900000000000509007: United States of America English language reference set (foundation metadata concept)

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
pM1c: Metastasis to visceral site other than lung or distant metastasis at any site associated with an elevated serum lactic dehydrogenase (LDH) (melanoma of the skin)	Preferred (foundation metadata concept)
pM1c: Metastasis to visceral site other than lung or distant metastasis at any site associated with an elevated serum lactic dehydrogenase (melanoma of the skin)	Acceptable (foundation metadata concept)
pM1c: Metastasis to visceral site other than lung or distant metastasis at any site associated with an elevated serum lactic dehydrogenase (melanoma of the skin) (finding)	Preferred (foundation metadata concept)
pM1d	Preferred (foundation metadata concept)
pM1d - 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)
pM1d(0)	Preferred (foundation metadata concept)
pM1d(0) - 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)
pM1d(1)	Preferred (foundation metadata concept)
pM1d(1) - 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)
pMX category	Preferred (foundation metadata concept)
pMX category (finding)	Preferred (foundation metadata concept)
pMX stage	Acceptable (foundation metadata concept)
pMX: Distant metastasis cannot be assessed	Acceptable (foundation metadata concept)
pMX: Distant metastasis cannot be assessed (breast)	Preferred (foundation metadata concept)
pMX: Distant metastasis cannot be assessed (breast) (finding)	Preferred (foundation metadata concept)
pMX: Distant metastasis from breast tumor cannot be assessed	Acceptable (foundation metadata concept)
pN category	Preferred (foundation metadata concept)
pN category	Preferred (foundation metadata concept)
pN category (observable entity)	Preferred (foundation metadata concept)
pN category (tumor staging)	Preferred (foundation metadata concept)
pN category finding	Preferred (foundation metadata concept)
pN category finding (finding)	Preferred (foundation metadata concept)
pN category, nasopharynx	Preferred (foundation metadata concept)
pN category, nasopharynx (observable entity)	Preferred (foundation metadata concept)
pN0	Preferred (foundation metadata concept)
pN0 - 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)
pN0 category	Preferred (foundation metadata concept)
pN0 category (finding)	Preferred (foundation metadata concept)
pN0 stage	Acceptable (foundation metadata concept)
pN0(i+)	Preferred (foundation metadata concept)
pN0(i+) - 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)
pN0(i+) category	Preferred (foundation metadata concept)
pN0(i+) category (finding)	Preferred (foundation metadata concept)
pN0(i+): No regional lymph node metastasis histologically, positive IHC, no IHC cluster greater than 0.2 mm (breast)	Preferred (foundation metadata concept)
pN0(i+): No regional lymph node metastasis histologically, positive IHC, no IHC cluster greater than 0.2 mm (breast) (finding)	Preferred (foundation metadata concept)
pN0(i+): No regional lymph node metastasis histologically, positive morphologic findings for isolated tumor cells, no cluster greater than 0.2 mm (breast)	Preferred (foundation metadata concept)
pN0(i+): No regional lymph node metastasis histologically, positive morphologic findings for isolated tumor cells, no cluster greater than 0.2 mm (breast) (finding)	Preferred (foundation metadata concept)
pN0(i-) category	Preferred (foundation metadata concept)
pN0(i-) category (finding)	Preferred (foundation metadata concept)
pN0(i-): No regional lymph node metastasis histologically, negative IHC (breast)	Preferred (foundation metadata concept)
pN0(i-): No regional lymph node metastasis histologically, negative IHC (breast) (finding)	Preferred (foundation metadata concept)
pN0(i-): No regional lymph node metastasis histologically, negative immunohistochemistry (IHC)	Acceptable (foundation metadata concept)
pN0(i-): No regional lymph node metastasis histologically, negative morphologic findings for isolated tumor cells (breast)	Preferred (foundation metadata concept)
pN0(i-): No regional lymph node metastasis histologically, negative morphologic findings for isolated tumor cells (breast) (finding)	Preferred (foundation metadata concept)
pN0(mol+)	Preferred (foundation metadata concept)
pN0(mol+) - 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)
pN0(mol+) category	Preferred (foundation metadata concept)
pN0(mol+) category (finding)	Preferred (foundation metadata concept)
pN0(mol+): No regional lymph node metastasis histologically, positive molecular findings (breast)	Preferred (foundation metadata concept)
pN0(mol+): No regional lymph node metastasis histologically, positive molecular findings (breast) (finding)	Preferred (foundation metadata concept)
pN0(mol+): No regional lymph node metastasis histologically, positive nonmorphologic (molecular) findings for isolated tumor cells (breast)	Preferred (foundation metadata concept)
pN0(mol+): No regional lymph node metastasis histologically, positive nonmorphologic (molecular) findings for isolated tumor cells (breast) (finding)	Preferred (foundation metadata concept)
pN0(mol-) category	Preferred (foundation metadata concept)
pN0(mol-) category (finding)	Preferred (foundation metadata concept)
pN0(mol-): No regional lymph node metastasis histologically, negative molecular findings (breast)	Preferred (foundation metadata concept)
pN0(mol-): No regional lymph node metastasis histologically, negative molecular findings (breast) (finding)	Preferred (foundation metadata concept)
pN0(mol-): No regional lymph node metastasis histologically, negative nonmorphologic (molecular) findings for isolated tumor cells (breast)	Preferred (foundation metadata concept)
pN0(mol-): No regional lymph node metastasis histologically, negative nonmorphologic (molecular) findings for isolated tumor cells (breast) (finding)	Preferred (foundation metadata concept)
pN0: No regional lymph node metastasis histologically (i.e., none greater than 0.2 mm), no additional examination for isolated tumor cells (breast)	Preferred (foundation metadata concept)
pN0: No regional lymph node metastasis histologically (i.e., none greater than 0.2 mm), no additional examination for isolated tumor cells (breast) (finding)	Preferred (foundation metadata concept)
pN0: No regional lymph node metastasis histologically, no additional examination for isolated tumor cells (breast)	Acceptable (foundation metadata concept)
pN0a	Preferred (foundation metadata concept)
pN0a - 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)
pN1	Preferred (foundation metadata concept)
pN1 (III): Pelvic or inguinal lymph node metastasis (pT1-pT3) (TNM category and FIGO stage) (vagina)	Preferred (foundation metadata concept)
pN1 (III): Pelvic or inguinal lymph node metastasis (pT1-pT3) (TNM category and FIGO stage) (vagina) (finding)	Preferred (foundation metadata concept)
pN1 (III): Unilateral regional lymph node metastasis (pT1-pT3) (TNM category and FIGO stage) (vulva)	Preferred (foundation metadata concept)
pN1 (III): Unilateral regional lymph node metastasis (pT1-pT3) (TNM category and FIGO stage) (vulva) (finding)	Preferred (foundation metadata concept)
pN1 (IIIC): Regional lymph node metastasis (TNM category and FIGO stage) (corpus uteri)	Preferred (foundation metadata concept)
pN1 (IIIC): Regional lymph node metastasis (TNM category and FIGO stage) (corpus uteri) (finding)	Preferred (foundation metadata concept)
pN1 (IIIC): Regional lymph node metastasis (TNM category and FIGO stage) (fallopian tube)	Preferred (foundation metadata concept)
pN1 (IIIC): Regional lymph node metastasis (TNM category and FIGO stage) (fallopian tube) (finding)	Preferred (foundation metadata concept)
pN1 (IIIC): Regional lymph node metastasis (TNM category and FIGO stage) (ovary)	Preferred (foundation metadata concept)
pN1 (IIIC): Regional lymph node metastasis (TNM category and FIGO stage) (ovary) (finding)	Preferred (foundation metadata concept)
pN1 (IVA): Pelvic or inguinal lymph node metastasis (pT4) (TNM category and FIGO stage) (vagina)	Preferred (foundation metadata concept)
pN1 (IVA): Pelvic or inguinal lymph node metastasis (pT4) (TNM category and FIGO stage) (vagina) (finding)	Preferred (foundation metadata concept)
pN1 (IVA): Unilateral regional lymph node metastasis (pT4) (TNM category and FIGO stage) (vulva)	Preferred (foundation metadata concept)
pN1 (IVA): Unilateral regional lymph node metastasis (pT4) (TNM category and FIGO stage) (vulva) (finding)	Preferred (foundation metadata concept)
pN1 (IVB): Pelvic or inguinal lymph node metastasis (pT1-pT4, pM1) (TNM category and FIGO stage) (vagina)	Preferred (foundation metadata concept)
pN1 (IVB): Pelvic or inguinal lymph node metastasis (pT1-pT4, pM1) (TNM category and FIGO stage) (vagina) (finding)	Preferred (foundation metadata concept)
pN1 (IVB): Unilateral regional lymph node metastasis (pT1-pT4, pM1) (TNM category and FIGO stage) (vulva)	Preferred (foundation metadata concept)
pN1 (IVB): Unilateral regional lymph node metastasis (pT1-pT4, pM1) (TNM category and FIGO stage) (vulva) (finding)	Preferred (foundation metadata concept)
pN1 - 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)
pN1 category	Preferred (foundation metadata concept)
pN1 category (finding)	Preferred (foundation metadata concept)
pN1 stage	Acceptable (foundation metadata concept)
pN1: Metastasis in 1 to 3 axillary lymph nodes, and/or in internal mammary nodes with microscopic disease detected by sentinel lymph node dissection but not clinically apparent (breast)	Preferred (foundation metadata concept)
pN1: Metastasis in 1 to 3 axillary lymph nodes, and/or in internal mammary nodes with microscopic disease detected by sentinel lymph node dissection but not clinically apparent (breast) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in 1 to 3 regional lymph nodes (colon/rectum)	Preferred (foundation metadata concept)
pN1: Metastasis in 1 to 3 regional lymph nodes (colon/rectum) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in 1 to 6 regional (perigastric) lymph nodes (stomach)	Preferred (foundation metadata concept)
pN1: Metastasis in 1 to 6 regional (perigastric) lymph nodes (stomach) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in a single ipsilateral lymph node, 3 cm or less in greatest dimension (upper aerodigestive tract)	Preferred (foundation metadata concept)
pN1: Metastasis in a single ipsilateral lymph node, 3 cm or less in greatest dimension (upper aerodigestive tract) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in a single lymph node, 2 cm or less in greatest dimension (urinary bladder, ureter, renal pelvis)	Preferred (foundation metadata concept)
pN1: Metastasis in a single lymph node, 2 cm or less in greatest dimension (urinary bladder, ureter, renal pelvis) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in a single regional lymph node (kidney)	Preferred (foundation metadata concept)
pN1: Metastasis in a single regional lymph node (kidney) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in ipsilateral peribronchial and/or ipsilateral hilar lymph nodes, including intrapulmonary nodes involved by direct extension of the primary tumor (lung)	Preferred (foundation metadata concept)
pN1: Metastasis in ipsilateral peribronchial and/or ipsilateral hilar lymph nodes, including intrapulmonary nodes involved by direct extension of the primary tumor (lung) (finding)	Preferred (foundation metadata concept)
pN1: Metastasis in one regional lymph node (melanoma of the skin)	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)