Open a concept for editing, for example: |Secondary diabetes mellitus (disorder)|. The concept header contains the Add GCI Axiom button. The button icon is a solid rounded square containing a "plus" symbol.
Press the Add GCI Axiom button in the concept header. A new General Concept Inclusion panel will appear below the concept relationships containing a single empty Is a attribute.
Drag the parent concept (|Diabetes mellitus (disorder)| for this example) as a target for the GCI Is a relationship.
Press the Add New Relationship "plus" button within the GCI panel. Use type-ahead search to enter and select Due to (attribute) as the relationship type.
Use type-ahead search to enter and select |Disease (disorder)| as the target value for the new Due to attribute.
Save the concept.
Show the stated view of the concept diagram. Diagram shows empty GCI box with reverse subtype indicator.
With a GCI present in the concept edit panel (eg via the steps above), use the Add GCI Axiom button in the concept header to add a new GCI to the edit panel. Drag and drop the concept parent Diabetes mellitus (disorder) as the target for the new GCI Is a relationship.
Using the Add General Concept Inclusion button in the concept header, add another GCI to the concept edit panel.
Press the Add New Relationship "plus" button within the GCI panel to add a new relationship. Use type-ahead search to enter and select Associated with (attribute) as the relationship type.
Use type-ahead search to enter and select (for instance) Disorder of endocrine system (disorder)as the target value for the new Associated with relationship.
Save the new GCI via the concept header Save Concept button.
Modify the original GCI, for example using type-ahead search to find and select Alteration in nutrition (finding) as a new target for the Due to attribute.
Press Save in the concept header to save the GCI attribute changes.
Confirm the changes via the Stated view of the concept diagram.
Press Create New Concept at the top of the left-hand menu bar.
A new outline concept is presented in the Edit panel, with a matching outline in the Diagram Panel, containing the following essential elements:
Fully Specified Name (FSN)
Preferred Term (Synonym)
Axiom (containing one Is a relationship)
Enter the text description for the FSN, which must end with a valid SNOMED CT semantic tag (if not valid, warnings will be displayed when saving).
The FSN term (without the semantic tag) is automatically copied into the Preferred Term description field.
The default settings for case sensitivity can be adjusted to suit the content at this point, via the options box to the left of the text term on each description row (if the case sensitivity does not match the content, warnings will be displayed when saving).
Enter a target value for the Axiom Is a relationship, by typing in the target value box - once 3 or more characters are entered, type-ahead searching populates a drop-down selection box with matching concepts.
Select the desired concept in the options list to be the parent "type" for the new concept.Relationship target values can also be populated by drag and drop from Taxonomy, Search Results or Saved List entries.
When the form elements are fully populated (and adjusted from defaults if needed), press Save Concept in the Concept Header. This sends the entered details to the Terminology Server and the concept is assigned a new SCTID.
A Saving new concept notification is presented in the main page header.
The diagram view is populated with the FSN and SCTID assigned by the save process.
On completion of the save request, a Concept saved: <fsn-description> page header notification is presented.
The diagram view at this stage does not show the Axiom Is a relationship. This is because it defaults to the Inferred view, which requires the new concept to be classified to become populated.
You can use the buttons in the diagram menu bar to switch the diagram to Authoring Form (AF) or Stated view - either of which shows the relationship regardless of the concept classification status.
New concepts created in the task
New concepts created in the task may be tricky to get back into the Edit Panel if removed but not added to the task Saved List for later easy retrieval.
If removed unintentionally before adding to the Saved List, concepts created in the task can be found in the To Review list in the Feedback View (even if not yet submitted for review).
EITHER
Load a concept from the Taxonomy listing: Single-Press a node label to load that concept into the Edit panel.
OR
Load a concept from Search results :Press the search result FSN term (Edit) to open the concept in the Edit panel.
The concept loaded in the Edit panel shows two distinct content panels:
Concept Diagram view of the concept in various forms of logical modelling.
Concept Editor with its active descriptions and axiom details, and various options for editing/modifying the concept, either via action icon buttons in the concept header (which act on the entire concept) or via controls associated with each description and axiom.
Concept Diagram actions are:
View in Taxonomy
Open diagram in a new tab
View diagram in Authoring Form (AF)
View diagram in Stated Form
View diagram in Inferred Form
Concept Editor actions available from the concept header for an unpublished concept (one that has been created within the current authoring cycle and hence not yet included in a SNOMED CT release) are:
Left of header bar title (concept FSN):
More details
Attach template (if template services are enabled for the project)
Concept information helper pop-up menu (cut/paste buffer helper)
Right of header bar title (concept FSN):
Save concept
Show/hide inactive components
Revert to version
The concept header also includes status display icons for:
Shortcuts active
Definition status (set by axiom Definition status - if any axiom in the concept is set to Fully defined, then the concept status is >Fully defined)
published concepts have editing constraints
If the loaded concept has been previously published in a SNOMED CT release, the following Edit panel constraints apply to the concept:
Published descriptions (those with an
Maximum of 10 concepts in Edit panel
The Edit panel can load a maximum of 10 concepts concurrently (for optimal web browser performance). If 10 are already loaded, a header notification will be presented when attempting to load more:
If this limit is reached and another concept needs to be loaded, at least one of the currently displayed concepts must be removed from the
Content panel widths can be adjusted
The Settings and Preferences pop-up panel (available via the top right corner "cogwheel" button) includes a Page Layout visual control which sets the relative widths of the sidebar, model diagram and concept editor panels. If modified and saved, the change will persist for the authenticated user.
Copy Conceptid
Copy FSN
Copy FSN and Conceptid
Copy Term and Conceptid
Delete unpublished concept
Switch to inferred view / Switch to Stated view (toggles between the two options)
See project version
Remove concept (from edit panel)
Collapse / Expand the concept component panel
More detailscannot have their description terms edited;
cannot be deleted (but can be inactivated and replaced if needed);
cannot have their language and dialect preferences changed.
Published axioms (those with an Eff. Time value in their More details properties:
cannot be deleted (but can be inactivated and replaced if needed);
cannot have their relationship types or target value edited (but entire relationships can be removed and replaced if needed).
