609170000: revisie van 'reversed' totale schouderprothese (verrichting)

SNOMED CT Concept\Procedure\...

\Surgical procedure (procedure)\Limb operation\Operative procedure on upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Limb operation\Operative procedure on upper extremity\Surgical repair of upper extremity\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Limb operation\Operative procedure on upper extremity\Operative procedure on shoulder\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Limb operation\Operative procedure on upper extremity\Operative procedure on shoulder\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Revision\Revision of prosthesis\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Revision\Revision of prosthesis\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Operation on musculoskeletal system\Musculoskeletal system repair\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Surgical repair\Surgical repair of upper extremity\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Surgical procedure (procedure)\Surgical repair\Musculoskeletal system repair\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)

\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Limb operation\Operative procedure on upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Limb operation\Operative procedure on upper extremity\Surgical repair of upper extremity\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Limb operation\Operative procedure on upper extremity\Operative procedure on shoulder\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Limb operation\Operative procedure on upper extremity\Operative procedure on shoulder\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Procedure on shoulder joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on joint of upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on shoulder\Procedure on joint of shoulder girdle\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on shoulder\Procedure on joint of shoulder girdle\Procedure on shoulder joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on shoulder\Operative procedure on shoulder\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Procedure on shoulder\Operative procedure on shoulder\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Operative procedure on upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Operative procedure on upper extremity\Surgical repair of upper extremity\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Operative procedure on upper extremity\Operative procedure on shoulder\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on extremity\Procedure on upper extremity\Operative procedure on upper extremity\Operative procedure on shoulder\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Procedure on shoulder joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Procedure on joint of upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body region (procedure)\Procedure on joint\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Procedure on shoulder joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Procedure on joint of upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on organ\Procedure on joint\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Surgical procedure on skeletal system\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Surgical procedure on skeletal system\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Procedure on joint of upper extremity\Procedure on joint of shoulder girdle\Procedure on shoulder joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Procedure on joint of upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Procedure on skeletal system\Procedure on articular system\Procedure on joint\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by site\Procedure on body system\Procedure on musculoskeletal system\Operation on musculoskeletal system\Musculoskeletal system repair\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)

\Procedure by method\Limb operation\Operative procedure on upper extremity\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Limb operation\Operative procedure on upper extremity\Surgical repair of upper extremity\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Limb operation\Operative procedure on upper extremity\Operative procedure on shoulder\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Limb operation\Operative procedure on upper extremity\Operative procedure on shoulder\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Revision\Revision of prosthesis\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Revision\Revision of prosthesis\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of total prosthetic replacement of joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Revision of prosthetic replacement of joint (procedure)\Revision of replacement of joint of upper limb\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Operation on musculoskeletal system\Surgical procedure on skeletal system\Operation on joint\Operation on shoulder joint\Revision of total prosthetic replacement of shoulder joint (procedure)\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Operation on musculoskeletal system\Musculoskeletal system repair\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Surgical repair\Surgical repair of upper extremity\Repair of shoulder\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)
\Procedure by method\Surgical repair\Musculoskeletal system repair\Arthroplasty\Arthroplasty of shoulder\Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2013. Module: SNOMED CT core

Descriptions:

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Is a	Operation on shoulder joint	false	Inferred relationship	Some
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Is a	Revision of prosthesis	false	Inferred relationship	Some
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Procedure site	Glenohumeral joint structure	false	Inferred relationship	Some	1
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Method	Surgical action	true	Inferred relationship	Some	1
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Revision status	Revision - value	true	Inferred relationship	Some	1
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Revision status	Revision - value	false	Inferred relationship	Some	2
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Method	Surgical action	false	Inferred relationship	Some	2
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Direct device	Prosthesis, device (physical object)	false	Inferred relationship	Some	2
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Is a	Arthroplasty of shoulder	true	Inferred relationship	Some
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Direct device	Total shoulder replacement prosthesis	true	Inferred relationship	Some	1
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Method	Repair - action	true	Inferred relationship	Some	2
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Procedure site - Direct (attribute)	Entire glenohumeral joint	true	Inferred relationship	Some	2
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Is a	Revision of total prosthetic replacement of shoulder joint (procedure)	true	Inferred relationship	Some
Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Procedure site - Indirect (attribute)	Entire glenohumeral joint	true	Inferred relationship	Some	1

Inbound Relationships	Type	Active	Source	Characteristic	Refinability	Group
Revision of reverse polarity total prosthetic replacement of shoulder joint not using cement	Is a	True	Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	Inferred relationship	Some

This concept is not in any reference sets

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Id	Description	Lang	Type	Status	Case?	Module
2958156014	Revision of reverse polarity total prosthetic replacement of shoulder joint (procedure)	en	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
2959456012	Revision of reverse polarity total prosthetic replacement of shoulder joint	en	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT core
3339091000146115	revisie van omgekeerde totale schouderprothese	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
3339101000146110	revisie van 'reversed' totale schouderprothese (verrichting)	nl	Fully specified name	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
3339111000146112	revisie van omgekeerde gewrichtsprothese van totale schouder	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)
3339121000146119	revisie van 'reversed' totale schouderprothese	nl	Synonym (core metadata concept)	Active	Entire term case insensitive (core metadata concept)	SNOMED CT Netherlands NRC maintained module (core metadata concept)