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
A condition following an arterial switch operation to correct transposition of the great arteries, in which the old pulmonary root becomes the new aortic root and where the new aortic valve is narrowed.	Preferred (foundation metadata concept)
A condition in which a child is chronically irritable and experiences frequent, severe temper outbursts that seem grossly out of proportion to the situation.	Preferred (foundation metadata concept)
A condition in which kidney dysfunction or damage occurs due to either a partial or total blockage of the urine outflow from one or both kidneys. This issue stems from a blockage in the urinary tract beneath the kidneys, leading to waste build up within them. Such postrenal obstructions impede urine flow, resulting in urine backflow that damages the kidneys.	Preferred (foundation metadata concept)
A condition in which the placenta is located over or near the internal os of the cervix, increasing the risk of hemorrhage.	Preferred (foundation metadata concept)
A condition occurring in women who have had a bilateral salpingo-oophorectomy, with or without hysterectomy, that leaves behind ovarian tissue. This residual ovarian tissue then results in pelvic symptoms such as pain or mass.	Preferred (foundation metadata concept)
A condition of optimal distribution of body mass in relation to gravity.	Preferred (foundation metadata concept)
A condition that confers a high risk of progression to actual heart failure but lacks actual structural or functional disorder of the heart.	Preferred (foundation metadata concept)
A condition that involves a strong, lasting wish to be disabled, such as losing a major limb or becoming blind, often starting in early adolescence. This condition causes distress or feelings of inappropriateness about being able-bodied. It can lead to negative effects like spending much time pretending to be disabled, which interferes with work, hobbies, or social life (for instance, avoiding relationships to maintain the pretense) or even taking dangerous actions to become disabled, risking health or life.	Preferred (foundation metadata concept)
A condition where a patient requires continuous administration of the drug ruxolitinib to manage their symptoms or disease effectively. This dependence can develop because stopping or reducing the dose of ruxolitinib may lead to a relapse or worsening of the condition it was treating, such as myelofibrosis or polycythemia vera.	Preferred (foundation metadata concept)
A condition where an individual has an intense and irrational fear of body odors, either their own or those of others. This phobia, like other specific phobias, could potentially cause significant distress and might interfere with the individual's daily life and activities.	Preferred (foundation metadata concept)
A condition where the eyes have a tendency to drift out of alignment, which becomes noticeable only when binocular vision is disrupted. This misalignment is comitant, meaning the degree of deviation remains consistent across all gaze directions.	Preferred (foundation metadata concept)
A condition where there is a noticeable difference in the cupping (or indentation) of the optic disc between the two eyes which may indicate glaucomatous optic nerve damage in the eye with the larger cup-to-disc ratio.	Preferred (foundation metadata concept)
A condition with multiple abnormalities including mild to severe intellectual disability, impaired growth from birth leading to short stature, and microcephaly. Affected individuals may also have distinctive facial features (including a small forehead, a short nose, a small lower jaw, a flat area between the nose and mouth (philtrum), and prominent cheeks), sensorineural hearing loss, and heart malformations	Preferred (foundation metadata concept)
A congenital anomaly of a vertebra in which it develops characteristic(s) of the adjoining structure or region.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the ileum where there is a gap in the intestine due to a mesenteric defect resulting in obstruction of the ileum; the proximal dilated section of intestine and the distal narrower segment are both blind ends; the intestine may be reduced in length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the ileum where there is a gap in the intestine resulting in obstruction of the ileum; the proximal dilated section of intestine forms a blind end and is connected to the distal smaller segment by a fibrous cord which runs along the edge of the mesentery; the mesentery is intact and the intestine develops to a normal length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the ileum where there is a septum occluding the lumen resulting in obstruction of the ileum with proximal intestinal dilation in continuity with a collapsed distal intestine; the intestine develops to a normal length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the jejunum where there are multiple gaps in the intestine due to a mesenteric defect with elements of type I, type II and type III atresia creating a morphological appearance of a string of sausages; the intestine is always reduced in length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the jejunum where there is a gap in the intestine due to a mesenteric defect associated with abnormal mesenteric arterial supply and a distal intestinal segment spiral deformity, frequently described as having an apple peel appearance; the intestine is reduced in length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the jejunum where there is a gap in the intestine due to a mesenteric defect resulting in obstruction of the jejunum; the proximal dilated section of intestine and the distal narrower segment are both blind ends; the intestine may be reduced in length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the jejunum where there is a gap in the intestine resulting in obstruction of the jejunum; the proximal dilated section of intestine forms a blind end and is connected to the distal smaller segment by a fibrous cord which runs along the edge of the mesentery; the mesentery is intact and the intestine develops to a normal length.	Preferred (foundation metadata concept)
A congenital developmental abnormality of the jejunum where there is a septum occluding the lumen resulting in obstruction of the jejunum with proximal intestinal dilation in continuity with a collapsed distal intestine; the intestine develops to a normal length.	Preferred (foundation metadata concept)
A congenital differentiation of the fifth lumbar vertebra (L5) such that it takes on characteristics of a sacral vertebra. Though the sacralization is usually incomplete and limited to one side, it can be partial or complete on one or both sides of the sacrum	Preferred (foundation metadata concept)
A congenital disorder characterized by nonprogressive cerebellar ataxia, associated with a moderate to profound intellectual disability and delayed ambulation. Gait can be either bipedal or quadrupedal. Additional features include hypotonia, lack of coordination, delayed motor development, seizures, dysarthria, strabismus, short stature, and pes planus. Etiological subtypes have been reported and include type 1 (CAMRQ1), 2 (CAMRQ2), 3 (CAMRQ3) and 4 (CAMRQ4) which are attributed to mutations in VLDLR (9p24), CA8 (8q12.1), WDR81 (17p13.3) and ATP8A2 (13q12) genes, respectively. Transmission is autosomal recessive.	Preferred (foundation metadata concept)
A congenital disorder of craniofacial development with characteristics of bilateral symmetrical oto-mandibular dysplasia without abnormalities of the extremities, and associated with several head and neck defects. The syndrome is caused by mutations in the TCOF1 gene (5q32) encoding the nucleolar phosphoprotein Treacle or in the POLR1C (6p21.1) or POLR1D (13q12.2) genes, coding for RNA polymerase I and III subunits. Transmission is autosomal dominant with 90% penetrance and variable expressivity, even among affected patients within the same family. Mutations in POLR1C gene are inherited in autosomal recessive manner.	Preferred (foundation metadata concept)
A congenital disorder of glycosylation with characteristics of severe or profound global developmental delay, early epileptic encephalopathy, muscular hypotonia, dysmorphic features (coarse facies, thick eyebrows, broad nasal bridge, thick lips, inverted nipples), variable ocular defects and brain morphological abnormalities on brain MRI (cerebral atrophy, thin corpus callosum). Caused by hemizygous or heterozygous mutation in the SLC35A2 gene on chromosome Xp11.	Preferred (foundation metadata concept)
A congenital intermediate sized melanocytic nevus has a diameter between 1.5 and 20 cm	Preferred (foundation metadata concept)
A congenital malformation characterized by shortening of the middle phalanx of the fifth finger. Inherited as an autosomal dominant trait.	Preferred (foundation metadata concept)
A congenital malformation of the digits characterized by various degree of shortening of the distal phalanx of the thumb, either unilaterally or bilaterally. Great toes may be similarly affected. Inherited as an autosomal dominant trait.	Preferred (foundation metadata concept)
A congenital malformation syndrome with the association of a permanent camptodactyly of the fingers and the over excretion of taurine in the urine. Camptodactyly mainly affects the little finger, although any finger may be involved. The disease has been described in 17 affected patients from 4 unrelated families. An autosomal dominant inheritance has been suggested. There have been no further descriptions in the literature since 1966.	Preferred (foundation metadata concept)
A congenital melanocytic nevus with a projected or final adult maximal diameter of less than 15 mm.	Preferred (foundation metadata concept)
A congenital vascular bone syndrome (CVBS) characterized by the presence of a vascular malformation in a limb, mainly of the arteriovenous type, which results in overgrowth of the affected limb.	Preferred (foundation metadata concept)
A consolidation of the previous health records of a patient.	Preferred (foundation metadata concept)
A constitutional microcytic, hypochromic anemia of varying severity that is clinically characterized by manifestations of anemia and iron overload and that may respond to treatment with pyridoxine and folic acid.	Preferred (foundation metadata concept)
A construction of a shunt using either biologic or synthetic material	Preferred (foundation metadata concept)
A construction of an abnormal passage between a cavity or hollow organ and the surface of the body.	Preferred (foundation metadata concept)
A construction of an alternate route of passage of a bodily substance	Preferred (foundation metadata concept)
A construction of an opening between two hollow structures, organs, or spaces, be they real or artificial	Preferred (foundation metadata concept)
A construction of openings or fenestrae	Preferred (foundation metadata concept)
A contiguous gene syndrome comprising otodental syndrome (characterized by globodontia and sensorineural high-frequency hearing deficit) associated with eye abnormalities including, typically, iris and chorioretinal coloboma, as well as, on occasion, microcornea, microphthalmos, lenticular opacity, lens coloboma and iris pigment epithelial atrophy.	Preferred (foundation metadata concept)
A continuation of the aortic plexus that leads to the right and left hypogastric nerves	Preferred (foundation metadata concept)
A continuous or cluster of generalized absence epileptic seizures of more than 10 minutes duration from which the individual does not return to normal between seizures.	Preferred (foundation metadata concept)
A continuous or cluster of generalized atypical absence epileptic seizures of more than 10 minutes duration from which the individual does not return to baseline between seizures.	Preferred (foundation metadata concept)
A continuous or cluster of generalized typical absence epileptic seizures of more than 10 minutes duration from which the individual does not return to normal between seizures.	Preferred (foundation metadata concept)
A coronal imaging plane with the transducer at the cardiac apex which includes the left ventricle, left atrium, right ventricle and right atrium.	Preferred (foundation metadata concept)
A corrected, mirrored, photographic image that has been flipped horizontally to identify the proper occlusal view of the teeth.	Preferred (foundation metadata concept)
A corrected, mirrored, visible image that is flipped horizontally and vertically to properly represent the occlusal view of the teeth when viewing from the front of the patient.	Preferred (foundation metadata concept)
A cranial technique in which the lateral angles of the occipital squama are manually approximated slightly exaggerating the posterior convexity of the occiput and taking the cranium into sustained extension.	Preferred (foundation metadata concept)
A cut or tear to an internal structure without a communication with the outside of the body. Note that this is does not refer to a laceration that has been repaired by a closure technique.	Preferred (foundation metadata concept)
A cyst composed of maxillary sinus epithelium along a surgical line of entry	Preferred (foundation metadata concept)
A decrease in bone mineral density with a T-score via DEXA (dual-energy X-ray absorptiometry) bone scan between -1 and -2.5.	Preferred (foundation metadata concept)
A decrease in bone mineral density with a T-score via DEXA (dual-energy X-ray absorptiometry) bone scan of less than -2.5.	Preferred (foundation metadata concept)
A decrease in lower leg circumference due to recurrent ulceration and fat necrosis causing loss of subcutaneous tissue in a patient with venous stasis disease.	Preferred (foundation metadata concept)
A decrease in size of opening of the eye, not due to eyelid fusion, but rather lateral displacement of the inner canthi	Preferred (foundation metadata concept)
A deep overbite resulting in the mandibular teeth impinging on and stripping the oral mucosa from the lingual of the maxillary teeth.	Preferred (foundation metadata concept)
A degenerative brain disease linked to a history of repetitive head impacts such as those experienced in contact and collision sports or combat military service.	Preferred (foundation metadata concept)
A deletion of the long (q) arm of chromosome 18 near one end of the chromosome. Manifestations of this disorder are varied and can commonly include short stature, hypotonia, hearing loss, clubfoot or rocker-bottom feet, eye movement disorders and other vision problems, cleft palate, hypothyroidism, congenital heart defects, kidney problems, genital and skin abnormalities. Most cases are the result of a de novo deletion and are not inherited.	Preferred (foundation metadata concept)
A deletion typically less than 50 base pairs on a single locus.	Preferred (foundation metadata concept)
A delusion of infestation of the skin by parasites. Most commonly reported as consisting of bugs or insects biting and crawling on or under the skin. The experience of the sensation of formication, a form of tactile hallucination, may accompany the delusion.	Preferred (foundation metadata concept)
A demyelinating polyneuropathy characterized clinically by sensory ataxia, tremor, paresthesia, and impaired gait.	Preferred (foundation metadata concept)
A denervation done using chemicals	Preferred (foundation metadata concept)
A dental route that begins around a tooth.	Preferred (foundation metadata concept)
A dental route that begins within a portion of a tooth which is covered by enamel and which is separated from the roots by a slightly constricted region known as the neck.	Preferred (foundation metadata concept)
A depression of the anterior surface of the vitreous body where the lens fits	Preferred (foundation metadata concept)
A dermatosis with pruritic sterile papules and pustules that come together to form plaques with papulovesicular borders, and a tendency toward central clearing and hyperpigmentation, with spontaneous exacerbations and remissions. Histologically variable with folliculitis of follicle sheath and perifollicular dermis and spongiosis of follicular epithelium, sometimes with peripheral leukocytosis and or eosinophilia and or eosinophilic abscesses.	Preferred (foundation metadata concept)
A description that does not represent the same meaning as the concept's Fully Specified Name. For example, descriptions that are broader than, narrower than, or different to the Fully Specified Name.	Preferred (foundation metadata concept)
A desmoid tumor (DT) is a benign, locally invasive soft tissue tumor associated with a high recurrence rate but with no metastatic potential.	Preferred (foundation metadata concept)
A destruction achieved by turning a solid into an emulsion	Preferred (foundation metadata concept)
A destruction done by injurious pressure. Note that this pressure can be mechanical, as in squeezing between two hard bodies, or can be a pressure wave, as is used to crush internal stones.	Preferred (foundation metadata concept)
A destruction of a natural space or lumen by induced fibrosis or inflammation	Preferred (foundation metadata concept)
A destruction of tissue by burning or searing with a thermal instrument, an electric current, or a caustic substance.	Preferred (foundation metadata concept)
A destruction of tissue by means that results in condensation of protein material	Preferred (foundation metadata concept)
A destruction that purposefully results in a fracture of bone	Preferred (foundation metadata concept)
A developmental anomaly characterized at birth by the presence of right-sided aortic arch, craniofacial dysmorphism (microcephaly, asymmetric, facial bones, broad forehead, borderline hypertelorism, nasal septum deviation, large nasal cavity, large, posteriorly rotated ears, and microstomia with downturned corners), and intellectual disability. These features were observed in 4 members of one family, involving 2 successive generations, suggesting an autosomal dominant mode of transmission. There have been no further descriptions in the literature since 1968.	Preferred (foundation metadata concept)
A developmental disorder characterized by keratotic papules of skin of hands and soles with disorganization of dermal elastic fibers that does not appear to be due to trauma or sunlight.	Preferred (foundation metadata concept)
A developmental disorder characterized by typical craniofacial features, prenatal and postnatal growth impairment, intellectual disability, severe delayed psychomotor development, seizures, and hypotonia.	Preferred (foundation metadata concept)
A diagnosis of exclusion, when neither associated malformations nor family history are present, and in the absence of mutations of genes known to be involved in classic lissencephaly. Clinically patients present with the common features of classic lissencephaly such as developmental delay, intellectual disability, and seizures.	Preferred (foundation metadata concept)
A diet composed of foods and/or fluids which are in a liquid state.	Preferred (foundation metadata concept)
A diet devoid of beef and beef ingredients.	Preferred (foundation metadata concept)
A diet devoid of cow milk and cow milk ingredients.	Preferred (foundation metadata concept)
A diet devoid of egg and egg ingredients.	Preferred (foundation metadata concept)
A diet devoid of fish and fish ingredients.	Preferred (foundation metadata concept)
A diet devoid of goat milk and goat milk ingredients.	Preferred (foundation metadata concept)
A diet devoid of lupin and lupin ingredients.	Preferred (foundation metadata concept)
A diet devoid of mammalian meat and mammalian meat ingredients.	Preferred (foundation metadata concept)
A diet devoid of mammalian milk and mammalian milk ingredients.	Preferred (foundation metadata concept)
A diet devoid of peanut and peanut ingredients.	Preferred (foundation metadata concept)
A diet devoid of pork and pork ingredients.	Preferred (foundation metadata concept)
A diet devoid of sesame and sesame ingredients.	Preferred (foundation metadata concept)
A diet devoid of sheep milk and sheep milk ingredients.	Preferred (foundation metadata concept)
A diet devoid of shellfish and shellfish ingredients.	Preferred (foundation metadata concept)
A diet devoid of soy and soy ingredients.	Preferred (foundation metadata concept)
A diet devoid of the stimulant caffeine.	Preferred (foundation metadata concept)
A diet devoid of tree nut and tree nut ingredients.	Preferred (foundation metadata concept)
A diet for a subject of the Islamic faith and includes only foods considered acceptable. Foods not acceptable include pork, pork products, alcohol as well as other nonapproved food and food ingredients.	Preferred (foundation metadata concept)
A diet of minimally processed plant food with the majority of intake from vegetables, whole grains, fruits, extra virgin olive oil, legumes, nuts, seeds, and herbs, and dairy products (principally yogurt and cheese); moderate intake of fish and seafood; moderate to low intake of poultry; zero to four eggs per week; and low intake of red meat and discretionary foods, such as, sweets and sugar-sweetened beverages.	Preferred (foundation metadata concept)
A diet that is low in organisms (e.g. bacteria, viruses, fungi, parasites) because the organisms might pose a health threat.	Preferred (foundation metadata concept)
A diet where the number of grams of carbohydrate are identified for each meal and overall per day.	Preferred (foundation metadata concept)
A diet which meets current professional recommendations of a healthy eating pattern.	Preferred (foundation metadata concept)
A diet with a lower or higher amount of fermentable oligosaccharides, disaccharides, monosaccharides and polyols in the diet.	Preferred (foundation metadata concept)
A diet with a reduced amount of fermentable oligosaccharides, disaccharides, monosaccharides and polyols in the diet.	Preferred (foundation metadata concept)

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Reference Sets

Reference set descriptor

GB English

US English

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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)