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Unified Medical Language System® (UMLS®)

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

General Information:

What's New to the Metathesaurus

For 2017AA, there are 2 new subsources (NCI_GAIA, NCI_PI-RADS) and 99 updated sources (including translation sources and subsources).

NCI_GAIA (Global Alignment of Immunization Safety Assessment in pregnancy) was created for those concerned with investigating or monitoring the safety of immunization programs in pregnancy around the world. Working with public health institutes, regulatory authorities, academic and patient care organizations as well as manufacturers, GAIA developed a core set of globally standardized case definitions, case identification algorithms, and data collection tools with a focus on low and middle income countries.

NCI_PI-RADS, a guideline and scoring system for prostate MRIs, was developed by the European Society of Urogenital Radiology (ESUR). It was created in response to a recognition of the evolving role of MRIs in the assessment of prostate cancer and the need for a greater level of standardization and consistency due to the excessive variation in the performance, interpretation, and report of prostate MRI exams. PI-RADS v1 has been validated in certain clinical and research scenarios.

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, CPT2017_01
Human Phenotype Ontology, HPO2016_09_03
International Classification of Diseases, 10th Edition, Clinical Modification, ICD10CM_2017_2016_10_19
LOINC, LNC258_2017_02_08
MEDCIN, MEDCIN3_2016_12_16
Czech translation of the Medical Subject Headings, MSHCZE2017
Thesaurus Biomedical Francais/Anglais (French translation of the Medical Subject Headings), MSHFRE2017
German translation of the Medical Subject Headings, MSHGER2017
Italian translation of the Medical Subject Headings, MSHITA2017
Medical Subject Headings Norwegian, MSHNOR2017
Descritores em Ciencias da Saude (Portuguese translation of the Medical Subject Headings), MSHPOR2017
Croatian translation of the Medical Subject Headings, MSHSCR2017
Descritores en Ciencias de la Salud (Spanish translation of the Medical Subject Headings), MSHSPA2017
Medical Subject Headings Swedish, MSHSWE2017
NCI Thesaurus, NCI2016_09D
RXNORM Vocabulary, RXNORM_16AB_170306F
US Edition of SNOMED CT, SNOMEDCT_US_2017_01_31
Veterinary Extension to SNOMED CT, SNOMEDCT_VET_2016_10_01


------------------------------------------

What's New to the Metathesaurus:

Term Type (TTY):
     GLP
     POS

Attribute Name (ATN):
     ADDITIONAL_GUIDELINE
     CPTLINK_CONCEPT_ID
     DAYS_RESTRICTION
     DESCRIPTOR_ELEMENT
     GLOBAL_PERIOD_CODE
     GUIDELINE
     HL7_ATTACHMENT_REQUEST
     IND
     NOTE
     OR_GROUP
     PLACE_OF_SERVICE_CODE
     RVU_FACILITY_PRACTICE_EXPENSE
     RVU_FACILITY_PRACTICE_EXPENSE_DISCONTINUED
     RVU_FACILITY_PRACTICE_EXPENSE_PROFESSIONAL
     RVU_FACILITY_PRACTICE_EXPENSE_TECHNICAL
     RVU_MEDICARE_GLOBAL_PERIOD
     RVU_MEDICARE_GLOBAL_PERIOD_DISCONTINUED
     RVU_MEDICARE_GLOBAL_PERIOD_PROFESSIONAL
     RVU_MEDICARE_GLOBAL_PERIOD_TECHNICAL
     RVU_NONFACILITY_PRACTICE_EXPENSE
     RVU_NONFACILITY_PRACTICE_EXPENSE_DISCONTINUED
     RVU_NONFACILITY_PRACTICE_EXPENSE_PROFESSIONAL
     RVU_NONFACILITY_PRACTICE_EXPENSE_TECHNICAL
     RVU_PLI
     RVU_PLI_DISCONTINUED
     RVU_PLI_PROFESSIONAL
     RVU_PLI_TECHNICAL
     RVU_TOTAL_FACILITY
     RVU_TOTAL_FACILITY_DISCONTINUED
     RVU_TOTAL_FACILITY_PROFESSIONAL
     RVU_TOTAL_FACILITY_TECHNICAL
     RVU_TOTAL_NONFACILITY
     RVU_TOTAL_NONFACILITY_DISCONTINUED
     RVU_TOTAL_NONFACILITY_PROFESSIONAL
     RVU_TOTAL_NONFACILITY_TECHNICAL
     RVU_WORK
     RVU_WORK_DISCONTINUED
     RVU_WORK_PROFESSIONAL
     RVU_WORK_TECHNICAL
     TELEMEDICINE
     VERSION_FIRST_RELEASED
     VERSION_LAST_CHANGED

Relationship Attribute (RELA) | RELA inverse:
     add_on_code_for|has_add_on_code
     associated_procedure_of_excluded|has_excluded_associated_procedure
     associated_procedure_of_possibly_included|has_possibly_included_associated_procedure
     characterizes|characterized_by
     do_not_code_with|do_not_code_with
     has_direct_site|direct_site_of
     has_excluded_approach|approach_of_excluded
     has_excluded_associated_finding|associated_finding_of_excluded
     has_excluded_component|component_of_excluded
     has_excluded_locale|locale_of_excluded
     has_excluded_method|method_of_excluded
     has_excluded_pathology|pathology_of_excluded
     has_excluded_patient_type|patient_type_of_excluded
     has_excluded_procedure_device|procedure_device_of_excluded
     has_excluded_procedure_site|procedure_site_of_excluded
     has_excluded_route_of_administration|route_of_administration_of_excluded
     has_excluded_specimen|specimen_of_excluded
     has_excluded_surgical_extent|surgical_extent_of_excluded
     has_grade|grade_of
     has_inherent_location|inherent_location_of
     has_locale|locale_of
     has_pathology|pathology_of
     has_patient_type|patient_type_of
     has_possibly_included_approach|approach_of_possibly_included
     has_possibly_included_associated_finding|associated_finding_of_possibly_included
     has_possibly_included_component|component_of_possibly_included
     has_possibly_included_method|method_of_possibly_included
     has_possibly_included_pathology|pathology_of_possibly_included
     has_possibly_included_patient_type|patient_type_of_possibly_in
     has_possibly_included_procedure_device|procedure_device_of_possibly_included
     has_possibly_included_procedure_site|procedure_site_of_possibly_include
     has_possibly_included_route_of_administration|route_of_administration_of_possibly_included
     has_possibly_included_surgical_extent|surgical_extent_of_possibly_included
     has_precondition|precondition_of
     has_process_output|process_output_of
     has_property_type|property_type_of
     has_surgical_extent|surgical_extent_of
     has_technique|technique_of
     inheres_in|has_inherent_attribute
     is_maneuver_type_for|has_maneuver_type
     is_modality_type_for|has_modality_type
     is_subject_of|has_subject
     is_timing_for|has_timing_of
     is_view_type_for|has_view_type
     panel_element_of_possibly_included|has_possibly_included_panel_element
     relative_to_part_of|part_referred_to_by
     uses_excluded_substance|substance_used_by_excluded
     uses_possibly_included_substance|substance_used_by_possibly_included

------------------------------------------

Source: Current Procedural Terminology
VSAB: CPT2017_01

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

2. New relationship | relationship attribute (RELA) | RELA inverse:
     RO|add_on_code_for|has_add_on_code
     RO|associated_procedure_of|has_associated_procedure
     RO|associated_procedure_of_excluded|has_excluded_associated_procedure
     RO|associated_procedure_of_possibly_included|has_possibly_included_associated_procedure
     RO|do_not_code_with|do_not_code_with
     RO|has_approach|approach_of
     RO|has_associated_finding|associated_finding_of
     RO|has_component|component_of
     RO|has_excluded_approach|approach_of_excluded
     RO|has_excluded_associated_finding|associated_finding_of_excluded
     RO|has_excluded_component|component_of_excluded
     RO|has_excluded_locale|locale_of_excluded
     RO|has_excluded_method|method_of_excluded
     RO|has_excluded_pathology|pathology_of_excluded
     RO|has_excluded_patient_type|patient_type_of_excluded
     RO|has_excluded_procedure_device|procedure_device_of_excluded
     RO|has_excluded_procedure_site|procedure_site_of_excluded
     RO|has_excluded_route_of_administration|route_of_administration_of_excluded
     RO|has_excluded_specimen|specimen_of_excluded
     RO|has_excluded_surgical_extent|surgical_extent_of_excluded
     RO|has_locale|locale_of
     RO|has_method|method_of
     RO|has_pathology|pathology_of
     RO|has_patient_type|patient_type_of
     RO|has_possibly_included_approach|approach_of_possibly_included
     RO|has_possibly_included_associated_finding|associated_finding_of_possibly_included
     RO|has_possibly_included_component|component_of_possibly_included
     RO|has_possibly_included_method|method_of_possibly_included
     RO|has_possibly_included_pathology|pathology_of_possibly_included
     RO|has_possibly_included_patient_type|patient_type_of_possibly_in
     RO|has_possibly_included_procedure_device|procedure_device_of_possibly_included
     RO|has_possibly_included_procedure_site|procedure_site_of_possibly_included
     RO|has_possibly_included_route_of_administration|route_of_administration_of_possibly_included
     RO|has_possibly_included_surgical_extent|surgical_extent_of_possibly_included
     RO|has_procedure_device|procedure_device_of
     RO|has_procedure_site|procedure_site_of
     RO|has_route_of_administration|route_of_administration_of
     RO|has_specimen|specimen_of
     RO|has_surgical_extent|surgical_extent_of
     RO|panel_element_of|has_panel_element
     RO|panel_element_of_possibly_included|has_possibly_included_panel_element
     RO|uses_excluded_substance|substance_used_by_excluded
     RO|uses_possibly_included_substance|substance_used_by_possibly_included
     RO|uses_substance|substance_used_by

3. Dropped relationship | relationship attribute (RELA):
     RO|has_panel_element

4. New attribute name (ATN):
     ADDITIONAL_GUIDELINE
     CPTLINK_CONCEPT_ID
     DAYS_RESTRICTION
     DESCRIPTOR_ELEMENT
     GLOBAL_PERIOD_CODE
     GUIDELINE
     OR_GROUP
     PLACE_OF_SERVICE_CODE
     RVU_FACILITY_PRACTICE_EXPENSE
     RVU_FACILITY_PRACTICE_EXPENSE_DISCONTINUED
     RVU_FACILITY_PRACTICE_EXPENSE_PROFESSIONAL
     RVU_FACILITY_PRACTICE_EXPENSE_TECHNICAL
     RVU_MEDICARE_GLOBAL_PERIOD
     RVU_MEDICARE_GLOBAL_PERIOD_DISCONTINUED
     RVU_MEDICARE_GLOBAL_PERIOD_PROFESSIONAL
     RVU_MEDICARE_GLOBAL_PERIOD_TECHNICAL
     RVU_NONFACILITY_PRACTICE_EXPENSE
     RVU_NONFACILITY_PRACTICE_EXPENSE_DISCONTINUED
     RVU_NONFACILITY_PRACTICE_EXPENSE_PROFESSIONAL
     RVU_NONFACILITY_PRACTICE_EXPENSE_TECHNICAL
     RVU_PLI
     RVU_PLI_DISCONTINUED
     RVU_PLI_PROFESSIONAL
     RVU_PLI_TECHNICAL
     RVU_TOTAL_FACILITY
     RVU_TOTAL_FACILITY_DISCONTINUED
     RVU_TOTAL_FACILITY_PROFESSIONAL
     RVU_TOTAL_FACILITY_TECHNICAL
     RVU_TOTAL_NONFACILITY
     RVU_TOTAL_NONFACILITY_DISCONTINUED
     RVU_TOTAL_NONFACILITY_PROFESSIONAL
     RVU_TOTAL_NONFACILITY_TECHNICAL
     RVU_WORK
     RVU_WORK_DISCONTINUED
     RVU_WORK_PROFESSIONAL
     RVU_WORK_TECHNICAL
     TELEMEDICINE

5. Dropped attribute name (ATN):
     CPTDTK_CONCEPT_ID
     MODERATE_CONSCIOUS_SEDATION

------------------------------------------

Source: Human Phenotype Ontology
VSAB: HPO2016_09_03

New term type (TTY) | Suppressible value:
     OET|O


Discussion:

New TTY = OET represents obsolete entry terms.

------------------------------------------

Source: International Classification of Diseases, 10th Edition, Clinical Modification
VSAB: ICD10CM_2017_2016_10_19

New attribute name (ATN):
     NOTE

------------------------------------------

Source: LOINC
VSAB: LNC258_2017_02_08

1. New relationship | relationship attribute (RELA) | RELA inverse:
     RO|is_maneuver_type_for|has_maneuver_type
     RO|is_modality_type_for|has_modality_type
     RO|is_subject_of|has_subject
     RO|is_timing_for|has_timing_of
     RO|is_view_type_for|has_view_type

2. Dropped relationship | relationship attribute (RELA):
     RO|is_modality_for
     RO|is_pharmaceutical_timing_of

3. New attribute name (ATN):
     HL7_ATTACHMENT_REQUEST
     VERSION_FIRST_RELEASED
     VERSION_LAST_CHANGED

4. Dropped attribute name (ATN):
     LLR
     SUBSEQUENT_TEXT_PROMPT


Discussion:

A value of 'Y' for ATN = HL7_ATTACHMENT_REQUEST indicates that the LOINC code can be sent by a payer as part of an HL7 attachment request for additional information.

------------------------------------------

Source: MEDCIN
VSAB: MEDCIN3_2016_12_16

New relationship | relationship attribute (RELA) | RELA inverse:
     RO|has_grade|grade_of

------------------------------------------

Source: Czech translation of the Medical Subject Headings
VSAB: MSHCZE2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Thesaurus Biomedical Francais/Anglais (French translation of the Medical Subject Headings)
VSAB: MSHFRE2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: German translation of the Medical Subject Headings
VSAB: MSHGER2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Italian translation of the Medical Subject Headings
VSAB: MSHITA2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Medical Subject Headings Norwegian
VSAB: MSHNOR2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Descritores em Ciencias da Saude (Portuguese translation of the Medical Subject Headings)
VSAB: MSHPOR2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Croatian translation of the Medical Subject Headings
VSAB: MSHSCR2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Descritores en Ciencias de la Salud (Spanish translation of the Medical Subject Headings)
VSAB: MSHSPA2017

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

2. Dropped term type (TTY):
     EN
     EP
     PEN


Discussion:

Due to the deprecation of the 'PrintFlag' field in the source data, TTY = EN (Non-print entry term), TTY = EP (Print entry term), and TTY = PEN (Preferred non-print entry term) have been dropped and replaced with new TTY = ET.

------------------------------------------

Source: Medical Subject Headings Swedish
VSAB: MSHSWE2017

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

2. Dropped relationship | relationship attribute (RELA):
     RO|entry_combination_of

3. New attribute name (ATN):
     SOS


Discussion:

New TTY = TQ represents the Topical qualifier.

------------------------------------------

Source: NCI Thesaurus
VSAB: NCI2016_09D

This version includes:
     NCI2016_BioC_1609D (BioCarta online maps of molecular pathways, adapted for NCI use)
     NCI2016_BRIDG_1609D (Biomedical Research Integrated Domain Group Model)
     NCI2016_CareLex_1609D (Content Archive Resource Exchange Lexicon)
     NCI2016_CDC_1609D (U.S. Centers for Disease Control and Prevention)
     NCI2016_CDISC_1609D (Clinical Data Interchange Standards Consortium)
     NCI2016_CRCH_1609D (Cancer Research Center of Hawaii Nutrition Terminology)
     NCI2016_CTCAE_1609D (Common Terminology Criteria for Adverse Events)
     NCI2016_CTEP-SDC_1609D (Cancer Therapy Evaluation Program - Simple Disease Classification)
     NCI2016_DCP_1609D (NCI Division of Cancer Prevention Program)
     NCI2016_DICOM_1609D (Digital Imaging Communications in Medicine)
     NCI2016_DTP_1609D (NCI Developmental Therapeutics Program)
     NCI2016_FDA_1609D (U.S. Food and Drug Administration)
     NCI2016_GAIA_1609D (Global Alignment of Immunization Safety Assessment in pregnancy)
     NCI2016_GENC_1609D (Geopolitical Entities, Names, and Codes Standard) (Global Alignment of Immunization Safety Assessment in pregnancy)
     NCI2016_ICH_1609D (International Conference on Harmonization)
     NCI2016_JAX_1609D (Jackson Laboratories Mouse Terminology, adapted for NCI use)
     NCI2016_KEGG_1609D (KEGG Pathway Database)
     NCI2016_NCI-GLOSS_1609D (NCI Dictionary of Cancer Terms)-GLOSS_1602D
     NCI2016_NCI-HL7_1609D (NCI Health Level 7)-HL7_1602D
     NCI2016_NCPDP_1609D (National Council for Prescription Drug Programs)
     NCI2016_NICHD_1609D (National Institute of Child Health and Human Development)
     NCI2016_PI-RADS_1609D (Prostate Imaging Reporting and Data System)
     NCI2016_PID_1609D (National Cancer Institute Nature Pathway Interaction Database)
     NCI2016_RENI_1609D (Registry Nomenclature Information System)
     NCI2016_UCUM_1609D (Unified Code for Units of Measure)
     NCI2016_ZFin_1609D (Zebrafish Model Organism Database)

New term type (TTY) | Suppressible value | Source(s):
     PT|N|NCI2016_GAIA_1609D, NCI2016_PI-RADS_1609D
     SY|N|NCI2016_GAIA_1609D


Discussion:

Two new subsources:
     * NCI2016_GAIA_1609D, Global Alignment of Immunization Safety Assessment in pregnancy
     * NCI2016_PI-RADS, Prostate Imaging Reporting and Data System

-----------------------------------------------

Source: RXNORM Vocabulary
VSAB: RXNORM_16AB_170306F

This version includes:
     ATC_2017_17_03_06 (Anatomical Therapeutic Chemical Classification System)
     CVX_2017_02_08 (Vaccines Administered)
     DRUGBANK5.0_2017_02_02 (DrugBank)
     GS_2017_02_13 (Gold Standard Drug Database)
     MDDB_2017_02_08 (Master Drug Data Base)
     MMSL_2017_02_01 (Multum MediSource Lexicon)
     MMX_2017_02_06 (Micromedex RED BOOK)
     MTHSPL_2017_02_27 (Metathesaurus FDA Structured Product Labels)
     NDDF_2017_02_08 (FDB MedKnowledge)
     NDFRT_2017_03_06 (National Drug File)
     NDFRT_FDASPL_2017_03_06 (National Drug File - FDASPL)
     NDFRT_FMTSME_2017_03_06 (National Drug File - FMTSME)
     VANDF_2017_01_19 (Veterans Health Administration National Drug File)

1. New term type (TTY) | Suppressible value | Source(s):
     FSY|N|DRUGBANK5.0_2017_02_02

2. New relationship | relationship attribute (RELA) | RELA inverse:
     RO|mapped_from|mapped_to

3. Dropped relationship | relationship attribute (RELA):
     RO|has_member
     RO|member_of

4. New attribute (ATN) | Source:
     DATE_LAST_MODIFIED|CVX_2017_02_08
     IND|MTHSPL_2017_02_27
     SID|DRUGBANK5.0_2017_02_02
     SOS|CVX_2017_02_08
     VACCINE_STATUS|CVX_2017_02_08


Discussion:

1. ATN = SID represents the Secondary GO ID.

2. ATN = SOS represents the scope statement.

3. ATN = VACCINE_STATUS contains CVX codes for inactive vaccines.

4. 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.

-----------------------------------------------

Source: US Edition of SNOMED CT
VSAB: SNOMEDCT_US_2017_01_31

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

-----------------------------------------------

Source: Veterinary Extension to SNOMED CT
VSAB: SNOMEDCT_VET_2016_10_01

New relationship | relationship attribute (RELA) | RELA inverse:
     RO|has_course|course_of