Skip to main content
. 2012 Jan 19;19(e1):e102–e109. doi: 10.1136/amiajnl-2011-000503

Table 1.

Sample fragment of an annotated discharge summary

Original text Most fine-grained SNOMED CT term SNOMED CT concept ID
Masculino Male (finding) 248153007
43 anos Current chronological age (observable entity) 42414402
Hipertenso Hypertensive disorder, systemic arterial (disorder) 38341003
Tabagista Tobacco user (finding) 110483000
Etilista Current drinker of alcohol (finding) 219006
Interna Hospital admission (procedure) 32485007
Por infarto agudo do miocárdio Acute myocardial infarction (disorder) 57054005
Sem supradesnivelamento de segmento ST ST segment elevation (finding) 76388001

The terms appearing in each summary had been manually coded using the concept identifiers of the most fine-grained terms in SNOMED CT.