This
page
is
part
of
the
FHIR
Specification
(v1.0.2:
DSTU
(v3.0.2:
STU
2).
3).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
R4B
R4
R3
R2
R3
R2
1.25.1.5
4.2.5
Using
the
NCI
Metathesaurus
with
FHIR
1.25.1.5.1
4.2.5.1
Summary
|
Source
|
NCI
Metathesaurus
the
NCI
Center
for
Biomedical
Informatics
and
Information
Technology
(CBIIT)
|
|
System
|
The
URI
http://ncimeta.nci.nih.gov
identifies
the
NCI
Metathesaurus
|
|
Version
|
There
is
no
version
or
versioning
associated
with
the
NCI
metathesaurus
|
|
Code
|
The
Concept
Unique
Identifier
(CUI)
is
used
for
the
code
value
for
a
Metathesaurus
concept
|
|
Display
|
The
name
should
be
used
as
the
display
for
English
usage
(e.g.
"
Aerosol
Dose
Form
"
for
CUI
C1112870)
|
|
Inactive
|
Todo:
Describe
how
it
is
determined
which
concepts
are
inactive
|
|
Subsumption
|
No
Subsumption
relationships
are
defined
for
the
NCI
Metathesaurus
|
|
Filter
Properties
|
None
are
described
yet
|
1.25.1.5.2
4.2.5.2
Version
Issues
There
are
no
staged
releases
of
the
NCI
metathesaurus,
so
there
is
no
versioning
policy.
1.25.1.5.3
4.2.5.3
Copyright/License
Issues
The
NCI
metathesaurus
is
in
the
public
domain,
so
there
are
no
copyright
notices
needed
in
value
sets
that
refer
to
NCI
metathesaurus
concepts,
and
there
are
no
licensing
requirements
limiting
use
of
NCI
metathesaurus
concepts
in
instances
or
systems.
1.25.1.5.4
4.2.5.4
MCI
Metathesaurus
MySQL
Database
Like
RxNorm
,
the
RRF
files
that
are
the
distributed
source
of
the
NCI
Metathesaurus
can
be
used
to
populate
a
MySQL
database
that
contains
the
data.
This
page
provides
SQL
statements
that
describe
how
to
implement
the
features
of
the
NCI
Metathesaurus
correctly
against
this
database.
They
are
provided
only
for
implementer
convenience,
and
do
not
imply
that
any
particular
approach
must
be
used
in
implementations.
(Note:
for
consistency,
the
RxNorm
table
and
column
names
are
used
and
the
CUIs
are
1
character
longer,
so
the
scripts
must
be
updated).
For
example,
the
correct
display
name
for
a
CUI
is
select STR from rxnconso where RXCUI = :code and SAB = 'RXNORM' and TTY <> 'SY'
.
1.25.1.5.5
4.2.5.5
NCI
metathesaurus
Filter
Properties
This
section
documents
the
property
filters
that
can
be
used
with
the
RxNorm
code
system
in
value
set
composition
statements.
The
base
SQL
statement
for
returning
a
list
of
CUIS
CUIs
that
conform
to
these
filters
is:
select RXCUI from RXNCONSO where SAB = 'RXNORM' and TTY <> 'SY'
1.25.1.5.5.1
4.2.5.5.1
Semantic
Type
|
Description
|
Allows
to
choose
for
selection
of
a
set
of
CUIs
based
on
their
Semantic
Type
|
|
Property
Name
|
STY
|
|
Operations
Allowed
|
=
/
in
|
|
Values
Allowed
|
[column:]value
|
|
Comments
|
If
not
a
column
is
not
specified,
the
default
column
is
TUI
|
|
SQL
|
and
RXCUI
in
(select
RXCUI
from
RXNSTY
where
[:column]
=
:value)
|
1.25.1.5.5.2
4.2.5.5.2
Source
|
Description
|
Allows
for
selection
of
the
set
of
concepts
that
have
mappings
to
a
particular
rxnorm
RxNorm
source
|
|
Property
Name
|
SAB
|
|
Operations
Allowed
|
=
/
in
|
|
Values
Allowed
|
Values
from
the
SAB
table
(e.g.
select
RSAB
from
RXNsab)
|
|
SQL
|
and
RXCUI
in
(select
RXCUI
from
RXNconso
where
SAB
=
:value)
|
1.25.1.5.5.3
4.2.5.5.3
Term
Type
|
Description
|
Allows
for
selection
of
a
concept
based
on
its
designated
type
|
|
Property
Name
|
TTY
|
|
Operations
Allowed
|
=
/
in
|
|
Values
Allowed
|
TTY
values
from
the
RxNorm
Concept
table
(e.g.
select
distinct
TTY
from
rxnconso)
|
|
SQL
|
and
TTY
=
:value
|
1.25.1.5.5.4
4.2.5.5.4
Relationship
|
Description
|
Allows
for
selection
of
a
concept
based
on
its
relationships
|
|
Property
Name
|
[REL]
|
|
Operations
Allowed
|
=
/
in
|
|
Values
Allowed
|
CUI:[RXCUI]
or
AUI:[RXAUI]
must
be
a
valid
CUI
or
AUI.
Note
that
a
CUI
does
not
need
to
have
a
SAB=RXNORM
entry
to
be
used
here
|
|
Comments
|
[REL]
(:rel)
is
one
of
AQ,
CHD,
PAR,
QB,
RB,
RN,
RO,
RQ,
SIB
or
SY
|
|
SQL
|
for
CUI:
and
(RXCUI
in
(select
RXCUI
from
rxnconso
where
RXCUI
in
(select
RXCUI1
from
rxnrel
where
REL
=
:rel
and
RXCUI2
=
:value))
for
AUI:
and
(RXCUI
in
(select
RXCUI
from
rxnconso
where
RXAUI
in
(select
RXAUI1
from
rxnrel
where
REL
=
:rel
and
RXAUI2
=
:value))
|
1.25.1.5.5.5
4.2.5.5.5
Relationship
Type
|
Description
|
Allows
for
selection
of
a
concept
based
on
the
type
of
its
relationships
|
|
Property
Name
|
[RELA]
|
|
Operations
Allowed
|
=
/
in
|
|
Values
Allowed
|
CUI:[RXCUI]
or
AUI:[RXAUI]
must
be
a
valid
CUI
or
AUI.
Note
that
a
CUI
does
not
need
to
have
a
SAB=RXNORM
entry
to
be
used
here
|
|
Comments
|
[RELA]
(:rela)
is
one
of
the
relationship
types
listed
in
the
NCI
file
"Relationships_Help_Page.txt"
-
the
current
list
(nearly
1000
types)
is
at
the
end
of
the
page
|
|
SQL
|
for
CUI:
and
(RXCUI
in
(select
RXCUI
from
rxnconso
where
RXCUI
in
(select
RXCUI1
from
rxnrel
where
RELA
=
:rel
and
RXCUI2
=
:value))
for
AUI:
and
(RXCUI
in
(select
RXCUI
from
rxnconso
where
RXAUI
in
(select
RXAUI1
from
rxnrel
where
RELA
=
:rel
and
RXAUI2
=
:value))
|
1.25.1.5.6
4.2.5.6
Implicit
Value
Sets
This
section
needs
investigation
1.25.1.5.7
4.2.5.7
Current
NCI
Metathesaurus
relationship
types
-
3_UTR_of
-
5_UTR_of
-
Abnormal_Cell_Affected_By_Chemical_Or_Drug
-
Abnormality_Associated_With_Allele
-
Abstract_of
-
access_device_used_by
-
access_of
-
action_of
-
active_ingredient_of
-
active_metabolites_of
-
Activity_Of_Allele
-
adheres_to
-
adjacent_to
-
afferent_to
-
agent_in
-
alias_of
-
Allele_Absent_From_Wild-type_Chromosomal_Location
-
Allele_Has_Abnormality
-
Allele_Has_Activity
-
Allele_In_Chromosomal_Location
-
Allele_of
-
Allele_Plays_Altered_Role_In_Process
-
Allele_Plays_Role_In_Metabolism_Of_Chemical_Or_Drug
-
allelic_variant_of
-
Amino_Acid_Variant_of
-
analyzed_by
-
analyzes
-
Anatomic_Structure_Has_Location
-
Anatomic_Structure_Is_Physical_Part_Of
-
anatomical_site
-
Anatomy_Originated_From_Biological_Process
-
Aneuploidy_Addition_of
-
Aneuploidy_Deletion_of
-
anterior_to
-
application_of
-
Arm_Location_of
-
Arm_of
-
arterial_supply_of
-
articulates_with
-
associated_disease
-
associated_finding_of
-
associated_genetic_condition
-
associated_morphology_of
-
associated_procedure_of
-
associated_with
-
Associated_With_Malfunction_Of_Gene_Product
-
attaches_to
-
attributed_constitutional_part_of
-
attributed_continuous_with
-
attributed_part_of
-
attributed_regional_part_of
-
Author_of
-
Band_Location_of
-
Band_of
-
bearer_of
-
Biological_Process_Has_Associated_Location
-
Biological_Process_Has_Initiator_Chemical_Or_Drug
-
Biological_Process_Has_Initiator_Process
-
Biological_Process_Has_Result_Anatomy
-
Biological_Process_Has_Result_Biological_Process
-
Biological_Process_Has_Result_Chemical_Or_Drug
-
Biological_Process_Involves_Chemical_Or_Drug
-
Biological_Process_Involves_Gene_Product
-
Biological_Process_Is_Part_Of_Process
-
Biological_Process_Results_From_Biological_Process
-
Biomarker_Type_Includes_Gene
-
Biomarker_Type_Includes_Gene_Product
-
blood_supply_of
-
bounded_by
-
bounds
-
branch_of
-
branch_part_of
-
causative_agent_of
-
cause_of
-
cell_connecting_part_of
-
cell_shape_of
-
cell_surface_specialization_of
-
Cell_Type_Is_Associated_With_EO_Disease
-
Cell_Type_Or_Tissue_Affected_By_Chemical_Or_Drug
-
Centromere_of
-
CH3_Status_of
-
Chemical_Or_Drug_Affects_Abnormal_Cell
-
Chemical_Or_Drug_Affects_Cell_Type_Or_Tissue
-
Chemical_Or_Drug_Affects_Gene_Product
-
Chemical_Or_Drug_Has_Mechanism_Of_Action
-
Chemical_Or_Drug_Has_Physiologic_Effect
-
Chemical_Or_Drug_Initiates_Biological_Process
-
Chemical_Or_Drug_Is_Metabolized_By_Enzyme
-
Chemical_Or_Drug_Is_Product_Of_Biological_Process
-
Chemical_Or_Drug_Metabolism_Is_Associated_With_Allele
-
Chemical_Or_Drug_Plays_Role_In_Biological_Process
-
chemical_structure_of
-
Chemotherapy_Regimen_Has_Component
-
Chromosomal_Location_of
-
Chromosomal_Location_Of_Allele
-
Chromosomal_Location_of_Wild-type_Gene
-
Chromosomal_Structural_Variant
-
Chromosome_Involved_In_Cytogenetic_Abnormality
-
Chromosome_Mapped_To_Disease
-
class_code_classified_by
-
classified_as
-
classifies
-
classifies_class_code
-
clinical_course_of
-
common_name_of
-
Completely_Excised_Anatomy_Has_Procedure
-
Completely_Excised_Anatomy_May_Have_Procedure
-
Complex_Has_Physical_Part
-
component_of
-
Concept_In_Subset
-
conceptual_part_of
-
conjugate_component_of
-
consider
-
consider_from
-
consists_of
-
Constituent_Amino_Acid_of
-
Constituent_Element_of
-
Constituent_Protein_of
-
Constituent_Variant_of
-
constitutes
-
constitutional_part_of
-
contained_in
-
contains
-
context_binding_of
-
continuation_branch_of
-
continuous_with
-
continuous_with_distally
-
continuous_with_proximally
-
contraindicated_with_disease
-
contraindicating_class_of
-
contraindicating_mechanism_of_action_of
-
contraindicating_physiologic_effect_of
-
Cytogenetic_Abnormality_Involves_Chromosome
-
Data_Element_Of
-
definitional_manifestation_of
-
degree_of
-
Deleted_Region_End_Band
-
Deleted_Region_Start_Band
-
denoted_by
-
denotes
-
dependent_of
-
derivatized_to
-
derives_from
-
determines_parameter_for
-
determines_property
-
develops_from
-
device_used_by
-
diagnosed_by
-
diagnoses
-
direct_device_of
-
direct_morphology_of
-
direct_procedure_site_of
-
direct_substance_of
-
Disease_Excludes_Abnormal_Cell
-
Disease_Excludes_Cytogenetic_Abnormality
-
Disease_Excludes_Finding
-
Disease_Excludes_Molecular_Abnormality
-
Disease_Excludes_Normal_Cell_Origin
-
Disease_Excludes_Normal_Tissue_Origin
-
Disease_Excludes_Primary_Anatomic_Site
-
Disease_Has_Abnormal_Cell
-
Disease_Has_Accepted_Treatment_With_Regimen
-
Disease_Has_Associated_Anatomic_Site
-
Disease_Has_Associated_Disease
-
Disease_Has_Associated_Gene
-
Disease_Has_Cytogenetic_Abnormality
-
Disease_Has_Finding
-
Disease_Has_Metastatic_Anatomic_Site
-
Disease_Has_Molecular_Abnormality
-
Disease_Has_Normal_Cell_Origin
-
Disease_Has_Normal_Tissue_Origin
-
Disease_Has_Primary_Anatomic_Site
-
Disease_Is_Grade
-
Disease_Is_Marked_By_Gene
-
Disease_Is_Stage
-
Disease_Mapped_To_Chromosome
-
Disease_Mapped_To_Gene
-
Disease_May_Have_Abnormal_Cell
-
Disease_May_Have_Associated_Disease
-
Disease_May_Have_Cytogenetic_Abnormality
-
Disease_May_Have_Finding
-
Disease_May_Have_Molecular_Abnormality
-
Disease_May_Have_Normal_Cell_Origin
-
Disease_Pathogenesis_Involves_Gene
-
disease_with_contraindication
-
distal_to
-
DOI_of
-
dose_form_of
-
doseformgroup_of
-
drains_into
-
drug_contraindicated_for
-
due_to
-
Duplicated_Region_End_Band
-
Duplicated_Region_Start_Band
-
effect_may_be_inhibited_by
-
Effect_of
-
efferent_to
-
encapsulated_component_of
-
Encoded_by
-
Encodes
-
Endogenous_Product_Related_To
-
energy_used_by
-
entrapment_site_of
-
entrapped_component_of
-
entry_version_of
-
Enzyme_Metabolizes_Chemical_Or_Drug
-
EO_Anatomy_Is_Associated_With_EO_Disease
-
EO_Disease_Has_Associated_Cell_Type
-
EO_Disease_Has_Associated_EO_Anatomy
-
EO_Disease_Has_Property_Or_Attribute
-
EO_Disease_Maps_To_Human_Disease
-
epithelial_cell_shape_of
-
evaluation_of
-
Excised_Anatomy_Has_Procedure
-
Excised_Anatomy_May_Have_Procedure
-
exhibited_by
-
exhibits
-
Exon_of
-
expanded_form_of
-
external_to
-
fascicular_architecture_of
-
Feature_of
-
finding_context_of
-
finding_informer_of
-
finding_method_of
-
finding_site_of
-
focus_of
-
form_of
-
function_of
-
Gene_Associated_With_Disease
-
Gene_Encodes_Gene_Product
-
Gene_Found_In_Organism
-
Gene_Has_Abnormality
-
Gene_Has_Physical_Location
-
Gene_In_Chromosomal_Location
-
Gene_Involved_In_Molecular_Abnormality
-
Gene_Involved_In_Pathogenesis_Of_Disease
-
Gene_Is_Biomarker_Of
-
Gene_Is_Biomarker_Type
-
Gene_Is_Element_In_Pathway
-
Gene_Location_of
-
Gene_Mapped_To_Disease
-
Gene_Mutant_Encodes_Gene_Product_Sequence_Variation
-
Gene_of
-
Gene_Plays_Role_In_Process
-
Gene_Product_Affected_By_Chemical_Or_Drug
-
Gene_Product_Encoded_By_Gene
-
Gene_Product_Expressed_In_Tissue
-
Gene_Product_Has_Abnormality
-
Gene_Product_Has_Associated_Anatomy
-
Gene_Product_Has_Biochemical_Function
-
Gene_Product_Has_Chemical_Classification
-
Gene_Product_Has_Organism_Source
-
Gene_Product_Has_Structural_Domain_Or_Motif
-
Gene_Product_Is_Biomarker_Of
-
Gene_Product_Is_Biomarker_Type
-
Gene_Product_Is_Element_In_Pathway
-
Gene_Product_Is_Physical_Part_Of
-
Gene_Product_Malfunction_Associated_With_Disease
-
Gene_Product_Plays_Role_In_Biological_Process
-
Gene_Product_Sequence_Variation_Encoded_By_Gene_Mutant
-
Genomic_Mutation_Of
-
germ_origin_of
-
gives_rise_to
-
Has_3_UTR
-
Has_5_UTR
-
has_Abstract
-
has_access
-
has_action
-
has_active_ingredient
-
has_active_metabolites
-
has_additive
-
has_adherent
-
has_affiliation
-
has_agent
-
has_alias
-
Has_Allele
-
has_allelic_variant
-
Has_Amino_Acid_Variant
-
Has_Aneuploidy_Addition
-
Has_Aneuploidy_Deletion
-
has_application
-
Has_Arm
-
Has_Arm_Location
-
has_arterial_supply
-
has_associated_finding
-
has_associated_morphology
-
has_associated_procedure
-
has_atmospheric_component
-
has_attributed_constitutional_part
-
has_attributed_part
-
has_attributed_regional_part
-
has_Author
-
Has_Band
-
Has_Band_Location
-
has_been_treated
-
has_bioassay_data
-
has_bioassays
-
has_biomaterial_characteristics
-
has_blood_supply
-
has_branch
-
has_branch_part
-
has_cancer_site
-
has_category
-
has_causative_agent
-
Has_CDRH_Parent
-
has_cell_connecting_part
-
has_cell_shape
-
has_cell_surface_specialization
-
Has_Centromere
-
Has_CH3_Status
-
has_chemical_structure
-
has_chromosomal_aberration_classification
-
Has_Chromosomal_Location
-
has_citation
-
has_clinical_course
-
has_clinical_finding
-
has_clinical_record
-
has_clinical_treatment
-
has_common_name
-
has_component
-
has_component_part
-
has_compound
-
has_conceptual_part
-
has_conjugated_component_part
-
Has_Constituent_Amino_Acid
-
Has_Constituent_Element
-
Has_Constituent_Protein
-
Has_Constituent_Variant
-
has_constitutional_part
-
has_context_binding
-
has_continuation_branch
-
has_contraindicated_drug
-
has_contraindicating_class
-
has_contraindicating_mechanism_of_action
-
has_contraindicating_physiologic_effect
-
has_cubic_volume
-
Has_Data_Element
-
has_database
-
has_database_entry_type
-
has_datum_value
-
has_definitional_manifestation
-
has_degree
-
has_dependent
-
has_diameter
-
has_direct_device
-
has_direct_morphology
-
has_direct_procedure_site
-
has_direct_substance
-
has_disease_location
-
has_disease_staging
-
has_disease_state
-
has_DOI
-
has_donor
-
has_dose_form
-
has_doseformgroup
-
Has_Effect
-
has_encapsulated_component_part
-
has_endpoint_of_measurement
-
has_entrapment_site
-
has_entrapped_component_part
-
has_entry_version
-
has_epithelial_cell_shape
-
has_evaluation
-
Has_Exon
-
has_expanded_form
-
has_experiment_design
-
has_experiment_design_type
-
has_experiment_factors
-
has_factor_value
-
has_factor_value_ontology_entry
-
has_family_member
-
has_family_relationship
-
has_fascicular_architecture
-
Has_Feature
-
has_feature_shape
-
has_fiducials
-
has_finding_context
-
has_finding_informer
-
has_finding_method
-
has_finding_site
-
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Has_Gene_Location
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Has_Gene_Product_Element
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Has_Genomic_Mutation
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Has_Subset
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Human_Disease_Maps_To_EO_Disease
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icd_dagger
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Imaged_Anatomy_Has_Procedure
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INV_Duplicated_Region_End_Band
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INV_Human_Sex_Determinant
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INV_Inverted_Region_End_Band
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INV_Inverted_Region_End_Exon
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INV_Inverted_Region_End_Gene
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INV_Inverted_Region_End_UTR
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INV_Inverted_Region_Start_Intron
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inverse_has_additive
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inverse_has_diameter
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inverse_has_factor_value_ontology_entry
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inverse_has_family_member
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inverse_has_family_relationship
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inverse_has_nodes
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inverse_has_nutrient_component
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inverse_has_organism_part
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inverse_has_owner
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inverse_has_parent_organization
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Inverted_Region_End_Band
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Inverted_Region_End_Exon
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Inverted_Region_End_Gene
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Inverted_Region_End_UTR
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Inverted_Region_Start_Band
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Inverted_Region_Start_Exon
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Inverted_Region_Start_Gene
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Inverted_Region_Start_Intron
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Involves
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Is_Abnormal_Cell_Of_Disease
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Is_Abnormality_Of_Gene
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Is_Abnormality_Of_Gene_Product
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is_anatomical_site_of
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Is_Associated_Anatomic_Site_Of
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Is_Associated_Anatomy_Of_Gene_Product
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Is_Associated_Disease_Of
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Is_Biochemical_Function_Of_Gene_Product
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Is_Chemical_Classification_Of_Gene_Product
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Is_Chromosomal_Location_Of_Gene
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Is_Component_Of_Chemotherapy_Regimen
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Is_Cytogenetic_Abnormality_Of_Disease
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is_datum_of
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Is_Finding_Of_Disease
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Is_Grade_Of_Disease
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is_integral_part_of
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is_interpreted_by
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Is_Location_Of
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Is_Location_Of_Anatomic_Structure
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Is_Location_Of_Biological_Process
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Is_Marked_By_Gene_Product
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is_measurement_endpoint_of
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Is_Mechanism_Of_Action_Of_Chemical_Or_Drug
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Is_Metastatic_Anatomic_Site_Of_Disease
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Is_Molecular_Abnormality_Of_Disease
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Is_Normal_Cell_Origin_Of_Disease
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Is_Normal_Tissue_Origin_Of_Disease
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Is_Not_Abnormal_Cell_Of_Disease
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Is_Not_Cytogenetic_Abnormality_Of_Disease
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Is_Not_Finding_Of_Disease
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Is_Not_Normal_Cell_Origin_Of_Disease
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Is_Not_Normal_Tissue_Origin_Of_Disease
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Is_Not_Primary_Anatomic_Site_Of_Disease
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Is_Organism_Source_Of_Gene_Product
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Is_Physical_Location_Of_Gene
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Is_Physiologic_Effect_Of_Chemical_Or_Drug
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Is_Primary_Anatomic_Site_Of_Disease
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Is_Property_Or_Attribute_Of_EO_Disease
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Is_Qualified_By
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is_realized_in
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Is_Related_To_Endogenous_Product
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Is_Stage_Of_Disease
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Is_Structural_Domain_Or_Motif_Of_Gene_Product
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Is_Target_Of_Agent
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is_temperature_of
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Isochromosome_Origin
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Karyotype_Class
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Kind_Is_Range_Of
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Maternal_Uniparental_Disomy_of
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May_Be_Associated_Disease_Of_Disease
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Negative_Protein_Expression
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Negatively_Expressed_By
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Organism_Has_Gene
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