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Unified Medical Language System® (UMLS®)

New and Updated Sources (Expanded Representation Information) - 2022AA Release

General Information:  

What's New to the Metathesaurus

For 2022AA, there are two new translation sources (LNC-ES-MX and LNC-PL-PL) and 110 updated sources (including translation sources and subsources).   

LNC-ES-MX is the Spanish, Mexico Edition of LOINC (LNC).

LNC-PL-PL is the Polish, Poland Edition of LOINC (LNC).

Deprecated sources:
CPT and HCPT were not updated in the 2022AA release but will be in the 2022AB release in November.

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

    Human Phenotype Ontology, HPO2021_10_10
    International Classification for Nursing Practice, ICNP_2021
    LOINC, LNC272
    LOINC, German, Germany Edition, LNC-DE-DE_272
    LOINC, Spanish, Mexico Edition, LNC-ES-MX_272
    LOINC, Polish, Poland Edition, LNC-PL-PL_272
    Thesaurus Biomedical Francais/Anglais (French translation of the Medical Subject Headings), MSHFRE2022
    NCI Thesaurus, NCI2021_09D
    SNOMED Clinical Terms, Spanish Language Edition, SCTSPA_2021_10_31
    UMDNS: product category thesaurus, UMD2022
------------------------------------------

What's New to the Metathesaurus:
Attribute Name (ATN):
    NCI_DRUG_DICTIONARY_ID
    TERM_CODE

Relationship Attribute (RELA) | Inverse:
    disease_may_have_normal_tissue_origin|may_be_normal_tissue_origin_of_disease
    has_gdc_value|is_value_for_gdc_property
    has_pcdc_all_permissible_value|is_pcdc_all_permissible_value_for_variable
    has_seronet_permissible_value|is_seronet_permissible_value_for_variable 
-------------------------------------------------------

Source: Human Phenotype Ontology 
VSAB: HPO2021_10_10 

New termtype(s) (TTY) | Description:
    OET|Obsolete entry term

Discussion:

TTY = OET has been reintroduced due to the presence of obsolete entry terms in this 
version.
-------------------------------------------------------

Source: International Classification for Nursing Practice
VSAB: ICNP_2021

1. Dropped termtype(s) (TTY) | Description:
    MTH_PT|Metathesaurus preferred term
    XM|Cross mapping set

2. Dropped relationship | relationship attribute (RELA) | RELA inverse:
    SY|mth_british_form_of|mth_has_british_form
    SY|mapped_from|mapped_to

3. Dropped attribute name(s) (ATN) | Description:
    FROMRSAB|Root source abbreviation for the "from" identifiers of a map set
    FROMVSAB|Versioned source abbreviation for the "from" identifiers of a map set
    ICNP_TYPE|ICNP Type Codes: Defines if the code is a Diagnosis/Outcome (DC), Intervention (IC)
    MAPSETRSAB|Root source abbreviation for a map set
    MAPSETVERSION|Version of the map set
    MAPSETVSAB|Versioned source abbreviation for a map set
    MTH_MAPFROMCOMPLEXITY|Indicates the complexity of "from" expressions used in a map set
    MTH_MAPFROMEXHAUSTIVE|Indicates whether or not the "from" source of a map set is completely mapped
    MTH_MAPSETCOMPLEXITY|Indicates the overall complexity of a map set
    MTH_MAPTOCOMPLEXITY|Indicates the complexity of "to" expressions in a map set
    MTH_MAPTOEXHAUSTIVE|Indicates whether or not the "to" source is completely mapped
    TORSAB|Root source abbreviation for the "to" identifiers of a map set
    TOVSAB|Versioned source abbreviation for the "to" identifiers of a map set

Discussion:

1. The ICNP 2021 standalone release now consists of a subset of SNOMED CT codes and strings. 

2. There is no longer a hierarchy for ICNP.

3. All ATNs have been deprecated due to the new format.

4. Mappings to SNOMED are implicit in MRCONSO.RRF and are no longer represented in MRMAP.RRF and MRSMAP.RRF
-------------------------------------------------------

Source: LOINC
VSAB: LNC272

1. New abbreviation | Class:
    EYE.LASIK|Laser-assisted in situ keratomileusis
    EYE.SPECULAR MICROSCOPY|Ophthalmology specular microscopy
    PANEL.NEURO|Neurology panel
    PANEL.SURVEY.CBS-8|Columbia Behavior Scale for Dementia (CBS-8) set
    PANEL.SURVEY.CNPI|Checklist of Nonverbal Pain Indicators (CNPI) set
    PANEL.SURVEY.LKSS|Lysholm Knee Scoring Scale (LKSS) set
    PANEL.SURVEY.ORTHOPEDICS|Orthopedic survey panels
    PANEL.SURVEY.PAIN|Pain survey panels
    PANEL.SURVEY.PNDS|Perioperative Nursing Data Set outcomes panel
    PANEL.SURVEY.PROWL|Patient Reported Outcomes with LASIK sets
    PANEL.SURVEY.RMDQ|Roland Morris Disability Questionnaire set
    PANEL.SURVEY.SLP|Speech-language pathology (SLP) panels
    PANEL.SURVEY.WIFI|Would Ischemia and Foot Infection set
    SURVEY.CBS-8|Columbia Behavior Scale for Dementia survey
    SURVEY.CNPI|Checklist of Nonverbal Pain Indicators survey
    SURVEY.LKSS|Lysholm Knee Scoring Scale survey
    SURVEY.NEI|National Eye Institute survey
    SURVEY.ORTHOPEDICS|Orthopedic surveys
    SURVEY.PAIN|Pain surveys
    SURVEY.PNDS|Perioperative Nursing Data Set (PNDS) survey
    SURVEY.PROWL|Patient Reported Outcomes with LASIK surveys
    SURVEY.RMDQ|Roland Morris Disability Questionnaire
    SURVEY.SLP|Speech-language pathology (SLP) surveys

2. Dropped attribute name(s) (ATN) | Description:
    UNITS_AND_RANGE|Units and range
----------------------------------------

Source: LOINC, German, Germany Edition
VSAB: LNC-DE-DE_272

1. New termtype(s) (TTY) | Description:
    LC|Long common name

2. Dropped termtype(s) (TTY) | Description:
    LO|Obsolete official fully specified name

Discussion:

LOINC changed their strategy for translating German terms which has resulted
in a smaller number of more focused terms.
----------------------------------------

Source: LOINC, Spanish, Mexico Edition
VSAB: LNC-ES-MX_272

1. New termtype(s) (TTY) | Description:
    LC|Long common name
    LN|LOINC official fully specified name
    LO|Obsolete official fully specified name
    OLC|Obsolete Long common name

2. New relationship | relationship attribute (RELA) | RELA inverse:
    SY|translation_of|has_translation

Discussion:

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

Source: LOINC, Polish, Poland Edition
VSAB: LNC-PL-PL_272

1. New termtype(s) (TTY) | Description:
    LN|LOINC official fully specified name
    LO|Obsolete official fully specified name

2. New relationship | relationship attribute (RELA) | RELA inverse:
    SY|translation_of|has_translation

Discussion:

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

Source: Thesaurus Biomedical Francais/Anglais (French translation of the Medical 
    Subject Headings) 
VSAB: MSHFRE2022

New attribute name (ATN) | Description:
    AN|MeSH Annotation - an informative MeSH note written primarily for indexers or 
    catalogers that may also be useful in explaining the use of a MeSH term to online 
    searchers.
----------------------------------------

Source: NCI Thesaurus 
VSAB: NCI2021_09D

This version includes:
    NCI2021_ACC-AHA_2109D (American College of Cardiology/American Heart Association Clinical Data Terminology)
    NCI2021_BioC_2109D (BioCarta online maps of molecular pathways, adapted for NCI use)
    NCI2021_BRIDG_2109D (Biomedical Research Integrated Domain Group Model Subset)
    NCI2021_BRIDG_3_0_3_2109D (Biomedical Research Integrated Domain Group Model 3.0.3)
    NCI2021_BRIDG_5_3_2109D (Biomedical Research Integrated Domain Group Model 5.3)
    NCI2021_caDSR_2109D (Cancer Data Standards Registry and Repository)
    NCI2021_CareLex_2109D (Content Archive Resource Exchange Lexicon) 
    NCI2021_CBDD_2109D (Chemical Biology and Drug Development Vocabulary)
    NCI2021_CCPS_2109D (Childhood Cancer Predisposition Study Terminology)
    NCI2021_CDC_2109D (U.S. Centers for Disease Control and Prevention) 
    NCI2021_CDISC_2109D (Clinical Data Interchange Standards Consortium) 
    NCI2021_CDISC-GLOSS_2109D (CDISC Glossary Terminology) 
    NCI2021_CELLOSAURUS_2109D (Cellosaurus) 
    NCI2021_CRCH_2109D (Cancer Research Center of Hawaii Nutrition Terminology) 
    NCI2021_CTCAE_2109D (Common Terminology Criteria for Adverse Events 4.3 Subset) 
    NCI2021_CTCAE_3_2109D (Common Terminology Criteria for Adverse Events 3.0)
    NCI2021_CTCAE_5_2109D (Common Terminology Criteria for Adverse Events 5.0)
    NCI2021_CTDC_2109D (Clinical Trial Data Commons) 
    NCI2021_CTEP-SDC_2109D (Cancer Therapy Evaluation Program - Simple Disease Classification) 
    NCI2021_CTRP_2109D (Clinical Trials Reporting Program) 
    NCI2021_DCP_2109D (NCI Division of Cancer Prevention Program) 
    NCI2021_DICOM_2109D (Digital Imaging Communications in Medicine) 
    NCI2021_DTP_2109D (NCI Developmental Therapeutics Program) 
    NCI2021_EDQM-HC_2109D (European Directorate for the Quality of Medicines and Healthcare) 
    NCI2021_FDA_2109D (U.S. Food and Drug Administration) 
    NCI2021_GAIA_2109D (Global Alignment of Immunization Safety Assessment in pregnancy) 
    NCI2021_GDC_2109D (NCI Genomic Data Commons Terms) 
    NCI2021_GENC_2109D (Geopolitical Entities, Names, and Codes (GENC) Standard Edition 1) 
    NCI2021_ICDC_2109D (NCI Integrated Canine Data Commons Terms) 
    NCI2021_ICH_2109D (International Conference on Harmonization) 
    NCI2021_INC_2109D (International Neonatal Consortium) 
    NCI2021_JAX_2109D (Jackson Laboratories Mouse Terminology, adapted for NCI use) 
    NCI2021_KEGG_2109D (KEGG Pathway Database) 
    NCI2021_NCI-GLOSS_2109D (NCI Dictionary of Cancer Terms) 
    NCI2021_NCI-HGNC_2109D (NCI HUGO Gene Nomenclature) 
    NCI2021_NCI-HL7_2109D (NCI Health Level 7) 
    NCI2021_NCPDP_2109D (National Council for Prescription Drug Programs) 
    NCI2021_NICHD_2109D (National Institute of Child Health and Human Development) 
    NCI2021_PCDC_2109D (Pediatric Cancer Data Commons) 
    NCI2021_PI-RADS_2109D (Prostate Imaging Reporting and Data System) 
    NCI2021_PID_2109D (National Cancer Institute Nature Pathway Interaction Database) 
    NCI2021_RENI_2109D (Registry Nomenclature Information System) 
    NCI2021_UCUM_2109D (Unified Code for Units of Measure) 
    NCI2021_ZFin_2109D (Zebrafish Model Organism Database)


1. New relationship | relationship attribute (RELA) | RELA inverse:
    RO|disease_may_have_normal_tissue_origin|may_be_normal_tissue_origin_of_disease
    RO|has_gdc_value|is_value_for_gdc_property
    RO|has_pcdc_all_permissible_value|is_pcdc_all_permissible_value_for_variable
    RO|has_seronet_permissible_value|is_seronet_permissible_value_for_variable
    RO|is_pcdc_all_permissible_value_for_variable|has_pcdc_all_permissible_value
    RO|is_value_for_gdc_property|has_gdc_value

2. New attribute name (ATN) | Description | Source:
    NCI_DRUG_DICTIONARY_ID|NCI Drug Dictionary|NCI

3. Dropped attribute name (ATN) | Description | Source:
    NICHD_HIERARCHY_TERM|NICHD Hierarchy Term|NCI
-----------------------------------------------

Source: SNOMED Clinical Terms, Spanish Language Edition
VSAB: SCTSPA_2021_10_31 

1. New relationship | relationship attribute (RELA) | RELA inverse:
    RO|has_absorbability|absorbability_of
    RO|has_coating_material|coating_material_of
    RO|has_ingredient_qualitative_strength|ingredient_qualitative_strength_of
    RO|has_surface_texture|surface_texture_of
    RO|has_target_population|target_population_of
    RO|is_sterile|answer_to_is_sterile
    RO|process_extends_to|extended_to_by_process

2. New attribute name (ATN) | Description:
        CONCENTRATION_STRENGTH_DENOMINATOR_VALUE|Concentration strength denominator value (defining)
    CONCENTRATION_STRENGTH_NUMERATOR_VALUE|Concentration strength numerator value (defining)
    COUNT_OF_ACTIVE_INGREDIENT|Count of active ingredient (defining)
    COUNT_OF_BASE_OF_ACTIVE_INGREDIENT|Count of base of active ingredient (defining)
    PRESENTATION_STRENGTH_DENOMINATOR_VALUE|Presentation strength denominator value (defining)
    PRESENTATION_STRENGTH_NUMERATOR_VALUE|Presentation strength numerator value (defining)
-----------------------------------------------

Source: UMDNS: product category thesaurus 
VSAB: UMD2022 

1. New attribute name (ATN) | Description:
    TERM_CODE|Term Code

2. Dropped attribute name(s) (ATN) | Description:
    SYCODE|Synonym Code

Discussion:

Updated the name for ATN=SYCODE to ATN = TERM_CODE.  


Last Reviewed: May 2, 2022