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A summary of the SNOMED CT requirements is as follows. Additional information may be found throughout this guide, as well as in other documents on the SNOMED International website at http://www.snomed.org/learn-more.

Terminology Structure

Coded meaning
  • The central component is coded meanings
  • Each code must have a single clear and unambiguous meaning
Identifier
  • Components must have unique identifiers
  • The internal structure of these identifiers must not imply the meaning or relationships of a code
Description
  • Represents the association between terms (text strings) and the meanings that they describe (may be language or dialect dependent)
Preferred Term
  • Represents the special association between each code and a preferred term (used to display the meaning, unless there is an alternative preference)
  • The preferred term association is language or dialect dependent
Fully Specified Name
  • Provides each code with a structured fully specified name that unambiguously describes its meaning
  • The fully specified name is defined in a reference language (the language of first use)
  • Translations of the fully specified name may also be required
Hierarchy
  • Represents hierarchical relationships between coded meanings
  • The form of representation allows a coded meaning to have multiple hierarchical parents (supertypes)
  • It guarantees that any alternative hierarchical view of a coded meaning is consistent
Relationship
  • Represents non-hierarchical relationships between coded meanings

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Content

Scope
  • The scopeis adequate to meet the requirements of various countries, organizations, disciplines, and specialties
  • The extent to which the content requirements are covered develops over timeHowever, the initial release should cover:
  • The scope of the existing clinical terminologies
  • All versions of the Read Codes and NHS Clinical Terms
  • All versions
  • Other scope requirements identified by the Editorial Board
Updates
  • The contentis regularly updated
Granularity
  • Allows coded meanings to be expressed at different levels of granularity
Not Elsewhere Classified (NEC); Not Otherwise Specified (NOS)
  • Codes with not elsewhere classified or not otherwise specified must be inactivated and no new ones may be added
Extension
  • Allows extensions to the main body of work
  • Extensions are distinguishable from components of the main body; should be traceable to a responsible organization
  • Allows for distinguishing and tracing the code source or identifier used in patient records

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