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 route that begins on the surface of the body.	Preferred (foundation metadata concept)
A route that begins on, in or by way of the ear.	Preferred (foundation metadata concept)
A route that begins through a fistula.	Preferred (foundation metadata concept)
A route that begins through a surgical drain.	Preferred (foundation metadata concept)
A route that begins through a surgically created opening into the urinary tract.	Preferred (foundation metadata concept)
A route that begins through the cervix.	Preferred (foundation metadata concept)
A route that begins with diffusion or accumulation in a tissue or cells.	Preferred (foundation metadata concept)
A route that begins with the vascular system.	Preferred (foundation metadata concept)
A route that begins within a bursa.	Preferred (foundation metadata concept)
A route that begins within a gland.	Preferred (foundation metadata concept)
A route that begins within a joint.	Preferred (foundation metadata concept)
A route that begins within a localized lesion.	Preferred (foundation metadata concept)
A route that begins within a muscle.	Preferred (foundation metadata concept)
A route that begins within a non-pathologic hollow cavity, such as that of the abdominal cavity or uterus.	Preferred (foundation metadata concept)
A route that begins within a pathologic cavity.	Preferred (foundation metadata concept)
A route that begins within a surgical cavity.	Preferred (foundation metadata concept)
A route that begins within a tendon.	Preferred (foundation metadata concept)
A route that begins within a tumor.	Preferred (foundation metadata concept)
A route that begins within a ureter.	Preferred (foundation metadata concept)
A route that begins within an ovary or ovaries.	Preferred (foundation metadata concept)
A route that begins within or around the tissues surrounding the urethra.	Preferred (foundation metadata concept)
A route that begins within the abdomen.	Preferred (foundation metadata concept)
A route that begins within the bile duct and pancreatic duct.	Preferred (foundation metadata concept)
A route that begins within the bile, bile ducts or gallbladder.	Preferred (foundation metadata concept)
A route that begins within the bone.	Preferred (foundation metadata concept)
A route that begins within the breast.	Preferred (foundation metadata concept)
A route that begins within the canal of the cervix uteri.	Preferred (foundation metadata concept)
A route that begins within the channel of a tubular structure or tubular organ.	Preferred (foundation metadata concept)
A route that begins within the dermis of the skin.	Preferred (foundation metadata concept)
A route that begins within the dilatable spaces of the corpus cavernosa of the penis.	Preferred (foundation metadata concept)
A route that begins within the duct of a gland.	Preferred (foundation metadata concept)
A route that begins within the epidermis of the skin.	Preferred (foundation metadata concept)
A route that begins within the heart.	Preferred (foundation metadata concept)
A route that begins within the interstices of a tissue.	Preferred (foundation metadata concept)
A route that begins within the liver.	Preferred (foundation metadata concept)
A route that begins within the lymphatic vessels or nodes.	Preferred (foundation metadata concept)
A route that begins within the meninges.	Preferred (foundation metadata concept)
A route that begins within the myometrium.	Preferred (foundation metadata concept)
A route that begins within the periosteum.	Preferred (foundation metadata concept)
A route that begins within the pleura or pleural space.	Preferred (foundation metadata concept)
A route that begins within the prostate gland.	Preferred (foundation metadata concept)
A route that begins within the respiratory tract, including the oropharynx and nasopharynx.	Preferred (foundation metadata concept)
A route that begins within the skull.	Preferred (foundation metadata concept)
A route that begins within the testicles (male reproductive glands).	Preferred (foundation metadata concept)
A route that begins within the thorax internal to the ribs.	Preferred (foundation metadata concept)
A route that begins within the tissues surrounding a joint.	Preferred (foundation metadata concept)
A route that begins within the urethra.	Preferred (foundation metadata concept)
A route that begins within the vertebral column.	Preferred (foundation metadata concept)
A route that goes to the region surrounding a tumor.	Preferred (foundation metadata concept)
A route that occurs outside of the body.	Preferred (foundation metadata concept)
A route used for extracorporeal hemodialysis where the product interacts with the patient blood through a semipermeable membrane.	Preferred (foundation metadata concept)
A route where the substance is placed directly into the lumen of a catheter, often to remedy or prevent an occlusion within the lumen of the catheter. The substance is not meant to directly interact with the patient and may be removed after a specified period of time.	Preferred (foundation metadata concept)
A safeguarding concern is a worry, anxiety or suspicion that a child or adult may be at risk of abuse or neglect, or that the individual may already have been harmed by a caregiver, institution or someone else they have contact with.	Preferred (foundation metadata concept)
A scan ultrasound	Acceptable (foundation metadata concept)
A scheduled procedure that is not performed on the scheduled procedure day and the decision not to perform the procedure takes place after anesthesia induction time but before procedure/surgery start time.	Preferred (foundation metadata concept)
A scheduled procedure that is not performed on the scheduled procedure day and the decision not to perform the procedure takes place after anesthesia start time but before anesthesia induction time.	Preferred (foundation metadata concept)
A scheduled procedure that is not performed on the scheduled procedure day and the decision not to perform the procedure takes place before anesthesia start time.	Preferred (foundation metadata concept)
A sclerosing disorder of the skeleton characterized by increased bone density that classically displays the radiographic sign of sandwich vertebrae (dense bands of sclerosis parallel to the vertebral endplates).	Preferred (foundation metadata concept)
A score for hospitalized patients which predicts the risk of patients returning for avoidable reasons.	Preferred (foundation metadata concept)
A scraping away of thin sections	Preferred (foundation metadata concept)
A screening test that determines the side of iliosacral somatic dysfunction (motion of ilium on the sacrum).	Preferred (foundation metadata concept)
A screening test that determines the side of sacroiliac somatic dysfunction (motion of the sacrum on the ilium).	Preferred (foundation metadata concept)
A seizure type with focal onset, with awareness or impaired awareness, either motor or non-motor, progressing to bilateral tonic (stiffening) followed by clonic (sustained rhythmic jerking) activity of body and limbs.	Preferred (foundation metadata concept)
A semi-solid dose form consisting of a hydrophilic gel.	Preferred (foundation metadata concept)
A semi-solid dose form consisting of a single-phase in which solids or liquids may be dissolved or dispersed in the base, which may be hydrophilic, hydrophobic or water-emulsifying.	Preferred (foundation metadata concept)
A semi-solid dose form consisting of solid particles finely dispersed in a suitable base.	Preferred (foundation metadata concept)
A semi-solid dose form of homogeneous appearance consisting of a lipophilic phase and an aqueous phase, one of which is finely dispersed in the other. Active substance(s) are dissolved or dispersed in the basis, which may be hydrophilic or hydrophobic.	Preferred (foundation metadata concept)
A semi-solid dose form that sets and hardens after application and adheres to other materials to bind or seal them together.	Preferred (foundation metadata concept)
A semi-solid preparation consisting of a hydrophilic heat-retentive basis in which solid or liquid active substance(s) are dispersed.	Preferred (foundation metadata concept)
A sense that one's actions are happening without active intention or control. This may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.	Preferred (foundation metadata concept)
A sense that one's body is being influenced or controlled by external forces. This may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.	Preferred (foundation metadata concept)
A sense that one's emotions are being influenced or controlled by external forces. This may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.	Preferred (foundation metadata concept)
A sense that one's thoughts are being influenced or controlled by external forces. This may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.	Preferred (foundation metadata concept)
A sense that one's thoughts, feelings, actions, or impulses are being influenced or controlled by an external force rather than internally generated or that internal phenomena are accessible outside of oneself (e.g., thoughts being broadcast to others). These experiences may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.	Preferred (foundation metadata concept)
A sense that one's will is being influenced or controlled by external forces. This may or may not be accompanied by a delusional belief that provides an explanation for the subjective experience.	Preferred (foundation metadata concept)
A separation of different structures along natural cleavage lines by dividing the connective tissue framework.	Preferred (foundation metadata concept)
A sequence consisting of bilateral symmetric or sometimes asymmetric tonic contraction and then bilateral clonic contraction of somatic muscles, usually associated with autonomic phenomena and loss of awareness. A seizure originating at some point within, and rapidly engaging, bilaterally distributed networks.	Preferred (foundation metadata concept)
A series of three dimensional ultrasound images continuously refreshed in real time resulting in a live motion video stream.	Preferred (foundation metadata concept)
A series of three dimensional ultrasound images of the heart continuously refreshed in real time resulting in a live motion video stream.	Preferred (foundation metadata concept)
A series of treatments performed to a set of target volumes with the same modality and technique. One or more related plans constitute a phase of treatment. One or more phases constitute a course of treatment.	Preferred (foundation metadata concept)
A series prostaglandin adverse reaction	Preferred (foundation metadata concept)
A series prostaglandin adverse reaction (disorder)	Preferred (foundation metadata concept)
A series prostaglandin allergy	Acceptable (foundation metadata concept)
A series prostaglandin-containing product	Preferred (foundation metadata concept)
A serotype	Preferred (foundation metadata concept)
A serotype (qualifier value)	Preferred (foundation metadata concept)
A serotypes	Acceptable (foundation metadata concept)
A service of medicine focused on restoring health and functional abilities after acute illness or injury.	Preferred (foundation metadata concept)
A set of symptoms that can occur when a person stops taking antidepressant medication or reduces the dosage too quickly. ADS (antidepressant discontinuation syndrome) typically begins 2-4 days after the medication is discontinued and usually lasts for 2-3 weeks. It can occur following treatment with all types of antidepressant and symptoms can vary depending on the medication being taken and dosage but can include flu-like symptoms, insomnia, nausea, imbalance and irritability or agitation.	Preferred (foundation metadata concept)
A severe disease with onset in infancy primarily associated with brain dysfunction combined with muscle weakness. Symptoms include hypotonia, failure to thrive, delayed development of mental and motor skills, severely impaired speech development, seizures, movement abnormalities, microcephaly and cerebral atrophy. All individuals with the disease have lactic acidosis. Also associated with congenital heart defects or arrhythmias, vision problems, hearing loss, hepatopathy and immune deficiency. Caused by mutation in the FBXL4 gene responsible for producing a protein found within mitochondria. Inherited in an autosomal recessive pattern.	Preferred (foundation metadata concept)
A severe form of alpha-thalassemia that is mostly lethal, and associated with severe long-term outcome and lifelong transfusions in survivors. It is characterized by fetal onset of generalized edema, pleural and pericardial effusions, and severe hypochromic anemia. Caused by deletion or inactivation of all four alpha-globin alleles leading to a severe deficiency in alpha-globin chains of Hb, and to the production of gamma-4 tetramers (Hb Bart's) during fetal life, and beta-4 tetramers (HbH) postnatally. Hb Bart's and HbH have increased oxygen affinity resulting in ineffective tissue oxygen delivery. The disease is mostly the result of combined, biallelic deletions in the HBA1 and HBA2 genes (16p13.3). The pattern of inheritance is autosomal recessive.	Preferred (foundation metadata concept)
A severe form of astigmatism.	Preferred (foundation metadata concept)
A severe form of axonal Charcot-Marie-Tooth disease, a peripheral sensorimotor neuropathy, with onset in the 2nd or 3rd decade, characterized by ulcerations and infections of feet. Symmetric and distal weakness develops mostly in the legs together with a severe symmetric distal sensory loss, tendon reflexes are only reduced at ankles and foot deformities, including pes cavus or planus and hammer toes, appear in childhood.	Preferred (foundation metadata concept)
A severe form of congenital adrenal hyperplasia (CAH) characterized by severe adrenal insufficiency and sex reversal in males.	Preferred (foundation metadata concept)
A severe form of congenital disorders of N-linked glycosylation characterized by severe developmental and psychomotor delay, muscular hypotonia, intractable early-onset seizures, and microcephaly. Additional features include altered blood coagulation with a high probability of hemorrhages or thromboses, nephrotic syndrome, ascites, hepatomegaly, cardiomyopathy, ocular manifestations (strabismus, nystagmus), and immunodeficiency. The disease is caused by loss-of-function mutations in the gene ALG1 (16p13.3).	Preferred (foundation metadata concept)
A severe form of dystrophic epidermolysis bullosa (DEB) characterized by generalized cutaneous and mucosal blistering and scarring associated with severe deformities and major extracutaneous involvement.	Preferred (foundation metadata concept)
A severe form of lissencephaly with cerebellar hypoplasia characterized by severe microcephaly, cleft palate, and severe cerebellar and brainstem hypoplasia leading to neonatal death.	Preferred (foundation metadata concept)
A severe form of lissencephaly with cerebellar hypoplasia, characterized by a microcephaly of at least - 3 SD and a thick cortex associated with complete absence of the corpus callosum.	Preferred (foundation metadata concept)
A severe form of neonatal epilepsy that usually manifests in newborns during the first week of life with seizures (that affect alternatively both sides of the body), often accompanied by clonic jerking or more complex motor behavior, as well as signs of encephalopathy such as diffuse hypotonia, limb spasticity, lack of visual fixation and tracking and mild to moderate intellectual deficiency. The severity can range from controlled to intractable seizures and mild/moderate to severe intellectual disability. Caused by heterozygous mutation in the KCNQ2 gene on chromosome 20q13.	Preferred (foundation metadata concept)
A severe form of otopalatodigital syndrome spectrum disorder with characteristics of dysmorphic facies, severe skeletal dysplasia affecting the axial and appendicular skeleton, extraskeletal anomalies (including malformations of the brain, heart, genitourinary system and intestine) and poor survival. Caused by gain of function mutations in the gene FLNA (Xq28) that encodes filamin A. Inherited in an X-linked dominant manner. Male-to-male transmission has not been reported. The chance of transmitting the mutation in each pregnancy is 50%; males inheriting the mutation will be affected while females who inherit the mutation are less severely affected.	Preferred (foundation metadata concept)
A severe subtype of citrin deficiency characterized clinically by adult onset (20 and 50 years of age), recurrent episodes of hyperammonemia and associated neuropsychiatric symptoms such as nocturnal delirium, confusion, restlessness, disorientation, drowsiness, memory loss, abnormal behavior (aggression, irritability, and hyperactivity), seizures, and coma.	Preferred (foundation metadata concept)

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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)