5880005: Physical examination procedure (procedure)

SNOMED CT Concept\Procedure\...

\Procedure by site\An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)

\Procedure by method\Determination of a value, conclusion, or inference by evaluating evidence\Examination by method\An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)
\Procedure by method\Interview, history AND/OR physical examination\Examination by method\An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)

Status: current, Sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2006. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Interview, history AND/OR physical examination	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Physical assessment	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	examen diagnostique selon la localisation	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Observation procedure (procedure)	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Has intent	Diagnostic intent (qualifier value)	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Method	Physical examination - action	false	Inferred relationship	Some	2
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Procedure site	Body structure (body structure)	false	Inferred relationship	Some	2
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Method	Investigation - action	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Method	Examination - action	true	Inferred relationship	Some	1
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Interview, history AND/OR physical examination	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Determination of a value, conclusion, or inference by evaluating evidence	false	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Procedure by site	true	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Method	Examination - action	false	Inferred relationship	Some	1
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Procedure site	Anatomical structure	false	Inferred relationship	Some	1
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Procedure site	Anatomical structure	false	Inferred relationship	Some	1
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Is a	Examination by method	true	Inferred relationship	Some
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Procedure site	Anatomical or acquired body structure (body structure)	false	Inferred relationship	Some	1
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Method	Examination - action	false	Inferred relationship	Some	1
An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Procedure site	Anatomical or acquired body structure (body structure)	true	Inferred relationship	Some	1

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
General examination of patient	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
examen d'une localisation corporelle	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Examination of body system	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Listening	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Examination by method	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
History taking, self-administered, by computer terminal	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Nose and throat examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
A history taken by a self-administered questionnaire	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Exploration with a probe (procedure)	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Dental history taking (procedure)	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Examination of breast	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
History taking, medicolegal investigation	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Chiropractic examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Taking patient vital signs	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Lameness examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
History AND physical examination	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
History taking, update	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Gynecologic examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Cardiovascular physical examination	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Musculoskeletal system physical examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Postmortem examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
An inspection by the passage of light through tissues or a body cavity	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Prenatal examination and care of mother	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Inspection of stump	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Examination for rehabilitation	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
examen et soins post-partum de la mère	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Examination assistance (procedure)	Has focus	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
Physical examination under local anesthesia	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Self-examination (procedure)	Is a	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Physical examination assessment	Has focus	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
Physical examination education	Has focus	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
Physical examination management (procedure)	Has focus	True	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
Physical examination status	Associated procedure	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
Microscopy during surgical procedure	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
palpation diagnostique	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Microscopy	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Pregnancy-related examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
An observation of the body or a body part done by inspection and/or palpation	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
An evaluation of the performance of an organ, organ system, or body part	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Endoscopic excision of lesion of duodenum	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Physical examination under general anesthesia	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
endoscopie avec intervention chirurgicale	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Amniotic fluid examination	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Cytology examination - general	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
endoscopie, retrait d'un objet	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
Examination of cells	Is a	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
On examination - presentation engaged- 0/5	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	4
On examination - red reflex absent	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - asymmetrical thigh creases	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - right retina fully assessable	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - left retina partially assessable	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - right retina partially assessable	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
à l'examen : rétinopathie diabétique proliférante de l'œil droit stable sous traitement	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
à l'examen : rétinopathie diabétique proliférante de l'œil gauche stable sous traitement	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
à l'examen : œdème maculaire de l'œil droit cliniquement significatif	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
à l'examen : œdème maculaire de l'œil gauche cliniquement significatif	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
On examination - left retina fully assessable	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - appropriate footwear	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - left chronic diabetic foot ulcer	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - right chronic diabetic foot ulcer	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - right healed foot ulcer	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - left healed foot ulcer	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - right posterior tibial pulse normal	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - right dorsalis pedis pulse normal	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - left dorsalis pedis pulse normal	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - Left posterior tibial pulse normal	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - intraocular pressure reading	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - dyspraxia	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : absence de sensibilité	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : nævi angiomateux multiples	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : cataracte	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - cataract of left eye	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - cataract of right eye	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - lung cavitation	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - atelectasis	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - lung consolidation	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - dysdiadochokinesia	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : ecchymose	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - right eye visual acuity - corrected	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - left eye visual acuity - corrected	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - pinhole visual acuity left eye	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - pinhole visual acuity right eye	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : rien d'anormal	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
On examination - looks ill	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : observation générale	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - general observation - no abnormality detected	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some
On examination - shocked	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : sudation	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - cachexic	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - dehydrated	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - steroid facies	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
à l'examen : vaisseaux sanguins dilatés	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - obese	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - cold and clammy	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - diminished sweating	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	4
à l'examen : odeur corporelle	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	2
On examination - level of consciousness	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	1
On examination - fully conscious	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - mentally confused	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	4
On examination - delirious	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	3
On examination - drowsy	Finding method (attribute)	False	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	Inferred relationship	Some	5

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Id	Description	Lang	Type	Status	Case?	Module
2884690016	An observation of the body or a body part using one of the five human senses (e.g. inspection, palpation, percussion, auscultation)	en	Definition	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core
10793011	Clinical examination	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
194969012	Physical examination procedure	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
498242010	Physical examination	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
498243017	Examination of patient	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
797572013	Physical examination procedure (procedure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
2579416013	PE - Physical examination	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core
911941000195118	procedura di esame obiettivo	it	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
185001000077118	intervention liée à l'examen physique	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
993931000241113	examen physique	fr	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
158841000274111	Physische Untersuchung	de	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
180141000274114	Klinische Untersuchung	de	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module
854191000195114	Körperliche Untersuchung	de	Synonym (core metadata concept)	Active	Only initial character case insensitive (core metadata concept)	SNOMED CT Switzerland NRC maintained Module