Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2006. Module: SNOMED CT core
Descriptions:
| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Interview, history AND/OR physical examination | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Physical assessment | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | diagnostisk indgreb specificeret iht. lokalisation | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Observation procedure (procedure) | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Has intent | Diagnostic intent (qualifier value) | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Method | Physical examination - action | false | Inferred relationship | Some | 2 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Procedure site | Body structure | false | Inferred relationship | Some | 2 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Method | Investigation - action | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Method | Examination - action | true | Inferred relationship | Some | 1 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Interview, history AND/OR physical examination | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Determination of a value, conclusion, or inference by evaluating evidence | false | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Procedure by site | true | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Method | Examination - action | false | Inferred relationship | Some | 1 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Procedure site | Anatomical structure | false | Inferred relationship | Some | 1 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Procedure site | Anatomical structure | false | Inferred relationship | Some | 1 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Is a | Examination by method (procedure) | true | Inferred relationship | Some | ||
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Procedure site | Anatomical or acquired body structure (body structure) | false | Inferred relationship | Some | 1 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Method | Examination - action | false | Inferred relationship | Some | 1 | |
| An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Procedure site | Anatomical or acquired body structure (body structure) | true | Inferred relationship | Some | 1 |
| Inbound Relationships | Type | Active | Source | Characteristic | Refinability | Group |
| objektivt: tvivlsomt anæmisk | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: klinisk anæmisk | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: stærkt anæmisk | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | |
| objektivt: cervikal lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | |
| objektivt: submental lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: supraklavikulær lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | |
| objektivt: aksillær lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: ingvinal lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: popliteal lymfadenopati | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: lymfeknudes beskaffenhed | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: lymfeknuder faste | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: lymfeknuder hårde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: lymfeknuder fikseret | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: lymfeknude velafgrænset | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: lymfeknude fluktuerende | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: lymfeknuder ømme | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: splenomegali | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: milten netop palpabel | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: moderat splenomegali | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: makroskopisk splenomegali | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: smertefuld splenomegali | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: tourniquet-test for purpura | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: tourniquet-test negativ | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: tourniquet-test positiv | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: rinoré | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: ildelugtende næseflåd | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: mukopurulent næseflåd | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: epistaxis | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: anterior rinoskopi: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: næsepolyp påvist | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | |
| objektivt: næseseptum devierer | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: næseseptum perforeret | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: ødematøs næseslimhinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: våd/svampet næseslimhinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: bleg næseslimhinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: hyperæmisk næseslimhinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: locus Kieselbachii hyperæmisk | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: posterior rinoskopi | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: posterior rinoskopi: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: hypertrofi af adenoidt væv | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: auricula | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: øres auricula: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: øres auricula: tofi | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 5 |
| objektivt: øreflåd | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: serøst udflåd fra øret | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: voksagtigt øreflåd | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: purulent øreflåd | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: blodtilblandet øreflåd | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: blod fra øre | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: smertende øre | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: smertende auricula | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: smerter over processus mastoideus | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 4 |
| objektivt: øregang | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: øregang: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: voks i øregangen | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 4 |
| objektivt: fremmedlegeme i øre | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: debris i øregang | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 4 |
| objektivt: blod i øregang | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: trommehinde normal | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: otoskopi: dæmpet lysrefleks | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: otoskopi: ingen lysrefleks | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 4 |
| objektivt: trommehinde lyserød | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: trommehinde rød | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: frembuling af trommehinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: otoskopi: central perforation | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: otoskopi: posterior perforation | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: rift i trommehinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: otoskopi: væske i mellemøre | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: tilbagetrukken trommehinde | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: sinus paranasales | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: sinus paranasales: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: ømhed over kæbehulen | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: ømhed ved sinus frontalis | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: transillumination af kæbehulen | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: tonsiller normale/raske | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: hyperæmiske tonsiller | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: tonsiller moderat forstørrede | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: tonsiller meget forstørrede | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: tonsiller - peritonsillær absces påvist | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: follikulær tonsillit | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: pharynx | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: granulær faryngit | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: laryngoskopi: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: stemmelæber lyserøde + ødem | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: fortykkelse på stemmelæberne | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: nodulus på stemmelæbe | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: laryngoskopi: sangerknuder | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: langyngoskopi abnorm | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: laryngale tegn | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: stridor påvist | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: respiratorisk obstruktion | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: hæshed | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 4 |
| objektivt: dysfoni | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
| objektivt: afoni | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: blødning i halsen | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: nasopharyngeale tegn | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 1 |
| objektivt: ødem i conchae nasales | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: feber, generelt | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: undersøgelse af feber: i.a. | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 2 |
| objektivt: pyreksi af ukendt årsag | Finding method (attribute) | False | An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation) | Inferred relationship | Some | 3 |
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Reference Sets
FHIR