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New and Updated Sources (Expanded Representation Information) - 2023AA Release

General Information:  

What's New to the Metathesaurus

For 2023AA, Arabic (ARA) is a new language in the Metathesauruas. In addition, there are three new MDR translations (MDRARA, MDRGRE, MDRPOL), and 76 updated sources (including translation sources and subsources). 

MDRARA is the Arabic Edition of the Medical Dictionary of Regulatory Activities Terminology (MedDRA).

MDRGRE is the Greek Edition of the Medical Dictionary of Regulatory Activities Terminology (MedDRA).

MDRPOL is the Polish Edition of the Medical Dictionary of Regulatory Activities Terminology (MedDRA).

For detailed information about sources that are new or have had changes made (e.g., new term types, new attribute names, etc.):

    Current Procedural Terminology, CPT2023 
    International Classification for Nursing Practice, ICNP_2022
    LOINC, LNC274
    Medical Dictionary for Regulatory Activities Terminology (MedDRA), Arabic Edition, MDRARA25_1
    Medical Dictionary for Regulatory Activities Terminology (MedDRA), Greek Edition, MDRGRE25_1
    Medical Dictionary for Regulatory Activities Terminology (MedDRA), Polish Edition, MDRPOL25_1
    MEDCIN, MEDCIN3_2023_01_19
    NCBI Taxonomy, NCBI2022_12_07
    Online Mendelian Inheritance in Man, OMIM2023_02_05
    RXNORM Vocabulary, RXNORM_20AA_230306F
    SNOMED Clinical Terms, Spanish Language Edition, SCTSPA_2022_10_31 
    US Edition of SNOMED CT, SNOMEDCT_US_2023_03_01
    Veterinary Extension to SNOMED CT, SNOMEDCT_VET_2022_10_01
------------------------------------------

What's New to the Metathesaurus:


Attribute Name (ATN):
    AUTHORITY_NAME
    COUNT_OF_BASE_AND_MODIFICATION_PAIR
    ICNP_ID

Relationship Attribute (RELA) | Inverse:
    has_entry_term|entry_term_of
-------------------------------------------------------

Source: Current Procedural Terminology 
VSAB: CPT2023 

New attribute name(s) (ATN) | Description:
    RVU_FACILITY_PRACTICE_EXPENSE|RVU facility practice expense
    RVU_FACILITY_PRACTICE_EXPENSE_DISCONTINUED|RVU facility practice expense discontinued
    RVU_FACILITY_PRACTICE_EXPENSE_PROFESSIONAL|RVU facility practice expense professional
    RVU_FACILITY_PRACTICE_EXPENSE_TECHNICAL|RVU facility practice expense technical
    RVU_MEDICARE_GLOBAL_PERIOD|RVU Medicare global period
    RVU_MEDICARE_GLOBAL_PERIOD_DISCONTINUED|RVU Medicare global period discontinued
    RVU_MEDICARE_GLOBAL_PERIOD_PROFESSIONAL|RVU Medicare global period professional
    RVU_MEDICARE_GLOBAL_PERIOD_TECHNICAL|RVU Medicare global period technical
    RVU_NONFACILITY_PRACTICE_EXPENSE|RVU nonfacility practice expense
    RVU_NONFACILITY_PRACTICE_EXPENSE_DISCONTINUED|RVU nonfacility practice expense discontinued
    RVU_NONFACILITY_PRACTICE_EXPENSE_PROFESSIONAL|RVU nonfacility practice expense professional
    RVU_NONFACILITY_PRACTICE_EXPENSE_TECHNICAL|RVU nonfacility practice expense technical
    RVU_PLI|RVU PLI
    RVU_PLI_DISCONTINUED|RVU PLI discontinued
    RVU_PLI_PROFESSIONAL|RVU PLI professional
    RVU_PLI_TECHNICAL|RVU PLI technical
    RVU_TOTAL_FACILITY|RVU total facility
    RVU_TOTAL_FACILITY_DISCONTINUED|RVU total facility discontinued
    RVU_TOTAL_FACILITY_PROFESSIONAL|RVU total facility professional
    RVU_TOTAL_FACILITY_TECHNICAL|RVU total facility technical
    RVU_TOTAL_NONFACILITY|RVU total nonfacility
    RVU_TOTAL_NONFACILITY_DISCONTINUED|RVU total nonfacility discontinued
    RVU_TOTAL_NONFACILITY_PROFESSIONAL|RVU total nonfacility professional
    RVU_TOTAL_NONFACILITY_TECHNICAL|RVU total nonfacility technical
    RVU_WORK|RVU work
    RVU_WORK_DISCONTINUED|RVU work discontinued
    RVU_WORK_PROFESSIONAL|RVU work professional
    RVU_WORK_TECHNICAL|RVU work technical


Discussion:

RVU attributes were not available in CPT2022 but have returned for CPT2023.
-------------------------------------------------------

Source: International Classification for Nursing Practice
VSAB: ICNP_2022 

New attribute name(s) (ATN) | Description:
    ICNP_ID|ICNP ID
-------------------------------------------------------

Source: LOINC
VSAB: LNC274

New abbreviation(s) | Description:
    PANEL.EYE.SPECULAR MICROSCOPY|Specular microscopy panel
    PANEL.SURVEY.CoVSocEcon|SARS-CoV-2 Related Socioeconomic Questionnaire panel
    SURVEY.CoVSocEcon|SARS-CoV-2 Related Socioeconomic Questionnaire survey
-------------------------------------------------------

Source: Medical Dictionary for Regulatory Activities Terminology (MedDRA), Arabic Edition 
VSAB:  MDRARA25_1

1. New termtype(s) (TTY) | Description:
    AB|Abbreviation in any source vocabulary
    HG|High Level Group Term
    HT|Hierarchical term
    LLT|Lower Level Term
    OL|Non-current Lower Level Term
    OS|System-organ class
    PT|Designated preferred name
    SMQ|Standardised MedDRA Query
 
2. New relationship | relationship attribute (RELA) | RELA inverse:
    RO|classifies|classified_as
    RO|has_member|member_of
    RO|member_of|has_member
    SY|expanded_form_of|has_expanded_form
    SY|translation_of|has_translation

3. New attribute name (ATN) | Description:
    MISO|MedDRA Serial Code International SOC Sort Order Digit (01-26)
    MPS|MedDRA primary SOC 
    SMQ_ALGO|Standardised MedDRA Query (SMQ) Algorithm. Boolean expression
    of algorithm for the SMQ.
    SMQ_LEVEL|Standardised MedDRA Query (SMQ) Level. Value between 1 and 5
    identifying the level of the SMQ within the hierarchy of SMQs.
    SMQ_SOURCE|Standardised MedDRA Query (SMQ) Source. Source for the
    development of the SMQ.  
    SMQ_STATUS|Standardised MedDRA Query (SMQ) Status. "A" = active; "I" =
    inactive.
    SMQ_TERM_ADDVERSION|Standardised MedDRA Query (SMQ) Addition Version.
    Version of MedDRA in which term was added to the SMQ.
    SMQ_TERM_CAT|Standardised MedDRA Query (SMQ) Term Category. A single
    alphabetical letter indicating the category of the term for application
    of the SMQ algorithm.
    SMQ_TERM_LEVEL|Standardised MedDRA Query (SMQ) Term Level. The MedDRA
    hierarchy level of a term.  
    SMQ_TERM_LMVERSION|Standardised MedDRA Query (SMQ) Last Modified
    Version. Version of MedDRA in which term was last modified in the SMQ.
    SMQ_TERM_SCOPE|Standardised MedDRA Query (SMQ) Term Scope. Defines the
    MedDRA term as a member of the broad scope (1), narrow scope (2) of the
    SMQ search, or a child SMQ (0) (zero).
    SMQ_TERM_STATUS|Standardised MedDRA Query (SMQ) Term Status. Identifies
    a term as active ("A") or inactive ("I") within this SMQ.
    SMQ_TERM_WEIGHT|Standardised MedDRA Query (SMQ) Term Weight. Used for
    some SMQ algorithms; "0" is used as default. 
    SOS|Scope Statement


Discussion:

New translation source.
----------------------------------------

Source: Medical Dictionary for Regulatory Activities Terminology (MedDRA),
 Greek  Edition
VSAB:  MDRGRE25_1

1. New termtype(s) (TTY) | Description:
    AB|Abbreviation in any source vocabulary
    HG|High Level Group Term
    HT|Hierarchical term
    LLT|Lower Level Term
    OL|Non-current Lower Level Term
    OS|System-organ class
    PT|Designated preferred name
    SMQ|Standardised MedDRA Query
 
2. New relationship | relationship attribute (RELA) | RELA inverse:
    RO|classifies|classified_as
    RO|has_member|member_of
    RO|member_of|has_member
    SY|expanded_form_of|has_expanded_form
    SY|translation_of|has_translation

3. New attribute name (ATN) | Description:
    MISO|MedDRA Serial Code International SOC Sort Order Digit (01-26)
    MPS|MedDRA primary SOC 
    SMQ_ALGO|Standardised MedDRA Query (SMQ) Algorithm. Boolean expression
    of algorithm for the SMQ.
    SMQ_LEVEL|Standardised MedDRA Query (SMQ) Level. Value between 1 and 5
    identifying the level of the SMQ within the hierarchy of SMQs.
    SMQ_SOURCE|Standardised MedDRA Query (SMQ) Source. Source for the
    development of the SMQ.  
    SMQ_STATUS|Standardised MedDRA Query (SMQ) Status. "A" = active; "I" =
    inactive.
    SMQ_TERM_ADDVERSION|Standardised MedDRA Query (SMQ) Addition Version.
    Version of MedDRA in which term was added to the SMQ.
    SMQ_TERM_CAT|Standardised MedDRA Query (SMQ) Term Category. A single
    alphabetical letter indicating the category of the term for application
    of the SMQ algorithm.
    SMQ_TERM_LEVEL|Standardised MedDRA Query (SMQ) Term Level. The MedDRA
    hierarchy level of a term.  
    SMQ_TERM_LMVERSION|Standardised MedDRA Query (SMQ) Last Modified
    Version. Version of MedDRA in which term was last modified in the SMQ.
    SMQ_TERM_SCOPE|Standardised MedDRA Query (SMQ) Term Scope. Defines the
    MedDRA term as a member of the broad scope (1), narrow scope (2) of the
    SMQ search, or a child SMQ (0) (zero).
    SMQ_TERM_STATUS|Standardised MedDRA Query (SMQ) Term Status. Identifies
    a term as active ("A") or inactive ("I") within this SMQ.
    SMQ_TERM_WEIGHT|Standardised MedDRA Query (SMQ) Term Weight. Used for
    some SMQ algorithms; "0" is used as default. 
    SOS|Scope Statement


Discussion:

New translation source.
----------------------------------------

Source: Medical Dictionary for Regulatory Activities Terminology (MedDRA),
 Polish Edition
VSAB:  MDRPOL25_1

1. New termtype(s) (TTY) | Description:
    AB|Abbreviation in any source vocabulary
    HG|High Level Group Term
    HT|Hierarchical term
    LLT|Lower Level Term
    OL|Non-current Lower Level Term
    OS|System-organ class
    PT|Designated preferred name
    SMQ|Standardised MedDRA Query
 
2. New relationship | relationship attribute (RELA) | RELA inverse:
    RO|classifies|classified_as
    RO|has_member|member_of
    RO|member_of|has_member
    SY|expanded_form_of|has_expanded_form
    SY|translation_of|has_translation

3. New attribute name (ATN) | Description:
    MISO|MedDRA Serial Code International SOC Sort Order Digit (01-26)
    MPS|MedDRA primary SOC 
    SMQ_ALGO|Standardised MedDRA Query (SMQ) Algorithm. Boolean expression
    of algorithm for the SMQ.
    SMQ_LEVEL|Standardised MedDRA Query (SMQ) Level. Value between 1 and 5
    identifying the level of the SMQ within the hierarchy of SMQs.
    SMQ_SOURCE|Standardised MedDRA Query (SMQ) Source. Source for the
    development of the SMQ.  
    SMQ_STATUS|Standardised MedDRA Query (SMQ) Status. "A" = active; "I" =
    inactive.
    SMQ_TERM_ADDVERSION|Standardised MedDRA Query (SMQ) Addition Version.
    Version of MedDRA in which term was added to the SMQ.
    SMQ_TERM_CAT|Standardised MedDRA Query (SMQ) Term Category. A single
    alphabetical letter indicating the category of the term for application
    of the SMQ algorithm.
    SMQ_TERM_LEVEL|Standardised MedDRA Query (SMQ) Term Level. The MedDRA
    hierarchy level of a term.  
    SMQ_TERM_LMVERSION|Standardised MedDRA Query (SMQ) Last Modified
    Version. Version of MedDRA in which term was last modified in the SMQ.
    SMQ_TERM_SCOPE|Standardised MedDRA Query (SMQ) Term Scope. Defines the
    MedDRA term as a member of the broad scope (1), narrow scope (2) of the
    SMQ search, or a child SMQ (0) (zero).
    SMQ_TERM_STATUS|Standardised MedDRA Query (SMQ) Term Status. Identifies
    a term as active ("A") or inactive ("I") within this SMQ.
    SMQ_TERM_WEIGHT|Standardised MedDRA Query (SMQ) Term Weight. Used for
    some SMQ algorithms; "0" is used as default. 
    SOS|Scope Statement


Discussion:

New translation source.
----------------------------------------

Source: MEDCIN 
VSAB: MEDCIN3_2023_01_19

New relationship | relationship attribute (RELA) | RELA inverse:
    RO|has_definitional_manifestation|definitional_manifestation_of
----------------------------------------

Source: NCBI Taxonomy
VSAB: NCBI2022_12_07

1. Dropped termtype(s) (TTY) | Description:
    AUN|Authority name
    UAUN|Unique authority name

2. New attribute name (ATN) | Description:
    AUTHORITY_NAME|Authority name


Discussion:

Names formerly assigned to the Authority name termtype (i.e., AUN and UAUN) 
are now treated as attributes.

The UMLS will no longer use the algorithm for excluding concepts based on 
string patterns or hierarchy level. Beginning with this version, 
concepts where the "specified_species" value in nodes.dmp = 1 will be 
included, indicating that a species in the node's lineage has a formal name. 
All higher-level concepts needed to make a complete hierarchy are also 
included. Other concepts are excluded.
----------------------------------------

Source: Online Mendelian Inheritance in Man
VSAB: OMIM2023_02_05

New relationship | relationship attribute (RELA) | RELA inverse:
    RQ|has_entry_term|entry_term_of
----------------------------------------

Source: RXNORM Vocabulary
VSAB: RXNORM_20AA_230306F

This version includes:
    ATC_2022_23_03_06 (Anatomical Therapeutic Chemical Classification System)
    CVX_2023_01_25 (Vaccines Administered)
    DRUGBANK5.0_2023_02_10 (DrugBank)
    GS_2023_02_08 (Gold Standard Drug Database)
    MMSL_2023_02_01 (Multum MediSource Lexicon)
    MMX_2023_02_06 (Micromedex RED BOOK)
    MTHCMSFRF_2020_23_03_06 (Metathesaurus CMS Formulary Reference File)
    MTHSPL_2023_02_24 (Metathesaurus FDA Structured Product Labels)
    NDDF_2023_02_08 (FDB MedKnowledge)
    USP_2023_02_13 (USP Compendial Nomenclature)
    VANDF_2023_01_31 (Veterans Health Administration National Drug File)
-----------------------------------------------

Source: SNOMED Clinical Terms, Spanish Language Edition 
VSAB: SCTSPA_2022_10_31

New relationship | relationship attribute (RELA) | RELA inverse:
    RO|before|after
    RO|process_acts_on|acted_on_by_process
----------------------------------------

Source: US Edition of SNOMED CT
VSAB: SNOMEDCT_US_2023_03_01 

New attribute name (ATN) | Description:
    COUNT_OF_BASE_AND_MODIFICATION_PAIR|Count of base and modification pair
---------------------------------------------------------------------

Source: Veterinary Extension to SNOMED CT 
VSAB: SNOMEDCT_VET_2022_10_01

New relationship | relationship attribute (RELA) | RELA inverse:
    RO|moved_to|moved_from

Dropped attribute name (ATN) | Description:
    LANGUAGECODE|SNOMED CT string identifying a language and, if appropriate,
a dialect in which this description is valid.



Last Reviewed: May 1, 2023