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Unified Medical Language System® (UMLS®)

New and Updated Sources (Expanded Representation Information) - 2017AB Release

General Information:

What's New to the Metathesaurus

For 2017AB, there is one new subsource (NCI-HGNC) and 89 updated sources (including translation sources and subsources).

NCI-HGNC (NCI HUGO Gene Nomenclature Committee), a subsource of NCI, contains HGNC terms that are mapped to NCI Thesaurus terms. The mapped terms consist of HGNC codes and approved symbols.

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

Foundational Model of Anatomy Ontology, FMA4_6
HUGO Gene Nomenclature Committee, HGNC2017_05
Human Phenotype Ontology, HPO2017_06_28
LOINC, LNC261_2017_08_30
NCI Thesaurus, NCI2017_03D
National Uniform Claim Committee - Health Care Provider Taxonomy, NUCCPT_17.1
RXNORM Vocabulary, RXNORM_17Aa_170905F
SNOMED Clinical Terms, Spanish Language Edition, SCTSPA_2017_04_30
US Edition of SNOMED CT, SNOMEDCT_US_2017_09_01


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What's New to the Metathesaurus:

Attribute Name (ATN):
     EXPORT_ONLY
     NON_VACCINE
     RNA_CENTRAL_ID
     SUBSEQUENT_TEXT_PROMPT

Relationship Attribute (RELA) | RELA inverse:
     anteroinferior_to|posterosuperior_to
     anterolateral_to|posteromedial_to
     anteromedial_to|posterolateral_to
     anterosuperior_to|posteroinferior_to
     corresponds_to|corresponds_to
     during|inverse_during
     gene_product_variant_of_gene_product|gene_product_has_gene_product_variant
     has_basis_of_strength_substance|basis_of_strength_substance_of
     has_entire_anatomy_structure|entire_anatomy_structure_of
     has_part_anatomy_structure|part_anatomy_structure_of
     has_presentation_strength_denominator_unit|presentation_strength_denominator_unit_of
     has_presentation_strength_denominator_value|presentation_strength_denominator_value_of
     has_presentation_strength_numerator_unit|presentation_strength_numerator_unit_of
     has_presentation_strength_numerator_value|presentation_strength_numerator_value_of
     inferolateral_to|superomedial_to
     inferomedial_to|superolateral_to
     matures_from|matures_into
     related_part|related_part

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Source: Foundational Model of Anatomy Ontology
VSAB: FMA4_6

1. New relationship | relationship attribute (RELA) | RELA inverse:
     RO|anteroinferior_to|posterosuperior_to
     RO|anterolateral_to|posteromedial_to
     RO|anteromedial_to|posterolateral_to
     RO|anterosuperior_to|posteroinferior_to
     RO|corresponds_to|corresponds_to
     RO|develops_into|develops_from
     RO|inferolateral_to|superomedial_to
     RO|inferomedial_to|superolateral_to
     RO|matures_from|matures_into
     RO|related_part|related_part

2. Dropped relationship | relationship attribute (RELA) | RELA inverse:
     RO|direct_anterior_to|direct_posterior_to
     RO|direct_anteroinferior_to|direct_posterosuperior_to
     RO|direct_anterolateral_to|direct_posteromedial_to
     RO|direct_anteromedial_to|direct_posterolateral_to
     RO|direct_anterosuperior_to|direct_posteroinferior_to
     RO|direct_constitution_part_of|has_direct_constitutional_part
     RO|direct_continuous_with|direct_continuous_with
     RO|direct_distal_to|direct_proximal_to
     RO|direct_inferior_to|direct_superior_to
     RO|direct_inferolateral_to|direct_superomedial_to
     RO|direct_inferomedial_to|direct_superolateral_to
     RO|direct_lateral_to|direct_medial_to
     RO|gives_rise_to|develops_from
     RO|direct_part_of|has_direct_part
     RO|direct_regional_part_of|has_direct_regional_part
     RO|has_muscle_insertion|muscle_insertion_of
     RO|has_muscle_origin|muscle_origin_of

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Source: HUGO Gene Nomenclature Committee
VSAB: HGNC2017_05

New attribute name (ATN):
     RNA_CENTRAL_ID

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Source: Human Phenotype Ontology
VSAB: HPO2017_06_28

New attribute name (ATN):
     SYN_QUALIFIER


Discussion:

ATN = SYN_QUALIFIER represents the different types of synonyms. Valid values = 'UK spelling (HP:0045076)', 'abbreviation (HP:0045077)', 'layperson term', and 'plural form (HP:0045078)'.

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Source: LOINC
VSAB: LNC261_2017_08_30

New attribute name (ATN):
     SUBSEQUENT_TEXT_PROMPT


Discussion:

ATN = SUBSEQUENT_TEXT_PROMPT indicates what extra information the user should enter, for example, "Please specify:".

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Source: NCI Thesaurus
VSAB: NCI2017_03D

This version includes:
     NCI2017_BioC_1703D (BioCarta online maps of molecular pathways, adapted for NCI use)
     NCI2017_BRIDG_1703D (Biomedical Research Integrated Domain Group Model)
     NCI2017_CareLex_1703D (Content Archive Resource Exchange Lexicon)
     NCI2017_CDC_1703D (U.S. Centers for Disease Control and Prevention)
     NCI2017_CDISC_1703D (Clinical Data Interchange Standards Consortium)
     NCI2017_CRCH_1703D (Cancer Research Center of Hawaii Nutrition Terminology)
     NCI2017_CTCAE_1703D (Common Terminology Criteria for Adverse Events)
     NCI2017_CTEP-SDC_1703D (Cancer Therapy Evaluation Program - Simple Disease Classification)
     NCI2017_DCP_1703D (NCI Division of Cancer Prevention Program)
     NCI2017_DICOM_1703D (Digital Imaging Communications in Medicine)
     NCI2017_DTP_1703D (NCI Developmental Therapeutics Program)
     NCI2017_FDA_1703D (U.S. Food and Drug Administration)
     NCI2017_GAIA_1703D (Global Alignment of Immunization Safety Assessment in pregnancy)
     NCI2017_GENC_1703D (Geopolitical Entities, Names, and Codes Standard) (Global Alignment of Immunization Safety Assessment in pregnancy)
     NCI2017_ICH_1703D (International Conference on Harmonization)
     NCI2017_JAX_1703D (Jackson Laboratories Mouse Terminology, adapted for NCI use)
     NCI2017_KEGG_1703D (KEGG Pathway Database)
     NCI2017_NCI-GLOSS_1703D (NCI Dictionary of Cancer Terms)
     NCI2017_NCI-HGNC_1703D (NCI HUGO Gene Nomenclature Committee)
     NCI2017_NCI-HL7_1703D (NCI Health Level 7)-HL7_1602D
     NCI2017_NCPDP_1703D (National Council for Prescription Drug Programs)
     NCI2017_NICHD_1703D (National Institute of Child Health and Human Development)
     NCI2017_PI-RADS_1703D (Prostate Imaging Reporting and Data System)
     NCI2017_PID_1703D (National Cancer Institute Nature Pathway Interaction Database)
     NCI2017_RENI_1703D (Registry Nomenclature Information System)
     NCI2017_UCUM_1703D (Unified Code for Units of Measure)
     NCI2017_ZFin_1703D (Zebrafish Model Organism Database)

1. New subsource:
     NCI2017_NCI-HGNC_1703D (NCI HUGO Gene Nomenclature Committee)

2. New term type (TTY) | Suppressible value | Source(s):
     PT|N|NCI2017_NCI-HGNC_1703D
     SY|N|NCI2017_NCI-HGNC_1703D

3. New relationship | relationship attribute (RELA) | RELA inverse:
     RO|gene_product_variant_of_gene_product|gene_product_has_gene_product_variant


Discussion:

Subsource = NCI-HGNC only contains HGNC terms that are mapped to the NCI Thesaurus. The mapped terms consist of HGNC codes and approved symbols.

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Source: National Uniform Claim Committee - Health Care Provider Taxonomy
VSAB: NUCCPT_17.1

1. New term type (TTY) | Suppressible value:
     PT|N

2. New attribute name (ATN):
     NOTE

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Source: RXNORM Vocabulary
VSAB: RXNORM_17AA_170905F

This version includes:
     ATC_2017_17_09_05 (Anatomical Therapeutic Chemical Classification System)
     CVX_2017_08_24 (Vaccines Administered)
     DRUGBANK5.0_2017_08_01 (DrugBank)
     GS_2017_08_02 (Gold Standard Drug Database)
     MMSL_2017_08_01 (Multum MediSource Lexicon)
     MMX_2017_08_07 (Micromedex RED BOOK)
     MTHSPL_2017_08_25 (Metathesaurus FDA Structured Product Labels)
     NDDF_2017_08_02 (FDB MedKnowledge)
     NDFRT_2017_09_05 (National Drug File)
     NDFRT_FDASPL_2017_09_05 (National Drug File - FDASPL)
     NDFRT_FMTSME_2017_09_05 (National Drug File - FMTSME)
     VANDF_2017_07_20 (Veterans Health Administration National Drug File)

1. New relationship | relationship attribute (RELA) | RELA inverse:
     RB|has_tradename|tradename_of
     RO|mapped_from|mapped_to
     RN|tradename_of|has_tradename

2. New attribute name (ATN) | Source:
     EXPORT_ONLY|MTHSPL_2017_08_25
     NON_VACCINE|CVX_2017_08_24

3. Dropped attribute name (ATN):
     GFC_CODE


Discussion:

1. MDDB_2017_08_02 has been deprecated in this version of RXNORM.

2. Selected portions of MSH and SNOMEDCT_US are included in the RxNorm release files, however, they are not processed as part of RxNorm for the Metathesaurus except in assigning RXCUI and RXAUI attributes.

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Source: SNOMED Clinical Terms, Spanish Language Edition
VSAB: SCTSPA_2017_04_30

New relationship | relationship attribute (RELA) | RELA inverse:
     RO|characterizes|characterized_by
     RO|has_direct_site|direct_site_of
     RO|has_inherent_location|inherent_location_of
     RO|has_precondition|precondition_of
     RO|has_process_output|process_output_of
     RO|has_property_type|property_type_of
     RO|has_technique|technique_of
     RO|inheres_in|has_inherent_attribute
     RO|relative_to_part_of|part_referred_to_by

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Source: US Edition of SNOMED CT
VSAB: SNOMEDCT_US_2017_09_01

1. New relationship | relationship attribute (RELA) | RELA inverse:
     RO|during|inverse_during
     RO|has_basis_of_strength_substance|basis_of_strength_substance_of
     RO|has_entire_anatomy_structure|entire_anatomy_structure_of
     RO|has_part_anatomy_structure|part_anatomy_structure_of
     RO|has_presentation_strength_denominator_unit|presentation_strength_denominator_unit_of
     RO|has_presentation_strength_denominator_value|presentation_strength_denominator_value_of
     RO|has_presentation_strength_numerator_unit|presentation_strength_numerator_unit_of
     RO|has_presentation_strength_numerator_value|presentation_strength_numerator_value_of

2. Dropped attribute name (ATN):
     SNOMEDID


Discussion:

SNOMED International is no longer maintaining antecedent versions of SNOMED. As part of this process, the antecedent SNOMED Identifier reference set has been withdrawn and is no longer be available in the SNOMEDCT release.

For additional details, please see: https://confluence.ihtsdotools.org/display/RMT/SNOMED+CT+July+2017+International+Edition+-+SNOMED+International+Release+notes#SNOMEDCTJuly2017InternationalEdition-SNOMEDInternationalReleasenotes-3.3.6RemovaloftheSNOMEDCTRTIdentifierrefsetfromtheInternationalEditionpackage

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