900000000000509007: Amerikaans-Engelse taalreferentieset (metadata)

SNOMED CT Concept\SNOMED CT Model Component\Foundation metadata concept (foundation metadata concept)\Reference set\Language type reference set (foundation metadata concept)\English [International Organization for Standardization 639-1 code en] language reference set (foundation metadata concept)\US English

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2002. Module: SNOMED CT model component module (core metadata concept)

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
US English	Is a	English [International Organization for Standardization 639-1 code en] language reference set (foundation metadata concept)	true	Inferred relationship	Some

Members	acceptabilityId
pT4a: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses (maxillary sinus) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades any of the following: anterior orbital contents, skin of nose or cheek, minimal extension to anterior cranial fossa, pterygoid plates, sphenoid or frontal sinuses (nasal cavity and ethmoid sinus)	Preferred (foundation metadata concept)
pT4a: Tumor invades any of the following: anterior orbital contents, skin of nose or cheek, minimal extension to anterior cranial fossa, pterygoid plates, sphenoid or frontal sinuses (nasal cavity and ethmoid sinus) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, subglottis)	Preferred (foundation metadata concept)
pT4a: Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, subglottis) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) not more than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas)	Preferred (foundation metadata concept)
pT4a: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) not more than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades prostate or uterus or vagina (urinary bladder)	Preferred (foundation metadata concept)
pT4a: Tumor invades prostate or uterus or vagina (urinary bladder) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades skin, mandible, ear canal, and/or facial nerve (major salivary glands)	Preferred (foundation metadata concept)
pT4a: Tumor invades skin, mandible, ear canal, and/or facial nerve (major salivary glands) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible (oropharynx)	Preferred (foundation metadata concept)
pT4a: Tumor invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible (oropharynx) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades through cortical bone, inferior alveolar nerve, floor of mouth, or skin of face, i.e., chin or nose (lip)	Preferred (foundation metadata concept)
pT4a: Tumor invades through cortical bone, inferior alveolar nerve, floor of mouth, or skin of face, i.e., chin or nose (lip) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades through cortical bone, into deep (extrinsic) muscle of tongue (genioglossus, hyoglossus, palatoglossus, and styloglossus), maxillary sinus, or skin of face (oral cavity)	Preferred (foundation metadata concept)
pT4a: Tumor invades through cortical bone, into deep (extrinsic) muscle of tongue (genioglossus, hyoglossus, palatoglossus, and styloglossus), maxillary sinus, or skin of face (oral cavity) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades through the thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, supraglottis)	Preferred (foundation metadata concept)
pT4a: Tumor invades through the thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep extrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, supraglottis) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades through thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep intrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, glottis)	Preferred (foundation metadata concept)
pT4a: Tumor invades through thyroid cartilage and/or invades tissues beyond the larynx (e.g., trachea, soft tissues of the neck including deep intrinsic muscle of the tongue, strap muscles, thyroid, or esophagus) (larynx, glottis) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue (hypopharynx)	Preferred (foundation metadata concept)
pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue (hypopharynx) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve (thyroid)	Preferred (foundation metadata concept)
pT4a: Tumor of any size extending beyond the thyroid capsule to invade subcutaneous soft tissues, larynx, trachea, esophagus, or recurrent laryngeal nerve (thyroid) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor of any size with extension to chest wall, not including pectoralis muscle (breast)	Preferred (foundation metadata concept)
pT4a: Tumor of any size with extension to chest wall, not including pectoralis muscle (breast) (finding)	Preferred (foundation metadata concept)
pT4a: Tumor penetrates to surface of visceral peritoneum (colon/rectum)	Preferred (foundation metadata concept)
pT4a: Tumor penetrates to surface of visceral peritoneum (colon/rectum) (finding)	Preferred (foundation metadata concept)
pT4b	Preferred (foundation metadata concept)
pT4b - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging.	Preferred (foundation metadata concept)
pT4b category	Preferred (foundation metadata concept)
pT4b category (finding)	Preferred (foundation metadata concept)
pT4b: Extrathyroidal anaplastic carcinoma - surgically unresectable (anaplastic carcinoma) (thyroid)	Preferred (foundation metadata concept)
pT4b: Extrathyroidal anaplastic carcinoma - surgically unresectable (anaplastic carcinoma) (thyroid) (finding)	Preferred (foundation metadata concept)
pT4b: Melanoma greater than 4.0 mm in thickness, with ulceration (melanoma of the skin)	Preferred (foundation metadata concept)
pT4b: Melanoma greater than 4.0 mm in thickness, with ulceration (melanoma of the skin) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor directly invades or is adherent to other organs or structures (colon/rectum)	Preferred (foundation metadata concept)
pT4b: Tumor directly invades or is adherent to other organs or structures (colon/rectum) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve, nasopharynx, or clivus (maxillary sinus)	Preferred (foundation metadata concept)
pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve, nasopharynx, or clivus (maxillary sinus) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve, nasopharynx, or clivus (nasal cavity and ethmoid sinus)	Preferred (foundation metadata concept)
pT4b: Tumor invades any of the following: orbital apex, dura, brain, middle cranial fossa, cranial nerves other than maxillary division of trigeminal nerve, nasopharynx, or clivus (nasal cavity and ethmoid sinus) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) greater than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas)	Preferred (foundation metadata concept)
pT4b: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) greater than 6mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery (oropharynx)	Preferred (foundation metadata concept)
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases carotid artery (oropharynx) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases internal carotid artery (oropharynx)	Preferred (foundation metadata concept)
pT4b: Tumor invades lateral pterygoid muscle, pterygoid plates, lateral nasopharynx, or skull base or encases internal carotid artery (oropharynx) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades pelvic wall or abdominal wall (urinary bladder)	Preferred (foundation metadata concept)
pT4b: Tumor invades pelvic wall or abdominal wall (urinary bladder) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels (thyroid)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral fascia or encases carotid artery or mediastinal vessels (thyroid) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures (hypopharynx)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral fascia, encases carotid artery, or involves mediastinal structures (hypopharynx) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, glottis)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, glottis) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, subglottis)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, subglottis) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, supraglottis)	Preferred (foundation metadata concept)
pT4b: Tumor invades prevertebral space, encases carotid artery, or invades mediastinal structures (larynx, supraglottis) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor invades skull base and/or pterygoid plates and/or encases carotid artery (major salivary glands)	Preferred (foundation metadata concept)
pT4b: Tumor invades skull base and/or pterygoid plates and/or encases carotid artery (major salivary glands) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (lip and oral cavity)	Preferred (foundation metadata concept)
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (lip and oral cavity) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (oropharynx)	Preferred (foundation metadata concept)
pT4b: Tumor involves masticator space, pterygoid plates, or skull base and/or encases internal carotid artery (oropharynx) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor of any size with edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast	Preferred (foundation metadata concept)
pT4b: Tumor of any size with edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast (breast)	Acceptable (foundation metadata concept)
pT4b: Tumor of any size with edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast (breast) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor penetrates visceral peritoneum (colon/rectum)	Preferred (foundation metadata concept)
pT4b: Tumor penetrates visceral peritoneum (colon/rectum) (finding)	Preferred (foundation metadata concept)
pT4b: Tumor perforates visceral peritoneum	Acceptable (foundation metadata concept)
pT4c	Preferred (foundation metadata concept)
pT4c - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging.	Preferred (foundation metadata concept)
pT4c category	Preferred (foundation metadata concept)
pT4c category (finding)	Preferred (foundation metadata concept)
pT4c: Tumor of any size with direct extension to chest wall (not including pectoralis muscle) and edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast	Preferred (foundation metadata concept)
pT4c: Tumor of any size with direct extension to chest wall (not including pectoralis muscle) and edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast (finding)	Preferred (foundation metadata concept)
pT4d	Preferred (foundation metadata concept)
pT4d - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging.	Preferred (foundation metadata concept)
pT4d category	Preferred (foundation metadata concept)
pT4d category (finding)	Preferred (foundation metadata concept)
pT4d: Inflammatory carcinoma (breast)	Preferred (foundation metadata concept)
pT4d: Inflammatory carcinoma (breast) (finding)	Preferred (foundation metadata concept)
pT4e	Preferred (foundation metadata concept)
pT4e - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging.	Preferred (foundation metadata concept)
pTNM category	Acceptable (foundation metadata concept)
pTNM classification	Acceptable (foundation metadata concept)
pTNM stage	Acceptable (foundation metadata concept)
pTNM stage grouping	Acceptable (foundation metadata concept)
pTX	Preferred (foundation metadata concept)
pTX - Used with permission of the American College of Surgeons, Chicago, Illinois. The original source for this information is the AJCC Cancer Staging System (2022) https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging.	Preferred (foundation metadata concept)
pTX category	Preferred (foundation metadata concept)
pTX category (finding)	Preferred (foundation metadata concept)
pTX stage	Acceptable (foundation metadata concept)
pTX: Primary tumor cannot be assessed (breast)	Preferred (foundation metadata concept)
pTX: Primary tumor cannot be assessed (breast) (finding)	Preferred (foundation metadata concept)
pTX: Primary tumor cannot be assessed, or tumor proven by the presence of malignant cells in sputum or bronchial washings but not visualized by imaging or bronchoscopy (lung)	Preferred (foundation metadata concept)
pTX: Primary tumor cannot be assessed, or tumor proven by the presence of malignant cells in sputum or bronchial washings but not visualized by imaging or bronchoscopy (lung) (finding)	Preferred (foundation metadata concept)
pTa	Preferred (foundation metadata concept)

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Reference Sets

Reference set descriptor

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Id	Description	Lang	Type	Status	Case?	Module
900000000001115012	United States of America English language reference set	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)
900000000001116013	US English	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)
900000000001117016	United States of America English language reference set (foundation metadata concept)	en	Fully specified name	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)
8203031000146117	Amerikaans-Engelse taalreferentieset (metadata)	nl	Fully specified name	Active	Entire term case sensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
8203041000146113	taalreferentieset voor Amerikaans-Engels	nl	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
8203051000146111	Amerikaans-Engelse taalreferentieset	nl	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)