SNOMED CT Delta MRCM Domain Reference Set

$79 / year

MRCM Domain Reference Set enumerates the concept domains to which SNOMED CT attributes may be applied, and provides additional information to support these concept domains. Each concept domain is uniquely identified by a SNOMED CT concept. When the scope of a domain covers the concepts in a particular hierarchy (or subhierarchy), the supertype concept of this hierarchy (or subhierarchy) is used to identify the domain. When a domain is defined based on membership in a reference set, the associated reference set concept is used to identify the domain. In some situations, a query may be required to define a complex domain. In these cases, the query’s expansion reference set (referred to by the ‘referenced component’ of the relevant Query reference set) is used to identify the domain.

Complexity

SNOMED CT (SNOMED Clinical Terminology) provides a common language that assists with the electronic exchange of clinical health information. It enables a consistent way of indexing, storing, retrieving, and aggregating clinical data across specialties and sites of care. SNOMED CT Can be mapped to other coding systems, such as ICD-10, which helps facilitate semantic interoperability.

A Delta release contains only those component versions created, inactivated or changed since the previous release. The ‘Delta’ release is much smaller than a ‘Full’ release and is ideal for updating a ‘Full’ release of the previous version. Adding a ‘Delta’ release to the previous version’s ‘Full’ release will update the installation to a ‘Full’ release of the current Version.

In addition to 363 new concepts specific for the US, the March 2018 SNOMED CT US Edition also contains all of the content from the January 2018 SNOMED CT International Edition. Approximately 200 requests for terminology additions and updates were submitted via the US Content Request System (US CRS) to support US clinical health information data exchange.

Date Created

2007-04-01

Last Modified

2018-03-01

Version

2018-03-01

Update Frequency

Semiannual

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs => International Health Terminology Standards Development Organisation (IHTSDO), U.S. National Library of Medicine (NLM)

Source License URL

John Snow Labs Standard License

Source License Requirements

Reporting Requirements

Source Citation

N/A

Keywords

Clinical Terminology, SNOMED CT, IHTSDO, Systematized Nomenclature of Medicine Clinical Terms, Healthcare Terminology, Electronic Health Records, Machine Readable Concept Model

Other Titles

SNOMED CT United States Edition, SNOMED CT Latest Version, Machine Readable Concept Model of SNOMED CT

NameDescriptionTypeConstraints
Reference_Set_Member_IdA field, uniquely identifying this reference set member. Different versions of a reference set member share the same id but have different Effective_Date. This allows a reference set member to be modified or made inactive (i.e. removed from the active set) at a specified time.stringrequired : 1
Effective_DateThe inclusive date at which this version of the identified reference set member became the current version.daterequired : 1
Is_ActiveThe state of the identified reference set member as at the specified Effective_Date. If active= 1 (true) the reference set member is part of the current version of the set, if active=0 (false) the reference set member is not part of the current version of the set.booleanrequired : 1
Module_IdIdentifies the SNOMED CT module that contains this reference set member as at the specified Effective_Date.integerrequired : 1 level : Nominal
Refset_IdIdentifies the reference set to which this reference set member belongs.integerrequired : 1 level : Nominal
Referenced_Component_IdThe identifier of the source component of the association.integerrequired : 1 level : Nominal
Domain_ConstraintAn expression constraint, which defines the set of concepts included in the given concept domain.stringrequired : 1
Parent_DomainAn expression constraint, which represents the set of immediate parent domains. An immediate parent domain is a domain that is a proper superset of the given domain, and which is not a proper superset of any other parent domain.string-
Proximal_Primitive_ConstraintThe domain constraint, as it would be represented for proximal primitive modelling. If the domain concept is sufficiently defined, then its proximal primitive parent will be used instead, while if the domain concept is primitive, then the concept itself is used. Additional constraints on the proximal primitive parent are also included.stringrequired : 1
Proximal_Primitive_RefinementThe template representation of any additional refinements that are required to model in the given domain using proximal primitive modelling. These mandatory refinements reflect the defining relationships of the domain concept, when it is sufficiently defined.string-
Domain_Template_For_PrecoordinationA general template that may be used to author precoordinated content. This template incorporates all of the mandatory attribute domain and range rules rules for precoordinated SNOMED CT content.stringrequired : 1
Domain_Template_For_PostcoordinationA general template that may be used to author postcoordinated content. This template incorporates all of the mandatory attribute domain and range rules rules for postcoordinated SNOMED CT content.stringrequired : 1
Guide_URLA Uniform Resource Locator (URL) that references a web resource in which the given domain is described in further detail. This URL uses the following pattern: "http://snomed.org/dom"stringrequired : 1
Reference_Set_Member_IdEffective_DateIs_ActiveModule_IdRefset_IdReferenced_Component_IdDomain_ConstraintParent_DomainProximal_Primitive_ConstraintProximal_Primitive_RefinementDomain_Template_For_PrecoordinationDomain_Template_For_PostcoordinationGuide_URL
19d3f679-5369-42fb-9543-8795fdee5dce2018-07-31true900000000000012004723560006105590001<< 105590001 |Substance (substance)|<< 105590001 |Substance (substance)|[[+id(<< 105590001 |Substance (substance)|)]]: [[0..*]] 726542003 |Has disposition| = [[+id(<< 726711005 |Disposition (disposition)|)]], [[0..*]] 738774007 |Is modification of| = [[+id(<< 105590001 |Substance (substance)|)]][[+scg(<< 105590001 |Substance (substance)|)]]: [[0..*]] 726542003 |Has disposition| = [[+scg(<< 726711005 |Disposition (disposition)|)]], [[0..*]] 738774007 |Is modification of| = [[+scg(<< 105590001 |Substance (substance)|)]]http://snomed.org/dom105590001
273f1341-03c9-44a1-9797-9b5106c07e8b2018-07-31true900000000000012004723560006123037004<< 123037004 |Body structure (body structure)|<< 123037004 |Body structure (body structure)|[[+id(<< 123037004 |Body structure (body structure)|)]]: [[0..*]] 123005000 |Part of| = [[+id(<< 123037004 |Body structure (body structure)|)]], [[0..*]] 733928003 |All or part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733931002 |Constitutional part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733930001 |Regional part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733933004 |Lateral half of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733932009 |Systemic part of| = [[+id(<< 123037004|Body structure (body structure)|)]][[+scg(<< 123037004 |Body structure (body structure)|)]]http://snomed.org/dom123037004
7ca9ec15-74ce-488d-a250-2a3c712782682018-07-31true90000000000001200472356000691723000<< 91723000 |Anatomical structure (body structure)|123037004 |Body structure (body structure)|<< 91723000 |Anatomical structure (body structure)|[[+id(<< 91723000 |Anatomical structure (body structure)|)]]: [[0..1]] 272741003 |Laterality| = [[+id(<< 182353008 |Side (qualifier value)|)]], [[0..*]] 123005000 |Part of| = [[+id(<< 123037004 |Body structure (body structure)|)]], [[0..*]] 733928003 |All or part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733931002 |Constitutional part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733930001 |Regional part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733933004 |Lateral half of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733932009 |Systemic part of| = [[+id(<< 123037004|Body structure (body structure)|)]][[+scg(<< 91723000 |Anatomical structure (body structure)|)]]: [[0..1]] 272741003 |Laterality| = [[+scg(<< 182353008 |Side (qualifier value)|)]]http://snomed.org/dom91723000
eb0bebd1-991a-4f69-97ab-e1c5bf64dd272018-07-31true900000000000012004723560006723264001^ 723264001 |Lateralizable body structure reference set (foundation metadata concept)|91723000 |Anatomical structure (body structure)|^ 723264001 |Lateralizable body structure reference set (foundation metadata concept)|[[+id(^ 723264001 |Lateralizable body structure reference set (foundation metadata concept)|)]]: [[0..1]] 272741003 |Laterality| = [[+id(<< 182353008 |Side (qualifier value)|)]], [[0..*]] 123005000 |Part of| = [[+id(<< 123037004 |Body structure (body structure)|)]], [[0..*]] 733928003 |All or part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733931002 |Constitutional part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733930001 |Regional part of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733933004 |Lateral half of| = [[+id(<< 123037004|Body structure (body structure)|)]], [[0..*]] 733932009 |Systemic part of| = [[+id(<< 123037004|Body structure (body structure)|)]][[+scg(^ 723264001 |Lateralizable body structure reference set (foundation metadata concept)|)]]: [[0..1]] 272741003 |Laterality| = [[+scg(<< 182353008 |Side (qualifier value)|)]],http://snomed.org/dom723264001
16e1c6dc-513f-4bfb-a1ab-dc1fbeb370fb2018-07-31true900000000000012004723560006123038009<< 123038009 |Specimen (specimen)|<< 123038009 |Specimen (specimen)|[[+id(<< 123038009 |Specimen (specimen)|)]]: [[0..*]] { [[0..1]] 118171006 |Specimen procedure| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 118170007 |Specimen source identity| = [[+id(<< 125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 276339004 |Environment (environment)| OR << 260787004 |Physical object (physical object)|)]], [[0..1]] 118168003 |Specimen source morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 118169006 |Specimen source topography| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 370133003 |Specimen substance| = [[+id(<< 105590001 |Substance (substance)|)]] }[[+scg(<< 123038009 |Specimen (specimen)|)]]: [[0..*]] { [[0..1]] 118171006 |Specimen procedure| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 118170007 |Specimen source identity| = [[+scg(<< 125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 276339004 |Environment (environment)| OR << 260787004 |Physical object (physical object)|)]], [[0..1]] 118168003 |Specimen source morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 118169006 |Specimen source topography| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 370133003 |Specimen substance| = [[+scg(<< 105590001 |Substance (substance)|)]] }http://snomed.org/dom123038009
529e4ef1-4e07-4866-89a7-072bfba204612018-07-31true900000000000012004723560006272379006<< 272379006 |Event (event)|<< 272379006 |Event (event)|[[+id(<< 272379006 |Event (event)|)]]: [[0..*]] { [[0..1]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)|)]], [[0..1]] 288556008 |Before| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)|)]], [[0..1]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 371881003 |During| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..*]] 726633004 |Temporally related to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]] }[[+scg(<< 272379006 |Event (event)|)]]: [[0..*]] { [[0..1]] 255234002 |After| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 47429007 |Associated with| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..1]] 288556008 |Before| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246075003 |Causative agent| = [[+scg(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..1]] 42752001 |Due to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 371881003 |During| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..*]] 726633004 |Temporally related to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]] }http://snomed.org/dom272379006
718bd028-e0c6-4b22-a7d4-58327c6d9b592018-07-31true900000000000012004723560006373873005<< 373873005 |Pharmaceutical / biologic product (product)|<< 373873005 |Pharmaceutical / biologic product (product)|[[+id(<< 373873005 |Pharmaceutical / biologic product (product)|)]]: [[0..1]] 411116001 |Has manufactured dose form| = [[+id(<< 105904009 |Type of drug preparation (qualifier value)|)]], [[0..1]] 766954007 |Count of base and modification pair| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 766953001 |Count of active ingredient| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..*]] 766939001 |Plays role| = [[+id(<< 766940004 |Role (role)|)]], [[0..1]] 766952006 |Count of base of active ingredient| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 763032000 |Has unit of presentation| = [[+id(<< 732935002 |Unit of presentation (unit of presentation)|)]], [[0..*]] { [[0..1]] 127489000 |Has active ingredient| = [[+id(<< 105590001 |Substance (substance)|)]], [[0..1]] 732943007 |Has basis of strength substance| = [[+id(< 105590001 |Substance (substance)|)]], [[0..1]] 732947008 |Has presentation strength denominator unit| = [[+id(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 732946004 |Has presentation strength denominator value| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 732945000 |Has presentation strength numerator unit| = [[+id(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 732944001 |Has presentation strength numerator value| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 733724008 |Has concentration strength numerator value| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 733725009 |Has concentration strength numerator unit| = [[+id(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 733723002 |Has concentration strength denominator value| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 733722007 |Has concentration strength denominator unit| = [[+id(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 762949000 |Has precise active ingredient| = [[+id(<< 105590001 |Substance (substance)|)]] }[[+scg(<< 373873005 |Pharmaceutical / biologic product (product)|)]]: [[0..1]] 411116001 |Has manufactured dose form| = [[+scg(<< 105904009 |Type of drug preparation (qualifier value)|)]], [[0..1]] 766954007 |Count of base and modification pair| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..1]] 766953001 |Count of active ingredient| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..*]] 766939001 |Plays role| = [[+scg(<< 766940004 |Role (role)|)]], [[0..1]] 766952006 |Count of base of active ingredient| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..1]] 763032000 |Has unit of presentation| = [[+scg(<< 732935002 |Unit of presentation (unit of presentation)|)]], [[0..*]] { [[0..1]] 127489000 |Has active ingredient| = [[+scg(<< 105590001 |Substance (substance)|)]], [[0..1]] 732943007 |Has basis of strength substance| = [[+scg(< 105590001 |Substance (substance)|)]], [[0..1]] 732947008 |Has presentation strength denominator unit| = [[+scg(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 732946004 |Has presentation strength denominator value| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..1]] 732945000 |Has presentation strength numerator unit| = [[+scg(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 732944001 |Has presentation strength numerator value| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..1]] 733724008 |Has concentration strength numerator value| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..1]] 733725009 |Has concentration strength numerator unit| = [[+scg(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 733723002 |Has concentration strength denominator value| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[0..1]] 733722007 |Has concentration strength denominator unit| = [[+scg(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 762951001 |Has ingredient| = [[+scg(<< 105590001 |Substance (substance)|)]], [[0..1]] 762949000 |Has precise active ingredient| = [[+scg(<< 105590001 |Substance (substance)|)]] }http://snomed.org/dom373873005
4c97efc0-bfb8-4afc-b3f1-d608620749732018-07-31true900000000000012004723560006433590000<< 433590000 |Administration of substance via specific route (procedure)|71388002 |Procedure (procedure)|<< 433590000 |Administration of substance via specific route (procedure)|[[+id(<< 433590000 |Administration of substance via specific route (procedure)|)]]: [[0..*]] { [[0..1]] 410675002 |Route of administration| = [[+id(<< 284009009 |Route of administration value (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+id(<< 309795001 |Surgical access values (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..1]] 363710007 |Indirect device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 260686004 |Method| = [[+id(<< 129264002 |Action (qualifier value)|)]], [[0..1]] 260870009 |Priority| = [[+id(<< 272125009 |Priorities (qualifier value)|)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 363704007 |Procedure site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 370131001 |Recipient category| = [[+id(<< 125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 246513007 |Revision status| = [[+id(<< 261424001 |Primary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|)]], [[0..1]] 425391005 |Using access device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+id(<< 105590001 |Substance (substance)|)]] }[[+id(<< 433590000 |Administration of substance via specific route (procedure)|)]]: [[0..*]] { [[0..1]] 410675002 |Route of administration| = [[+id(<< 284009009 |Route of administration value (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+scg(<< 309795001 |Surgical access values (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+scg(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+scg(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..1]] 363710007 |Indirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 260686004 |Method| = [[+scg(<< 129264002 |Action (qualifier value)|)]], [[0..1]] 260870009 |Priority| = [[+scg(<< 272125009 |Priorities (qualifier value)|)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 363704007 |Procedure site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 370131001 |Recipient category| = [[+scg(<< 125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 246513007 |Revision status| = [[+scg(<< 261424001 |Primary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|)]], [[0..1]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]] }http://snomed.org/dom433590000
f1136b12-f2bd-46db-b9fb-be484129e40c2018-07-31true900000000000012004723560006404684003<< 404684003 |Clinical finding (finding)|<< 404684003 |Clinical finding (finding)|[[+id(<< 404684003 |Clinical finding (finding)|)]]: [[0..*]] { [[0..1]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)|)]], [[0..1]] 288556008 |Before| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)|)]], [[0..1]] 263502005 |Clinical course| = [[+id(<< 288524001 |Courses (qualifier value)|)]], [[0..1]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 371881003 |During| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246456000 |Episodicity| = [[+id(<< 288526004 |Episodicities (qualifier value)|)]], [[0..1]] 419066007 |Finding informer| = [[+id(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)| OR << 444018008 |Person with characteristic related to subject of record (person)|)]], [[0..1]] 418775008 |Finding method| = [[+id(<< 71388002 |Procedure (procedure)|)]],[[0..1]] 363713009 |Has interpretation| = [[+id(<< 260245000 |Finding values (qualifier value)| OR << 263714004 |Colors (qualifier value)|)]], [[0..1]] 363714003 |Interprets| = [[+id(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 370135005 |Pathological process| = [[+id(263680009 |Autoimmune (qualifier value)| OR << 441862004 |Infectious process (qualifier value)| OR << 472963003 |Hypersensitivity process (qualifier value)| OR << 308490002 |Pathological developmental process (qualifier value)| )]], [[0..1]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]], [[0..*]] 363705008 |Has definitional manifestation| = [[+id(<< 404684003 |Clinical finding (finding)|)]], [[0..*]] 726633004 |Temporally related to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363698007 |Finding site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 116676008 |Associated morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]] }[[+scg(<< 404684003 |Clinical finding (finding)|)]]: [[0..*]] { [[0..1]] 255234002 |After| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 116676008 |Associated morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 47429007 |Associated with| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..1]] 288556008 |Before| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246075003 |Causative agent| = [[+scg(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..1]] 263502005 |Clinical course| = [[+scg(<< 288524001 |Courses (qualifier value)|)]], [[0..1]] 42752001 |Due to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 371881003 |During| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246456000 |Episodicity| = [[+scg(<< 288526004 |Episodicities (qualifier value)|)]], [[0..1]] 419066007 |Finding informer| = [[+scg(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)| OR << 444018008 |Person with characteristic related to subject of record (person)|)]], [[0..1]] 418775008 |Finding method| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..*]] 363698007 |Finding site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363713009 |Has interpretation| = [[+scg(<< 260245000 |Finding values (qualifier value)| OR << 263714004 |Colors (qualifier value)|)]], [[0..1]] 363714003 |Interprets| = [[+scg(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 370135005 |Pathological process| = [[+scg(263680009 |Autoimmune (qualifier value)| OR << 441862004 |Infectious process (qualifier value)| OR << 472963003 |Hypersensitivity process (qualifier value)| OR << 308490002 |Pathological developmental process (qualifier value)| )]], [[0..1]] 246112005 |Severity| = [[+scg(<< 272141005 |Severities (qualifier value)|)]], [[0..*]] 363705008 |Has definitional manifestation| = [[+scg(<< 404684003 |Clinical finding (finding)|)]], [[0..*]] 726633004 |Temporally related to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]] }http://snomed.org/dom404684003
f1136b12-f2bd-46db-b9fb-be484129e40c2018-07-31true900000000000012004723560006404684003<< 404684003 |Clinical finding (finding)|<< 404684003 |Clinical finding (finding)|[[+id(<< 404684003 |Clinical finding (finding)|)]]: [[0..*]] { [[0..1]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)|)]], [[0..1]] 288556008 |Before| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)|)]], [[0..1]] 263502005 |Clinical course| = [[+id(<< 288524001 |Courses (qualifier value)|)]], [[0..1]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 371881003 |During| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246456000 |Episodicity| = [[+id(<< 288526004 |Episodicities (qualifier value)|)]], [[0..1]] 419066007 |Finding informer| = [[+id(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)| OR << 444018008 |Person with characteristic related to subject of record (person)|)]], [[0..1]] 418775008 |Finding method| = [[+id(<< 71388002 |Procedure (procedure)|)]],[[0..1]] 363713009 |Has interpretation| = [[+id(<< 260245000 |Finding values (qualifier value)| OR << 263714004 |Colors (qualifier value)|)]], [[0..1]] 363714003 |Interprets| = [[+id(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 370135005 |Pathological process| = [[+id(263680009 |Autoimmune (qualifier value)| OR << 441862004 |Infectious process (qualifier value)| OR << 472963003 |Hypersensitivity process (qualifier value)| OR << 308490002 |Pathological developmental process (qualifier value)| )]], [[0..1]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]], [[0..*]] 363705008 |Has definitional manifestation| = [[+id(<< 404684003 |Clinical finding (finding)|)]], [[0..*]] 726633004 |Temporally related to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363698007 |Finding site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 116676008 |Associated morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]] }[[+scg(<< 404684003 |Clinical finding (finding)|)]]: [[0..*]] { [[0..1]] 255234002 |After| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 116676008 |Associated morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 47429007 |Associated with| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..1]] 288556008 |Before| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246075003 |Causative agent| = [[+scg(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..1]] 263502005 |Clinical course| = [[+scg(<< 288524001 |Courses (qualifier value)|)]], [[0..1]] 42752001 |Due to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 371881003 |During| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 246456000 |Episodicity| = [[+scg(<< 288526004 |Episodicities (qualifier value)|)]], [[0..1]] 419066007 |Finding informer| = [[+scg(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)| OR << 444018008 |Person with characteristic related to subject of record (person)|)]], [[0..1]] 418775008 |Finding method| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..*]] 363698007 |Finding site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363713009 |Has interpretation| = [[+scg(<< 260245000 |Finding values (qualifier value)| OR << 263714004 |Colors (qualifier value)|)]], [[0..1]] 363714003 |Interprets| = [[+scg(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 370135005 |Pathological process| = [[+scg(263680009 |Autoimmune (qualifier value)| OR << 441862004 |Infectious process (qualifier value)| OR << 472963003 |Hypersensitivity process (qualifier value)| OR << 308490002 |Pathological developmental process (qualifier value)| )]], [[0..1]] 246112005 |Severity| = [[+scg(<< 272141005 |Severities (qualifier value)|)]], [[0..*]] 363705008 |Has definitional manifestation| = [[+scg(<< 404684003 |Clinical finding (finding)|)]], [[0..*]] 726633004 |Temporally related to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]] }http://snomed.org/dom404684003