SNOMED CT Snapshot MRCM Domain Reference Set

$179 / 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.

Complexity

In MRCM Domain Reference Set 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 ‘referencedComponent’ of the relevant Query reference set) is used to identify the domain.

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 Snapshot release contains the most recent version of every component released up to the time of the snapshot. The version of each component contained in a snapshot is the most recent version of that component at the release time. The ‘Snapshot’ release is useful for a simple installation but does not provide a history or retrospective view of the terminology. There are valid use cases for each Release Type. Each International release will incorporate all three of these Release Types, allowing users to choose the most appropriate format.

In addition to 623 new concepts specific for the US, the September 2018 SNOMED CT US Edition also contains all of the content from the July 2018 SNOMED CT International Edition. Approximately 543 requests for terminology additions and updates were submitted via the US Content Request System (US CRS) to support US clinical health information data exchange. This latest version of the US Edition also includes the SNOMED CT to ICD-10-CM reference set, with over 123,000 SNOMED CT source concepts mapped to ICD-10-CM targets.

Date Created

2007-04-01

Last Modified

2019-09-01

Version

2019-09-01

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

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= true the reference set member is part of the current version of the set, if active=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
821b5d55-2985-4293-98a9-2959a69b0b3b2019-07-31True90000000000001200472356000671388002<< 71388002 |Procedure (procedure)|<< 71388002 |Procedure (procedure)|[[+id(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[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 << 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)|)]] }[[+scg(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[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 << 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/dom71388002
dcc4c43d-0ff3-448a-b200-fc9c6c3e7a562019-07-31True900000000000012004723560006386053000<< 386053000 |Evaluation procedure (procedure)|71388002 |Procedure (procedure)|<< 71388002 |Procedure (procedure)|[[1..*]] 260686004 |Method| = [+id(<< 129265001 |Evaluation - action|)]][[+id(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[1..*]] 260686004 |Method| = [+id(<< 129265001 |Evaluation - action|)]], [[0..1]] 246093002 |Component| = [[+id(<< 123037004 |Body structure (body structure)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 116686009 |Has specimen| = [[+id(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 370129005 |Measurement method| = [[+id(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property of measurement (qualifier value)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 30766002 |Quantitative| OR << 26716007 |Qualitative| OR << 117363000 |Ordinal value| OR << 117365007 |Ordinal or quantitative value| OR << 117362005 |Nominal value| OR << 117364006 |Narrative value| OR << 117444000 |Text value|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (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 << 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)|)]] }[[+scg(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[1..*]] 260686004 |Method| = [+id(<< 129265001 |Evaluation - action|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 123037004 |Body structure (body structure)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 116686009 |Has specimen| = [[+scg(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 370129005 |Measurement method| = [[+scg(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property of measurement (qualifier value)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 30766002 |Quantitative| OR << 26716007 |Qualitative| OR << 117363000 |Ordinal value| OR << 117365007 |Ordinal or quantitative value| OR << 117362005 |Nominal value| OR << 117364006 |Narrative value| OR << 117444000 |Text value|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (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 << 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/dom386053000
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
f1136b12-f2bd-46db-b9fb-be484129e40c2019-07-31True900000000000012004723560006404684003<< 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)| OR << 272379006 |Event (event)|)]], [[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(<< 769247005 |Abnormal immune process (qualifier value)| OR << 441862004 |Infectious process (qualifier value)| OR << 472963003 |Hypersensitivity process (qualifier value)| OR << 308490002 |Pathological developmental process (qualifier value)| )]], [[0..*]] 726633004 |Temporally related to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]], [[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)| OR << 272379006 |Event (event)|)]], [[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(<< 769247005 |Abnormal immune process (qualifier value)| OR << 441862004 |Infectious process (qualifier value)| OR << 472963003 |Hypersensitivity process (qualifier value)| OR << 308490002 |Pathological developmental process (qualifier value)| )]], [[0..*]] 726633004 |Temporally related to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 246112005 |Severity| = [[+scg(<< 272141005 |Severities (qualifier value)|)]] }http://snomed.org/dom404684003
07225f48-d874-403f-a051-d0fa9d2895e22017-07-31True900000000000012004723560006129125009<< 129125009 |Procedure with explicit context (situation)|: [0..0] 408729009 |Finding context| = *, [0..0] 246090004 |Associated finding| = *243796009 |Situation with explicit context (situation)|<< 243796009 |Situation with explicit context (situation)|: [0..0] 408729009 |Finding context| = *, [0..0] 246090004 |Associated finding| = *[[1..*]] 408730004 |Procedure context| = [[+id(<< 288532009 |Context values for actions (qualifier value)|)]], [[1..*]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]][[+id(<< 243796009 |Situation with explicit context (situation)|: [0..0] 408729009 |Finding context| = *, [0..0] 246090004 |Associated finding| = *)]]: [[0..*]] { [[1..*]] 408730004 |Procedure context| = [[+id(<< 288532009 |Context values for actions (qualifier value)|)]], [[1..*]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]], [[0..1]] 363589002 |Associated procedure| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..1]] 408730004 |Procedure context| = [[+id(<< 288532009 |Context values for actions (qualifier value)|)]], [[0..1]] 408732007 |Subject relationship context| = [[+id(<< 125676002 |Person (person)|)]], [[0..1]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]] }[[+scg(<< 243796009 |Situation with explicit context (situation)|: [0..0] 408729009 |Finding context| = *, [0..0] 246090004 |Associated finding| = *)]]: [[0..*]] { [[1..*]] 408730004 |Procedure context| = [[+id(<< 288532009 |Context values for actions (qualifier value)|)]], [[1..*]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]], [[0..1]] 363589002 |Associated procedure| = [[+scg(<< 71388002 |Procedure (procedure)| OR << 363787002 |Observable entity (observable entity)|)]], [[0..1]] 408730004 |Procedure context| = [[+scg(<< 288532009 |Context values for actions (qualifier value)|)]], [[0..1]] 408732007 |Subject relationship context| = [[+scg(<< 125676002 |Person (person)|)]], [[0..1]] 408731000 |Temporal context| = [[+scg(<< 410510008 |Temporal context value (qualifier value)|)]] }http://snomed.org/dom129125009
0867d3ba-1849-4de1-9812-dedcd18a561c2019-07-31True900000000000012004723560006781405001<< 781405001 |Medicinal product package (product)|373873005 |Pharmaceutical / biologic product (product)|<< 781405001 |Medicinal product package (product)|[[+id(<< 781405001 |Medicinal product package (product)|)]]: [[0..1]] 774159003 |Has supplier| = [[+id(<< 774164004 | Supplier (supplier)|)]], [[0..1]] 774158006 |Has product name| = [[+id(<< 774167006 | Product name (product name)|)]], [[1..1]] 784276002 |Count of clinical drug type| = [[+id(< 260299005 |Number (qualifier value)|)]], [[1..*]] { [[1..1]] 774160008 |Contains clinical drug| = [[+id(<< 763158003 |Medicinal product (product)|)]], [[0..1]] 774161007 |Has pack size| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 774163005 |Has pack size unit| = [[+id(<< 767524001 |Unit of measure (qualifier value)|)]] }[[+scg(<< 781405001 |Medicinal product package (product)|)]]: [[0..1]] 774159003 |Has supplier| = [[+scg(<< 774164004 | Supplier (supplier)|)]], [[0..1]] 774158006 |Has product name| = [[+scg(<< 774167006 | Product name (product name)|)]], [[1..1]] 784276002 |Count of clinical drug type| = [[+scg(< 260299005 |Number (qualifier value)|)]], [[1..*]] { [[1..1]] 774160008 |Contains clinical drug| = [[+id(<< 763158003 |Medicinal product (product)|)]], [[0..1]] 774161007 |Has pack size| = [[+id(< 260299005 |Number (qualifier value)|)]], [[0..1]] 774163005 |Has pack size unit| = [[+id(<< 767524001 |Unit of measure (qualifier value)|)]] }http://snomed.org/dom781405001
0b0b9db5-3be5-44e5-86e8-1389756ec2452017-07-31True900000000000012004723560006413350009<< 413350009 |Finding with explicit context (situation)|: [0..0] 408730004 |Procedure context| = *, [0..0] 363589002 |Associated procedure| = *243796009 |Situation with explicit context (situation)|<< 243796009 |Situation with explicit context (situation)|: [0..0] 408730004 |Procedure context| = *, [0..0] 363589002 |Associated procedure| = *[[1..*]] 408729009 |Finding context| = [[+id(<< 410514004 |Finding context value (qualifier value)|)]], [[1..*]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]][[+id(<< 243796009 |Situation with explicit context (situation)|: [0..0] 408730004 |Procedure context| = *, [0..0] 363589002 |Associated procedure| = *)]]: [[0..*]] { [[1..*]] 408729009 |Finding context| = [[+id(<< 410514004 |Finding context value (qualifier value)|)]], [[1..*]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]], [[0..1]] 246090004 |Associated finding| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[0..1]] 408729009 |Finding context| = [[+id(<< 410514004 |Finding context value (qualifier value)|)]], [[0..1]] 408732007 |Subject relationship context| = [[+id(<< 125676002 |Person (person)|)]], [[0..1]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]] }[[+scg(<< 243796009 |Situation with explicit context (situation)|: [0..0] 408730004 |Procedure context| = *, [0..0] 363589002 |Associated procedure| = *)]]: [[0..*]] { [[1..*]] 408729009 |Finding context| = [[+id(<< 410514004 |Finding context value (qualifier value)|)]], [[1..*]] 408731000 |Temporal context| = [[+id(<< 410510008 |Temporal context value (qualifier value)|)]], [[0..1]] 246090004 |Associated finding| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)| OR << 363787002 |Observable entity (observable entity)| OR << 416698001 |Link assertion (link assertion)|)]], [[0..1]] 408729009 |Finding context| = [[+scg(<< 410514004 |Finding context value (qualifier value)|)]], [[0..1]] 408732007 |Subject relationship context| = [[+scg(<< 125676002 |Person (person)|)]], [[0..1]] 408731000 |Temporal context| = [[+scg(<< 410510008 |Temporal context value (qualifier value)|)]] }http://snomed.org/dom413350009
0ffa1930-2a8d-4ff5-b806-f6840e8f88f32019-07-31True900000000000012004723560006736542009<< 736542009 |Pharmaceutical dose form (dose form)|<< 736542009 |Pharmaceutical dose form (dose form)|[[+id(<< 736542009 |Pharmaceutical dose form (dose form)|)]]: [[0..*]] 736474004 |Has dose form intended site| = [[+id(< 736479009 |Dose form intended site (intended site)|)]], [[0..1]] 736476002 |Has basic dose form| = [[+id(< 736478001 |Basic dose form (basic dose form)|)]], [[0..1]] 736475003 |Has dose form release characteristic| = [[+id(< 736480007 |Dose form release characteristic (release characteristic)|)]], [[0..*]] 736472000 |Has dose form administration method| = [[+id(< 736665006 |Dose form administration method (administration method)|)]], [[0..*]] 736473005 |Has dose form transformation| = [[+id(< 736477006 |Dose form transformation (transformation)|)]][[+scg(<< 736542009 |Pharmaceutical dose form (dose form)|)]]: [[0..*]] 736474004 |Has dose form intended site| = [[+scg(< 736479009 |Dose form intended site (intended site)|)]], [[0..1]] 736476002 |Has basic dose form| = [[+scg(< 736478001 |Basic dose form (basic dose form)|)]], [[0..1]] 736475003 |Has dose form release characteristic| = [[+scg(< 736480007 |Dose form release characteristic (release characteristic)|)]], [[0..*]] 736472000 |Has dose form administration method| = [[+scg(< 736665006 |Dose form administration method (administration method)|)]], [[0..*]] 736473005 |Has dose form transformation| = [[+scg(< 736477006 |Dose form transformation (transformation)|)]]http://snomed.org/dom736542009
125680f7-e0a6-48a9-9dd4-ffda34fcdcc92019-07-31True900000000000012004723560006736478001<< 736478001 |Basic dose form (basic dose form)|<< 736478001 |Basic dose form (basic dose form)|[[+id(<< 736478001 |Basic dose form (basic dose form)|)]]: [[1..1]] 736518005 |Has state of matter| = [[+id(< 736471007 |State of matter (state of matter)|)]][[+scg(<< 736478001 |Basic dose form (basic dose form)|)]]: [[1..1]] 736518005 |Has state of matter| = [[+scg(< 736471007 |State of matter (state of matter)|)]]http://snomed.org/dom736478001
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