageCode field was specified as the two characters of ISO-639-1 code for the language of the annotation text. The change includes support for specifying dialect when it is applicable by adhering to RFC 5646, which allows the combination of two characters of ISO 639-1 code and two uppercase letters of country code (ISO 3166) separated by a hyphen.
- The column "languageCode" has therefore been changed to "languageDialectCode".
- Component Annotations (1292992004)
- OLD: id effectiveTime active moduleId refsetId referencedComponentId languageCode typeId value
- NEW: id effectiveTime active moduleId refsetId referencedComponentId languageDialectCode typeId value
- Member Annotations (1292995002)
- OLD: id effectiveTime active moduleId refsetId referencedComponentId referencedMemberId languageCode typeId value
- NEW: id effectiveTime active moduleId refsetId referencedComponentId referencedMemberId languageDialectCode typeId value
- The concept 1296895003|Language code (foundation metadata concept)| has been inactivated and replaced by 1304275002 |Language or dialect code (foundation metadata concept)|
- The changes apply to both the Member Annotations String Value Reference Set + Component Annotation String Value reference set
2. In line with the changes to the Annotations refsets, the following refinements have also been made to the RefsetDescriptor records:
- 1. The AttributeType for the (attributeOrder=0) refsetDescriptor record for both Member + Component Annotations has been changed from:
- 900000000000461009 |Concept type component| to
- 900000000000460005 |Component type (foundation metadata concept)|
- (eg)
- OLD: 6cc1d4ca-32fd-44cb-8ad3-e49f23ec7760 20231201 1 900000000000012004 900000000000456007 1292992004 900000000000518009 900000000000461009 0
- NEW: 6cc1d4ca-32fd-44cb-8ad3-e49f23ec7760 20240601 1 900000000000012004 900000000000456007 1292992004 900000000000518009 900000000000460005 0
- OLD: f6d9647b-6ee6-400d-9c7f-77818fa1f986 20231201 1 900000000000012004 900000000000456007 1292995002 900000000000518009 900000000000461009 0
- NEW: f6d9647b-6ee6-400d-9c7f-77818fa1f986 20240601 1 900000000000012004 900000000000456007 1292995002 900000000000518009 900000000000460005 0
- OLD: 6cc1d4ca-32fd-44cb-8ad3-e49f23ec7760 20231201 1 900000000000012004 900000000000456007 1292992004 900000000000518009 900000000000461009 0
- 2. The languageDialect column for a) the (attributeOrder=2) refsetDescriptor record for Member Annotations + b) the (attributeOrder=1) refsetDescriptor record for Component Annotations has been changed from:
- 1296895003 |Language code (foundation metadata concept)| to the new concept
- 1304275002 |Language or dialect code (foundation metadata concept)|
- (eg)
OLD: 2c0d0378-c28c-4705-b8af-f5f0f8276dfd 20231201 1 900000000000012004 900000000000456007 1292992004 1296895003 900000000000465000 1
NEW: 2c0d0378-c28c-4705-b8af-f5f0f8276dfd 20240601 1 900000000000012004 900000000000456007 1292992004 1304275002 900000000000465000 1
OLD: afe9824b-1323-4407-a0b7-a028ae2b780a 20231201 1 900000000000012004 900000000000456007 1292995002 1296895003 900000000000465000 2
NEW: afe9824b-1323-4407-a0b7-a028ae2b780a 20240601 1 900000000000012004 900000000000456007 1292995002 1304275002 900000000000465000 2
- 3. The AttributeType for a) the (attributeOrder=4) refsetDescriptor record for Member Annotations (1292995002) + b) the (attributeOrder=3) refsetDescriptor record for Component Annotations (1292992004), needs to be changed from:
- 900000000000459000 (AttributeType) to
- 900000000000465000 (String)
- (eg)
- OLD: 54af9962-2a35-4538-86f3-a8c38de9200b 20231201 1 900000000000012004 900000000000456007 1292995002 900000000000519001 900000000000459000 4
- NEW: 54af9962-2a35-4538-86f3-a8c38de9200b 20240601 1 900000000000012004 900000000000456007 1292995002 900000000000519001 900000000000465000 4
- OLD: b46405ec-5ff1-46a3-a9cc-b2ef2bba23cc 20231201 1 900000000000012004 900000000000456007 1292992004 900000000000519001 900000000000459000 3
- NEW: b46405ec-5ff1-46a3-a9cc-b2ef2bba23cc 20240601 1 900000000000012004 900000000000456007 1292992004 900000000000519001 900000000000465000 3
Approvals
Final Version | Date | Approver | Comments |
---|---|---|---|
1.0 | Stephan Rainer-Sablatnig | Approved |
Download .pdf here:
Draft Amendment History
Version | Date | Editor | Comments |
---|---|---|---|
0.1 |
| Andrew Atkinson | Initial draft created |
0.9 | Annatina Foppa | Final draft | |
1.0 | Andrew Atkinson | Fixed invalid dates, etc |