443625008: operatief aangelegde verbinding tussen systemische veneuze retour en arteria pulmonalis (afwijkende morfologie)

SNOMED CT Concept\Body structure\...

\Anatomical or acquired body structure (body structure)\Acquired body structure\Post-surgical anatomy\Post-surgical cardiovascular structure\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Structure of anatomical cluster (body structure)\Structure of anatomical compartment (body structure)\Structure of body cavity and/or content\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Systemic vascular structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Venous structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Venous structure\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body organ structure\Blood vessel structure (body structure)\Venous structure\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Post-surgical cardiovascular structure\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Cardiovascular structure of trunk\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Cardiovascular structure of trunk\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Cardiovascular structure of trunk\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Regional cardiovascular structure\Cardiovascular structure of trunk\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Venous system structure\Venous structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Venous system structure\Venous structure\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Venous system structure\Venous structure\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Systemic vascular structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Venous structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Venous structure\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body system structure\Structure of cardiovascular system (body structure)\Blood vessel structure (body structure)\Venous structure\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Systemic vascular structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Venous structure\Systemic venous structure\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Venous structure\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body tissue structure\Structure of soft tissue (body structure)\Structure of lymphatic vessel and/or blood vessel (body structure)\Blood vessel structure (body structure)\Venous structure\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Chest and/or abdomen and/or pelvis structure (body structure)\Chest and/or abdomen structure (body structure)\Thoracic structure\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Chest and/or abdomen and/or pelvis structure (body structure)\Chest and/or abdomen structure (body structure)\Thoracic structure\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Neck, chest, abdomen, and pelvis\Neck and/or chest and/or abdomen structure (body structure)\Neck and/or chest structure (body structure)\Thoracic structure\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Neck, chest, abdomen, and pelvis\Neck and/or chest and/or abdomen structure (body structure)\Neck and/or chest structure (body structure)\Thoracic structure\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Neck, chest, abdomen, and pelvis\Neck and/or chest and/or abdomen structure (body structure)\Chest and/or abdomen structure (body structure)\Thoracic structure\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Neck, chest, abdomen, and pelvis\Neck and/or chest and/or abdomen structure (body structure)\Chest and/or abdomen structure (body structure)\Thoracic structure\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Regional blood vessel structure (body structure)\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Upper body structure\Upper body part structure\Structure of thoracic segment of trunk (body structure)\Thoracic structure\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Upper body structure\Upper body part structure\Structure of thoracic segment of trunk (body structure)\Thoracic structure\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of thoracic cross-sectional segment of trunk (body structure)\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of thoracic cross-sectional segment of trunk (body structure)\Structure of thoracic segment of trunk (body structure)\Thoracic structure\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Structure of subregion of trunk (body structure)\Structure of thoracic cross-sectional segment of trunk (body structure)\Structure of thoracic segment of trunk (body structure)\Thoracic structure\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Cardiovascular structure of trunk\Vascular structure of trunk\Structure of blood vessel of thoracic cross-sectional segment of trunk\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Cardiovascular structure of trunk\Vascular structure of trunk\Structure of vein of trunk\Structure of systemic vein of trunk\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Cardiovascular structure of trunk\Vascular structure of trunk\Structure of vein of trunk\Structure of vein of thorax\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Cardiovascular structure of trunk\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)
\Anatomical or acquired body structure (body structure)\Anatomical structure\Body region structure\Body part structure\Trunk structure\Structure of body cavity and/or content\Structure of thoracic cavity and/or content\Intrathoracic cardiovascular structure\Structure of intrathoracic blood vessel (body structure)\Intrathoracic systemic vein\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)

\Morphologically altered structure\Morphologically abnormal structure (morphologic abnormality)\Lesion (morphologic abnormality)\Effect of surgery\Post-surgical anatomy\Post-surgical cardiovascular structure\Systemic venous pathway\Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jan 2010. Module: SNOMED CT core

Descriptions:

Id Description Lang Type Status Case? Module

2835837013 Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality) en Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT core

2839589017 Fontan pulmonary artery connection en Synonym (core metadata concept) Active Entire term case sensitive (core metadata concept) SNOMED CT core

2839774011 Surgically constructed connection of systemic venous return to pulmonary artery en Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT core

5902571000146111 operatief aangelegde verbinding tussen systemische veneuze retour en arteria pulmonalis nl Synonym (core metadata concept) Active Entire term case insensitive (core metadata concept) SNOMED CT Netherlands NRC maintained module (core metadata concept)

5902581000146113 operatief aangelegde verbinding tussen systemische veneuze retour en arteria pulmonalis (afwijkende morfologie) nl Fully specified name Active Entire term case insensitive (core metadata concept) SNOMED CT Netherlands NRC maintained module (core metadata concept)

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)	Is a	Post-surgical cardiovascular structure	false	Inferred relationship	Some
Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)	Is a	Systemic venous pathway	true	Inferred relationship	Some

Inbound Relationships

Type

Active

Source

Characteristic

Refinability

Group

Reference Sets

Description inactivation indicator reference set

GB English

US English

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Id	Description	Lang	Type	Status	Case?	Module
2835837013	Surgically constructed connection of systemic venous return to pulmonary artery (morphologic abnormality)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
2839589017	Fontan pulmonary artery connection	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT core
2839774011	Surgically constructed connection of systemic venous return to pulmonary artery	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
5902571000146111	operatief aangelegde verbinding tussen systemische veneuze retour en arteria pulmonalis	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
5902581000146113	operatief aangelegde verbinding tussen systemische veneuze retour en arteria pulmonalis (afwijkende morfologie)	nl	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)