85050009: Bone structure of humerus (body structure)

SNOMED CT Concept\Body structure\Anatomical or acquired body structure (body structure)\Anatomical structure\...

\Body organ structure\Structure of bone organ\Bone structure\...

\Structure of type of bone (body structure)\Structure of long bone\Structure of long bone of upper limb (body structure)\Bone structure of humerus

\Regional bone structure\Bone structure of clavicle and/or scapula and/or humerus (body structure)\Bone structure of humerus
\Regional bone structure\Bone structure of extremity\Bone structure of upper limb (body structure)\Bone structure of free upper limb\Bone structure of humerus
\Regional bone structure\Bone structure of extremity\Bone structure of upper limb (body structure)\Structure of long bone of upper limb (body structure)\Bone structure of humerus

\Body system structure\Structure of musculoskeletal system\...

\Skeletal system structure\Structure of bony skeleton\Bony skeleton subdivision\Bone structure\Structure of type of bone (body structure)\Structure of long bone\Structure of long bone of upper limb (body structure)\Bone structure of humerus
\Skeletal system structure\Structure of bony skeleton\Bony skeleton subdivision\Bone structure\Regional bone structure\Bone structure of clavicle and/or scapula and/or humerus (body structure)\Bone structure of humerus
\Skeletal system structure\Structure of bony skeleton\Bony skeleton subdivision\Bone structure\Regional bone structure\Bone structure of extremity\Bone structure of upper limb (body structure)\Bone structure of free upper limb\Bone structure of humerus
\Skeletal system structure\Structure of bony skeleton\Bony skeleton subdivision\Bone structure\Regional bone structure\Bone structure of extremity\Bone structure of upper limb (body structure)\Structure of long bone of upper limb (body structure)\Bone structure of humerus
\Skeletal system structure\Bone and/or joint structure (body structure)\Bone and/or joint structure of limb\Bone structure of extremity\Bone structure of upper limb (body structure)\Bone structure of free upper limb\Bone structure of humerus
\Skeletal system structure\Bone and/or joint structure (body structure)\Bone and/or joint structure of limb\Bone structure of extremity\Bone structure of upper limb (body structure)\Structure of long bone of upper limb (body structure)\Bone structure of humerus
\Skeletal system structure\Bone and/or joint structure (body structure)\Bone structure\Structure of type of bone (body structure)\Structure of long bone\Structure of long bone of upper limb (body structure)\Bone structure of humerus
\Skeletal system structure\Bone and/or joint structure (body structure)\Bone structure\Regional bone structure\Bone structure of clavicle and/or scapula and/or humerus (body structure)\Bone structure of humerus
\Skeletal system structure\Bone and/or joint structure (body structure)\Bone structure\Regional bone structure\Bone structure of extremity\Bone structure of upper limb (body structure)\Bone structure of free upper limb\Bone structure of humerus
\Skeletal system structure\Bone and/or joint structure (body structure)\Bone structure\Regional bone structure\Bone structure of extremity\Bone structure of upper limb (body structure)\Structure of long bone of upper limb (body structure)\Bone structure of humerus
\Skeletal system structure\Structure of appendicular skeleton (body structure)\Bone structure of upper limb (body structure)\Bone structure of free upper limb\Bone structure of humerus
\Skeletal system structure\Structure of appendicular skeleton (body structure)\Bone structure of upper limb (body structure)\Structure of long bone of upper limb (body structure)\Bone structure of humerus

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2002. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Bone structure of humerus	Is a	Structure of long bone	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Is a	Bone structure of upper arm	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Is a	Bone structure of clavicle and/or scapula and/or humerus (body structure)	true	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	partie de	Entire upper arm	false	Additional relationship (core metadata concept)	Existential restriction modifier (core metadata concept)
Bone structure of humerus	partie de	Entire bony skeleton	false	Additional relationship (core metadata concept)	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Is a	Structure of long bone of upper limb (body structure)	true	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Is a	Upper arm structure	false	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Is a	Upper arm part (body structure)	true	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Laterality	Side	true	Inferred relationship	Existential restriction modifier (core metadata concept)
Bone structure of humerus	Is a	Bone structure of free upper limb	true	Inferred relationship	Existential restriction modifier (core metadata concept)

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Open fracture proximal humerus, three part	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	11
Open fracture proximal humerus, four part	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	11
Deformity of humerus	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Pathological fracture - upper arm	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Fracture malunion - upper arm	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Closed fracture of proximal humerus, unspecified part	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	4
Closed fracture of proximal humerus not otherwise specified	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	4
Closed fracture of humerus, shaft or unspecified part	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Closed fracture of humerus NOS	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Closed fracture of humerus, shaft or unspecified part NOS	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open fracture of humerus, shaft or unspecified part	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open fracture of humerus NOS	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open fracture of humerus, shaft or unspecified part NOS	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Fracture of humerus NOS	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed fracture of lateral condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Excisional biopsy of bone of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Manual reduction of closed supracondylar fracture of humerus (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed supracondylar fracture of humerus (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Manual reduction of closed fracture of medial condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Manual reduction of closed fracture of medial condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral supracondylar fracture with manipulation and traction	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reduction of closed humeral supracondylar fracture with manipulation and traction	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open fracture of anatomical neck of humerus	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral shaft fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral shaft fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral lateral epicondylar fracture with manipulation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reduction of closed humeral lateral epicondylar fracture with manipulation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed fracture of medial epicondyle of humerus (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed fracture of medial epicondyle of humerus (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed transcondylar fracture of humerus with traction (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	5
Manual reduction of closed transcondylar fracture of humerus with traction (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed transcondylar fracture of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed transcondylar fracture of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Multiple fractures of clavicle, scapula and humerus	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Closed multiple fractures of clavicle, scapula and humerus (disorder)	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open multiple fractures of clavicle, scapula and humerus	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with internal skeletal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of fracture of humerus with internal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of closed humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reduction of closed humeral fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Manual reduction of closed fracture of lateral condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with internal skeletal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of fracture of humerus with internal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed fracture of lateral condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of closed humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of fracture of humerus with internal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with internal skeletal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Reduction of closed humeral fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Manual reduction of closed fracture of lateral condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Open reduction of closed humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of fracture of humerus with internal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Open reduction of open humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with internal skeletal fixation (procedure)	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	4
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Reduction of closed humeral fracture with manipulation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Manual reduction of closed fracture of lateral condyle of humerus	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of closed humeral fracture with external skeletal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Repair of nonunion of humerus with iliac autograft (procedure)	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Grafting of bone of humerus	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Repair of malunion of humerus with iliac autograft	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Ulnar and humeroulnar synostosis	Finding site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral fracture with manipulation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Local excision of lesion or tissue of humerus (procedure)	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Sequestrectomy of bone of humerus	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with internal skeletal fixation (procedure)	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Debridement of open fracture of humerus	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of fracture of humerus with internal fixation (procedure)	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Intramedullary nailing of humerus	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Reduction of closed humeral lateral epicondylar fracture with manipulation (procedure)	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of closed greater tuberosity fracture	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Excision of lesion of bone of humerus (procedure)	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of fracture of humerus (procedure)	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of closed humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Biopsy of humerus	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Fluoroscopy of humerus (procedure)	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	1
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of humerus with internal fixation	Procedure site	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	3
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Open reduction of open humeral fracture with external skeletal fixation	Procedure site - Indirect (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2
Osteotomy of glenoid	Procedure site - Direct (attribute)	False	Bone structure of humerus	Inferred relationship	Existential restriction modifier (core metadata concept)	2

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Reference Sets

Lateralizable body structure reference set (foundation metadata concept)

Anatomy structure and entire association reference set (foundation metadata concept)

Anatomy structure and part association reference set (foundation metadata concept)

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Id	Description	Lang	Type	Status	Case?	Module
141007011	Humerus	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
506355012	Bone structure of humerus	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
827022014	Bone structure of humerus (body structure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
141007011	Humerus	en	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
141007011	Humerus	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
506355012	Bone structure of humerus	en	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
506355012	Bone structure of humerus	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
827022014	Bone structure of humerus (body structure)	en	Fully specified name	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
827022014	Bone structure of humerus (body structure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
923461000172110	humerus	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
992881000172115	humérus	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
1009621000172116	os huméral	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
1014721000172110	structure osseuse de l'humérus	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
923461000172110	humerus	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
992881000172115	humérus	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
1009621000172116	os huméral	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
1014721000172110	structure osseuse de l'humérus	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module