281300000: Below reference range (qualifier value)

SNOMED CT Concept\Qualifier value\Finding value (qualifier value)\...

\Interpretation value\Reference range interpretation value\Outside reference range (qualifier value)\Below reference range

\Finding status values (qualifier value)\Change values\Changed status\Decreased\Below reference range

\Degree findings\Decreased\Below reference range

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

Descriptions:

Id Description Lang Type Status Case? Module

419283014 Below reference range en Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT core

674819018 Below reference range (qualifier value) en Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT core

3824221000005119 under referenceinterval da Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) Danish module (core metadata concept)

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Below reference range	Is a	Reference range comments	false	Inferred relationship	Some
Below reference range	Is a	Outside reference range (qualifier value)	true	Inferred relationship	Some
Below reference range	Is a	Decreased	true	Inferred relationship	Some

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
erhvervet pure red cell-aplasi	Has interpretation	False	Below reference range	Inferred relationship	Some	5
erhvervet pure red cell-aplasi	Has interpretation	False	Below reference range	Inferred relationship	Some	1
erhvervet pure red cell-aplasi	Has interpretation	False	Below reference range	Inferred relationship	Some	3
Hemolytic uremic syndrome, adult type	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Mycoplasmal anemia (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Mycoplasmal anemia (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Congenital dyserythropoietic anemia type IV (CDA IV) is a newly discovered form of CDA characterized by ineffective erythropoiesis and hemolysis that leads to severe anemia at birth.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Congenital dyserythropoietic anemia type IV (CDA IV) is a newly discovered form of CDA characterized by ineffective erythropoiesis and hemolysis that leads to severe anemia at birth.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Konstitutionel erytrocythypoplasi	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Transient acquired pure red cell aplasia	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Transient acquired pure red cell aplasia	Has interpretation	False	Below reference range	Inferred relationship	Some	5
Transient acquired pure red cell aplasia	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Transient acquired pure red cell aplasia	Has interpretation	False	Below reference range	Inferred relationship	Some	4
Cellular immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Cellular immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Cellular immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Cellular immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Anaemia caused by zidovudine	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Anaemia caused by zidovudine	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Revesz syndrome is a rare severe phenotypic variant of dyskeratosis congenita with an onset in early childhood, characterized by features of DC (e.g. skin hyper/hypopigmentation, nail dystrophy, oral leukoplakia, high risk of bone marrow failure (BMF) and cancer, developmental delay sparse and fine hair) in conjunction with bilateral exudative retinopathy, and intracranial calcifications.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Revesz syndrome is a rare severe phenotypic variant of dyskeratosis congenita with an onset in early childhood, characterized by features of DC (e.g. skin hyper/hypopigmentation, nail dystrophy, oral leukoplakia, high risk of bone marrow failure (BMF) and cancer, developmental delay sparse and fine hair) in conjunction with bilateral exudative retinopathy, and intracranial calcifications.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Revesz syndrome is a rare severe phenotypic variant of dyskeratosis congenita with an onset in early childhood, characterized by features of DC (e.g. skin hyper/hypopigmentation, nail dystrophy, oral leukoplakia, high risk of bone marrow failure (BMF) and cancer, developmental delay sparse and fine hair) in conjunction with bilateral exudative retinopathy, and intracranial calcifications.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Aplastic anemia associated with metabolic alteration (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Aplastic anemia associated with metabolic alteration (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Aplastic anemia associated with metabolic alteration (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Aplastic anemia associated with metabolic alteration (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Congenital dyserythropoietic anemia, type II	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Congenital dyserythropoietic anemia, type II	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Immunologic aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Anemia due to infection	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Anemia due to infection	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Hemolytic uremic syndrome	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Secondary aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Secondary aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Secondary aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Secondary aplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Acute pure red cell aplasia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Parvoviral aplastic crisis (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Aplastic anemia due to infection	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Pancytopenia caused by medication (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Congenital hypoplastic anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Constitutional aplastic anemia with malformation	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Haemolytic uraemic syndrome with either a family history of haemolytic uraemic syndrome or a genetic mutation known to cause haemolytic uraemic syndrome, or both.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Revesz syndrome is a rare severe phenotypic variant of dyskeratosis congenita with an onset in early childhood, characterized by features of DC (e.g. skin hyper/hypopigmentation, nail dystrophy, oral leukoplakia, high risk of bone marrow failure (BMF) and cancer, developmental delay sparse and fine hair) in conjunction with bilateral exudative retinopathy, and intracranial calcifications.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Fanconi's anemia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare genetic disease characterized by cerebellar ataxia, cytopenias and predisposition to bone marrow failure and myeloid leukemia. Neurologic features variably include slowly progressive cerebellar ataxia or balance impairment with cerebellar atrophy and periventricular white matter T2 hyperintensities in brain MRI, horizontal and vertical nystagmus, dysmetria, dysarthria, pyramidal tract signs and reduced nerve conduction velocity. Hematological abnormalities are variable and may be intermittent and include cytopenias of all cell lineages, immunodeficiency, myelodysplasia and acute myeloid leukemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare genetic disease characterized by cerebellar ataxia, cytopenias and predisposition to bone marrow failure and myeloid leukemia. Neurologic features variably include slowly progressive cerebellar ataxia or balance impairment with cerebellar atrophy and periventricular white matter T2 hyperintensities in brain MRI, horizontal and vertical nystagmus, dysmetria, dysarthria, pyramidal tract signs and reduced nerve conduction velocity. Hematological abnormalities are variable and may be intermittent and include cytopenias of all cell lineages, immunodeficiency, myelodysplasia and acute myeloid leukemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare genetic disease characterized by cerebellar ataxia, cytopenias and predisposition to bone marrow failure and myeloid leukemia. Neurologic features variably include slowly progressive cerebellar ataxia or balance impairment with cerebellar atrophy and periventricular white matter T2 hyperintensities in brain MRI, horizontal and vertical nystagmus, dysmetria, dysarthria, pyramidal tract signs and reduced nerve conduction velocity. Hematological abnormalities are variable and may be intermittent and include cytopenias of all cell lineages, immunodeficiency, myelodysplasia and acute myeloid leukemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
A rare genetic disease characterized by cerebellar ataxia, cytopenias and predisposition to bone marrow failure and myeloid leukemia. Neurologic features variably include slowly progressive cerebellar ataxia or balance impairment with cerebellar atrophy and periventricular white matter T2 hyperintensities in brain MRI, horizontal and vertical nystagmus, dysmetria, dysarthria, pyramidal tract signs and reduced nerve conduction velocity. Hematological abnormalities are variable and may be intermittent and include cytopenias of all cell lineages, immunodeficiency, myelodysplasia and acute myeloid leukemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Anemia due to and following chemotherapy	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Anemia due to and following chemotherapy	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Neutropaenia due to and following chemotherapy	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Kasabach-Merritt syndrome	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare primary immunodeficiency disorder characterized by autosomal dominant inheritance, absolute neutrophil counts below 0.5x10E9/L in the peripheral blood (on three separate occasions over a six month period), granulopoiesis maturation arrest at the promyelocyte/myelocyte stage and early-onset, severe, recurrent bacterial infections.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare hemorrhagic disorder due to a platelet anomaly characterized by dysfunctional platelets of abnormally large size, moderate thrombocytopenia, prolonged bleeding time and mild bleeding diathesis (ecchymoses and epistaxis), associated with mitral valve insufficiency.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Kostmann syndrome is a rare, severe, congenital neutropenia disorder characterized by a lack of mature neutrophils (absolute neutrophil counts less than 500 cells/mm3) associated with frequent, recurrent bacterial infections (e.g. otitis media, pneumonia, sinusitis, urinary tract infections, abscesses of skin and/or liver) and increased promyelocytes in the bone marrow. Periodontal disease, as well as neurological symptoms, such as cognitive impairment, severe neurodegeneration and epilepsy, have been reported in some patients.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A disorder of the skin and immune system with initial manifestation of a bumpy skin rash usually between the ages of 6 and 12 months, gradually spreading from the arms and legs to the torso and face. At about age 2, the rash fades leaving hyperpigmentation and hypopigmentation and telangiectases, this combination is known as poikiloderma. Palmoplantar keratoderma, calcinosis cutis, skin ulcers, pachyonychia, fragile teeth and low bone density may also be present. Chronic neutropenia is present resulting in recurrent sinus infections and pneumonia, especially in the first few years of life. Caused by mutations in the USB1 gene.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare hereditary haemolytic anaemia due to a red cell membrane anomaly characterised by fatigue, mild anaemia and pseudohyperkalaemia due to a potassium leak from the red blood cells. A hallmark of this condition is that red blood cells lyse on storage at 4 degrees centigrade. There is evidence this disease is caused by heterozygous mutation in the SLC4A1 gene on chromosome 17q21.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare hereditary haemolytic anaemia due to a red cell membrane anomaly characterised by fatigue, mild anaemia and pseudohyperkalaemia due to a potassium leak from the red blood cells. A hallmark of this condition is that red blood cells lyse on storage at 4 degrees centigrade. There is evidence this disease is caused by heterozygous mutation in the SLC4A1 gene on chromosome 17q21.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare genetic hematologic disorder characterized by progressive trilineage bone marrow failure (with hypocellularity), developmental delay with learning disabilities and microcephaly. Mild facial dysmorphism and hypotonia have also been reported. There is evidence the disease is caused by homozygous mutation in the ERCC6L2 gene on chromosome 9q22.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
A rare genetic hematologic disorder characterized by progressive trilineage bone marrow failure (with hypocellularity), developmental delay with learning disabilities and microcephaly. Mild facial dysmorphism and hypotonia have also been reported. There is evidence the disease is caused by homozygous mutation in the ERCC6L2 gene on chromosome 9q22.	Has interpretation	True	Below reference range	Inferred relationship	Some	5
A rare genetic hematologic disorder characterized by progressive trilineage bone marrow failure (with hypocellularity), developmental delay with learning disabilities and microcephaly. Mild facial dysmorphism and hypotonia have also been reported. There is evidence the disease is caused by homozygous mutation in the ERCC6L2 gene on chromosome 9q22.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
A rare genetic hematologic disorder characterized by progressive trilineage bone marrow failure (with hypocellularity), developmental delay with learning disabilities and microcephaly. Mild facial dysmorphism and hypotonia have also been reported. There is evidence the disease is caused by homozygous mutation in the ERCC6L2 gene on chromosome 9q22.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A very rare secondary neonatal autoimmune disease characterized by onset of hemolytic anemia in the neonatal period associated with a positive direct antiglobulin test. Hepatosplenomegaly may be associated.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A very rare secondary neonatal autoimmune disease characterized by onset of hemolytic anemia in the neonatal period associated with a positive direct antiglobulin test. Hepatosplenomegaly may be associated.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
A rare genetic haematologic and neurologic disease characterised by chronic Coombs-negative haemolysis. The disease is associated with early-onset relapsing immune-mediated inflammatory axonal or demyelinating sensory-motor peripheral polyneuropathy and isolated or recurrent cerebrovascular events (in anterior or posterior circulation).	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare genetic haematologic and neurologic disease characterised by chronic Coombs-negative haemolysis. The disease is associated with early-onset relapsing immune-mediated inflammatory axonal or demyelinating sensory-motor peripheral polyneuropathy and isolated or recurrent cerebrovascular events (in anterior or posterior circulation).	Has interpretation	True	Below reference range	Inferred relationship	Some	1
A rare genetic primary immunodeficiency disorder with characteristics of severe congenital neutropenia, bone marrow fibrosis and neutrophil dysfunction which is refractory to granulocyte colony-stimulating factor, manifesting with life-threatening infections and/or deep-seated abscesses, hepato/splenomegaly, thrombocytopenia, hypergammaglobulinemia, anemia with reticulocytosis and nephromegaly. Other reported features include osteosclerosis and neurological abnormalities (for example developmental delay, cortical blindness, hearing loss, thin corpus callosum or dysrhythmia on EEG). Caused by homozygous mutation in the VPS45 gene on chromosome 1q.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joint of right hip (finding)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joint of left foot	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joint of left elbow	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joint of left hip (finding)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joint of right elbow (finding)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joint of right foot (finding)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Stiffness of joints of bilateral elbows (finding)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Congenital nephrotic syndrome with evidence of diffuse mesangial sclerosis on histology or with DNA evidence of a genetic mutation associated with diffuse mesangial sclerosis.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Steroid sensitive nephrotic syndrome of childhood (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Nephrotic syndrome	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare primary glomerular disease characterized by the association of congenital nephrotic syndrome, early onset renal failure and ocular anomalies with microcoria and severe neurodevelopment deficits.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Nephrotic syndrome with minimal change glomerulonephritis	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Nephrotic syndrome co-occurrent and due to membranoproliferative glomerulonephritis type III (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Nephrotic-nephritic syndrome	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Steroid resistant nephrotic syndrome of childhood	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Congenital nephrotic syndrome	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Familiær mesangial sklerose	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Nephrotic syndrome, dense deposit disease	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Childhood nephrotic syndrome (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Nephrotic syndrome, focal and segmental glomerular lesions	Has interpretation	True	Below reference range	Inferred relationship	Some	2
LAMB2-related infantile-onset nephrotic syndrome	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Nephrotic syndrome secondary to glomerulonephritis	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare, genetic multisystem disorder characterized by a neurodegenerative disorder associating global developmental delay, progressive microcephaly, and progressive cerebral and cerebellar atrophy with extrapyramidal involvement, progressive optic atrophy, and in many patients early-onset steroid-resistant nephrotic syndrome.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Nephrotic syndrome secondary to systemic disease	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare genetic renal disease characterized by hereditary nephritis leading to nephrotic syndrome and end-stage renal failure associated with sensorineural hearing loss and pretibial skin blistering followed by atrophy. Other reported manifestations include bilateral lacrimal duct stenosis, dystrophic teeth and nails, bilateral cervical ribs, unilateral kidney, distal vaginal agenesis and anemia due to beta-thalassemia minor. There is evidence this syndrome is caused by mutation in the CD151 gene.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Nephrotic syndrome co-occurrent with human immunodeficiency virus infection (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Nephrotic syndrome due to type 1 diabetes mellitus	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Multi-drug resistant nephrotic syndrome (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Nephrotic syndrome co-occurrent and due to systemic lupus erythematosus (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Nephrotic syndrome, diffuse mesangial proliferative glomerulonephritis	Has interpretation	True	Below reference range	Inferred relationship	Some	2

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Id	Description	Lang	Type	Status	Case?	Module
419283014	Below reference range	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
674819018	Below reference range (qualifier value)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
3824221000005119	under referenceinterval	da	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	Danish module (core metadata concept)