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| Unified Medical Language System® (UMLS®) | |
General Information:
What's New to the Metathesaurus
For 2009AB, there is 1 new subsource (LNC227_RHO_2008), 29 updated sources, and 9 updated translation sources (MDR*,SCTSPA).
LNC_RHO, Routine Health Outcomes, a subsource of LOINC, describes patient-reported outcomes in regards to health related quality of life. The level of each patients' physical and mental symptoms, limitations, and dependency are reported. This source is appropriate for use across primary, secondary, community, and social care. It may be integrated with electronic patient records, facilitating case-mix based risk adjustment. It is well suited for use in audit, management, assessment of need and evaluation.
For detailed information about sources that are new or have had changes made (e.g. new term types, new attribute names, etc.):
Gene Ontology, 2009_04_01
HUGO Gene Nomenclature, 2009_04
ICD-10-PCS, 2009
ICD-9-CM: International Classification of Diseases, Ninth Revision, Clinical Modification, 2010
International Classification for Nursing Practice, 2_0
Logical Observation Identifiers Names and Codes, 227
Medical Dictionary for Regulatory Activities Terminology, 12_0
Medical Subject Headings, 2010_2009_08_17
NCBI Taxonomy, 2009_04_13
NCI Thesaurus, 2009_04
RxNorm Vocabulary, 09AA_090908F
SNOMED Clinical Terms, 2009_07_31
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What's New to the Metathesaurus:
Attribute name (ATN):
ACCEPTED_THERAPEUTIC_USE_FOR
CCDS_ID
CURATED_RANGE_AND_UNITS
DATE_SYMBOL_CHANGED
DB_XR_ID
DEFINITION_DESCRIPTION_HELP
ENSEMBLGENE_ID
HL7_V2_DATATYPE
HL7_V3_DATATYPE
LOCUS_SPECIFIC_DB_XR
MAPPED_ENSEMBLGENE_ID
MAPPED_RGD_ID
MAPPED_UCSC_ID
MTH_DB_XR
RECORD_TYPE
SECONDARY_ID
SC
UNIQ_UNPUBL_NAME
UNPUBL_NAME
VEGA_ID
Relationship attribute(RELA)| RELA inverse:
has_quantified_form|quantified_form_of
is_alternative_use|alternatively_used_for
Term type (TTY):
AUN
NA
UAUN
ZFINPT
ZFINSY
MTH_RXN_CDC
PIN
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Source: Gene Ontology
SAB: GO2009_04_01
1) Dropped attribute name (ATN):
DISJOINT_FROM
------------------------------------------
Source: HUGO Gene Nomenclature
SAB: HUGO2009_04
1) New term type (TTY):
NA (Name Aliases)
2) New attribute name (ATN):
CCDS_ID
DATE_SYMBOL_CHANGED
DB_XR_ID
ENSEMBLGENE_ID
GENESYMBOL
LOCUS_SPECIFIC_DB_XR
MAPPED_ENSEMBLGENE_ID
MAPPED_RGD_ID
MAPPED_UCSC_ID
MTH_DB_XR
RECORD_TYPE
SECONDARY_ID
VEGA_ID
3) Attributes with UTF-8 characters
Discussion:
UTF-8 characters identified in the attribute fields were processed to get an ascii representation and were then assigned to an attribute name starting with MTH_. For example: MTH_DB_XR.
-----------------------------------------
Source: ICD-10-PCS
SAB: ICD10PCS_2009
1) New attribute name (ATN):
FROMRSAB
MAPSETXRTARGETID
MTH_MAPTOCOMPLEXITY
SOS
2) New reimbursement mappings
Discussion:
Procedure mappings for reimbursement purposes were applied from ICD-10-PCS to ICD-9-CM. (2009 version of ICD-9-CM and ICD-10-PCS).
To represent the new mapping data:
a) The name of the existing mapsets were changed. The VSABs were updated with "(GEMs)" appended to the existing map set name and "(Reimbursement)" appended to the new map set name. (e.g., <VSAB> to <VSAB> Mappings (Reimbursement))
b) The relationship attribute (RELA) "mapped_to" was used.
c) Any cases with multiple ICD9CM codes was an implied "AND" and this was used in the TOEXPR. The TOID is a generated integer.
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Source: ICD-9-CM [computer file]: International Classification of Diseases, Ninth Revision, Clinical Modification
SAB: ICD9CM_2010
This version includes an update to:
MTHICD9_2010 (Metathesaurus additional entry terms for ICD-9-CM)
-----------------------------------------
Source: International Classification for Nursing Practice
SAB: ICNP2_0
1) Dropped attribute name (ATN):
STATUS
-----------------------------------------
Source: Logical Observation Identifiers Names and Codes (LOINC)
SAB: LNC227
This version includes updates to:
LNC227_BRADEN_1988
LNC227_FLACC_1997
LNC227_MDS20
LNC227_OASIS_2002
LNC227_PHQ_9_1999
LNC227_WHO_2006
1) New Subsource:
LNC227_RHO_2008 (Routine Health Outcomes)
2) New attribute name (ATN):
CURATED_RANGE_AND_UNITS
DEFINITION_DESCRIPTION_HELP
HL7_V2_DATATYPE
HL7_V3_DATATYPE
3) New content in this release includes additional Continuity Assessment Record and Evaluation (CARE) terms, Minimum Data Set (MDS) version 3, Patient Health Record panels, Quality Health Reporting Document Architecture (QRDA), howRU survey, Public Health document, and additional HL7 Clinical Genomics terms.
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Source: Medical Dictionary for Regulatory Activities Terminology (MDR)
SAB: MDR12_0
This version includes updates to:
MDRCZE12_0
MDRDUT12_0
MDRFRE12_0
MDRGER12_0
MDRITA12_0
MDRJPN12_0
MDRPOR12_0
MDRSPA12_0
-----------------------------------------------
Source: Medical Subject Headings
SAB: MSH2010_2009_08_17
1) New attribute name (ATN):
SC
-----------------------------------------------
Source: NCBI Taxonomy
SAB: NCBI2009_04_13
1) New term type (TTY):
AUN (Authority Name)
UAUN (Unique Authority Name)
2) New attribute name (ATN):
UNIQ_UNPUBL_NAME
UNPUBL_NAME
------------------------------------------------
Source: NCI Thesaurus
SAB: NCI2009_04D
1) New term type (TTY):
ZFINPT (Zebrafish Model Organism Database)
ZFINSY
2) New attribute name (ATN):
ACCEPTED_THERAPEUTIC_USE_FOR
3) Dropped attribute name (ATN):
NC_NAME
-------------------------------------------------
Source: RXNORM Project, META2009AA Full Update 2009_09_08
SAB: RXNORM_09AA_090908F
This version contains updates to the following subsources:
GS_2009_08_04 (Gold Standard Alchemy)
MDDB_2009_08_05 (Master Drug Data Base. Medi-Span, a division of Wolters Kluwer Health)
MMSL_2009_08_01 (Multum MediSource Lexicon)
MMX_2009_08_03 (Micromedex DRUGDEX)
MTHFDA_2009_07_31 (FDA National Drug Code Directory)
MTHSPL_2009_09_02 (FDA Structured Product Labels)
NDDF_2009_08_07 (First DataBank NDDF Plus Source Vocabulary)
SNOMEDCT_2009_07_31 (SNOMED Clinical Terms (drug information). SNOMED International)
VANDF_2009_07_29 (Veterans Health Administration National Drug File)
1) New term type (TTY):
MTH_RXN_CDC (from NDDF_2009_08_07)
PIN
2) New relationship | relationship attribute(RELA) | RELA inverse:
RB|has_quantified_form|quantified_form_of
RN|quantified_form_of|has_quantified_form
3) New attribute name (ATN):
NST
RXO
TRN
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Source: SNOMED CT
SAB: SNOMEDCT_2009_07_31
1) New relationship | relationship attribute(RELA) | RELA inverse:
RO|is_alternative_use|alternatively_used_for
2) Dropped relationship | relationship attribute(RELA):
RO|has_time_aspect
Last reviewed: 03 November 2009
Last updated: 03 November 2009
First published: 18 November 2008
Metadata| Permanence level: Permanent: Stable Content
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