122658000: Specimen from ampulla of Vater obtained by ampullectomy (specimen)

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Tissue specimen from ampulla of Vater	true	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Ampulla of Vater biopsy specimen	false	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Specimen source topography	Structure of ampulla of Vater	true	Inferred relationship	Some	1
Specimen from ampulla of Vater obtained by ampullectomy	Specimen source topography	Body tissue structure	false	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Specimen procedure	Excision of ampulla of Vater	true	Inferred relationship	Some	1
Specimen from ampulla of Vater obtained by ampullectomy	Specimen procedure	Biopsy of ampulla of Vater	false	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Surgical excision specimen (specimen)	false	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Small bowel resection specimen (specimen)	false	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Specimen from pancreas obtained by partial pancreatectomy (specimen)	true	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Specimen procedure	Excision of ampulla of Vater	false	Inferred relationship	Some	1
Specimen from ampulla of Vater obtained by ampullectomy	Specimen source topography	Structure of ampulla of Vater	false	Inferred relationship	Some	1
Specimen from ampulla of Vater obtained by ampullectomy	Specimen substance (attribute)	Body tissue material (substance)	false	Inferred relationship	Some	1
Specimen from ampulla of Vater obtained by ampullectomy	Specimen substance (attribute)	Body tissue material (substance)	true	Inferred relationship	Some	1
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Tissue specimen from extrahepatic bile duct obtained by excision	true	Inferred relationship	Some
Specimen from ampulla of Vater obtained by ampullectomy	Is a	Specimen from small intestine obtained by segmental resection (specimen)	true	Inferred relationship	Some

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Specimen from ampulla of Vater obtained by incisional biopsy	Is a	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some
The number of distinct, individual primary malignant neoplasms in an ampulla of Vater specimen represented as either focal (single) or multifocal (multiple), and not as a discrete number.	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	5
Presence of primary malignant neoplasm of small intestine at deep surgical margin in ampullectomy specimen	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Presence of primary malignant neoplasm of ampulla of Vater at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Presence of primary malignant neoplasm of small intestine at mucosal surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Surgical margin involved by primary malignant neoplasm of ampulla of Vater in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Surgical margin closest to primary malignant neoplasm in excised specimen of ampulla of Vater	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	7
Presence of noninvasive premalignant neoplasm at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Presence of high grade glandular intraepithelial neoplasia at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Presence of severe dysplasia at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Surgical margin involved by high grade glandular intraepithelial neoplasia in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Surgical margin involved by severe dysplasia in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	False	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	6
Presence of noninvasive premalignant neoplasm at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Presence of high grade glandular intraepithelial neoplasia at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Presence of primary malignant neoplasm of ampulla of Vater at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Presence of primary malignant neoplasm of small intestine at mucosal surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Presence of primary malignant neoplasm of small intestine at deep surgical margin in ampullectomy specimen	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Presence of severe dysplasia at surgical margin in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Surgical margin closest to primary malignant neoplasm in excised specimen of ampulla of Vater	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Surgical margin involved by primary malignant neoplasm of ampulla of Vater in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Surgical margin involved by severe dysplasia in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
Surgical margin involved by high grade glandular intraepithelial neoplasia in ampullectomy specimen (observable entity)	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1
The number of distinct, individual primary malignant neoplasms in an ampulla of Vater specimen represented as either focal (single) or multifocal (multiple), and not as a discrete number.	This attribute represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	True	Specimen from ampulla of Vater obtained by ampullectomy	Inferred relationship	Some	1

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Id	Description	Lang	Type	Status	Case?	Module
180998019	Specimen from ampulla of Vater obtained by ampullectomy	en	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
723988011	Specimen from ampulla of Vater obtained by ampullectomy (specimen)	en	Fully specified name	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT core
333771000077113	échantillon de l'ampoule hépato-pancréatique prélevé par ampullectomie	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module