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2009AA UMLS Metathesaurus: New and Updated Sources - Expanded Representation Information
Printer-friendly VersionGeneral Information:
What's New to the Metathesaurus
For 2009AA, there are 3 new sources (ICD10PCS, ICF, ICF-CY), 2 new translation sources (MSHLAV, KCD5), 31 updated sources,
and 17 updated translation sources.
ICD10PCS, the ICD-10 Procedure Coding System, is a system of medical classification used for procedural codes. It
is a successor to Volume 3 of ICD-9-CM.
ICF, The International Classification
of Functioning, Disability and Health, is a classification of health and
health-related domains. These domains are classified from body, individual and
societal perspectives by means of two lists: a list of body functions and
structure, and a list of domains of activity and participation. ICF is useful to
understand and measure health outcomes. It can be used in clinical settings,
health services or surveys at the individual or population level.
ICF-CY, The International Classification of Functioning, Disability and Health for
Children and Youth is a derived version of the International Classification of
Functioning, Disability and Health (ICF) designed to record characteristics of
the developing child and the influence of environments surrounding the child.
This derived version of the ICF can be used by providers, consumers and all
those concerned with the health, education, and well being of children and
youth.
KCD5, Korean Standard Classification of Disease, is a Korean
version of ICD10, published by the Korean National Health Information Task
Force.
MSHLAV is Medical Subject Headings (MeSH), Latvian
Edition.
As translation sources are updated, we continue to attempt to
represent them as closely as possible to the English version. This includes
using the same term types and creating the same relationships in the translation
source. If there are concepts missing from the translation source that would
cause gaps in the hierarchy, those gaps are filled in with the English language
version of the missing concept.
For detailed information about sources that are new or have had changes made (e.g. new term types, new attribute names, etc.):
Current Procedural Terminology, 2009
Healthcare Common Procedure Coding System, 2009
ICD-10-PCS, 2008
International Classification of Functioning, Disability, and Health, 2008_12_19
International Classification of Functioning, Disability, and Health for Children and Youth,
2008
International Classification for Nursing Practice, 1_1
Korean Standard Classification of Disease Version 5, 2008
Logical Observation Identifier Names and Codes, 226
MEDCIN3, 2008_12_13
Medical Subject Headings (MeSH), Czech Edition, 2009
Medical Subject Headings (MeSH), French Edition, 2009
Medical Subject Headings (MeSH), German Edition, 2009
Medical Subject Headings (MeSH), Italian Edition, 2009
Medical Subject Headings (MeSH), Latvian Edition, 2009
Medical Subject Headings (MeSH), Russian Edition, 2009
Medical Subject Headings (MeSH), Swedish Edition, 2009
RxNorm Vocabulary, 08AB_090202F
SNOMED Terminos Clinicos (SNOMED CT), Edicion en Espanol, Distribucion Internacional,
2008_10_31
SNOMED Clinical Terms, 2009_01_31
What's New to the Metathesaurus:
Attribute name (ATN):
BLOCK
CHAPTER
EXAMPLE_UNITS
FOURTHLEVEL
ICNP_TYPE
INPC_PERCENTAGE
ISLEAF
SECONDLEVEL
SORT
STATUS
THIRDLEVEL
Relationship attribute(RELA)| RELA inverse:
common_name_of|has_common_name
transliterated_form_of|has_transliterated_form
Term type (TTY):
LC
------------------------------------------
Source: Current Procedural Terminology
VSAB: CPT2009
This version includes updates to:
MTHCH2009
1) New term type (TTY):
MTH_AB
MTH_SY
2) HCPCS Level II Modifiers are included as atoms.
Discussion: In previous versions these modifiers were removed but they can be applied to CPT codes so they have been included in this version. The modifiers have been assigned the term type MP.
------------------------------------------
Source: Healthcare Common Procedure Coding System
SAB: HCPCS2009
This version includes updates to:
HCDT2007-2008C
HCPT2009
MTHHH2009
1) New term type (TTY):
MTH_AB
2) The source CDT was removed because it was an exact clone of the HCDT source.
3) The source abbreviation for HCDT was updated to HCDT2007-2008C.
4) The source family for HCDT was changed to HCPCS.
-----------------------------------------
Source: ICD-10-PCS
SAB: ICD10PCS_2008
1) New term type (TTY):
HT
MTH_HT
PT
PX
XM
2) New attribute name (ATN):
FROMVSAB
MAPSETRSAB
MAPSETTYPE
MAPSETVERSION
MAPSETVSAB
MTH_MAPFROMCOMPLEXITY
MTH_MAPFROMEXHAUSTIVE
MTH_MAPSETCOMPLEXITY
MTH_MAPTOEXHAUSTIVE
TORSAB
TOVSAB
XMAP
XMAPFROM
XMAPTO
3) New relationship | relationship attribute(RELA) | RELA inverse:
SY|expanded_form_of|has_expanded_form
RO|approximately_mapped_to|approximately_mapped_from
Discussion: The RO relationship appears only in MRMAP.RRF, and represents mappings to ICD-9-CM Volume 3.
-----------------------------------------
Source: International Classification of Functioning, Disability and Health
SAB: ICF_2008_12_19
1) New term type (TTY):
HT
MTH_HT
MTH_PT
PT
2) New attribute name (ATN):
BLOCK
CHAPTER
DEFINITION
DIMENSION
FOURTHLEVEL
ISLEAF
LEVEL
MTH_SOS
SECONDLEVEL
SORT
SOS
THIRDLEVEL
3) New relationship | relationship attribute(RELA) | RELA inverse:
SY|mth_british_form_of|mth_has_british_form
----------------------------------------
Source: International Classification of Functioning, Disability and Health for Children and Youth
SAB: ICF-CY_2008
1) New term type (TTY):
HT
MTH_HT
MTH_PT
PT
2) New attribute name (ATN):
DEFINITION
MTH_SOS
SOS
3) New relationship | relationship attribute(RELA) | RELA inverse:
SY|mth_british_form_of|mth_has_british_form
-----------------------------------------
Source: International Classification for Nursing Practice
SAB: ICNP1_1
1) New attribute name (ATN):
ICNP_TYPE
STATUS
Discussion: STATUS shows if a code is active (current) or inactive (obsolete/deprecated). Currently, all codes are "A".
ICNP_TYPE shows if a code is a Diagnosis/Outcome (DC), an Intervention (IC), or Primitive (7-axes: A, C, F, J, L, M, T).
2) It is important to note that this source does not "look like" versions of ICNP that can be browsed on the web or are described in the book. It is organized differently. Also, the axis information is passive information (assigned to the ICNP_TYPE attribute) and is not used to build a hierarchy.
-----------------------------------------
Source: Korean Standard Classification of Disease Version 5
SAB: KCD5_2008
1) New term type (TTY):
HT
PT
2) New attribute name (ATN):
IAN
3) New relationship | relationship attribute(RELA) | RELA inverse:
SY|translation_of|has_translation
-----------------------------------------------
Source: Logical Observation Identifier Names and Codes (LOINC)
SAB: LNC226
This version includes updates to:
LNC226_BRADEN_1988
LNC226_FLACC_1997
LNC226_MDS20
LNC226_OASIS_2002
LNC226_PHQ_9_1999
LNC226_WHO_2006
1) New term type (TTY):
LC
Discussion: The new field called LONG_COMMON_NAME which displays the LOINC term in readable English is assigned the term type of LC.
2) New attribute name (ATN):
EXAMPLE_UNITS
INPC_PERCENTAGE
3) New relationship | relationship attribute(RELA) | RELA inverse:
SY|common_name_of|has_common_name
4) New content includes more Newborn Screening tests, sets of terms used in HEDIS, US Surgeon General's Family Health History tool, and Continuity Assessment Record and Evaluation (CARE) terms.
-----------------------------------------------
Source: MEDCIN3
SAB: MEDCIN3_2008_12_13
1) Metadata (i.e., "copyright" terms) is no longer included as part of the source data.
-----------------------------------------------
Source: Medical Subject Headings (MeSH), Czech Edition
SAB: MSHCZE2009
1) New atoms
Discussion: There are Descriptors that have no Czech translation. The corresponding English MeSH strings are used instead in the form of "Not Translated[English string]. Example: Not Translated[Pulmonary Aspergillosis]
-----------------------------------------------
Source: Medical Subject Headings (MeSH), French Edition
SAB: MSHFRE2009
1) New attribute name (ATN):
DEFINITION
Discussion: A number of ScopeNotes include French strings. These are made into DEFINITIONs.
------------------------------------------------
Source: Medical Subject Headings (MeSH), German Edition
SAB: MSHGER2009
1) New term type (TTY):
DSV
Discussion: A DSV term type is assigned to the 'SortVersion' string.
2) New relationship | relationship attribute(RELA) | RELA inverse:
SY|sort_version_of
Discussion: An SY relationship is created between the term and the 'SortVersion' string.
------------------------------------------------
Source: Medical Subject Headings (MeSH), Italian Edition
SAB: MSHITA2009
1) New term type (TTY):
EN
------------------------------------------------
Source: Medical Subject Headings (MeSH), Latvian Edition
SAB: MSHLAV2009
1) New term type (TTY):
EP
MH
PEP
2) New attribute name (ATN):
TERMUI
3) New relationship | relationship attribute(RELA) | RELA inverse:
RN|
Discussion: SeeRelated, EntryCombination, and PharmacologicAction relationships borrowed from MeSH have been added.
An RN relationship between the MH and the non-preferred concept is created where a concept exists only as a Latvian concept (i.e., where there is no corresponding English concept).
------------------------------------------------
Source: Medical Subject Headings (MeSH), Russian Edition
SAB: MSHRUS2009
1) New relationship | relationship attribute(RELA) | RELA inverse:
SY|transliterated_form_of|has_transliterated_form
------------------------------------------------
Source: Medical Subject Headings (MeSH), Swedish Edition
SAB: MSHSWE2009
1) Dropped term type (TTY):
SY
2) Dropped attribute name (ATN):
DEFINITION
3) Dropped relationship | relationship attribute (RELA):
RB|mapped_from
RN| -----------------------------------------------
Source: RXNORM Project, META2008AB Full Update 2009_02_02
SAB: RXNORM_08AB_090202F
This version contains updates to the following subsources:
GS_2009_01_11 (Gold Standard Alchemy)
MDDB_2009_01_07 (Master Drug Data Base. Medi-Span, a division of Wolters Kluwer Health)
MMSL_2009_01_01 (Multum MediSource Lexicon)
MMX_2009_01_05 (Micromedex DRUGDEX)
MTHFDA - 12/03/2008 (FDA National Drug Code Directory)
MTHSPL_2009_01_26 (FDA Structured Product Labels)
NDDF_2008_12_31 (First DataBank NDDF Plus Source Vocabulary)
VANDF_2009_01_06 (Veterans Health Administration National Drug File)
Non-updated subsources:
SNOMED CT - 07/31/2008 (SNOMED Clinical Terms (drug information). SNOMED International)
1) Dropped attribute (ATN):
NST
RXO
TRN
---------------------------------------------
Source: Spanish SNOMED CT
SAB: SCTSPA_2008_10_31
1) Dropped relationship | relationship attribute (RELA):
RN|was_a
----------------------------------------------
Source: SNOMED CT
SAB: SNOMEDCT_2009_01_31
1) The source restriction level (SRL) was changed from category 4 to category 9.
-------------------------------------------------
Last reviewed: 03 April 2009
Last updated: 03 April 2009
First published: 18 November 2008
Metadata| Permanence level: Permanent: Stable Content
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