1141985005: structuur van regio van lumbale wervelkolom (lichaamsstructuur)

SNOMED CT Concept\Body structure\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\...

\Chest and/or abdomen and/or pelvis structure (body structure)\Structure of abdominopelvic segment of trunk (body structure)\...

\Abdomen proper segment of trunk\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)

\Lower back structure\Lumbosacral region structure\...

\Structure of lumbar and/or sacral vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)

\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)

\Structure of back of trunk and/or neck (body structure)\Structure of vertebral column region (body structure)\Structure of thoracic and/or lumbar vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Structure of back of trunk and/or neck (body structure)\Structure of vertebral column region (body structure)\Structure of lumbar and/or sacral vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Structure of back of trunk and/or neck (body structure)\Structure of back of trunk (body structure)\Regional back structure\Lower back structure\Lumbosacral region structure\Structure of lumbar and/or sacral vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Structure of back of trunk and/or neck (body structure)\Structure of back of trunk (body structure)\Regional back structure\Lower back structure\Lumbosacral region structure\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Structure of back of trunk and/or neck (body structure)\Structure of back of trunk (body structure)\Regional back structure\Structure of thoracolumbar region of back\Structure of thoracic and/or lumbar vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Structure of back of trunk and/or neck (body structure)\Structure of back of trunk (body structure)\Regional back structure\Structure of thoracolumbar region of back\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)

\Body part structure\Lower body structure\Lower body part structure\Structure of abdominopelvic segment of trunk (body structure)\Abdomen proper segment of trunk\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Body part structure\Lower body structure\Lower body part structure\Structure of abdominopelvic segment of trunk (body structure)\Lower back structure\Lumbosacral region structure\Structure of lumbar and/or sacral vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Body part structure\Lower body structure\Lower body part structure\Structure of abdominopelvic segment of trunk (body structure)\Lower back structure\Lumbosacral region structure\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of abdominopelvic cross-sectional segment of trunk (body structure)\Abdomen proper segment of trunk\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of back of trunk (body structure)\Regional back structure\Lower back structure\Lumbosacral region structure\Structure of lumbar and/or sacral vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of back of trunk (body structure)\Regional back structure\Lower back structure\Lumbosacral region structure\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of back of trunk (body structure)\Regional back structure\Structure of thoracolumbar region of back\Structure of thoracic and/or lumbar vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of back of trunk (body structure)\Regional back structure\Structure of thoracolumbar region of back\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of abdominopelvic segment of trunk (body structure)\Abdomen proper segment of trunk\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of abdominopelvic segment of trunk (body structure)\Lower back structure\Lumbosacral region structure\Structure of lumbar and/or sacral vertebral column region (body structure)\Structure of lumbar vertebral column region (body structure)
\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of abdominopelvic segment of trunk (body structure)\Lower back structure\Lumbosacral region structure\Structure of lumbar region of back\Structure of lumbar vertebral column region (body structure)

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2021. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Structure of lumbar vertebral column region (body structure)	Is a	Structure of vertebral column region (body structure)	false	Inferred relationship	Some
Structure of lumbar vertebral column region (body structure)	Is a	Structure of lumbar region of back	true	Inferred relationship	Some
Structure of lumbar vertebral column region (body structure)	Is a	Structure of lumbar and/or sacral vertebral column region (body structure)	true	Inferred relationship	Some
Structure of lumbar vertebral column region (body structure)	Is a	Structure of thoracic and/or lumbar vertebral column region (body structure)	true	Inferred relationship	Some

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Entire lumbar vertebral column region (body structure)	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
Structure of lumbar spinal canal	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
Vascular structure of lumbar spine	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
Deformity of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Disorder of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spinal cord structure	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
operatie van lumbale wervelkolom (verrichting)	Procedure site	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Demianoff's sign	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lasègue sign	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Finding of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar DXA scan result osteoporotic	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Caudal regression syndrome	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Operative procedure on lumbosacral spinal structure (procedure)	Procedure site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Familial caudal dysgenesis (disorder)	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spinal nerve root structure	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
Computed tomography of cervical and lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Computed tomography of cervical and lumbar spine with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of cervical and lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of cervical and lumbar spine with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of cervical, thoracic, and lumbar spine without contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of cervical, thoracic, and lumbar spine with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of cervical and lumbar spine without contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Structure of musculoskeletal system of lumbar spine (body structure)	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
Magnetic resonance imaging of thoracic spine and lumbar spine without contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of thoracic and lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Magnetic resonance imaging of thoracic and lumbar spine with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of thoracic and lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of thoracic and lumbar spine with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Magnetic resonance imaging of thoracic and lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
volledig röntgenonderzoek van lumbosacrale wervelkolom met schuine opnames (verrichting)	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
röntgenonderzoek van lumbosacrale wervelkolom met anteroposterieure en laterale opnames (verrichting)	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
volledig röntgenonderzoek van lumbosacrale wervelkolom met opnamen in gebogen stand (verrichting)	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
anteroposterieur en lateraal röntgenonderzoek van thoracolumbale wervelkolom (verrichting)	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
CT of lumbosacral spine with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
CT of lumbosacral spine for radiotherapy planning	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	3
CT of lumbosacral spine	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar and sacral spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
X-ray tomography of lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Structure of soft tissue of lumbar vertebral column (body structure)	Is a	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some
Lumbar spine - swollen	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
diagnostische radiografie van lumbale wervelkolom (verrichting)	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
gecombineerd anteroposterieur en lateraal röntgenonderzoek van lumbale wervelkolom	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Posterior exploration lumbar spine	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
CT of lumbar spine	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
MRI of lumbar spine	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Examination of lumbar spine	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Finding of temperature of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spine hot	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spine warm	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spine cool	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spine cold	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Named sign of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Finding of measure of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
röntgenfoto van lumbale wervelkolom en sacro-iliacale gewrichten (verrichting)	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of lumbar spine with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
CT of lumbar spine with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Infection of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar puncture using fluoroscopic guidance (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
ontsteking van lumbale wervelkolom (bevinding)	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Fluoroscopy of lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Magnetic resonance imaging of lumbar spine and pelvis (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine using mobile image intensifier (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine and pelvis (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Ultrasonography of lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Magnetic resonance imaging of lumbar and sacral spine with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Magnetic resonance imaging of lumbar and sacral spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Plain X-ray of lumbar spine	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of lumbar spine and pelvis (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbar spine - tender	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Finding of sensation of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of abdomen, pelvis and lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of abdomen, pelvis and lumbar spine with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of lumbar spine and pelvis with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Computed tomography of lumbar spine and sacroiliac joints (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Mobile intraoperative three-dimensional computed tomography of lumbar spine (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Temperature of lumbar spine	Inheres in	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	3
Magnetic resonance imaging of lumbar spine and sacroiliac joint (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
MRI of lumbar spine without contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Computed tomography of lumbar spine without contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Diagnostic lumbar puncture using fluoroscopic guidance (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Magnetic resonance imaging of lumbar spine and pelvis with contrast (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
MRI of lumbar spine and sacroiliac joint with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
CT of lumbar spine and sacroiliac joint with contrast	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
CT guided lumbar puncture	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lesion of lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
röntgenonderzoek van thoracolumbale wervelkolom in rugligging en rechtop voor scoliose	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
röntgenonderzoek van thoracolumbale wervelkolom in staande positie	Procedure site - Direct (attribute)	False	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	2
Increased lumbosacral angle (finding)	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Lumbosacral prespondylolisthesis	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	3
Pain in lumbar spine	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Surgical procedure on lumbar spine (procedure)	Procedure site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Contusion of lumbar vertebral column region	Finding site	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of thoracic and lumbar spine, supine and erect (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine, combined anteroposterior and lateral	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of thoracic and lumbar spine, standing (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine and sacroiliac joint	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine and left sacroiliac joint	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine and right sacroiliac joint (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar spine and bilateral sacroiliac joints	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar and sacral spine, oblique view (procedure)	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1
Plain X-ray of lumbar and sacral spine, bending view	Procedure site - Direct (attribute)	True	Structure of lumbar vertebral column region (body structure)	Inferred relationship	Some	1

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Reference Sets

Anatomy structure and entire association reference set (foundation metadata concept)

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Id	Description	Lang	Type	Status	Case?	Module
4536312012	Structure of lumbar vertebral column region	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4536313019	Structure of lumbar vertebral column region (body structure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4536314013	Lumbar spinal column region	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4536315014	Lumbar vertebral column region	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
12889201000146115	structuur van regio van lumbale wervelkolom (lichaamsstructuur)	nl	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
12889211000146118	regio van lumbale wervelkolom	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
12889221000146111	gebied van lendenwervelkolom	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
12889231000146113	regio van LWK	nl	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
12889241000146117	structuur van regio van lumbale wervelkolom	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
4536332013	This volume includes the lumbar segment of the spinal column, its spaces and contents, notably the spinal canal, spinal meninges and spinal cord within this segment. It also includes the muscles associated with the lumbar spine within (and including) the anterior and posterior thoracolumbar fascia. This region also includes the spinal ventral (anterior) and dorsal (posterior) roots, the dorsal root (spinal) ganglions and the spinal nerve trunks of the lumbar segment.	en	Definition	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core