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. 2014 Jun 4;348:g3555. doi: 10.1136/bmj.g3555

Table 2.

 COSTART hierarchical structure8 9

No of terms Level of term Example
12 Body system Nervous system
Mid-level classification Depression
About 1200 Coding symbol (analogous to preferred term) Depression
>6000 Glossary terms (used to assist in selection of coding symbol, analogous to lowest level terms of MedDRA) Suicidal tendency, depression agitated, depression mental, melancholia, depression worsened, depressed reaction, oppression, dejection emotional, moroseness, depression reactive, dysphoria, depression aggravated, depression functional, depression psychic, depression neurotic, anhedonia, depressed state

COSTART=Coding Symbols for a Thesaurus of Adverse Reaction Terms.

Examples using http://bioportal.bioontology.org/ontologies/COSTART.