United States National Library of Medicine National Institutes of Health

New and Updated Sources (Expanded Representation Information) - 2009AB Release

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


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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.

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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

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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

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Source: Medical Subject Headings
SAB: MSH2010_2009_08_17

1) New attribute name (ATN):
      SC

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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

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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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