265668004: Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)

SNOMED CT Concept\Procedure\...

\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical procedure using flap (procedure)\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical procedure using flap (procedure)\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical procedure using flap (procedure)\Reconstruction using flap\Reconstruction with local flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical procedure using flap (procedure)\Skin flap operation\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical procedure using flap (procedure)\Skin flap operation\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical procedure on soft tissue (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Operative procedure on integumentary system\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Operative procedure on integumentary system\Integumentary system repair\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Operative procedure on integumentary system\Integumentary system repair\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical repair\Reconstruction procedure\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical repair\Reconstruction procedure\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical repair\Reconstruction procedure\Reconstruction using flap\Reconstruction with local flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical repair\Reconstruction procedure\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical repair\Integumentary system repair\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Intentional, structural alteration of the human body by mechanical, thermal, light-based, electromagnetic, or chemical means, and/or by the incision or destruction of tissues using instruments to cut, burn, vaporise, freeze, suture, probe, or manipulate by closed reductions.\Surgical repair\Integumentary system repair\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)

\Procedure by site\Procedure on body region (procedure)\Procedure on skin (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on soft tissue\Surgical procedure on soft tissue (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on soft tissue\Procedure on skin (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on organ\Procedure on skin (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on body system (procedure)\Procedure on integumentary system (procedure)\Procedure on skin (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on body system (procedure)\Procedure on integumentary system (procedure)\Operative procedure on integumentary system\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on body system (procedure)\Procedure on integumentary system (procedure)\Operative procedure on integumentary system\Integumentary system repair\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by site\Procedure on body system (procedure)\Procedure on integumentary system (procedure)\Operative procedure on integumentary system\Integumentary system repair\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)

\Procedure by method (procedure)\Surgical procedure using flap (procedure)\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical procedure using flap (procedure)\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical procedure using flap (procedure)\Reconstruction using flap\Reconstruction with local flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical procedure using flap (procedure)\Skin flap operation\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical procedure using flap (procedure)\Skin flap operation\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical procedure on soft tissue (procedure)\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Operative procedure on integumentary system\Operation on skin (procedure)\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Operative procedure on integumentary system\Integumentary system repair\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Operative procedure on integumentary system\Integumentary system repair\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Introduction procedure (procedure)\Implantation procedure\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Introduction procedure (procedure)\Implantation procedure\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Introduction procedure (procedure)\Implantation procedure\Reconstruction using flap\Reconstruction with local flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical repair\Reconstruction procedure\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical repair\Reconstruction procedure\Reconstruction using flap\Reconstruction using skin flap\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical repair\Reconstruction procedure\Reconstruction using flap\Reconstruction with local flap\Reconstruction using local skin flap (procedure)\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical repair\Reconstruction procedure\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical repair\Integumentary system repair\Integumentary system reconstruction\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)
\Procedure by method (procedure)\Surgical repair\Integumentary system repair\Repair of skin (procedure)\Reconstruction of skin\Reconstruction using pedicle skin flap\Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 28-Feb 2022. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Reconstruction with local flap	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	action : greffe	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Grafting - action	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Flap reconstruction - action (qualifier value)	false	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Procedure site	Structure of skin region (body structure)	false	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Transposition - action (qualifier value)	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Direct substance	Flap	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Grafting - action	false	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Grafting to skin	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Repair of skin (procedure)	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Autogenous transplantation	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Direct substance	Skin flap autograft	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Procedure site - Indirect (attribute)	Skin structure	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Grafting to skin	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Integumentary system transposition	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	A medical or surgical process in which an organ, tissue, or cells from one individual (the donor, which may be from the patient or from another individual) are moved and implanted into a recipient individual.	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Surgical action	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Procedure site - Direct (attribute)	Structure of skin region (body structure)	false	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Using substance (attribute)	Flap	false	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Procedure site - Direct (attribute)	Structure of skin region (body structure)	false	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Surgical action	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Procedure site - Indirect (attribute)	Skin structure	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Grafting - action	false	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Using substance (attribute)	Flap	false	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Flap reconstruction - action (qualifier value)	false	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Direct substance	Skin flap autograft	false	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Integumentary system reconstruction	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Reconstruction of skin	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Local pedicle flap reconstruction - action	false	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Procedure site - Direct (attribute)	Skin structure	true	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Reconstruction using pedicle skin flap	true	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Is a	Reconstruction using local skin flap (procedure)	true	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Direct substance	Subcutaneous pedicle skin flap (substance)	true	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Method (attribute)	Local flap reconstruction - action	true	Inferred relationship	Existential restriction modifier (core metadata concept)	1

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Reconstruction using local subcutaneous pedicle V-Y flap (procedure)	Is a	False	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction using local subcutaneous pedicle island flap (procedure)	Is a	False	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Other specified local subcutaneous pedicle skin flap	Is a	False	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Local subcutaneous pedicle skin flap NOS	Is a	False	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle island skin flap (procedure)	Is a	True	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle axial pattern skin flap (procedure)	Is a	True	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle V-Y skin flap (procedure)	Is a	True	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)
Reconstruction of skin using local subcutaneous pedicle random pattern skin flap (procedure)	Is a	True	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	Inferred relationship	Existential restriction modifier (core metadata concept)

This concept is not in any reference sets

Back to Start

Id	Description	Lang	Type	Status	Case?	Module
4952957016	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952958014	Reconstruction of skin using local subcutaneous pedicle skin flap	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952959018	Local subcutaneous pedicle skin flap reconstruction	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952960011	Reconstruction of skin with local subcutaneous pedicle skin flap	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
394525010	Local subcutaneous pedicle skin flap	en	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
394525010	Local subcutaneous pedicle skin flap	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
658066013	Local subcutaneous pedicle skin flap (procedure)	en	Fully specified name	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
658066013	Local subcutaneous pedicle skin flap (procedure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952957016	Reconstruction of skin using local subcutaneous pedicle skin flap (procedure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952958014	Reconstruction of skin using local subcutaneous pedicle skin flap	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952959018	Local subcutaneous pedicle skin flap reconstruction	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
4952960011	Reconstruction of skin with local subcutaneous pedicle skin flap	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
5104861000241111	lambeau local de peau sous-cutané pédiculé	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
5104861000241111	lambeau local de peau sous-cutané pédiculé	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module