The analysis of the mapping level of equivalence was guided by the assessment scale of meanings proposed by ISO 12.300, in which 1 means equivalence of meaning between concepts, besides lexical and conceptual equivalence; 2 means equivalence of meaning between concepts, but with synonymy; 3 means that the source concept is broader and has less specific meaning than the target concept/term; 4 means that the source concept is more restricted and has more specific meaning than the target concept/term; and 5 shows that no mapping is possible between the target and source concepts/terms, in which a concept with some level of equivalence was not found in the target(8).
The subset NIs were replaced by the pre-coordinated concepts of the 2019/2020 ICNP® that fall under equivalence relationships 1 and 2. The NIs classified as equivalence 3 and 4 were not replaced by the concepts of 2019/2020 ICNP®, with which they established a relationship, as they have a broader or more specific meaning, respectively, and thus do not have their characteristics accurately contemplated; therefore, with the NIs with cardinality relationship 5 in what regards to ICNP® target terms/concepts, did not change and were kept as non-included NIs.
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