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 healthcare professional that possesses expertise in a clinical domain and provides advice on the diagnosis and management of individuals with conditions related to that domain.	Preferred (foundation metadata concept)
A helmet that is worn as protection for the head in the event of a vehicular accident	Preferred (foundation metadata concept)
A hereditary palmoplantar keratoderma with characteristics of the combination of bilateral mutilating transgredient palmoplantar keratoderma and periorificial keratotic plaques.	Preferred (foundation metadata concept)
A heterogeneous group of cases that are clinically diagnosed as Werner syndrome (WS) but do not carry WRN gene mutations. Similar to classical WS caused by WRN mutations, patients generally exhibit an aged appearance and common age-related disorders at earlier ages compared to the general population.	Preferred (foundation metadata concept)
A heterogeneous group of disorders associated with walking and growth disturbances that become evident during the second year of life. Characteristics are platyspondyly (flattened vertebrae) and marked hip and knee metaphyseal lesions. The different forms of spondylometaphyseal dysplasia are distinguished by the localisation and severity of involvement of the affected metaphyses.	Preferred (foundation metadata concept)
A heterogeneous group of endocrine disorders with characteristics of normal renal function and resistance to the action of parathyroid hormone (PTH), manifesting with hypocalcaemia, hyperphosphataemia and elevated PTH levels and that includes the subtypes PHP type 1a (PHP-1a) , PHP type 1b (PHP-1b), PHP type 1c (PHP-1c), PHP type 2 (PHP-2) and pseudopseudohypoparathyroidism (PPHP). PHP-1a, PPHP, and PHP-1b are all due to molecular defects in the same locus of the GNAS (20q13.2-q13.3) gene coding the alpha sub-unit of the stimulatory G protein. PHP can be sporadic or inherited autosomal dominantly with parental imprinting.	Preferred (foundation metadata concept)
A histological subtype of C3 glomerulopathy characterised by C3 deposition in renal tissue in the absence or near-absence of immunoglobulin deposits, in a patient with the classic clinical features of glomerulonephritis and electron microscopic findings of highly electron-dense intra-membranous, osmiophilic deposits.	Preferred (foundation metadata concept)
A history taken by a self-administered questionnaire	Preferred (foundation metadata concept)
A horizontal misalignment in which one eye moves inward, towards the nose, only noticeable when binocular vision is disrupted, such as when one eye is closed or covered.	Preferred (foundation metadata concept)
A horizontal misalignment in which one eye moves outward, away from the nose, only noticeable when binocular vision is disrupted, such as when one eye is closed or covered.	Preferred (foundation metadata concept)
A horizontal streak found on the inner surface of the cheek at the level of the biting plane. It usually extends from the commissure to the posterior teeth and can extend to the inner lip mucosa and corners of the mouth. It is a common finding and most likely associated with pressure, frictional irritation, or sucking trauma from the facial surfaces of the teeth.	Preferred (foundation metadata concept)
A hospital that has an established transplant programme and performs transplant surgery.	Preferred (foundation metadata concept)
A hypersensitivity condition of skin or mucous membranes at the site of direct surface contact with irritants or allergens. A general class that includes both immunologic and non-immunologic conditions.	Preferred (foundation metadata concept)
A keratotic cutaneous polyp containing abundant connective tissue.	Preferred (foundation metadata concept)
A landmark point defined as the tip of the bony anterior nasal spine at the inferior margin of the piriform aperture, in the midsagittal plane.	Preferred (foundation metadata concept)
A large organ in the thorax, abdomen, or pelvis	Preferred (foundation metadata concept)
A large, local allergic reaction following a mosquito bite often accompanied by systemic symptoms such as a fever. Symptoms usually occur within hours of the mosquito bite and are caused by an immunologic response to proteins in mosquito saliva.	Preferred (foundation metadata concept)
A laryngo-tracheo-esophageal cleft (LC) is a congenital malformation characterised by an abnormal, posterior, sagittal communication between the larynx and the pharynx, possibly extending downward between the trachea and the oesophagus.	Preferred (foundation metadata concept)
A legal order for a diet regime.	Preferred (foundation metadata concept)
A legal order for a parenteral nutrition infusion.	Preferred (foundation metadata concept)
A legal order for an enteral nutrition infusion via a feeding tube.	Preferred (foundation metadata concept)
A legal order to dispense and possibly prepare a substance or physical object	Preferred (foundation metadata concept)
A lesion as a result of galvanic current in the oral cavity due to the presence of two or more dissimilar metals in dental restorations that are bathed in saliva, or a single metal restoration and two electrolytes, saliva and pulp tissue fluid, thus producing an electrolytic cell and an electric current. When such restorations touch each other, the current may be high enough to irritate the dental pulp and cause sharp pain. The anodic restoration or areas of a restoration are subject to electrolytic corrosion.	Preferred (foundation metadata concept)
A less aggressive and self-limited pathologic process that can develop without any obvious eliciting factor and is characterised by exposed necrotic bone involving the lingual mandible approximately at the level of the mylohyoid ridge.	Preferred (foundation metadata concept)
A less common type of cerebral palsy defined by decreased and/or fluctuating muscle tone; multiple forms of non-spastic cerebral palsy are each characterised by particular impairments; one of the main characteristics of non-spastic cerebral palsy is involuntary movement. Subtypes include ataxic and dyskinetic forms.	Preferred (foundation metadata concept)
A lethal form of pontocerebellar hypoplasia with characteristics of prenatal onset of microcephaly, hypoplasia of the cerebellum, brainstem, and spinal cord, dysmorphic craniofacial features such as sloping forehead and micrognathia, and multiple contractures. Supratentorial atrophy has also been reported.	Preferred (foundation metadata concept)
A lethal skeletal osteochondrodysplasia characterised by severe generalised osteosclerosis.	Preferred (foundation metadata concept)
A life-threatening multiorgan disorder which develops in the first months of life, presenting with respiratory distress and proteinuria in the nephrotic range, and leading to severe interstitial lung disease and renal failure. Some patients additionally display cutaneous alterations, ranging from blistering and skin erosions to an epidermolysis bullosa-like phenotype, with toenail dystrophy and sparse hair.	Preferred (foundation metadata concept)
A life-threatening, rapidly progressive thrombotic disorder affecting mainly neonates and children that is characterised by purpuric skin lesions and disseminated intravascular coagulation. It may progress rapidly to multi-organ failure caused by thrombotic occlusion of small and medium-sized blood vessels. There are two forms of the disorder that are classified according to triggering mechanisms: acute infectious (the most common form), and idiopathic purpura fulminans.	Preferred (foundation metadata concept)
A ligation where the surgical suture serves as a ligature.	Preferred (foundation metadata concept)
A limb girdle muscular dystrophy caused by caveolin-3 deficiency with characteristics of weakness in limb-girdle muscles, calf muscle hypertrophy and lack of respiratory and cardiac involvement.	Preferred (foundation metadata concept)
A limb-girdle muscular dystrophy with characteristics of skeletal and cardiac myopathy with cardiac conduction defects and muscle cytoplasmic inclusions.	Preferred (foundation metadata concept)
A limited form of Stevens-Johnson syndrome/toxic epidermal necrolysis spectrum characterised by destruction and detachment of the skin epithelium, involving less than 10% of the body surface area, and mucous membranes. Onset usually occurs 4-28 days after administration of the causal medication and is most frequently associated with anticonvulsants, antibacterial sulfonamides, allopurinol, nevirapine, and oxicams (non-steroidal anti-inflammatory drugs), but many other medications have also been implicated. The disease is not induced by medication in 15% of cases. Histology is characterised by an epidermal necrolysis. Multiple disabling long-term sequelae (especially cutaneous, ocular and psychological) are frequent.	Preferred (foundation metadata concept)
A line connecting the anterior nasal spine to the posterior nasal spine.	Preferred (foundation metadata concept)
A line connecting the midpoint of the sella turcica (Sella) to the most anterior inferior point of chin (Gnathion).	Preferred (foundation metadata concept)
A line extending from a constructed point representing the intersection of the inferior surface of the cranial base and the posterior outlines of the mandibular condyles to the most posterior inferior point on the outline of the angle of the mandible.	Preferred (foundation metadata concept)
A line extending from the incisal tip of the most protrusive lower incisor thru the root tip.	Preferred (foundation metadata concept)
A line extending from the intersection of the internasal and frontonasal sutures, in the midsagittal plane (nasion) and the anterior limit of the mandibular basal bone (b point).	Preferred (foundation metadata concept)
A line extending from the intersection of the internasal and frontonasal sutures, in the midsagittal plane (nasion) and the junction of frontal bone and nasal bone (a point).	Preferred (foundation metadata concept)
A line extending from the intersection of the internasal and frontonasal sutures, in the midsagittal plane (nasion) and the most anterior point of bony chin (pogonion).	Preferred (foundation metadata concept)
A line extending from the intersection of the internasal and frontonasal sutures, in the midsagittal plane (nasion) and the most anterior point of the alveolar process of the mandible (infradentale).	Preferred (foundation metadata concept)
A line extending from the intersection of the internasal and frontonasal sutures, in the midsagittal plane (nasion) and the most inferior anterior point on the maxillary alveolar process, between the central incisors (prosthion).	Preferred (foundation metadata concept)
A line extending from the intersection of the internasal and frontonasal sutures, in the midsagittal plane (nasion) and the most posterior inferior point on the outline of the angle of the mandible (gonion).	Preferred (foundation metadata concept)
A line extending from the most inferior point of the mandibular symphysis in the midsagittal plane (menton) to the most posterior inferior point on the outline of the angle of the mandible (gonion).	Preferred (foundation metadata concept)
A line joining points sella and nasion.	Preferred (foundation metadata concept)
A line segment connecting anterior pole of cornea to posterior pole of sclera	Preferred (foundation metadata concept)
A liquid dose form consisting an alcoholic extract of plant or animal material.	Preferred (foundation metadata concept)
A liquid dose form consisting of a pure substance in its liquid state.	Preferred (foundation metadata concept)
A liquid dose form consisting of a suspension of fine particles in a suitable vehicle.	Preferred (foundation metadata concept)
A liquid dose form consisting of a system of non-miscible liquids where droplets of the discrete phase are distributed in the continuous phase (usually oily in aqueous but can also be aqueous in oily).	Preferred (foundation metadata concept)
A liquid dose form consisting of active substance(s) dissolved in a high concentration solution of sugar or sweetening agents.	Preferred (foundation metadata concept)
A liquid dose form consisting of active substance(s) dissolved in a hydrophobic base.	Preferred (foundation metadata concept)
A liquid dose form consisting of active substance(s) dissolved in a single phase solvent liquid.	Preferred (foundation metadata concept)
A liquid dose form consisting of active substance(s) in a mixture of pyroxylin or similar in ether and ethanol.	Preferred (foundation metadata concept)
A liquid dose form consisting of active substance(s) in an alcohol.	Preferred (foundation metadata concept)
A liquid dose form consisting of semi-solid, gaseous, or small (less than 1 micron) liquid particles dispersed in a suitable vehicle.	Preferred (foundation metadata concept)
A liquid dose form usually presented in a pressurised multi-dose container equipped with an applicator suitable for delivery of a foam consisting of large volumes of gas dispersed in a liquid containing active substance(s).	Preferred (foundation metadata concept)
A liquid dose form where active substance(s) are suspended or dissolved in a volatile liquid which evaporate to leave them in a hard coating.	Preferred (foundation metadata concept)
A listening of the sounds produced in response to tapping the body surface	Preferred (foundation metadata concept)
A listening to spontaneously generated body sounds	Preferred (foundation metadata concept)
A local anaesthetic injection into the thoracic paravertebral space in the region of the thoracic spinal nerves close to their emergence from the intervertebral foramen.	Preferred (foundation metadata concept)
A low velocity/moderate to high amplitude activating force using pressure and motion applied repeatedly against the restrictive barrier of a dysfunctional structure.	Preferred (foundation metadata concept)
A lysosomal storage disease belonging to the group of sphingolipidoses.	Preferred (foundation metadata concept)
A lysosomal storage disease with characteristics of coarse facial features, macular cherry red spot, and dysostosis multiplex. Clinical presentation can be heterogeneous ranging from a severe, early-onset, rapidly progressive infantile form to late onset, slowly progressive juvenile/adult form.	Preferred (foundation metadata concept)
A macroscopic waste clearance system that utilises a unique system of perivascular channels, formed by astroglial cells, to promote efficient elimination of soluble proteins and metabolites from the central nervous system.	Preferred (foundation metadata concept)
A male with two or more X chromosomes.	Preferred (foundation metadata concept)
A malformation disorder characterised by complete or incomplete absence of nose (arrhinia), choanal atresia, microphthalmia, anophthalmia and cleft or high palate.	Preferred (foundation metadata concept)
A malformation syndrome reported in offspring (children and grandchildren) of women exposed to diethylstilbestrol (DES) during pregnancy and is characterised by reproductive tract malformations, decreased fertility and increased risk of developing clear cell carcinoma of the vagina and cervix in young women. Reproductive malformations reported in DES syndrome include small, T-shaped uteri and other uterotubal anomalies that increase the risk of miscarriages in women and epididymal cysts, microphallus, cryptorchidism, or testicular hypoplasia in men. DES, a synthetic nonsteroidal estrogen was widely prescribed from 1940-1970 to prevent miscarriage.	Preferred (foundation metadata concept)
A manipulation done by a chiropractor	Preferred (foundation metadata concept)
A manipulation done by a physiatrist.	Preferred (foundation metadata concept)
A manipulative technique in which the goal of treatment is to balance the tension in opposing ligaments where there is abnormal tension present.	Preferred (foundation metadata concept)
A manipulative treatment in which the restrictive barrier is disengaged and the dysfunctional body part is moved away from the restrictive barrier.	Preferred (foundation metadata concept)
A manufactured skin graft consisting of an outer epidermal layer and/or a dermal layer embedded into an acellular matrix or dermal template forming a biological skin substitute either grown from the patient's own cells, or from other allogeneic or xenogeneic sources, and/or synthetic materials, for example, silicone graft, or combined sources.	Preferred (foundation metadata concept)
A mass	Acceptable (foundation metadata concept)
A maternal disorder that occurs within the puerperium whose natural progress is impacted or complicated directly or indirectly by the associated disorder and/or the disorder is predisposed to by the physiological circumstances of the postpartum.	Preferred (foundation metadata concept)
A mature wine is a wine that has reached a point of peak complexity, quality in the mouth and flavour, and before it starts to decay. The maturity can happen at different ages depending on the wine.	Preferred (foundation metadata concept)
A meal plan that offers comparable carbohydrate content from day to day at all meals and snacks. Not based on a set number of calories; intended to meet individuals' nutritional needs and facilitate improved metabolic control.	Preferred (foundation metadata concept)
A measure of the age of a pregnancy which is taken from the woman's last menstrual period (LMP), or the corresponding age of the gestation as estimated by a more accurate method if available. It is typically expressed in weeks and days.	Preferred (foundation metadata concept)
A measure of the difference in the systolic blood pressure of the arm and toe calculated by dividing the blood pressure of the toe by that of the arm	Preferred (foundation metadata concept)
A measure of the slope of the occlusal plane on the left to the Frankfort horizontal in degrees, related to tooth eruption.	Preferred (foundation metadata concept)
A measure of the slope of the occlusal plane on the right to the Frankfort horizontal in degrees, related to tooth eruption.	Preferred (foundation metadata concept)
A measurement of the occlusal plane to the Frankfort horizontal plane.	Preferred (foundation metadata concept)
A measurement or adjustment of a device or biologic material to the right shape or size so as to conform correctly when introduced or transplanted	Preferred (foundation metadata concept)
A medical audit of ancillary services (such as physical therapy, dietary)	Preferred (foundation metadata concept)
A medical audit of direct care providers	Preferred (foundation metadata concept)
A medical certificate or doctor's note is a written statement from a physician or other medically qualified health care provider which attests to the result of a medical examination of a patient.	Preferred (foundation metadata concept)
A medical or surgical procedure in which synthetic or biological material from a donor, whether from the same person, another individual, or an animal, is moved and implanted into a recipient. Transplanted organs typically retain their own intrinsic blood supply, requiring precise microsurgical reconnection to the recipient's blood circulation. While solid organs are almost exclusively transplanted and skin and tissues are generally grafted, the terms graft and transplant are sometimes used interchangeably depending on the context and medical specialty.	Preferred (foundation metadata concept)
A medical practitioner whose practice is limited to the care of patients in a hospital emergency department.	Preferred (foundation metadata concept)
A medical service that provides specialised care for conditions affecting the respiratory system.	Preferred (foundation metadata concept)
A medication regime which is complicated to manage. For example, one that involves multiple medications or a single medication with a complex regime e.g. insulin.	Preferred (foundation metadata concept)
A medicinal product prepared under the supervision of a clinician from a recipe of constituent ingredient substances for an individual patient or specific patient group.	Preferred (foundation metadata concept)
A meningeal route that begins within the dura.	Preferred (foundation metadata concept)
A meningeal route that begins within the space surrounding the dura mater of the spinal cord.	Preferred (foundation metadata concept)
A meningeal route that begins within the space surrounding the dura mater within the epidural space.	Preferred (foundation metadata concept)
A metabolic disorder characterised by prolonged apnoea after the use of certain anaesthetic drugs, including the muscle relaxants succinylcholine or mivacurium and other ester local anaesthetics. The duration of the prolonged apnoea varies significantly depending on the extent of the enzyme deficiency. It is caused by mutations in the BCHE located on chromosome 3 (3q26.1-3q26.2) and multiple atypical variants have been identified. The condition is transmitted as an autosomal recessive trait.	Preferred (foundation metadata concept)
A metal alloy that forms an outer mesh structure with an inner polymer tube.	Preferred (foundation metadata concept)
A method for transforming a medicinal product from its manufactured dose form, which is a concentrate, to its administrable dose form, by diluting it in a liquid to obtain a solution at the proper concentration.	Preferred (foundation metadata concept)
A method of administration of a dose form as tiny drops or fine powder.	Preferred (foundation metadata concept)
A method of administration of a dose form by being placed into a body cavity.	Preferred (foundation metadata concept)
A method of administration of a dose form by being placed within a tissue of the body.	Preferred (foundation metadata concept)
A method of administration of a dose form by blowing it into a body cavity.	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)