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
pT3b (IIIB): Tumor involves one or both fallopian tubes, with macroscopic peritoneal metastasis outside the pelvis 2 cm or less in greatest dimension (TNM category and FIGO stage) (fallopian tube) (finding)	Preferred (foundation metadata concept)
pT3b - 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)
pT3b category	Preferred (foundation metadata concept)
pT3b category (finding)	Preferred (foundation metadata concept)
pT3b: Melanoma 2.01 to 4.0 mm in thickness, with ulceration (melanoma of the skin)	Preferred (foundation metadata concept)
pT3b: Melanoma 2.01 to 4.0 mm in thickness, with ulceration (melanoma of the skin) (finding)	Preferred (foundation metadata concept)
pT3b: Seminal vesicle invasion (prostate)	Preferred (foundation metadata concept)
pT3b: Seminal vesicle invasion (prostate) (finding)	Preferred (foundation metadata concept)
pT3b: Tumor grossly extends into the renal vein or its segmental (muscle-containing) branches, or vena cava below the diaphragm (kidney)	Preferred (foundation metadata concept)
pT3b: Tumor grossly extends into the renal vein or its segmental (muscle-containing) branches, or vena cava below the diaphragm (kidney) (finding)	Preferred (foundation metadata concept)
pT3b: Tumor invades perivesical tissue macroscopically (extravesical mass) (urinary bladder)	Preferred (foundation metadata concept)
pT3b: Tumor invades perivesical tissue macroscopically (extravesical mass) (urinary bladder) (finding)	Preferred (foundation metadata concept)
pT3b: Tumor massively invades the choroid (retinoblastoma)	Preferred (foundation metadata concept)
pT3b: Tumor massively invades the choroid (retinoblastoma) (finding)	Preferred (foundation metadata concept)
pT3b: Tumor more than 5 cm in greatest dimension, limited to dermis and greater than 2 mm in thickness, but not more than 6 mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas)	Preferred (foundation metadata concept)
pT3b: Tumor more than 5 cm in greatest dimension, limited to dermis and greater than 2 mm in thickness, but not more than 6 mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding)	Preferred (foundation metadata concept)
pT3c	Preferred (foundation metadata concept)
pT3c (IIIC): Tumor involves one or both fallopian tubes, with peritoneal metastasis outside the pelvis more than 2 cm in diameter (TNM category and FIGO stage) (fallopian tube)	Preferred (foundation metadata concept)
pT3c (IIIC): Tumor involves one or both fallopian tubes, with peritoneal metastasis outside the pelvis more than 2 cm in diameter (TNM category and FIGO stage) (fallopian tube) (finding)	Preferred (foundation metadata concept)
pT3c - 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)
pT3c AND/OR N1 (IIIC): Peritoneal metastasis beyond pelvis more than 2 cm in greatest dimension AND/OR regional lymph node metastasis (TNM category and FIGO stage) (ovary)	Preferred (foundation metadata concept)
pT3c AND/OR N1 (IIIC): Peritoneal metastasis beyond pelvis more than 2 cm in greatest dimension AND/OR regional lymph node metastasis (TNM category and FIGO stage) (ovary) (finding)	Preferred (foundation metadata concept)
pT3c and/or N1 (IIIC): Tumor involves one or both fallopian tubes, with peritoneal metastasis outside the pelvis more than 2 cm in diameter AND/OR regional lymph node metastasis (TNM category and FIGO stage) (fallopian tube)	Preferred (foundation metadata concept)
pT3c and/or N1 (IIIC): Tumor involves one or both fallopian tubes, with peritoneal metastasis outside the pelvis more than 2 cm in diameter AND/OR regional lymph node metastasis (TNM category and FIGO stage) (fallopian tube) (finding)	Preferred (foundation metadata concept)
pT3c category	Preferred (foundation metadata concept)
pT3c category (finding)	Preferred (foundation metadata concept)
pT3c,d category	Preferred (foundation metadata concept)
pT3c,d category (finding)	Preferred (foundation metadata concept)
pT3c,d: Tumor invades through the muscularis propria into the subserosa or into non-peritonealized pericolic or perirectal tissues, invades greater than 5 mm beyond the border of the muscularis propria (colon/rectum)	Preferred (foundation metadata concept)
pT3c,d: Tumor invades through the muscularis propria into the subserosa or into non-peritonealized pericolic or perirectal tissues, invades greater than 5 mm beyond the border of the muscularis propria (colon/rectum) (finding)	Preferred (foundation metadata concept)
pT3c: Tumor grossly extends into vena cava above diaphragm or invades the wall of the vena cava (kidney)	Preferred (foundation metadata concept)
pT3c: Tumor grossly extends into vena cava above diaphragm or invades the wall of the vena cava (kidney) (finding)	Preferred (foundation metadata concept)
pT3c: Tumor invades the optic nerve through the level of the lamina cribrosa but not to the line of resection and massively invades the choroid (retinoblastoma)	Preferred (foundation metadata concept)
pT3c: Tumor invades the optic nerve through the level of the lamina cribrosa but not to the line of resection and massively invades the choroid (retinoblastoma) (finding)	Preferred (foundation metadata concept)
pT3c: Tumor more than 5 cm in greatest dimension, invading the subcutis and/or greater than 6 mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas)	Preferred (foundation metadata concept)
pT3c: Tumor more than 5 cm in greatest dimension, invading the subcutis and/or greater than 6 mm in thickness (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding)	Preferred (foundation metadata concept)
pT3d	Preferred (foundation metadata concept)
pT3d - 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)
pT3d category	Preferred (foundation metadata concept)
pT3d category (finding)	Preferred (foundation metadata concept)
pT4	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades any of the following: upper urethra, bladder mucosa, rectal mucosa, or is fixed to the pubic bone (TNM category and FIGO stage) (vulva)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades any of the following: upper urethra, bladder mucosa, rectal mucosa, or is fixed to the pubic bone (TNM category and FIGO stage) (vulva) (finding)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades bladder mucosa and/or bowel mucosa (TNM category and FIGO stage) (corpus uteri)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades bladder mucosa and/or bowel mucosa (TNM category and FIGO stage) (corpus uteri) (finding)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades mucosa of bladder or rectum and/or extends beyond true pelvis (bullous edema is not sufficient evidence to classify a tumor as pT4) (TNM category and FIGO stage) (uterine cervix)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades mucosa of bladder or rectum and/or extends beyond true pelvis (bullous edema is not sufficient evidence to classify a tumor as pT4) (TNM category and FIGO stage) (uterine cervix) (finding)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades mucosa of the bladder or rectum and/or extends beyond the true pelvis (bullous edema is not sufficient evidence to classify a tumor as T4) (TNM category and FIGO stage) (vagina)	Preferred (foundation metadata concept)
pT4 (IVA): Tumor invades mucosa of the bladder or rectum and/or extends beyond the true pelvis (bullous edema is not sufficient evidence to classify a tumor as T4) (TNM category and FIGO stage) (vagina) (finding)	Preferred (foundation metadata concept)
pT4 - 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)
pT4 category	Preferred (foundation metadata concept)
pT4 category (finding)	Preferred (foundation metadata concept)
pT4 stage	Acceptable (foundation metadata concept)
pT4: Extraocular tumor extension which includes sites as per AJCC 6th Edition definition (retinoblastoma)	Preferred (foundation metadata concept)
pT4: Extraocular tumor extension which includes sites as per American Joint Committee on Cancer 6th Edition definition (retinoblastoma)	Acceptable (foundation metadata concept)
pT4: Extraocular tumor extension which includes sites as per American Joint Committee on Cancer 6th Edition definition (retinoblastoma) (finding)	Preferred (foundation metadata concept)
pT4: Invasion of bladder AND/OR rectum (prostate)	Preferred (foundation metadata concept)
pT4: Invasion of bladder AND/OR rectum (prostate) (finding)	Preferred (foundation metadata concept)
pT4: Melanoma greater than 4.0 mm in thickness, with or without ulceration (melanoma of the skin)	Preferred (foundation metadata concept)
pT4: Melanoma greater than 4.0 mm in thickness, with or without ulceration (melanoma of the skin) (finding)	Preferred (foundation metadata concept)
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (appendix)	Preferred (foundation metadata concept)
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (appendix) (finding)	Preferred (foundation metadata concept)
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (colon/rectum)	Preferred (foundation metadata concept)
pT4: Tumor directly invades other organs or structures and/or perforates visceral peritoneum (colon/rectum) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades adjacent organs, or through the kidney into the perinephric fat (renal pelvis and ureter)	Preferred (foundation metadata concept)
pT4: Tumor invades adjacent organs, or through the kidney into the perinephric fat (renal pelvis and ureter) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades adjacent structures (esophagus)	Preferred (foundation metadata concept)
pT4: Tumor invades adjacent structures (esophagus) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades adjacent structures (stomach)	Preferred (foundation metadata concept)
pT4: Tumor invades adjacent structures (stomach) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades any of the following: main portal vein or its branches bilaterally, common hepatic artery, or other adjacent structures, such as the colon, stomach, duodenum, or abdominal wall (extrahepatic bile ducts)	Preferred (foundation metadata concept)
pT4: Tumor invades any of the following: main portal vein or its branches bilaterally, common hepatic artery, or other adjacent structures, such as the colon, stomach, duodenum, or abdominal wall (extrahepatic bile ducts) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades any of the following: prostate, uterus, vagina, pelvic wall, abdominal wall (urinary bladder)	Preferred (foundation metadata concept)
pT4: Tumor invades any of the following: prostate, uterus, vagina, pelvic wall, abdominal wall (urinary bladder) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades beyond Gerota fascia (kidney)	Acceptable (foundation metadata concept)
pT4: Tumor invades beyond Gerota's fascia (kidney)	Preferred (foundation metadata concept)
pT4: Tumor invades beyond Gerota's fascia (kidney) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) (carcinoma of skin excluding eyelid, vulva, penis, and melanomas)	Preferred (foundation metadata concept)
pT4: Tumor invades deep extradermal structures (i.e. cartilage, skeletal muscle, or bone) (carcinoma of skin excluding eyelid, vulva, penis, and melanomas) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures (gallbladder)	Preferred (foundation metadata concept)
pT4: Tumor invades main portal vein or hepatic artery or invades two or more extrahepatic organs or structures (gallbladder) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades peripancreatic soft tissues or other adjacent organs or structures (ampulla of Vater)	Preferred (foundation metadata concept)
pT4: Tumor invades peripancreatic soft tissues or other adjacent organs or structures (ampulla of Vater) (finding)	Preferred (foundation metadata concept)
pT4: Tumor invades the scrotum with or without vascular/lymphatic invasion (testis)	Preferred (foundation metadata concept)
pT4: Tumor invades the scrotum with or without vascular/lymphatic invasion (testis) (finding)	Preferred (foundation metadata concept)
pT4: Tumor involves any of the ipsilateral pleural surfaces plus additional sites as by AJCC 6th Edition definition (thoracic mesothelioma)	Preferred (foundation metadata concept)
pT4: Tumor involves any of the ipsilateral pleural surfaces plus additional sites as by American Joint Committee on Cancer 6th Edition definition (thoracic mesothelioma)	Acceptable (foundation metadata concept)
pT4: Tumor involves any of the ipsilateral pleural surfaces plus additional sites as by American Joint Committee on Cancer 6th Edition definition (thoracic mesothelioma) (finding)	Preferred (foundation metadata concept)
pT4: Tumor involves the celiac axis or the superior mesenteric artery (exocrine pancreas)	Preferred (foundation metadata concept)
pT4: Tumor involves the celiac axis or the superior mesenteric artery (exocrine pancreas) (finding)	Preferred (foundation metadata concept)
pT4: Tumor more than 16 mm in greatest diameter and/or greater than 10 mm in maximum height (thickness) with extraocular extension (ciliary body and choroid) (uveal melanoma)	Preferred (foundation metadata concept)
pT4: Tumor more than 16 mm in greatest diameter and/or greater than 10 mm in maximum height (thickness) with extraocular extension (ciliary body and choroid) (uveal melanoma) (finding)	Preferred (foundation metadata concept)
pT4: Tumor of any size invades adjacent organ(s), e.g., vagina, urethra, bladder (anal canal)	Preferred (foundation metadata concept)
pT4: Tumor of any size invades adjacent organ(s), e.g., vagina, urethra, bladder (anal canal) (finding)	Preferred (foundation metadata concept)
pT4: Tumor of any size with direct extension to chest wall or skin (breast)	Preferred (foundation metadata concept)
pT4: Tumor of any size with direct extension to chest wall or skin (breast) (finding)	Preferred (foundation metadata concept)
pT4: Tumor of lung as per AJCC 6th Edition definition (lung)	Preferred (foundation metadata concept)
pT4: Tumor of lung as per American Joint Committee on Cancer 6th Edition definition (lung)	Acceptable (foundation metadata concept)
pT4: Tumor of lung as per American Joint Committee on Cancer 6th Edition definition (lung) (finding)	Preferred (foundation metadata concept)
pT4: Tumor perforates the visceral peritoneum or directly invades other organs or structures (small intestine)	Preferred (foundation metadata concept)
pT4: Tumor perforates the visceral peritoneum or directly invades other organs or structures (small intestine) (finding)	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)