Aligning dm+d AMPP class medicinal products to the SNOMED International National Drug Extension Model

This diagram illustrates the primitive concept definition for ‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (product)’ |1903611000001108|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (product)' |1903611000001108|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104|
• defined concept ‘Clotrimazole 1% cream 15 gram (product)’ |1050211000001102I

‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (product)' |1903611000001108|, has the defining attributes:

• VMP non-availability indicator (attribute) |8940601000001102|, with concept 'Available (qualifier value)’ |8940901000001109|
• Has AMP (attribute) |10362701000001108|, with defined concept 'Canesten Athlete’s Foot 1% cream (Bayer Plc) (product)’ |384911000001106|
• Has NHS dm+d (dictionary of medicines and devices) controlled drug category (attribute) |13089101000001102|, with concept 'Controlled drug category No Controlled Drug Status (qualifier value)’|8481000001100|
• Has dispensed dose form (attribute) |10362901000001105|, with defined concept 'Conventional release cutaneous cream (dose form)’ |421628006|
• Has excipient (attribute) |8653101000001104|, with concept 'Excipient not declared (qualifier value)’ |8653301000001102|
• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Never discontinued (qualifier value)’ |8942301000001107|
• Has NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction indicator (attribute) |13090501000001104|, with concept ‘Has NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction none (qualifier value)’ |108741000001108|
• Legal category (attribute) |8941301000001102|, with concept 'Pharmacy medicine – legal category (qualifier value)’ |8941701000001103|
• VMP prescribing status (attribute) |8940001000001105|, with concept ‘VMP valid as a prescribable product (qualifier value)’ |8940201000001104|

This diagram illustrates the defined concept definition for ‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (real packaged clinical drug)’ |1903611000001108|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (real packaged clinical drug)’ |1903611000001108|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104|
• the defined concept ‘Clotrimazole 1% cream 15 gram (product)’ |1050211000001102|
• the concept ‘Medicinal product package (product)’ |781405001|

‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (real packaged clinical drug)’ |1903611000001108|, has the defining attributes:

• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Never discontinued (qualifier value)’ |8942301000001107|
• Legal category (attribute) |8941301000001102|, with concept ‘Pharmacy medicine – legal category (qualifier value)’ |8941701000001103|
• Count of clinical drug type (attribute) |1142143009|, with the concrete value of 1

‘Canesten Athlete’s Foot 1% cream (Bayer Plc) 15 gram (real packaged clinical drug)’ |1903611000001108|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Canesten Athlete’s Foot 1% cream (Bayer Plc) (product)’ |384911000001106I
• Has pack size unit (attribute) |774163005|, with concept ‘gram (qualifier value)’|258682000|
• Has pack size (attribute) |1142142004|, with the concrete value of 15

This diagram illustrates the primitive concept definition for ‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (product)’ |42669411000001109|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (product)’ |42669411000001109|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104|
• the concept Generic Ensure Plus Juce Starter Pack liquid 1320 ml (product)’ |42669211000001105|

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (product)’ |42669411000001109|, has the defining attributes:

• VMP non-availability indicator (attribute) |8940601000001102|, with concept 'Available (qualifier value)’ |8940901000001109|
• Has NHS dm+d (dictionary of medicines and devices) controlled drug category (attribute) |13089101000001102|, with concept 'Controlled drug category No Controlled Drug Status (qualifier value)’ |8481000001100|
• Has dispensed dose form (attribute) |10362901000001105|, with concept ‘Dose form not applicable (qualifier value)’ |3097611000001100|
• Has AMP (attribute) |10362701000001108|, with concept ‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) (product)’ |42669311000001102|
• Has excipient (attribute) |8653101000001104|, with concept 'Excipient not declared (qualifier value)’ |8653301000001102|
• Has NHS dm+d (dictionary of medicines and devices) freeness indicator (attribute) |13089701000001101|, with concept ‘Gluten free (qualifier value)’ |13090001000001108|
• Legal category (attribute) |8941301000001102|, with concept ‘Legal category not applicable (qualifier value)’ |8941501000001109|
• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Never discontinued (qualifier value)’ |8942301000001107|
• VMP prescribing status (attribute) |8940001000001105|, with concept ‘Never valid to prescribe as a VMP (qualifier value)’ |8940401000001100|
• Has NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction indicator (attribute) |13090501000001104|, with concept ‘NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction none’ (qualifier value) |108741000001108|

This diagram illustrates the defined concept definition for ‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104|
• the concept ‘Generic Ensure Plus Juce Starter Pack liquid 1320 ml (product)’ |42669211000001105|
• the concept ‘Medicinal product package (product)’ |781405001|

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, has the defining attributes:

• Legal category (attribute) |8941301000001102|, with concept ‘Legal category not applicable (qualifier value)’ |8941501000001109|
• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Never discontinued (qualifier value)’ |8942301000001107|
• Count of clinical drug type (attribute) |1142143009|, with the concrete value of 6

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Enlive Plus liquid fruit punch (Abbott Laboratories Ltd) (product)’ |7547011000001106I
• Has pack size unit (attribute) |774163005|, with concept ‘Milliliter (qualifier value)’|258773002|
• Has pack size (attribute) |1142142004|, with the concrete value of 220

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Enlive Plus lemon & lime (Abbott Laboratories Ltd) (product)’ |7547911000001105I
• Has pack size unit (attribute) |774163005|, with concept ‘Milliliter (qualifier value)’|258773002|
• Has pack size (attribute) |1142142004|, with the concrete value of 220

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Enlive Plus liquid strawberry (Abbott Laboratories Ltd) (product)’ |7549011000001102I
• Has pack size unit (attribute) |774163005|, with concept ‘Milliliter (qualifier value)’|258773002|
• Has pack size (attribute) |1142142004|, with the concrete value of 220

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Enlive Plus liquid peach (Abbott Laboratories Ltd) (product)’ |7548511000001104I
• Has pack size unit (attribute) |774163005|, with concept ‘Milliliter (qualifier value)’|258773002|
• Has pack size (attribute) |1142142004|, with the concrete value of 220

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Enlive Plus liquid apple (Abbott Laboratories Ltd) (product)’ |7546811000001102I
• Has pack size unit (attribute) |774163005|, with concept ‘Milliliter (qualifier value)’|258773002|
• Has pack size (attribute) |1142142004|, with the concrete value of 220

‘Ensure Plus Juce Starter Pack liquid (Abbott Laboratories Ltd) 1320 ml 1 x (6 x 220ml) (real packaged clinical drug)’ |42669411000001109|, also has an attribute group with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Enlive Plus liquid orange (Abbott Laboratories Ltd) (product)’ |7548311000001105I
• Has pack size unit (attribute) |774163005|, with concept ‘Milliliter (qualifier value)’|258773002|
• Has pack size (attribute) |1142142004|, with the concrete value of 220

This diagram illustrates the primitive concept definition for ‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (product)’ |42526511000001102|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (product)’ |42526511000001102|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104|
• the defined concept ‘Package containing 5 gram of clotrimazole 100 milligram/1 gram conventional release vaginal cream 1 applicator applicator and 10 gram of cl.. |3943311000001100|

‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (product)’ |42526511000001102|, has the defining attributes:

• Has AMP (attribute) |10362701000001108|, with concept ‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) (product)’ |42526411000001101|
• Has NHS dm+d (dictionary of medicines and devices) controlled drug category (attribute) |13089101000001102|, with concept 'Controlled drug category No Controlled Drug Status (qualifier value)’|8481000001100|
• Has dispensed dose form (attribute) |10362901000001105|, with concept ‘Dose form not applicable (qualifier value)’ |3097611000001100|
• Has excipient (attribute) |8653101000001104|, with concept 'Excipient not declared (qualifier value)’ |8653301000001102|
• Legal category (attribute) |8941301000001102|, with concept ‘General sales list (qualifier value)’ |8941801000001107|
• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Never discontinued (qualifier value)’ |8942301000001107|
• Has NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction indicator (attribute) |13090501000001104|, with concept ‘NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction none’ (qualifier value) |108741000001108|
• VMP non-availability indicator (attribute) |8940601000001102|, with concept Re-introduced (qualifier value)’ |8940801000001103|
• VMP prescribing status (attribute) |8940001000001105|, with concept 'VMP valid as a prescribable product (qualifier value)’ |8940201000001104|

This diagram illustrates the defined concept definition for ‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (real packaged clinical drug)’ |42526511000001102|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (real packaged clinical drug)’ |42526511000001102|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104| 
• the concept 'Medicinal product package (product)’ |781405001|
• the defined concept ‘Package containing 5 gram of clotrimazole 100 milligram/1 gram conventional release vaginal cream 1 applicator applicator and 10 gram of cl.. |3943311000001100|’ 

Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (real packaged clinical drug)’ |42526511000001102|, has the defining attributes:

• Legal category (attribute) |8941301000001102|, with concept ‘General sales list (qualifier value)’ |8941801000001107|
• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Never discontinued (qualifier value)’ |8942301000001107|
• Count of clinical drug type (attribute) |1142143009|, with the concrete value of 2

‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (real packaged clinical drug)’ |42526511000001102|, also has attribute groups with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Canesten Thrush External 2% cream (Bayer Plc) (product)’ |360111000001101I
• Has pack size unit (attribute) |774163005|, with concept ‘gram (qualifier value)’|258682000|
• Has pack size (attribute) |1142142004|, with the concrete value of 10

‘Canesten Thrush Combi Internal 10% & External 2% cream (Bayer Plc) 1 pack 1 x (5 gram + 10 gram) (real packaged clinical drug)’ |42526511000001102|, also has attribute groups with the defining attributes:

• Contains clinical drug (attribute) |774160008|, with concept ‘Canesten Thrush Internal 10% vaginal cream (Bayer Plc) (product)’ |541611000001105I
• Has pack size unit (attribute) |774163005|, with concept ‘gram (qualifier value)’|258682000|
• Has pack size (attribute) |1142142004|, with the concrete value of 5

This diagram illustrates the primitive concept definition for ‘Ortho-Gynest 0.01% cream with applicator (Janssen-Cilag Ltd) 2 component (product)’ |3195111000001108|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Ortho-Gynest 0.01% cream with applicator (Janssen-Cilag Ltd) 2 component (product)’ |3195111000001108|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104| 
• the concept ‘Estriol 0.01% vaginal cream with applicator 1 pack (product) ‘|3194311000001106| 

‘Ortho-Gynest 0.01% cream with applicator (Janssen-Cilag Ltd) 2 component (product)’ |3195111000001108|, has the defining attributes:

• VMP non-availability indicator (attribute) |8940601000001102|, with concept ‘Available (qualifier value)’ |8940901000001109|
• Has NHS dm+d (dictionary of medicines and devices) controlled drug category (attribute) |13089101000001102|, with concept 'Controlled drug category No Controlled Drug Status (qualifier value)’|8481000001100|
• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Discontinued AMPP (qualifier value)’ |8942201000001103|
• Has dispensed dose form (attribute) |10362901000001105|, with concept ‘Dose form not applicable (qualifier value)’ |3097611000001100|
• Has excipient (attribute) |8653101000001104|, with concept 'Excipient not declared (qualifier value)’ |8653301000001102|
• Has NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction indicator (attribute) |13090501000001104|, with concept ‘NHS dm+d (dictionary of medicines and devices) AMP (actual medicinal product) availability restriction not available’ (qualifier value) |108761000001109|
• Has AMP (attribute) |10362701000001108|, with concept ‘Ortho-Gynest 0.01% cream with applicator (Janssen-Cilag Ltd) (product)’ |3194611000001101|
• Legal category (attribute) |8941301000001102|, with concept ‘Prescription only medicine – legal category (qualifier value)’ |8941601000001108|
• VMP prescribing status (attribute) |8940001000001105|, with concept 'VMP valid as a prescribable product (qualifier value)’ |8940201000001104|

This diagram illustrates the defined concept definition for ‘Gynest 0.01% cream with applicator (Marlborough Pharmaceutical Ltd) 1 pack 1 x ( 80g tube + applicator) (real packaged clinical drug)’ |3195111000001108|.

The numerical reference given with each concept and attribute is the SNOMED CT identifier.

‘Gynest 0.01% cream with applicator (Marlborough Pharmaceutical Ltd) 1 pack 1 x ( 80g tube + applicator) (real packaged clinical drug)’ |3195111000001108|, has subtype relationships of:

• the concept 'Actual medicinal product pack (product)’ |10364001000001104| 
• the concept ‘Estriol 0.01% vaginal cream with applicator 1 pack (product)’ |3194311000001106|
• the concept 'Medicinal product package (product)’ |781405001|

‘Gynest 0.01% cream with applicator (Marlborough Pharmaceutical Ltd) 1 pack 1 x ( 80g tube + applicator) (real packaged clinical drug)’ |3195111000001108|, has the defining attributes:

• Discontinued indicator (attribute) |8941901000001101|, with concept ‘Discontinued AMPP (qualifier value)’ |8942201000001103|
• Legal category (attribute) |8941301000001102|, with concept ‘Prescription only medicine – legal category (qualifier value)’ |8941601000001108|
• Count of clinical drug type (attribute) |1142143009|, with the concrete value of 2

‘Gynest 0.01% cream with applicator (Marlborough Pharmaceutical Ltd) 1 pack 1 x ( 80g tube + applicator) (real packaged clinical drug)’ |3195111000001108|, also has attribute groups with the defining attributes:

• Has pack size unit (attribute) |774163005|, with concept ‘Applicator (unit of presentation)’|732980001|
• Contains clinical drug (attribute) |774160008|, with concept ‘Ortho vaginal applicator type 1 (Janssen-Cilag Ltd) (physical object)’ |3036611000001109I
• Has pack size (attribute) |1142142004|, with the concrete value of 1

‘Gynest 0.01% cream with applicator (Marlborough Pharmaceutical Ltd) 1 pack 1 x ( 80g tube + applicator) (real packaged clinical drug)’ |3195111000001108|, also has attribute groups with the defining attributes:

• Has pack size unit (attribute) |774163005|, with concept ‘gram (qualifier value)’|258682000|
• Contains clinical drug (attribute) |774160008|, with concept ‘Ortho-Gynest 0.01% cream (Janssen-Cilag Ltd) (product)’ |3193211000001101I
• Has pack size (attribute) |1142142004|, with the concrete value of 80