281300000: Below reference range (qualifier value)

SNOMED CT Concept\Qualifier value (qualifier value)\Finding value (qualifier value)\...

\Interpretation value\Reference range interpretation value\Outside reference range (qualifier value)\Below reference range

\Finding status values\Change values\Changed status\Decreased\Below reference range

\Degree findings\Decreased\Below reference range

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
Below reference range	Is a	Reference range comments	false	Inferred relationship	Some
Below reference range	Is a	Outside reference range (qualifier value)	true	Inferred relationship	Some
Below reference range	Is a	Decreased	true	Inferred relationship	Some

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Secondary thrombocytopenia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenia caused by drugs (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
thrombopénie due à une circulation sanguine extracorporelle	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Transient neonatal thrombocytopenia due to exchange transfusion	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Transient neonatal thrombocytopenia due to idiopathic maternal thrombocytopenia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Transient neonatal thrombocytopenia due to isoimmunisation	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Pancytopenia with pancreatitis	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Amegakaryocytic thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Megakaryocytic thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
May-Hegglin anomaly	Has interpretation	False	Below reference range	Inferred relationship	Some	1
syndrome d'Epstein	Has interpretation	False	Below reference range	Inferred relationship	Some	3
Montreal platelet syndrome (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Mediterranean thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Metabolic thrombocytopenic purpura	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Immune thrombocytopenic purpura	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Neonatal thrombocytopenia due to platelet alloimmunization (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Primary thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
purpura thrombopénique congénital	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Perinatal thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Pancytopenia-dysmelia	Has interpretation	False	Below reference range	Inferred relationship	Some	3
Autoimmune neonatal thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenic disorder	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenic purpura	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenia due to massive blood transfusion	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenia due to sequestration	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Amegakaryocytic thrombocytopenia with congenital malformation	Has interpretation	True	Below reference range	Inferred relationship	Some	2
Megakaryocytic aplasia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Radiation thrombocytopenia	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Autoimmune thrombocytopenia in pregnancy	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Upshaw-Schulman syndrome (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Thrombocytopenic purpura due to defective platelet production (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenic purpura due to platelet consumption (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Wiskott-Aldrich autosomal dominant variant syndrome (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Uremic thrombocytopenia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenic purpura associated with metabolic disorder (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopenia with acquired immunodeficiency syndrome (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Autoimmune thrombotic thrombocytopenic purpura (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Hereditary thrombocytopenic disorder (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Acquired thrombotic thrombocytopenic purpura (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Congenital dysmegakaryopoietic thrombocytopenia, Paris Trousseau type (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Drug induced thrombotic thrombocytopenic purpura (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Thrombocytopenia caused by alcohol (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Thrombocytopathy, asplenia and miosis (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
MYH9-related disease (MYH9-RD) is an inherited giant platelet disorder with a complex phenotype characterized by congenital thrombocytopenia and possible subsequent manifestations of sensorineural hearing loss, presenile cataracts, elevation of liver enzymes, and/or progressive nephropathy often leading to end-stage renal disease (ESRD). Epstein syndrome, Fechtner syndrome, May-Hegglin anomaly and Sebastian syndrome, previously described as distinct disorders, represent some of the different clinical presentations of MYH9-RD.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
An isolated constitutional thrombocytopenia characterized by an isolated and severe decrease in the number of platelets and megakaryocytes during the first years of life that develops into bone marrow failure with pancytopenia later in childhood.	Has interpretation	True	Below reference range	Inferred relationship	Some	1
MYH9 macrothrombocytopenia syndrome	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Von Voss-Cherstvoy syndrome is a very rare disorder with phocomelia of upper limbs, encephalocele, variable brain anomalies, urogenital abnormalities, and thrombocytopenia.	Has interpretation	True	Below reference range	Inferred relationship	Some	5
A rare isolated constitutional thrombocytopenia characterized by abnormally large platelets.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Radio-ulnar synostosis-amegakaryocytic thrombocytopenia syndrome is characterized by the association of proximal fusion of the radius and ulna with congenital amegakaryocytic thrombocytopenia. Less than 10 cases have been reported in the literature so far. The syndrome is transmitted as an autosomal dominant trait and is caused by mutations in the HOXA11 gene (7p15).	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Severe fever with thrombocytopenia syndrome (SFTS) is a newly emerging infectious disease.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Thrombocytopaenia co-occurrent and due to alcoholism	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Pancytopenia due to antineoplastic chemotherapy (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Pancytopenia due to antineoplastic chemotherapy (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	6
Hemolytic disease of newborn co-occurrent and due to ABO immunization (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	7
Hemolytic disease of newborn co-occurrent and due to ABO immunization (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	8
Thrombocytopenia with congenital dyserythropoietic anemia is a rare hematological disorder, seen almost exclusively in males, characterized by moderate to severe thrombocytopenia with hemorrhages with or without the presence of mild to severe anemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Overhydrated hereditary stomatocytosis (OHSt) is a disorder of red cell membrane permeability to monovalent cations and is characterized clinically by hemolytic anemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Overhydrated hereditary stomatocytosis (OHSt) is a disorder of red cell membrane permeability to monovalent cations and is characterized clinically by hemolytic anemia.	Has interpretation	False	Below reference range	Inferred relationship	Some	5
Haemolytic uraemic syndrome with either a family history of haemolytic uraemic syndrome or a genetic mutation known to cause haemolytic uraemic syndrome, or both.	Has interpretation	True	Below reference range	Inferred relationship	Some	10
Haemolytic uraemic syndrome with either a family history of haemolytic uraemic syndrome or a genetic mutation known to cause haemolytic uraemic syndrome, or both.	Has interpretation	True	Below reference range	Inferred relationship	Some	11
Transient neonatal neutropenia due to congenital viral infection	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Transient neonatal neutropenia due to neonatal bacterial sepsis (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Southeast Asian ovalocytosis (SAO) is a rare hereditary red cell membrane defect characterized by the presence of oval-shaped erythrocytes and with most patients being asymptomatic or occasionally manifesting with mild symptoms such as pallor, jaundice, anemia and gallstones.	Has interpretation	False	Below reference range	Inferred relationship	Some	4
Southeast Asian ovalocytosis (SAO) is a rare hereditary red cell membrane defect characterized by the presence of oval-shaped erythrocytes and with most patients being asymptomatic or occasionally manifesting with mild symptoms such as pallor, jaundice, anemia and gallstones.	Has interpretation	False	Below reference range	Inferred relationship	Some	5
Stiffness of bilateral shoulder joints (finding)	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Stiffness of bilateral shoulder joints (finding)	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Stiffness of bilateral hand joints (finding)	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Stiffness of bilateral hand joints (finding)	Has interpretation	False	Below reference range	Inferred relationship	Some	2
Mitochondrial myopathy and sideroblastic anemia belongs to the heterogeneous family of metabolic myopathies. It is characterized by progressive exercise intolerance manifesting in childhood, onset of sideroblastic anemia around adolescence, lactic acidemia, and mitochondrial myopathy.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Mitochondrial myopathy and sideroblastic anemia belongs to the heterogeneous family of metabolic myopathies. It is characterized by progressive exercise intolerance manifesting in childhood, onset of sideroblastic anemia around adolescence, lactic acidemia, and mitochondrial myopathy.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Nonspherocytic hemolytic anemia due to deficiency of adenosinetriphosphatase (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	6
Nonspherocytic hemolytic anemia due to deficiency of adenosinetriphosphatase (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	7
Neck pain co-occurrent with neck stiffness following whiplash injury to neck (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	4
Neck pain co-occurrent with tenderness of neck following whiplash injury to neck (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	3
STEAP3/TSAP6-related sideroblastic anemia is a very rare severe non-syndromic hypochromic anemia, which is characterized by transfusion-dependent hypochromic, poorly regenerative anemia, iron overload, resembling non-syndromic sideroblastic anemia except for increased erythrocyte protoporphyrin levels.	Has interpretation	True	Below reference range	Inferred relationship	Some	2
STEAP3/TSAP6-related sideroblastic anemia is a very rare severe non-syndromic hypochromic anemia, which is characterized by transfusion-dependent hypochromic, poorly regenerative anemia, iron overload, resembling non-syndromic sideroblastic anemia except for increased erythrocyte protoporphyrin levels.	Has interpretation	True	Below reference range	Inferred relationship	Some	3
Iron deficiency anemia due to blood loss (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Iron deficiency anemia due to blood loss (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Acquired iron deficiency anemia due to decreased absorption (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	5
Acquired iron deficiency anemia due to decreased absorption (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	6
A rare genetic neurological disorder characterized by early-onset progressive leukoencephalopathy, severe developmental delay, early-onset or congenital deafness (only few cases reported without hearing loss), and visual impairment. All patients manifest calcifications in brain and spinal cord. Cognitive impairment, seizures, hypotonia, spastic tetraplegia or quadriplegia are observed in the majority of the patients. Variable features may include microcephaly and anemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	6
A rare genetic neurological disorder characterized by early-onset progressive leukoencephalopathy, severe developmental delay, early-onset or congenital deafness (only few cases reported without hearing loss), and visual impairment. All patients manifest calcifications in brain and spinal cord. Cognitive impairment, seizures, hypotonia, spastic tetraplegia or quadriplegia are observed in the majority of the patients. Variable features may include microcephaly and anemia.	Has interpretation	True	Below reference range	Inferred relationship	Some	4
Secondary autoimmune haemolytic anaemia co-occurrent and due to systemic lupus erythematosus	Has interpretation	False	Below reference range	Inferred relationship	Some	9
Secondary autoimmune haemolytic anaemia co-occurrent and due to systemic lupus erythematosus	Has interpretation	False	Below reference range	Inferred relationship	Some	10
Secondary autoimmune hemolytic anemia co-occurrent and due to chronic inflammatory disease (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	9
Secondary autoimmune hemolytic anemia co-occurrent and due to chronic inflammatory disease (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	10
Secondary autoimmune hemolytic anemia co-occurrent and due to lymphoproliferative disorder	Has interpretation	False	Below reference range	Inferred relationship	Some	9
Secondary autoimmune hemolytic anemia co-occurrent and due to lymphoproliferative disorder	Has interpretation	False	Below reference range	Inferred relationship	Some	10
Secondary autoimmune hemolytic anemia co-occurrent and due to rheumatic disorder (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	9
Secondary autoimmune hemolytic anemia co-occurrent and due to rheumatic disorder (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	10
Secondary autoimmune hemolytic anemia co-occurrent and due to ulcerative colitis (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	9
Secondary autoimmune hemolytic anemia co-occurrent and due to ulcerative colitis (disorder)	Has interpretation	False	Below reference range	Inferred relationship	Some	10
Isolated thrombocytopenia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Refractory thrombocytopenia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	2
A rare syndromic renal disorder characterized by renal, neurologic and thyroid disease, associated with thrombocytopenia. There have been no further descriptions in the literature since 1978.	Has interpretation	True	Below reference range	Inferred relationship	Some	6
A rare developmental defect during embryogenesis, a contiguous gene deletion syndrome, is a form of alpha-thalassemia characterized by microcytosis, hypochromia, normal hemoglobin (Hb) level or mild anemia, associated with developmental abnormalities.	Has interpretation	True	Below reference range	Inferred relationship	Some	8
A rare developmental defect during embryogenesis, a contiguous gene deletion syndrome, is a form of alpha-thalassemia characterized by microcytosis, hypochromia, normal hemoglobin (Hb) level or mild anemia, associated with developmental abnormalities.	Has interpretation	True	Below reference range	Inferred relationship	Some	9
Low-level literacy (finding)	Has interpretation	True	Below reference range	Inferred relationship	Some	1
Constitutional neutropenia	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Acquired neutropenia	Has interpretation	False	Below reference range	Inferred relationship	Some	1
Constitutional eosinopenia (disorder)	Has interpretation	True	Below reference range	Inferred relationship	Some	3

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Id	Description	Lang	Type	Status	Case?	Module
419283014	Below reference range	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
674819018	Below reference range (qualifier value)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
149241000077115	au-dessous de l'étendue de référence	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
2343211000195112	Unterhalb Referenzbereich	de	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
2343221000195119	Unter Referenzbereich	de	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module