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 pattern of nicotine use that has caused damage to a person's physical or mental health. The pattern of nicotine use is observed for a minimum of 12 months for occasional use or at least one month for continuous use (daily or nearly daily). Harm to health results from direct or secondary toxic effects on body organs and systems or a harmful route of administration.	Preferred (foundation metadata concept)
A pattern of substance use that leads to damage to an individual's physical or mental health or results in behaviour leading to physical or psychological harm to others. The pattern of substance use is observed for a minimum of 12 months for occasional use or at least one month for continuous use (daily or nearly daily). Health damage results from intoxication behaviours, direct or secondary toxic effects on body organs and system or harmful method of substance intake. Harm to others encompasses any physical or mental harm directly attributable to the user's intoxicated behaviour.	Preferred (foundation metadata concept)
A pattern of tobacco use that has caused damage to a person's physical or mental health. The pattern of tobacco use is observed for a minimum of 12 months for occasional use or at least one month for continuous use (daily or nearly daily). Harm to health results from direct or secondary toxic effects on body organs and systems or a harmful route of administration.	Preferred (foundation metadata concept)
A pattern strabismus	Preferred (foundation metadata concept)
A pattern strabismus (disorder)	Preferred (foundation metadata concept)
A pattern vergence	Preferred (foundation metadata concept)
A pattern vergence (finding)	Preferred (foundation metadata concept)
A periarticular route that begins within the articular cartilage.	Preferred (foundation metadata concept)
A period of time equal to sixty seconds or a sixtieth of an hour.	Preferred (foundation metadata concept)
A period of time occurring before, during and or after a clinical entity	Preferred (foundation metadata concept)
A permanent disorder of the development of movement, posture and motor function, causing activity limitation, caused by non-progressive disturbances in the developing fetal or infant brain.	Preferred (foundation metadata concept)
A persistent pattern of experiencing rapid and intense shifts in mood. This emotional volatility is a core characteristic of several mental health conditions, particularly borderline personality disorder (BPD).	Preferred (foundation metadata concept)
A person appointed by a court to make decisions on behalf of the subject once they have lost capacity to make them themselves.	Preferred (foundation metadata concept)
A person responsible for coordinating all stages of the patient rehabilitation process.	Preferred (foundation metadata concept)
A person who coordinates clinical research studies.	Preferred (foundation metadata concept)
A person who coordinates multi-disciplinary patient care services, assuring that patients receive the care intended by their care plan.	Preferred (foundation metadata concept)
A person who coordinates the activities of a care team.	Preferred (foundation metadata concept)
A person who fulfils the role of a father to a child without being the biological or adoptive parent, and who has no automatic legal parental responsibility unless granted by a court.	Preferred (foundation metadata concept)
A person who fulfils the role of a mother to a child without being the biological or adoptive parent, and who has no automatic legal parental responsibility unless granted by a court.	Preferred (foundation metadata concept)
A person who habitually uses nicotine, whether by smoking or other delivery system (such as electronic cigarette).	Preferred (foundation metadata concept)
A person who has been trained to help guide another person in their spiritual journey.	Preferred (foundation metadata concept)
A person who has the responsibility of communicating and coordinating healthcare interventions for individuals in populations with a specific condition.	Preferred (foundation metadata concept)
A person who performs routine tasks and household duties for a patient in their home.	Preferred (foundation metadata concept)
A person who provides support and guidance to an individual or a group of people such as a family or community during a crisis.	Preferred (foundation metadata concept)
A person who shares the primary responsibility for the preparation, conduct, and administration of a research grant, cooperative agreement, or other sponsored project in compliance with applicable laws and regulations and institutional policy governing the conduct of clinical research.	Preferred (foundation metadata concept)
A person who teaches in schools on the subject of promotion of health awareness and prevention of disease or injury.	Preferred (foundation metadata concept)
A person who undertakes a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet individual and family. comprehensive health needs.	Preferred (foundation metadata concept)
A person with no known exposure to Ebola virus. This includes anyone who has been in a country in which an EVD outbreak occurred within the past 21 days and has had no high or low risk exposures to the Ebola virus.	Preferred (foundation metadata concept)
A person's ability to walk between locations in a room.	Preferred (foundation metadata concept)
A person's ability to walk in corridor on unit.	Preferred (foundation metadata concept)
A phenotypic variant of a group of inherited small vessel disorders known as retinal vasculopathy and cerebral leucodystrophy and characterised by progressive visual impairment, strokes and often associated with Raynaud phenomenon and migraine-like symptoms.	Preferred (foundation metadata concept)
A phenotypic variant of a group of inherited small vessel disorders known as retinal vasculopathy and cerebral leucodystrophy and characterised by strokes, vision loss, pseudotumours, seizures, motor and sensory deficits, headaches and occasionally renal disease.	Preferred (foundation metadata concept)
A phenotypic variant of a group of inherited small vessel disorders known as retinal vasculopathy and cerebral leucodystrophy characterised by strokes, vision loss, migraines, pseudotumours, dementia and occasionally renal disease.	Preferred (foundation metadata concept)
A photocoagulation using a laser beam	Preferred (foundation metadata concept)
A photographic image of a patient with the mouth partially open and the teeth not in occlusion or touching.	Preferred (foundation metadata concept)
A physical object that terminates an intravenous access device for intermittent use.	Preferred (foundation metadata concept)
A physician who has the authority and assumes the responsibility for patient discharge from a healthcare facility.	Preferred (foundation metadata concept)
A pipe ending in a small furnace that is filled with tobacco or other smokable substance and lit to draw out the smoke.	Preferred (foundation metadata concept)
A place where the bodies of dead persons are kept temporarily pending identification or release for burial or autopsy.	Preferred (foundation metadata concept)
A plan or recommendation for services, based on an evaluation	Preferred (foundation metadata concept)
A planned residual tumour refers to the intentional leaving of a portion of the tumour after surgery. This decision can arise due to the tumour's proximity to vital structures, the risk of severe side effects from complete removal, or as part of a broader therapeutic strategy, such as subsequent radiotherapy or chemotherapy.	Preferred (foundation metadata concept)
A pneumothorax occurring in individuals with known underlying respiratory disease such as chronic obstructive pulmonary disease (COPD), cystic fibrosis or interstitial lung disease. This condition typically presents with more severe symptoms than primary spontaneous pneumothorax due to compromised lung function.	Preferred (foundation metadata concept)
A polymalformative syndrome characterised by craniosynostosis, Poland anomaly, cranio-fronto-nasal dysplasia, and genital and breast anomalies.	Preferred (foundation metadata concept)
A polymorphic pattern of inflammatory reaction of the skin in response to contact with external irritants or allergens.	Preferred (foundation metadata concept)
A porcine xenograft of skin is when the skin donor is a pig and the graft recipient is a different species (human).	Preferred (foundation metadata concept)
A postpartum haemorrhage occurring in the first 24 hours after giving birth.	Preferred (foundation metadata concept)
A potential space containing the pterygoid and masseter muscles	Preferred (foundation metadata concept)
A potential space in the floor of the mouth; the part of the submandibular space above the mylohyoid muscle	Preferred (foundation metadata concept)
A potential space of the floor of the mouth; part of the submandibular space below the mylohyoid muscle	Preferred (foundation metadata concept)
A potential space of the floor of the mouth; the medial part of the submaxillary space	Preferred (foundation metadata concept)
A potentially lethal complication of pheochromocytoma that may occur as a result of anaesthesia, surgery or during pregnancy and childbirth. The crisis is caused by excessive release of catecholamines and may be drug-induced secondary to histamine release, dopamine receptor blockade, or sympathomimetic action. Crisis may also result from mechanical factors such as squeeze of the tumour during surgery.	Preferred (foundation metadata concept)
A pregnancy implantation of a fertilised egg outside the endometrial cavity of the uterus.	Preferred (foundation metadata concept)
A pregnancy that is implanted on or in a scar from a previous caesarean section.	Preferred (foundation metadata concept)
A pressure ulcer that cannot be assessed for extent of tissue damage because it is obscured by slough or eschar.	Preferred (foundation metadata concept)
A primary adrenal insufficiency caused by a sudden defective production of adrenal steroids (cortisol and aldosterone). It represents an emergency, thus the rapid recognition and prompt therapy are critical for survival even before the diagnosis is made.	Preferred (foundation metadata concept)
A primary bone disorder characterised by development of two or more cartilage capped bony outgrowths (osteochondromas) at the surface of the bones.	Preferred (foundation metadata concept)
A primary bone dysplasia disorder that encompasses a group of congenital anomalies that are characterised by skeletal dysplasia of varying clinical severity and an X linked dominant pattern of inheritance. This group includes otopalatodigital syndrome type 1 and 2 (OPD1, OPD2) which are characterised in affected males by cleft palate, conductive hearing loss, craniofacial abnormalities and skeletal dysplasia; Melnick-Needles syndrome (MNS) which displays skeletal deformities in females and embryonic or perinatal lethality in most males; frontometaphyseal dysplasia (FMD); and terminal osseous dysplasia - pigmentary defects.	Preferred (foundation metadata concept)
A primary bone dysplasia, characterised by premature degenerative arthropathy of the hip. The disease presents with hip joint discomfort/pain and gait disturbances that usually develop in childhood and that progress to severe functional disability and limited mobility by early adulthood. Involvement of the vertebral bodies and other joints is minimal, height is not significantly reduced, and general health is unimpaired. Radiographically, the femoral heads are flattened and irregular and degenerative osteoarthritis develops in the hip joints, as evidenced by the presence of periarticular cysts, sclerosis, and joint space narrowing.	Preferred (foundation metadata concept)
A primary glomerular disease characterised by proteinuria, type IV renal tubular acidosis, microscopic haematuria and hypertension that may lead to end-stage renal failure in the second to sixth decade of life.	Preferred (foundation metadata concept)
A procedure done by piercing or penetrating with a pointed object or instrument	Preferred (foundation metadata concept)
A procedure in which an endoscope is used to access the procedure site.	Preferred (foundation metadata concept)
A procedure on the respiratory tract that observes pulmonary function	Preferred (foundation metadata concept)
A procedure that assesses the quality of health care service delivery	Preferred (foundation metadata concept)
A procedure that mobilizes or frees up an abnormally fixed structure	Preferred (foundation metadata concept)
A procedure that utilises laser energy to target the trabecular meshwork through the outer edge of the eye (limbus), eliminating the need for direct eye contact or specialised lenses. This contrasts with selective laser trabeculoplasty, which requires a gonioscopy lens to precisely target the trabecular meshwork.	Preferred (foundation metadata concept)
A procedure to ascertain the level of antigen in a specimen.	Preferred (foundation metadata concept)
A procedure to assess the size, shape, and reactivity of the pupils to light and other stimuli, providing insights into neurological and ocular health.	Preferred (foundation metadata concept)
A procedure to remove the remaining thyroid tissue after a previous partial thyroid resection.	Preferred (foundation metadata concept)
A procedure to repair a defect of the atrioventricular septum, contiguous atrial and ventricular septal defects and abnormalities of the atrioventricular valves. The severity of the atrioventricular valve abnormalities can vary. A defect of the atrioventricular septum has previously been known as an endocardial cushion defect or atrioventricular canal defect.	Preferred (foundation metadata concept)
A procedure where a subject receives a transplant of their own organ, tissue, or cells.	Preferred (foundation metadata concept)
A process characterised by an initial humoral or cell-mediated immune response to a foreign antigen resulting in the production of specific antibodies and/or immune cells which may then lead to an allergic disposition.	Preferred (foundation metadata concept)
A process characterised by an initial immune response to a foreign tissue antigen of the same species resulting in the production of specific immunologic memory cells, antibodies and immune effector cells which may lead to cellular destruction or transplant rejection.	Preferred (foundation metadata concept)
A process of working with others such as teachers, parents and care staff with the purpose of modifying their perceptions, attitudes, knowledge or understanding in order to enhance occupational performance within the patient's social environment.	Preferred (foundation metadata concept)
A process that reduces the level of inorganic precipitate within the organic matrix in the enamel and dentin of the tooth.	Preferred (foundation metadata concept)
A process where a dose form is transformed from that supplied by the manufacturer into a new dose form. This may occur as part of the dispensing act or immediately before administration.	Preferred (foundation metadata concept)
A professional discipline that combines basic pharmacology and clinical medicine with a focus of developing and understanding new drug therapies.	Preferred (foundation metadata concept)
A professional who works in projects of sponsoring organisation and is responsible for planning, organising and conducting regulated research.	Preferred (foundation metadata concept)
A progressive chronic inflammatory disease of the central nervous system with the aetiologic agent Human T cell lymphotropic virus type I (HTLV-I), the disease is characterised by unremitting myelopathic symptoms such as spastic paraparesis, bowel and/or bladder dysfunction and sensory changes of the lower limbs.	Preferred (foundation metadata concept)
A progressive muscular dystrophy characterised by co-existence of limb-girdle weakness and diffuse joint contractures without cardiomyopathy. Patients present lower limb weakness progressing to involve also upper limbs and axial muscles and eventually leading to permanent loss of ambulation, widespread joint contractures in the limbs and sometimes the spine, and variable respiratory involvement. Morphological changes in muscle biopsies include rimmed vacuoles, increased internal nuclei, cytoplasmic bodies, and a dystrophic pattern.	Preferred (foundation metadata concept)
A progressive reduction in amplitude during a writing task	Preferred (foundation metadata concept)
A prolonged focal-onset clonic seizure occurring and limited to specific parts of the body such as the hand, face, arm or leg.	Preferred (foundation metadata concept)
A propensity to an adverse reaction which is not an allergy or nonallergic hypersensitivity FHIR Release 3 (STU).	Preferred (foundation metadata concept)
A propensity to developing a pathological immune process generally directed towards a foreign antigen, which results in tissue injury. It is most often applied to type I hypersensitivity but other hypersensitivity types especially type IV (e.g. allergic contact dermatitis) may be involved. Revised nomenclature for allergy for global use:Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003.	Preferred (foundation metadata concept)
A propensity to developing an adverse reaction upon exposure to an agent at a dose otherwise tolerated by normal individuals. Revised nomenclature for allergy for global use:Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003.	Preferred (foundation metadata concept)
A psychoanalytic construct that extends beyond castration anxiety to encompass a wider set of unconscious ideas, conflicts and emotional responses related to perceived sexual differences and the possibility of genital loss. It plays a central role in psychosexual development and the resolution of the Oedipus complex.	Preferred (foundation metadata concept)
A pulmonary function test that measures lung volumes	Preferred (foundation metadata concept)
A pulse with repeated irregularity	Preferred (foundation metadata concept)
A puncture action done to intentionally and non-transiently alter the body structure.	Preferred (foundation metadata concept)
A puncture into a space with an aspiration of that space	Preferred (foundation metadata concept)
A pure form of hereditary spastic paraplegia characterised by a childhood- to adulthood-onset of slowly progressive lower limb spasticity and hyperreflexia of lower extremities, extensor plantar reflexes, distal sensory impairment, variable urinary dysfunction and pes cavus.	Preferred (foundation metadata concept)
A pure form of hereditary spastic paraplegia characterised by a childhood- to adulthood-onset of slowly progressive spastic gait, extensor plantar responses, brisk tendon reflexes in arms and legs, decreased vibration sense at ankles and urinary dysfunction. Ankle clonus is also reported in some patients.	Preferred (foundation metadata concept)
A pure form of hereditary spastic paraplegia characterised by a slowly progressive and relatively benign spastic paraplegia presenting in adulthood with spastic gait, lower limb hyperreflexia, extensor plantar responses, bladder dysfunction (urinary urgency and/or incontinence), and mild sensory and motor peripheral neuropathy.	Preferred (foundation metadata concept)
A pure form of hereditary spastic paraplegia characterised by adult onset of crural spastic paraparesis, hyperreflexia, extensor plantar responses, proximal muscle weakness, mild muscle atrophy, decreased vibration sensation at ankles, and mild urinary dysfunction. Foot deformities have been reported to eventually occur in some patients. No abnormalities are noted on brain magnetic resonance imaging and peripheral nerve conduction velocity studies.	Preferred (foundation metadata concept)
A pure form of hereditary spastic paraplegia characterised by onset in adolescence or early adulthood of slowly progressive spastic paraplegia, proximal muscle weakness of the lower extremities and small hand muscles, hyperreflexia, spastic gait and mild urinary compromise.	Preferred (foundation metadata concept)
A pure form of hereditary spastic paraplegia characterised by slowly progressive spastic paraplegia of lower extremities with an age of onset ranging from childhood to adulthood and patients presenting with spastic gait, increased tendon reflexes in lower limbs, extensor plantar response, weakness and atrophy of lower limb muscles and, in rare cases, pes cavus. No abnormalities are noted on magnetic resonance imaging.	Preferred (foundation metadata concept)
A pure or complex form of hereditary spastic paraplegia characterised by an onset in the first decade of life of spastic paraparesis (more prominent in lower than upper extremities) and unsteady gait, as well as increased deep tendon reflexes, amyotrophy, cerebellar ataxia, and flexion contractures of the knees, in some.	Preferred (foundation metadata concept)
A purposeful and often repeated attempt to leave a healthcare setting.	Preferred (foundation metadata concept)
A quality of care determination performed retrospectively	Preferred (foundation metadata concept)
A radiographic technique used for showing true dimensions by moving a narrow orthogonal beam of x-rays along the length of the structure being measured.	Preferred (foundation metadata concept)
A raised, erythematous papule or cutaneous plaque, usually representing short-lived dermal oedema.	Preferred (foundation metadata concept)
A range of disorders stemming from the single or repeated use of predominantly psychoactive substances, including certain medications. Initially, these substances provide pleasurable effects, encouraging further use. Over time, however, this can lead to dependence and severe mental and physical health issues. These disorders also cover harmful non-medical use of non-psychoactive substances. They result in significant impairment, exhibiting cognitive, behavioural, and physiological symptoms, and persist despite adverse consequences, underscoring their complex and damaging impact.	Preferred (foundation metadata concept)

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Reference Sets

Reference set descriptor

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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)