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DateSeptember 30, 2021
InfoRMS

Scope

AccessTerminology Gateway
Code SystemSNOMED CT CA
Code System VersionSeptember 30, 2021
Release TypeMaintenance

The SNOMED CT Canadian Edition package includes one (1) set of files for referencing the Canadian English (EN CA), Canadian French (CA FR), Canadian refsets, and the July 2021 version of SNOMED CT International. All French descriptions translated by the Common French Group are also part of the CA Edition. 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 specification. The CA Edition contains three (3) release types: full, delta and snapshot. Each type of release file includes reference set files and terminology core files.

Release Scope

  1. Requests for change received from Canadian implementers from March 6, 2021 to September 3, 2021 - InfoRMS SNOMED CT RFC Project
    1. Requests to add, change or inactivate content in both English and French. 
    2. Content corrections (typographical errors, metadata, others).  
    3. EN CA concepts promoted to the International Edition of SNOMED CT.
    4. NOTE: In the Release Notes the "Issues in progress" means that requests were accepted and added to the most recent Canadian Edition, but they also have been submitted to SNOMED International for consideration for core inclusion. If accepted, they are in scope for inclusion in the January 2022 International version release and will require harmonization with the March 2022 CA Edition.

  2. Subsets - InfoRMS Subset RFC Project 
    1. Updated subsets: Immunization, Communicable Disease, Primary Health Care and others.
    2. 13 of 41 extensional published refsets in the Canadian Edition are intensionally defined. They can be found as members of the simple query specification reference set (foundation metadata concept). See below printscreen. 
    3. All reference sets are also published as a simple reference set (enumerated).



  3. New in this release:
    1. New vaccine concepts to support the ongoing COVID-19 response. 
    2. Inclusion of international COVID-19 vaccine products that are not marketed in Canada to support international immunization records.
    3. Release notes for the July 2021 International Edition are included in this CA Edition package for detailed information.
    4. Concrete domains for vaccine content:
      1. All tradename vaccines that had the attribute 766952006 | Count of base of active ingredient(attribute) associated with a number as a concept, was inactivated and replaced by 1142139005|Count of base of active ingredient (attribute) and a value that is a concrete domain number.
      2. All tradename vaccines that had the attribute 766953001 |Count of active ingredient (attribute) associated with a number as a concept, was inactivated and replaced by 1142140007Count of active ingredient (attribute) and a value that is a concrete domain number.
    5. New attributes for vaccines:
      1. The Canadian concept 27821000087106 |Product target population (qualifier value)| has been inactivated and replaced by an international concept: 1149367008 |Has target population (attribute)|
      2. The strength expressed in the Flu vaccines as low, high or standard dose are now defined using 1149366004 |Has ingredient qualitative strength (attribute)|, instead of 860779006 |Has ingredient characteristic (attribute)|
    6. 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).
    7. French translation.
      1. This release includes all translated terms from the French common translation produced by the SNOMED International Member Countries Belgium, Canada, Switzerland, Luxemburg, by the Affiliate PHAST.
        1. It includes translation of COVID-19 related concepts.
        2. The common French translation of SNOMED CT is now available on the Community Content Page published by SNOMED International. It may be published as part of a national edition of any of the Members involved in the production of this translation.
        3. The SNOMED CT Common French Translation Release Note is included in the CA Edition package for the detailed information.

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

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

Refer to section 7. Updates and Publications, for dates and times related to publication.

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