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Case Sensitivity
Case Sensitivity IndicatorValuesMeaningExamples

cI

Concept
t900000000000020002 |Only initial character case insensitive (core metadata concept)|

First letter character of the description may or may not be capitalized while the case of the rest of the description cannot be changed

  • Family history of Prader-Willi syndrome (situation)
  • Born in Australia (finding)

  • Neonatal jaundice with Dubin-Johnson syndrome (disorder)
  • Penicillin resistant Streptococcus pneumoniae (organism)

CS

Concept
t900000000000017005 |Entire term case sensitive (core metadata concept)|

Cannot change any case in the description

Changing case may change the meaning of the term or is not commonly used

  • Down syndrome
  • English as a second language (finding)
  • pH measurement (procedure)
  • mm (qualifier value)
ci

Concept
t900000000000448009 |Entire term case insensitive (core metadata concept)|

Entire description may be lower or upper case

Changing case does not change the meaning of the term

  • Fracture of tibia (disorder)
  • Blood compatibility test (procedure)
  • Bite of fish (event)
  • Floor mat (physical object)

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Tip

Case sensitivity can be changed on an existing description without inactivating itthe description.




Warning

The common name for |Structure of pharyngotympanic tube (body structure)| is eustachian tube.  While the term originated eponymously, it is not the name of the person from whom the body structure was named after.  Therefore, the case significance is ci for case insensitive. 

Extensions

SNOMED CT includes three case significance values, "ci", "cI" and "CS". However, this range of values depends on the languages and linguistic norms. For the International Edition, where the first character of descriptions is always capitalized, the value "Only initial character case insensitive" ("cI") is necessary. This value is not required for descriptions in extensions that do not adhere to this convention. When appropriate, it is also acceptable to limit the range to a single case significance value.

Numeric values

Numeric values will not display differently if switched between upper and lower case, so numeric values should be treated as case insensitive characters in a term.  

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