402937004: infection streptococcique cutanée (trouble)

SNOMED CT Concept\constatation clinique\...

\Skin AND/OR mucosa finding (finding)\Skin finding\affection de la peau (trouble)\...

\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)

\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)

\constatation générale à propos des tissus mous\Skin finding\affection de la peau (trouble)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Skin finding\affection de la peau (trouble)\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Skin finding\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Skin finding\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\constatation générale à propos des tissus mous\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)

\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\Skin finding\affection de la peau (trouble)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\Skin finding\affection de la peau (trouble)\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\Skin finding\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Integumentary system finding\Skin finding\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)

\Disease\affection d'un système corporel\Inflammation of specific body systems\Inflammation of skin and/or subcutaneous tissue (disorder)\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\Inflammation of specific body systems\Inflammation of skin and/or subcutaneous tissue (disorder)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\affection d'un système corporel\troubles tégumentaires\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\Inflammatory disorder\Inflammation of specific body structures or tissue\Inflammation of specific body systems\Inflammation of skin and/or subcutaneous tissue (disorder)\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Inflammatory disorder\Inflammation of specific body structures or tissue\Inflammation of specific body systems\Inflammation of skin and/or subcutaneous tissue (disorder)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Inflammatory disorder\Inflammation of specific body structures or tissue\inflammation d'un organe corporel spécifique\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Inflammatory disorder\infection suppurée\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Inflammatory disorder\infection suppurée\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\infection suppurée\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\infection suppurée\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Bacterial infectious disease\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Bacterial infectious disease\Disease due to Gram-positive bacteria\Disease due to Gram-positive coccus\Streptococcal infectious disease\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Bacterial infectious disease\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\maladie infectieuse\Bacterial infectious disease\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\Soft tissue infection\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\Inflammation of skin and/or subcutaneous tissue (disorder)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Inflammatory dermatosis (disorder)\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\affection de la peau (trouble)\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Infective dermatitis\pyodermie (trouble)\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Bacterial pyoderma (disorder)\Streptococcal infection of skin (disorder)
\Disease\Disorder of soft tissue\affection de la peau et/ou du tissu sous-cutané\infection de la peau et/ou des tissus sous-cutanés\Infection of skin\Bacterial infection of skin\Streptococcal skin disorder (disorder)\Streptococcal infection of skin (disorder)

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2003. Module: SNOMED CT core

Descriptions:

Id Description Lang Type Status Case? Module

1770861011 Streptococcal infection of skin (disorder) en Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT core

1782018014 Streptococcal infection of skin en Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT core

203281000077118 infection streptococcique cutanée fr Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT Common French translation module (core metadata concept)

479771000077117 infection streptococcique cutanée (trouble) fr Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT Common French translation module (core metadata concept)

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Streptococcal infection of skin (disorder)	Pathological process (attribute)	Infectious process (qualifier value)	true	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	est un(e) (attribut)	Pyogenic infection of skin and subcutaneous tissues caused by bacterium (disorder)	false	Inferred relationship	Some
Streptococcal infection of skin (disorder)	Causative agent	Genus Streptococcus (organism)	true	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	est un(e) (attribut)	Bacterial pyoderma (disorder)	true	Inferred relationship	Some
Streptococcal infection of skin (disorder)	est un(e) (attribut)	Streptococcal skin disorder (disorder)	true	Inferred relationship	Some
Streptococcal infection of skin (disorder)	est un(e) (attribut)	pyodermie (trouble)	false	Inferred relationship	Some
Streptococcal infection of skin (disorder)	localisation d'une constatation (attribut)	structure de la peau	false	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	Causative agent	Genus Streptococcus (organism)	false	Inferred relationship	Some
Streptococcal infection of skin (disorder)	morphologie associée (attribut)	Suppurative inflammation	false	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	morphologie associée (attribut)	inflammation	false	Inferred relationship	Some	2
Streptococcal infection of skin (disorder)	localisation d'une constatation (attribut)	Skin and/or subcutaneous tissue structure (body structure)	false	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	morphologie associée (attribut)	Suppurative inflammation	true	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	localisation d'une constatation (attribut)	structure de la peau	true	Inferred relationship	Some	1
Streptococcal infection of skin (disorder)	Pathological process (attribute)	Infectious process (qualifier value)	false	Inferred relationship	Some
Streptococcal infection of skin (disorder)	localisation d'une constatation (attribut)	Anatomical or acquired body structure (body structure)	false	Inferred relationship	Some	2
Streptococcal infection of skin (disorder)	Pathological process (attribute)	Infectious process (qualifier value)	false	Inferred relationship	Some	2
Streptococcal infection of skin (disorder)	Pathological process (attribute)	Infectious process (qualifier value)	false	Inferred relationship	Some	3
Streptococcal infection of skin (disorder)	localisation d'une constatation (attribut)	Skin and/or subcutaneous tissue structure (body structure)	false	Inferred relationship	Some	3

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Neonatal pyoderma caused by Streptococcus pyogenes	est un(e) (attribut)	True	Streptococcal infection of skin (disorder)	Inferred relationship	Some
impétigo streptococcique	est un(e) (attribut)	True	Streptococcal infection of skin (disorder)	Inferred relationship	Some
Ecthyma	est un(e) (attribut)	False	Streptococcal infection of skin (disorder)	Inferred relationship	Some
Streptococcal cellulitis of external ear (disorder)	est un(e) (attribut)	False	Streptococcal infection of skin (disorder)	Inferred relationship	Some
Ecthyma caused by Streptococcus pyogenes (disorder)	est un(e) (attribut)	True	Streptococcal infection of skin (disorder)	Inferred relationship	Some

Reference Sets

Client's clinical problems, conditions, diagnoses, symptoms, findings, complaints reference set (foundation metadata concept)