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