900000000000508004: Great Britain 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)\GB 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
GB 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 cognitive style that focuses on observable, tangible elements and literal interpretation of the physical world, often overlooking abstract concepts. It is a characteristic of early childhood, with abstract thinking developing later. In adults, persistent concrete thinking may indicate cognitive or developmental issues.	Preferred (foundation metadata concept)
A collaborative nutrition counselling activity between the client and the practitioner in which the client decides from all potential activity recommendations what changes he or she will expend effort to implement.	Preferred (foundation metadata concept)
A collection of extravascular blood in the intracranial subdural space	Preferred (foundation metadata concept)
A colorless gas with a characteristic foul odor, used as a fuel and shipped as a liquefied compressed gas	Preferred (foundation metadata concept)
A combination of congenital hyperpigmented and hypopigmented skin lesions coexisting in the same individual.	Preferred (foundation metadata concept)
A common symptom in disorders like schizophrenia with disruption of thought processes causing incoherent and fragmented thinking. It includes tangentiality (drifting off-topic), derailment (unrelated topic shifts), circumstantiality (excessive detail), incoherence (incomprehensible speech), loose associations and neologisms (creating new words).	Preferred (foundation metadata concept)
A common taste disorder where there is a lingering, often unpleasant taste despite the absence of any stimulus to initiate the distorted taste.	Preferred (foundation metadata concept)
A common type of self-limited focal epilepsy syndrome, which begins typically between four and ten years (peak is seven years; range three to twelve years). Seizures are focal, infrequent (most children have fewer than ten in lifetime), brief (typically less than two to three minutes) and occur mostly in sleep (eighty to ninety percent of children). Individuals may have frequent seizures over a few days or weeks and then several months before subsequent seizure. Focal seizures with characteristic frontoparietal opercular features and/or nocturnal bilateral tonic-clonic seizures are mandatory for diagnosis. Characteristic semiology includes somatosensory symptoms (unilateral numbness or paraesthesia of the tongue, lips, gums and inner cheek), orofacial motor signs (unilateral tonic or clonic contractions), speech arrest (dysarthria or anarthria) with preserved understanding, and sialorrhoea. Seizures may evolve rapidly to tonic-clonic activity of the ipsilateral upper limb, to an ipsilateral hemiclonic seizure, or to a focal to bilateral tonic-clonic seizure. Todd paresis may occur postictally. Seizures occurring during sleep are seen within one hour of falling asleep or one to two hours prior to awakening. Development and cognition are typically normal. Neurological examination is normal. The electroencephalogram (EEG) background activity is normal. EEG must show centrotemporal biphasic epileptiform discharges which are characteristically high-amplitude complexes (less than 200 microvolts, peak to trough) that activate in drowsiness and sleep. MRI is normal or has nonspecific findings.	Preferred (foundation metadata concept)
A complex composed of aspartate aminotransferase and immunoglobulin.	Preferred (foundation metadata concept)
A complex form of hereditary spastic paraplegia characterised by a spastic paraplegia presenting in adolescence, associated with the additional manifestations of sensorial hearing impairment due to auditory neuropathy and persistent vomiting due to a hiatal or paraoesophageal hernia.	Preferred (foundation metadata concept)
A complex form of hereditary spastic paraplegia characterised by delays in motor development followed by a slowly progressive spastic paraplegia (affecting mainly lower extremities) associated with a desquamating facial rash with butterfly distribution (presenting at around two months of age) and dysarthria. There have been no further descriptions in the literature since 1982.	Preferred (foundation metadata concept)
A complex form of hereditary spastic paraplegia characterised by spastic paraplegia, demyelinating peripheral sensorimotor neuropathy, poikiloderma (manifesting with loss of eyebrows and eyelashes in childhood in addition to delicate, smooth, and wasted skin) and distal amyotrophy (presenting after puberty). There have been no further descriptions in the literature since 1992.	Preferred (foundation metadata concept)
A complex form of hereditary spastic paraplegia, characterised by an onset in childhood or adulthood of progressive spastic paraplegia (with spastic gait, spasticity, lower limb weakness, pes cavus and urinary urgency) associated with the additional manifestation of peripheral sensorimotor neuropathy.	Preferred (foundation metadata concept)
A complex form of young-onset Parkinson disease that manifests with pyramidal signs, eye movement abnormalities, psychiatric manifestations (depression, anxiety, drug-induced psychosis, and impulse control disorders), intellectual disability, and other neurological symptoms (such as ataxia and epilepsy) along with classical parkinsonian symptoms.	Preferred (foundation metadata concept)
A complex hereditary spastic paraplegia characterised by mild to severe lower limb spasticity, hyperreflexia, extensor plantar responses, impaired vibration sensation, pes cavus, and significant wasting and weakness of the small hand muscles. Temporal lobe epilepsy and cognitive dysfunction have been also reported.	Preferred (foundation metadata concept)
A complex hereditary spastic paraplegia characterised by progressive lower limbs weakness and spasticity, upper limbs weakness, dysarthria, hypomimia, sphincter disturbances, peripheral neuropathy, learning difficulties, cognitive impairment and dementia. Magnetic resonance imaging shows thin corpus callosum, cerebral atrophy, and periventricular white matter changes.	Preferred (foundation metadata concept)
A complex hereditary spastic paraplegia characterised by progressive spastic paraplegia, upper and lower limb muscle atrophy, hyperreflexia, extensor plantar responses, pes cavus and occasionally impaired vibration sense. Association with hand muscles amyotrophy is typical.	Preferred (foundation metadata concept)
A complex mixture consisting of allergenic proteins derived from natural sources used for allergy diagnosis by skin or provocation testing.	Preferred (foundation metadata concept)
A complex mixture consisting of allergenic proteins derived from natural sources used for allergy treatment by subcutaneous or oral/sublingual route.	Preferred (foundation metadata concept)
A complex mixture consisting of allergenic proteins derived from natural sources. May be used for diagnosis or therapy. Extracts used for diagnosis have the same active ingredients as those used for therapy but may differ by concentration, diluent or other additives.	Preferred (foundation metadata concept)
A complex, hereditary, spastic paraplegia characterised by delayed motor development, spasticity, and inability to walk, later progressing to quadriplegia, motor aphasia, bowel and bladder dysfunction. Patients also present with vision problems and mild intellectual disability. The disease affects only males.	Preferred (foundation metadata concept)
A component has been made inactive because it duplicates another component of the same type. E.g. A description that duplicates another description or a concept that duplicates another concept.	Preferred (foundation metadata concept)
A component that contains a technical error.	Preferred (foundation metadata concept)
A component that fails to comply with the current editorial guidance.	Preferred (foundation metadata concept)
A component that is no longer current, useful, appropriate or acceptable.	Preferred (foundation metadata concept)
A composite graft is a small graft containing skin and underlying cartilage or other tissue.	Preferred (foundation metadata concept)
A concentric contraction against resistance in which the angular change of joint motion is at the same rate and the counterforce is less than the patient force.	Preferred (foundation metadata concept)
A concept that represents the top (or root) of a SNOMED CT association hierarchy.	Preferred (foundation metadata concept)
A condition characterised by loss of skeletal muscle mass, primarily in the elderly but can be associated with other conditions that are not exclusively seen in older people.	Preferred (foundation metadata concept)
A condition following an arterial switch operation to correct transposition of the great arteries, in which the old aortic root becomes the new pulmonary root and where outflow of blood from the right ventricle of the heart is obstructed at the level of the pulmonic valve.	Preferred (foundation metadata concept)
A condition following an arterial switch operation to correct transposition of the great arteries, in which the old aortic root becomes the new pulmonary root and where the new pulmonary valve does not prevent backflow to the right ventricle.	Preferred (foundation metadata concept)
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 does not prevent backflow to the left ventricle.	Preferred (foundation metadata concept)
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 haemorrhage.	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 polycythaemia vera.	Preferred (foundation metadata concept)
A condition where an individual has an intense and irrational fear of body odours, 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 intermediate sized melanocytic naevus has a diameter between 1.5 and 20 cm	Preferred (foundation metadata concept)
A congenital malformation characterised 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 characterised 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 naevus with a projected or final adult maximal diameter of less than 15 mm.	Preferred (foundation metadata concept)
A congenital vascular bone syndrome (CVBS) characterised 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 anaemia of varying severity that is clinically characterised by manifestations of anaemia 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 (characterised 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 generalised 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 generalised 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 generalised 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 coordinated system of trained professionals, vehicles and equipment that provide urgent medical care and transportation during emergencies. They respond to emergency calls, give care at the scene and take patients to hospitals for further treatment.	Preferred (foundation metadata concept)
A corneal collagen cross-linking procedure performed to treat infectious keratitis. In contrast to standard CXL for ectatic disorders, this procedure is intended primarily for its antimicrobial effect via the generation of reactive oxygen species. It typically involves a modified protocol, including accelerated ultraviolet radiation exposure and may be performed in the presence of active infection and epithelial disruption to enhance riboflavin penetration and pathogen kill.	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 crust of dried blood, serum, pus, or other exudate that develops over a superficial injury on the surface of the skin.	Preferred (foundation metadata concept)
A cultural syndrome resembling a severe chronic psychosis primarily found among Latino groups in the United States and Latin America. Symptoms include incoherence, psychomotor agitation, auditory and visual hallucinations, unpredictable behaviour, and sometimes violent outbursts.	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 characterised clinically by sensory ataxia, tremor, paraesthesia, 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 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 tumour (DT) is a benign, locally invasive soft tissue tumour 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)

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Reference Sets

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Id	Description	Lang	Type	Status	Case?	Module
900000000001112010	Great Britain 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)
900000000001113017	GB English	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)
900000000001114011	Great Britain 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)