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Comment: Published by Scroll Versions from space SCTC and version 2.4
Page properties
idLOINC
Date
September 30
February 29,
2019
2024
InfoRMS

Scope

AccessTerminology Gateway
Code SystemSNOMED CT CA Edition
Code System Version
July 31
February 29,
2019
2024
Release TypeMaintenance

The SNOMED CT Canadian Edition package includes one (1) set of files for referencing the Canadian English (CA EN CA), the Canadian French (CA FR CA), the Canadian reference sets content and the July 2019 version of SNOMED CT International. This publication format is provided to Canadian stakeholders to facilitate implementation if there is no need to use the Canadian Extension* files separately. The content of this package has and Canadian refsets, and International Edition release content up to and including the February 2024 release. Package contents have been pre-computed and harmonized based on the module dependency when several extensions are merged. 

The package is a .zip file that includes text files in the RF2 format as per the SNOMED International specificationsspecification. The files provide the three (3) types of releases: full, delta and snapshotCA Edition contains two (2) release types: full and snapshot. To align with SNOMED International releases, the package no longer includes a delta release type. Each type of release file includes refset reference set files and terminology core files.

 

*  The Extension package will be available only upon request. It consists of different modules and files that can be implemented individually: there is a module for the EN CA content and the references sets, and one for the FR CA contentRelease notes for the International Edition can be accessed here


Release Scope

  1. Request Requests for change received change received from Canadian implementers from March 15September 2, 2019 2023 to September 6February 2, 2019 2024 -   InfoRMS SNOMED CT RFC Project
    1. Requests to add, change or inactivate content in both English and French French. 
    2. Content corrections Corrections to content (typographical errors, metadata, others)  .  
    3. CA EN CA concepts promoted to international version the International Edition of SNOMED CT.
    4. In the Release Notes, NOTE: There is a number of requests that are "Issues in progress" . This means that new concepts were created and were refers to requests that were accepted and added to the September 2019 most recent Canadian Edition. The same concepts have also , but they also have been submitted to SNOMED International for consideration for core inclusion consideration. If they are accepted, they will then be included are in scope for inclusion in the International version of January 2020 release, requiring harmonization for the next March 2020 Canadian EditionEdition and will be assigned to a release by SNOMED International and will require harmonization with the next CA Edition release.


  2. Subsets -   InfoRMS Subset RFC Project 
    1. Pan-Canadian SNOMED CT subsets in scope for this maintenance cycle include
    2. Subsets updated: Immunization subsets , Communicable Disease subsets , Primary Health Care subsets  and others.
    3. No subsets inactivated
    4. 29 SNOMED CT subsets (refsets) are published as extensional refsets in the Canadian Edition (Canada Health Infoway Simple Type Reference Set (foundation metadata concept)).
    5. 23 of 52 subsets are expanded type subsets that are intensionally defined (i.e. defined using queries). These can be found as members of The CA Edition Refset module contains the filter definition for 14 of the extensional published reference sets. They can be found in the Simple query specification reference set (foundation metadata concept).  Note that all reference sets are also published as a simple reference set (enumerated).
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  3. New in this release
    1. OWL DL Enhancement
    1. See below printscreen.

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Notes for this Release:

  1. New vaccine concepts to support the ongoing work for Immunization.
  2. Release notes for International releases including the International Edition and the Common French extension are no longer included in the Canadian Edition release package. International release notes can be accessed here and Common French release notes can be accessed here.
  3. Inclusion of concepts that originated in other national extensions and were promoted to core because they also meet Canadian requirements and, as such, meet the international use case (lateral promotion).
  4. Two (2) new subsets were created to support the new National Vaccine Catalogue (NVC).
  5. In line with the new implementation of Annotations, two new refsets have been added to the International Edition Release package, from December 2023 onwards:
    der2_scsRefset_ComponentAnnotationStringValueSnapshot_INT_20240101.txt
    der2_sscsRefset_MemberAnnotationStringValueSnapshot_INT_20240101.txt
    These refset files are empty for the February 2024 release, whilst content is authored in future editing cycles. However, they will then be populated with Annotations data from one of the future 2024 International Edition releases onwards (date to be confirmed). These improvements were introduced in the December 2023 International Edition release, and will be used in all future International Edition releases until further notice.
  6. French translation to support Canadian implementations, including: ongoing immunization work;
  7. To enable improvements to the quality and analytics capabilities of SNOMED CT, SNOMED International has enhanced the underlining logic profile of the terminology. The changes are now using the Web Ontology Language (OWL) for expressing the concept definitions  These expressions are published as an RF2 compliant reference set, replacing the stated relationships file. The stated relationships file have been deprecated in this release of the CA Edition, as they were deprecated in the July 2019 International release. 
  8. All previous stated relationships have been inactivated since that way of distributing the authoring assertions have been replaced by the OWL refset axioms. This means that all previously active concepts now have their concept definitions expressed in the new format. 
  9. If this is impacting your local extension because it is depending on the stated form of the Canadian release, and you need support to migrate to the new formalism, please contact us at [email protected]
  10. For further information, please refer to SNOMED International Edition Complete OWL file DEMONSTRATION Release Notes for July 2019.
  11. French translation
  12. Thank you to
  13. the Canadian Institute for Health Information (CIHI)
  14. for donation of French terms. The terms donated were related to the CIHI Reference Data Model Toolkit (CRDM Toolkit). They covered “Specimen Type”, “ Organ Type” and “Device Type”. The related InfoRMS batches are: BSCT-8801, BSCT-8734, BSCT-8792.
  15. The French Editorial Guidelines have been updated.
  16. pan-Canadian Health Data Content Framework (pCHDCF) and Primary Health Care projects; Ontario Health’s Lab Information System (OLIS) and Provincial Health Service Directory (PHSD); other projects from Ministère de la Santé et des Services sociaux du Québec (MSSS) such as CNESST, CISSSMO, PTI and Synoptic colonoscopy report.

Refer to section 5. Questions and Comments, for additional information Refer to section Questions and Comments, if you want  to know more about SNOMED CT or if you have comments for us.

Refer to section 6. Requests for Change (RFC), if you need more for additional information on how to request on terminology content or subsets. 

Refer to section section 7. Updates and Publications, if you want to be aware of when changes are published for dates and times related to publication.