;;      Warning: no existing dissection set found
;;      Exported from Tigger version 4.8, at 10:35:52 pm on September 24, 1998
;;     Exported from Tigger version 4.8, at 10:40:50 pm on September 24, 1998
;;    Exported from Tigger version 4.9, at 10:44:40 am on November 4, 1998
;;   Exported from Tigger version 4.9, at 11:57:02 am on April 20, 1999
;;  Exported from Tigger version 4.9, at 11:13:35 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:10 pm on April 13, 2000

RUBRIC "Laparoscopia diagnostica"
SOURCE "ICD-9-CM"
CODE "1."
PARAPHRASE "Diagnostic laparoscopy"
MAIN inspecting
	ACTS_ON abdominal cavity / contents of abdominal cavity
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Fundoplicatio"
PARAPHRASE "Fundoplication"
CODE "10."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON lower esophageal sphincter
	BY_TECHNIQUE plicating
		ACTS_ON fundus of stomach

RUBRIC "Fundoplicatio sec. Nissen laparoscopica"
PARAPHRASE "Laparoscopic Fundoplication by Nissen method"
CODE "10i1."
ENGLISH_RUBRIC "Laparoscopic Nissen fundoplication"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - wrap to HAS_FEATURE - applied at 1:15:47 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN repairing
	ACTS_ON lower esophageal sphincter
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE plicating
		ACTS_ON fundus of stomach
		HAS_METHOD nissen method
		HAS_FEATURE posterior wrap 360 degrees

RUBRIC "Fundoplicatio sec. Nissen Rosetti"
PARAPHRASE "Laparoscopic Fundoplication by Nissen Rosetti method"
CODE "10i2."
ENGLISH_RUBRIC "Laparoscopic Nissen Rosetti Fundoplication"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - wrap to HAS_FEATURE - applied at 1:15:47 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998"
MAIN repairing
	ACTS_ON lower esophageal sphincter
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE plicating
		ACTS_ON fundus of stomach
		HAS_METHOD nissen rosetti method
		HAS_FEATURE anterior wrap 360 degrees

RUBRIC "Fundoplicatio sec. Toupet laparoscopica"
PARAPHRASE "Laparoscopic fundoplication by Toupet method"
CODE "10i3."
ENGLISH_RUBRIC "Laparoscopic Toupet fundoplication"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - wrap to HAS_FEATURE - applied at 1:15:47 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN repairing
	ACTS_ON lower esophageal sphincter
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE plicating
		ACTS_ON fundus of stomach
		HAS_METHOD toupet method
		HAS_FEATURE posterior wrap 270 degrees

RUBRIC "Impianto di protesi di Angelcyck per via laparoscopica"
PARAPHRASE "Laparoscopic placement of prosthesis of Angelcyck"
CODE "12."
ENGLISH_RUBRIC "Laparoscopic placement of Angelcyck prosthesis"
SOURCE "ICD-9-CM"
MAIN inserting
	ACTS_ON angelcyck prosthesis
		HAS_DESTINATION cardia of stomach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Bendaggio gastrico laparoscopico semplice"
SOURCE "ICD-9-CM"
CODE "14."
ENGLISH_RUBRIC " "
PARAPHRASE "Laparoscopic simple gastric bendage"
MAIN installing
	ACTS_ON band ligature
		HAS_DESTINATION stomach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE inserting
		ACTS_ON banding device

RUBRIC "Bendaggio gastrico laparoscopico con protesi calibrabile"
SOURCE "ICD-9-CM"
CODE "14i1."
ENGLISH_RUBRIC " "
PARAPHRASE "Laparoscopic gastric bendage with calibrable prosthesis"
MAIN installing
	ACTS_ON band ligature
		HAS_DESTINATION stomach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE inserting
		ACTS_ON adjustable gastric banding device

RUBRIC "Gastrostomia laparoscopica"
PARAPHRASE "Laparoscopic gastrostomy"
CODE "16."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 stomach
		CONNECTS_2 skin
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Bypass gastrodigiunale laparoscopico"
PARAPHRASE "Laparoscopic gastrojejunal bypass"
CODE "17."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "bypass bilioenterico laparoscopico"
PARAPHRASE "Laparoscopic bilioenteric bypass"
CODE "18."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 biliary tract
		CONNECTS_2 intestine
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Bypass colecistodigiunale laparoscopico"
PARAPHRASE "Laparoscopic cholecystojejunal bypass"
CODE "18.i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 gallbladder
		CONNECTS_2 jejunum
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Bypass coledocodigiunale laparoscopico"
PARAPHRASE "Laparoscopic choledochojejunal bypass"
CODE "18.i2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON bypass structure
		CONNECTS_1 choledochus
		CONNECTS_2 jejunum
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Vagotomia tronculare posteriore e sieromiotomia gastrica anteriore laparoscopica"
PARAPHRASE "Laparoscopic posterior truncal vagotomy and anterior seromyotomy"
CODE "19."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN dividing
	ACTS_ON posterior vagus nerve
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE incising
		ACTS_ON posterior vagus nerve
		HAS_METHOD taylor method
WITH dividing
	ACTS_ON anterior vagus nerve
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE incising
		ACTS_ON seromuscular layers of the stomach
		HAS_METHOD taylor method

RUBRIC "Procedura di Taylor modificata"
PARAPHRASE "Modified Taylor procedure"
CODE "19i1."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN dividing
	ACTS_ON posterior vagus nerve
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE incising
		ACTS_ON posterior vagus nerve
		HAS_METHOD taylor method
WITH dividing
	ACTS_ON anterior vagus nerve
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE incising
		ACTS_ON seromuscular layers of the stomach
		HAS_METHOD modified taylor method

RUBRIC "Laparoscopia diagnostica con biopsie"
SOURCE "ICD-9-CM"
CODE "2."
PARAPHRASE "Diagnostic laparoscopy with biopsy"
MAIN inspecting
	ACTS_ON abdominal cavity
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH biopsying
	ACTS_ON abdominal wall / contents of abdominal cavity
OR_MAIN inspecting
	ACTS_ON contents of abdominal cavity
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH biopsying
	ACTS_ON abdominal wall / contents of abdominal cavity

RUBRIC "Gastroresezione sec. Billroth II laparoscopica con anastomosi gastrodigiunale"
PARAPHRASE "Laparoscopic Billrtoh II gastrectomy with bypass gastrojejunal anastomosis"
CODE "20."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN removing
	ACTS_ON stomach
	HAS_EXTENT partial
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	HAS_METHOD billroth i i method
WITH constructing
	ACTS_ON bypass structure
		CONNECTS_1 stomach
		CONNECTS_2 jejunum
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Gastrectomia totale laparoscopica"
PARAPHRASE "Laparoscopic gastrectomy"
CODE "21."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON stomach
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Splenectomia laparoscopica"
PARAPHRASE "Laparoscopic splenectomy"
CODE "23."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON spleen
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Resezione atipica del fegato laparoscopica"
PARAPHRASE "Laparoscopic wedge resection of liver"
CODE "24."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON wedge
		IS_PART_OF liver
	HAS_EXTENT partial
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Segmentectomia epatica laparoscopica"
PARAPHRASE "Laparoscopic segmentectomy of liver"
CODE "25."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON segment
		IS_PART_OF liver
	HAS_EXTENT partial
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Epatectomia laparoscopica"
PARAPHRASE "Laparoscopic hepatic lobectomy"
CODE "26."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON lobe
		IS_PART_OF liver
	HAS_EXTENT partial
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Epatectomia destra laparoscopica"
PARAPHRASE "Laparoscopic right hepatic lobectomy"
CODE "26i1."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON lobe
		IS_PART_OF liver
		HAS_LATERALITY right
	HAS_EXTENT partial
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Epatectomia sinistra laparoscopica"
PARAPHRASE "Laparoscopic left hepatic lobectomy"
CODE "26i2."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON lobe
		IS_PART_OF liver
		HAS_LATERALITY left
	HAS_EXTENT partial
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Adrenalectomia"
PARAPHRASE "Adrenalectomy"
CODE "27."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON adrenal gland
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Adrenalectomia laparoscopica destra"
PARAPHRASE "Laparoscopic right adrenalectomy"
CODE "27i1."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON adrenal gland
		HAS_LATERALITY right
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Adrenalectomia laparoscopica sinistra"
PARAPHRASE "Laparoscopic left adrenalectomy"
CODE "27i2."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON adrenal gland
		HAS_LATERALITY left
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Adrenalectomia laparoscopica bilaterale"
PARAPHRASE "Laparoscopic bilateral adrenalectomy"
CODE "27i3."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON adrenal gland
		HAS_LATERALITY bilateral
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Resezione laparoscopica della coda del pancreas"
PARAPHRASE "Laparoscopic resection of the tail of the pancreas"
CODE "28."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON tail of the pancreas
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Colecistectomia laparoscopica"
SOURCE "ICD-9-CM"
CODE "3."
PARAPHRASE "Laparoscopic cholecystectomy"
MAIN removing
	ACTS_ON gallbladder
	HAS_EXTENT total
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Cistogastrostomia laparoscopica per pseudocisti pancreatica"
PARAPHRASE "Laparoscopic cystogastrostomy for pancreatic pseudocyst"
CODE "30."
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 stomach
		CONNECTS_2 pancreatic pseudocyst
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	MOTIVATED_BY management
		ACTS_ON pancreatic pseudocyst

RUBRIC "Colangiografia intraoperatoria laparoscopica"
SOURCE "ICD-9-CM"
CODE "4."
PARAPHRASE "Laparoscopic intraoperative cholangiography"
HISTORY "
Transformation - time to HAS_TEMPORAL_MARKER - applied at 1:09:18 am on June 26, 1998"
MAIN inspecting
	ACTS_ON biliary tract
	BY_MEANS_OF fluoroscope
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_TECHNIQUE infusing
		ACTS_ON contrast medium
			HAS_DESTINATION biliary tract
	HAS_TEMPORAL_MARKER intraoperative

RUBRIC "Enterotomy"
PARAPHRASE "Incision of intestine"
SOURCE "ICD-9-CM"
CODE "45.0"
MAIN incising
	ACTS_ON intestine

RUBRIC "Incision of intestine, not otherwise specified"
PARAPHRASE "Incision of intestine"
SOURCE "ICD-9-CM"
CODE "45.00"
MAIN incising
	ACTS_ON intestine

RUBRIC "Incision of duodenum"
PARAPHRASE "Incision of duodenum"
SOURCE "ICD-9-CM"
CODE "45.01"
MAIN incising
	ACTS_ON duodenum

RUBRIC "Other incision of small intestine"
PARAPHRASE "Other incision of small intestine"
SOURCE "ICD-9-CM"
CODE "45.02"
MAIN OTHER incising
	ACTS_ON small intestine

RUBRIC "Incision of large intestine"
PARAPHRASE "Incision of large intestine"
SOURCE "ICD-9-CM"
CODE "45.03"
MAIN incising
	ACTS_ON large intestine

RUBRIC "Diagnostic procedures on small intestine"
PARAPHRASE "Diagnostic procedure on small intestine"
SOURCE "ICD-9-CM"
CODE "45.1"
MAIN surgical deed
	ACTS_ON small intestine
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Transabdominal endoscopy of small intestine"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope through abdominal access"
SOURCE "ICD-9-CM"
CODE "45.11"
MAIN inspecting
	ACTS_ON small intestine
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
	HAS_APPROACH abdominal approach
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Intraoperative endoscopy of small intestine"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope during surgical operation"
SOURCE "ICD-9-CM"
CODE "45.11i"
MAIN inspecting
	ACTS_ON small intestine
	HAS_TEMPORAL_MARKER intraoperative
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Endoscopy of small intestine through artificial stoma"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope through artificial stoma"
SOURCE "ICD-9-CM"
CODE "45.12"
MAIN inspecting
	ACTS_ON small intestine
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
	HAS_APPROACH through stoma
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Other endoscopy of small intestine"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope"
SOURCE "ICD-9-CM"
CODE "45.13"
MAIN OTHER inspecting
	ACTS_ON small intestine
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Esophagogastroduodenoscopy [EGD]"
PARAPHRASE "Diagnostic inspection of esophagus and stomach and duodenum by means of endoscope"
SOURCE "ICD-9-CM"
CODE "45.13i"
MAIN inspecting
	ACTS_ON_1 oesophagus
	ACTS_ON_1 duodenum
	ACTS_ON_2 stomach
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Closed [endoscopic] biopsy of small intestine"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope with closed biopsy"
SOURCE "ICD-9-CM"
CODE "45.14"
MAIN inspecting
	ACTS_ON small intestine
WITH biopsying
	ACTS_ON small intestine
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach, and duodenum"
PARAPHRASE "biopsy of one or more sites involving esophagus and stomach under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.14i1a"
COMMENT "while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
MAIN biopsying
	ACTS_ON oesophagus
OR_WITH biopsying
	ACTS_ON stomach
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach,and or duodenum"
PARAPHRASE "biopsy of one or more sites involving esophagus,  duodenum under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.14i1b"
COMMENT "while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
MAIN biopsying
	ACTS_ON oesophagus
OR_WITH biopsying
	ACTS_ON duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach,and or duodenum"
PARAPHRASE "biopsy of one or more sites involving,stomach,  duodenum under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.14i1c"
COMMENT "while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
MAIN biopsying
	ACTS_ON stomach
OR_WITH biopsying
	ACTS_ON duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Brushing or washing for specimen collection"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope with brushing for specimen collection"
SOURCE "ICD-9-CM"
CODE "45.14ia"
MAIN inspecting
	ACTS_ON small intestine
WITH brushing
	ACTS_ON small intestine
	MOTIVATED_BY collecting
		ACTS_ON specimen
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Brushing or washing for specimen collection"
PARAPHRASE "Diagnostic inspection of small intestine by means of endoscope with washing for specimen collection"
SOURCE "ICD-9-CM"
CODE "45.14ia"
MAIN inspecting
	ACTS_ON small intestine
WITH washing
	ACTS_ON small intestine
	MOTIVATED_BY collecting
		ACTS_ON specimen
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach,and duodenum"
PARAPHRASE "biopsy of one or more sites involving esophagus, under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.14ia"
MAIN biopsying
	ACTS_ON oesophagus
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach,and or duodenum"
PARAPHRASE "biopsy of one or more sites involving esophagus, under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.14ib"
COMMENT "while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
MAIN biopsying
	ACTS_ON stomach
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach,and or duodenum"
PARAPHRASE "biopsy of one or more sites involving stomach, under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.14ic"
COMMENT "while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
MAIN biopsying
	ACTS_ON duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Open biopsy of small intestine"
PARAPHRASE "Biopsy of small intestine by open approach"
SOURCE "ICD-9-CM"
CODE "45.15"
MAIN biopsying
	ACTS_ON small intestine
	HAS_APPROACH open

RUBRIC "Esophagogastroduodenoscopy [EGD] with closed biopsy"
PARAPHRASE "Diagnostic inspection of esophagus, stomach and  duodenum by means of endoscope with closed biopsy"
SOURCE "ICD-9-CM"
CODE "45.16"
COMMENT " while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
HISTORY "
Manual accept at 8:18:54 pm on July 2, 1998 by jeremy"
MAIN inspecting
	ACTS_ON_1 oesophagus
	ACTS_ON_1 duodenum
	ACTS_ON_2 stomach
WITH biopsying
	ACTS_ON oesophagus / stomach / duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Biopsy of one or more sites involving esophagus, stomach,and or duodenum"
PARAPHRASE "biopsy of one or more sites involving esophagus, stomach and  duodenum under guidance of endoscope"
SOURCE "ICD-9-CM"
CODE "45.16i"
COMMENT "while the inspection NECESSARILY ACTS_ON the three mentioned segments, the biopsy may be on one or more than one segment"
MAIN biopsying
	ACTS_ON oesophagus
OR_WITH biopsying
	ACTS_ON stomach
OR_WITH biopsying
	ACTS_ON duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Other diagnostic procedures on small intestine"
PARAPHRASE "Other diagnostic procedures on small intestine"
SOURCE "ICD-9-CM"
CODE "45.19"
MAIN OTHER surgical deed
	ACTS_ON small intestine
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Diagnostic procedures on large intestine"
SOURCE "ICD-9-CM"
CODE "45.2"
PARAPHRASE "Diagnostic procedure on large intestine"
MAIN surgical deed
	ACTS_ON large intestine
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Transabdominal endoscopy of large intestine"
SOURCE "ICD-9-CM"
CODE "45.21"
PARAPHRASE "Diagnostic inspection of large intestine by means of endoscope throught addominal access"
MAIN inspecting
	ACTS_ON large intestine
	BY_MEANS_OF endoscope
	HAS_APPROACH abdominal approach
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Intraoperative endoscopy of large intestine"
SOURCE "ICD-9-CM"
CODE "45.21i"
PARAPHRASE "Diagnostic inspection of large intestine by means of endoscope during surgical operation"
MAIN inspecting
	ACTS_ON large intestine
	BY_MEANS_OF endoscope
	HAS_TEMPORAL_MARKER intraoperative
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Endoscopy of large intestine through artificial stoma"
SOURCE "ICD-9-CM"
CODE "45.22"
PARAPHRASE "Diagnostic inspection of large intestine by means of endoscope through artificial stoma"
MAIN inspecting
	ACTS_ON large intestine
	BY_MEANS_OF endoscope
	HAS_APPROACH through stoma
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Colonoscopy"
SOURCE "ICD-9-CM"
CODE "45.23"
PARAPHRASE "Diagnostic inspection of rectum, sigma and large intestine by means coloscope"
MAIN inspecting
	ACTS_ON rectum & sigmoid colon & large intestine
	BY_MEANS_OF coloscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Flexible fiberoptic coloscopy"
SOURCE "ICD-9-CM"
CODE "45.23i"
PARAPHRASE "Diagnostic inspection of rectum, sigma and large intestine by means flexible fiberoptic coloscope"
MAIN inspecting
	ACTS_ON rectum & sigmoid colon & large intestine
	BY_MEANS_OF flexible fiberoptic coloscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Flexible sigmoidoscopy"
SOURCE "ICD-9-CM"
CODE "45.24"
PARAPHRASE "Diagnostic inspection of sigma  by means of flexible endoscope"
MAIN inspecting
	ACTS_ON rectum & sigmoid colon
	BY_MEANS_OF flexible endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Endoscopy of descending colon"
SOURCE "ICD-9-CM"
CODE "45.24i"
PARAPHRASE "Diagnostic inspection of rectum, sigma and descending colon by means of endoscope"
MAIN inspecting
	ACTS_ON rectum & sigmoid colon & descending colon
	BY_MEANS_OF flexible endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Closed biopsy of large intestine"
PARAPHRASE " endoscopic biopsy of large intestine"
CODE "45.25"
COMMENT "closed e' parafrasato con endoscopic, perche' e' l'unico modo per fare una biopsia 'chiusa'; siamo coscienti del fatto che jeremy modella WITH_GUIDANCE_BY come by_technique observing; by_means_of endoscope ma non ci pare corretto far risultare observing"
SOURCE "ICD-9-CM"
MAIN biopsying
	ACTS_ON large intestine
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Other biopsy of large intestine"
SOURCE "ICD-9-CM"
CODE "45.26"
PARAPHRASE "biopsy of large intestine"
MAIN OTHER biopsying
	ACTS_ON large intestine
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Open intestinal biopsy, site unspecified"
SOURCE "ICD-9-CM"
CODE "45.27"
PARAPHRASE "open biopsy of intestine"
MAIN biopsying
	ACTS_ON intestine
	HAS_APPROACH open
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Other diagnostic procedures on large intestine"
SOURCE "ICD-9-CM"
CODE "45.28"
PARAPHRASE "Other surgical diagnostic procedures on large intestine"
MAIN OTHER surgical deed
	ACTS_ON large intestine
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Other diagnostic procedures on intestine, site unspecified"
SOURCE "ICD-9-CM"
CODE "45.29"
PARAPHRASE "Other surgical diagnostic procedures on intestine"
MAIN OTHER surgical deed
	ACTS_ON intestine
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Endoscopic excision or destruction of lesion of duodenum"
PARAPHRASE "Excision of lesion of duodenum under guidance of endoscope'"
SOURCE "ICD-9-CM"
CODE "45.30a"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion of duodenum"
PARAPHRASE "Destruction of lesion of duodenum under guidance of endoscope'"
SOURCE "ICD-9-CM"
CODE "45.30b"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION duodenum
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope

RUBRIC "Other local excision of lesion of duodenum"
PARAPHRASE "Other local excision of lesion of duodenum"
SOURCE "ICD-9-CM"
CODE "45.31"
HISTORY "
Manual accept at 5:42:54 pm on April 15, 1998"
MAIN OTHER excising
	HAS_EXTENT local
	ACTS_ON lesion (as structure)
		HAS_LOCATION duodenum

RUBRIC "Other local destruction of lesion of duodenum"
PARAPHRASE "Other local destruction of lesion of duodenum"
SOURCE "ICD-9-CM"
CODE "45.32"
HISTORY "
Manual accept at 5:42:02 pm on April 15, 1998"
MAIN OTHER destroying
	HAS_EXTENT local
	ACTS_ON lesion (as structure)
		HAS_LOCATION duodenum

RUBRIC "Local excision of lesion or tissue of small intestine, except duodenum"
PARAPHRASE "Local excision of lesion of small intestine, except duodenum"
SOURCE "ICD-9-CM"
CODE "45.33"
HISTORY "
Manual accept at 5:42:19 pm on April 15, 1998
Transformation - WITHOUT - applied at 10:59:13 am on June 26, 1998"
MAIN excising
	HAS_EXTENT local
	ACTS_ON lesion (as structure)
		HAS_LOCATION small intestine
WITHOUT_ACTION excising
	ACTS_ON duodenum

RUBRIC "Excision of redundant mucosa of ileostomy"
PARAPHRASE "Excision of redundant mucosa of ileostomy"
SOURCE "ICD-9-CM"
CODE "45.33i"
HISTORY "
Manual accept at 8:18:13 am on August 29, 1998 by jon"
MAIN excising
	ACTS_ON redundant mucosa
		IS_PART_OF stoma
			CONNECTS_1 ileum
			CONNECTS_2 skin

RUBRIC "Local excision of lesion or tissue of small intestine, except duodenum"
PARAPHRASE "Local excision of tissue of small intestine, except duodenum"
SOURCE "ICD-9-CM"
CODE "45.33i2"
HISTORY "
Manual accept at 5:42:10 pm on April 15, 1998
Transformation - WITHOUT - applied at 10:59:13 am on June 26, 1998"
MAIN excising
	HAS_EXTENT local
	ACTS_ON tissue
		IS_PART_OF small intestine
WITHOUT_ACTION excising
	ACTS_ON duodenum

RUBRIC "Other destruction of lesion of small intestine, except duodenum"
PARAPHRASE "Other destruction of lesion of small intestine, except duodenum"
SOURCE "ICD-9-CM"
CODE "45.34"
HISTORY "
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION small intestine
WITHOUT_ACTION destroying
	ACTS_ON duodenum

RUBRIC "Local excision or destruction of lesion or tissue of small intestine"
PARAPHRASE "Local excision of lesion of small intestine"
SOURCE "ICD-9-CM"
CODE "45.3a"
HISTORY "
Manual accept at 5:44:16 pm on April 15, 1998"
MAIN excising
	HAS_EXTENT local
	ACTS_ON lesion (as structure)
		HAS_LOCATION small intestine

RUBRIC "Local excision or destruction of lesion or tissue of small intestine"
PARAPHRASE "Local destruction of lesion of small intestine"
SOURCE "ICD-9-CM"
CODE "45.3b"
HISTORY "
Manual accept at 5:43:54 pm on April 15, 1998"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION small intestine
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of small intestine"
PARAPHRASE "Local excision of tissue of small intestine"
SOURCE "ICD-9-CM"
CODE "45.3c"
HISTORY "
Manual accept at 5:43:15 pm on April 15, 1998"
MAIN excising
	ACTS_ON tissue
		IS_PART_OF small intestine
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of small intestine"
PARAPHRASE "Local destruction of tissue of small intestine"
SOURCE "ICD-9-CM"
CODE "45.3d"
HISTORY "
Manual accept at 5:42:45 pm on April 15, 1998
Manual accept at 5:43:33 pm on April 15, 1998"
MAIN destroying
	HAS_EXTENT local
	ACTS_ON tissue
		IS_PART_OF small intestine

RUBRIC "Local excision or destruction of lesion or tissue of large intestine"
SOURCE "ICD-9-CM"
CODE "45.4"
PARAPHRASE "Destruction of lesion of large intestine"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION large intestine

RUBRIC "Local excision or destruction of lesion or tissue of large intestine"
SOURCE "ICD-9-CM"
CODE "45.4"
PARAPHRASE "Local excision of tissue of large intestine"
MAIN excising
	ACTS_ON tissue
		IS_PART_OF large intestine
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of large intestine"
SOURCE "ICD-9-CM"
CODE "45.4"
PARAPHRASE "Destruction of  tissue of large intestine"
MAIN destroying
	ACTS_ON tissue
		IS_PART_OF large intestine

RUBRIC "Local excision or destruction of lesion or tissue of large intestine"
SOURCE "ICD-9-CM"
CODE "45.4"
PARAPHRASE "Local excision  of lesion of large intestine"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION large intestine
	HAS_EXTENT local

RUBRIC "Endoscopic polypectomy of large intestine"
SOURCE "ICD-9-CM"
CODE "45.42"
PARAPHRASE "Excision of polyp of large intestine"
MAIN excising
	ACTS_ON polyp
		HAS_LOCATION large intestine
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Other destruction of lesion of large intestine"
SOURCE "ICD-9-CM"
CODE "45.49"
PARAPHRASE "Other destruction of lesion of large intestine"
MAIN OTHER destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION large intestine

RUBRIC "Large to large intestinal anastomosis"
SOURCE "ICD-9-CM"
CODE "45.49"
PARAPHRASE "anastomosis between large intestine and large intestine"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF large intestine
		CONNECTS_2 segment
			IS_PART_OF large intestine

RUBRIC "Excision  of redundant mucosa of colostomy"
SOURCE "ICD-9-CM"
CODE "45.4i"
COMMENT "local e' ereditato dal contesto; la 'redundant mucosa' in realta' e' un 'mucosal prolapse of a colostomy', cioe' una pathology morph:stru: oppure una 'prolapsed mucosa', cioe' una pathol:morph:proc"
PARAPHRASE "Local excision of  redundant mucosa from a colostomy"
MAIN excising
	ACTS_ON redundant mucosa
		IS_PART_OF colostomy
	HAS_EXTENT local

RUBRIC "Isolation of intestinal segment"
PARAPHRASE "Resection of a segment of intestine without interruption of its vascular pedicle"
CODE "45.5"
ENGLISH_RUBRIC "lo). Non so come ICD-9 CM codificherebbe questo intervento, che in effetti e' una 'resezione' vera (l'o"
COMMENT "lo scopo dell'intervento e' interporre l'ansa isolata fra due altri segmenti dell'apparato digerente (ad es. fra esofago residuo e stomaco in caso di esofagectomia). Esiste la possibilita' di eseguire l'interposizione di un segmento intestinale di cui s"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF intestine
WITHOUT_ACTION dividing
	ACTS_ON vascular pedicle

RUBRIC "Isolation of segment of small intestine"
PARAPHRASE "Isolation of segment of small intestine"
SOURCE "ICD-9-CM"
CODE "45.51"
HISTORY "
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998
Manual accept at 12:33:48 am on June 27, 1998 by jeremy
Manual accept at 12:34:12 am on June 27, 1998 by jeremy"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF small intestine
WITHOUT_ACTION dividing
	ACTS_ON vascular pedicle
		IS_PART_OF segment
			IS_PART_OF small intestine

RUBRIC "Isolation of ileal loop"
PARAPHRASE "Resection of a loop of ileum without interruption of its vascular pedicle"
SOURCE "ICD-9-CM"
CODE "45.51i1a"
HISTORY "
Transformation - WITHOUT - applied at 10:59:16 am on June 26, 1998
Manual accept at 12:33:39 am on June 27, 1998 by jeremy"
MAIN resecting
	ACTS_ON loop
		IS_PART_OF ileum
WITHOUT_ACTION dividing
	ACTS_ON vascular pedicle
		IS_PART_OF loop
			IS_PART_OF ileum

RUBRIC "Resection of small intestine for interposition"
PARAPHRASE "Resection of a segment of small intestine without interruption of its vascular pedicle to interpose the segment"
SOURCE "ICD-9-CM"
CODE "45.51i1b"
HISTORY "
Transformation - WITHOUT - applied at 10:59:21 am on June 26, 1998
Manual accept at 12:33:19 am on June 27, 1998 by jeremy"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF small intestine
WITHOUT_ACTION dividing
	ACTS_ON vascular pedicle
		IS_PART_OF loop
			IS_PART_OF ileum
MOTIVATED_OVERALL_BY interposing
	ACTS_ON segment
		IS_PART_OF small intestine

RUBRIC "Isolation of segment of large intestine"
SOURCE "ICD-9-CM"
CODE "45.52"
PARAPHRASE "Resection of a segment of large intestine without interruption of its vascular pedicle"
HISTORY "
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN resecting
	ACTS_ON segment
		IS_PART_OF large intestine
WITHOUT_ACTION dividing
	ACTS_ON vascular pedicle

RUBRIC "Other excision of small intestine"
PARAPHRASE "Other excision of small intestine"
SOURCE "ICD-9-CM"
CODE "45.6"
MAIN OTHER excising
	ACTS_ON segment
		IS_PART_OF small intestine

RUBRIC "Multiple segmental resection of small intestine"
PARAPHRASE "Resection of multiple segments of small intestine"
SOURCE "ICD-9-CM"
CODE "45.61"
MAIN resecting
	ACTS_ON segment
		HAS_NUMBER multiple
		IS_PART_OF small intestine

RUBRIC "Segmental resection for multiple traumatic lesions of small intestine"
PARAPHRASE "Resection of multiple segments of small intestine affected by traumatic lesion"
SOURCE "ICD-9-CM"
CODE "45.61i"
MAIN resecting
	ACTS_ON segment
		HAS_NUMBER multiple
		IS_PART_OF small intestine
MOTIVATED_OVERALL_BY curing
	ACTS_ON traumatic lesion
		HAS_LOCATION segment
			HAS_NUMBER multiple
			IS_PART_OF small intestine

RUBRIC "Other partial resection of small intestine"
PARAPHRASE "Other partial resection of small intestine"
SOURCE "ICD-9-CM"
CODE "45.62"
MAIN OTHER resecting
	ACTS_ON segment
		IS_PART_OF small intestine
	HAS_EXTENT partial

RUBRIC "Duodenectomy"
PARAPHRASE "Partial excision of duodenum"
SOURCE "ICD-9-CM"
CODE "45.62i1"
MAIN OTHER excising
	ACTS_ON duodenum
	HAS_EXTENT partial

RUBRIC "Ileectomy"
PARAPHRASE "Partial excision of ileum"
SOURCE "ICD-9-CM"
CODE "45.62i2"
MAIN OTHER excising
	ACTS_ON ileum
	HAS_EXTENT partial

RUBRIC "Jejunectomy"
PARAPHRASE "Partial excision of jejunum"
SOURCE "ICD-9-CM"
CODE "45.62i3"
MAIN OTHER excising
	ACTS_ON jejunum
	HAS_EXTENT partial

RUBRIC "Total removal of small intestine"
PARAPHRASE "Total removal of small intestine"
SOURCE "ICD-9-CM"
CODE "45.63"
MAIN removing
	ACTS_ON small intestine
	HAS_EXTENT total

RUBRIC "Partial excision  of large intestine"
SOURCE "ICD-9-CM"
CODE "45.7"
PARAPHRASE "Partial excision of large intestine"
MAIN excising
	ACTS_ON large intestine
	HAS_EXTENT partial

RUBRIC "Partial excision  of large intestine"
SOURCE "ICD-9-CM"
CODE "45.7"
PARAPHRASE "Excision of segment of large intestine"
MAIN excising
	ACTS_ON segment
		IS_PART_OF large intestine

RUBRIC "Multiple segmental resection of large intestine"
SOURCE "ICD-9-CM"
CODE "45.71"
PARAPHRASE "Resection of multiple segments of large intestine"
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 12:59:49 am on June 26, 1998"
MAIN resecting
	ACTS_ON segment
		HAS_NUMBER more than one
		IS_PART_OF large intestine

RUBRIC "Segmental resection for multiple traumatic lesions of large intestine"
SOURCE "ICD-9-CM"
CODE "45.71i"
PARAPHRASE "Resection of multiple segments of large intestine affected by traumatic lesion"
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 12:59:49 am on June 26, 1998"
MAIN resecting
	ACTS_ON segment
		HAS_NUMBER more than one
		IS_PART_OF large intestine
MOTIVATED_OVERALL_BY curing
	ACTS_ON traumatic lesion
		HAS_LOCATION segment
			HAS_NUMBER more than one
			IS_PART_OF large intestine

RUBRIC "Cecectomy"
SOURCE "ICD-9-CM"
CODE "45.72"
PARAPHRASE "Resection of cecum"
MAIN resecting
	ACTS_ON cecum

RUBRIC "Resection of cecum and terminal ileum"
SOURCE "ICD-9-CM"
CODE "45.72i"
PARAPHRASE "Resection of cecum and of the terminal part of the ileum"
HISTORY "
Manual accept at 3:12:19 pm on August 28, 1998 by jon"
MAIN resecting
	ACTS_ON_1 cecum
	ACTS_ON terminal part of the ileum

RUBRIC "Right hemicolectomy"
SOURCE "ICD-9-CM"
CODE "45.73"
PARAPHRASE "Resection of right colon"
MAIN resecting
	ACTS_ON right colon

RUBRIC "Ileocolectomy"
SOURCE "ICD-9-CM"
CODE "45.73i1"
PARAPHRASE "Resection of terminal ileum and right colon"
HISTORY "
Manual accept at 3:12:13 pm on August 28, 1998 by jon"
MAIN resecting
	ACTS_ON_1 terminal part of the ileum
	ACTS_ON_1 right colon

RUBRIC "Right radical colectomy"
SOURCE "ICD-9-CM"
CODE "45.73i2"
PARAPHRASE "Resection of right colon with radical intent"
MAIN resecting
	ACTS_ON right colon
	HAS_EXTENT radical

RUBRIC "Resection of trasverse colon"
SOURCE "ICD-9-CM"
CODE "45.74"
PARAPHRASE "Resection of trasverse colon"
MAIN resecting
	ACTS_ON transverse colon

RUBRIC " Left hemicolectomy"
SOURCE "ICD-9-CM"
CODE "45.75"
PARAPHRASE "Resection of left colon"
MAIN resecting
	ACTS_ON left colon

RUBRIC "Hartmann resection with or withuot pouch"
SOURCE "ICD-9-CM"
CODE "45.75i"
PARAPHRASE "resection of left colon according to the Hartmann method with creation of a colostomy with reservoir"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Manual accept at 3:23:31 pm on July 2, 1998 by jeremy"
MAIN resecting
	ACTS_ON left colon
	HAS_METHOD Hartmann method
WITH constructing
	ACTS_ON fistula
		CONNECTS_1 left colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON reservoir

RUBRIC "Hartmann resection with or without pouch"
SOURCE "ICD-9-CM"
CODE "45.75i"
PARAPHRASE "resection of left colon according to the Hartmann method with creation of a colostomy without reservoir"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:24 am on June 26, 1998
Manual accept at 3:23:19 pm on July 2, 1998 by jeremy"
MAIN resecting
	ACTS_ON left colon
	HAS_METHOD Hartmann method
WITH constructing
	ACTS_ON fistula
		CONNECTS_1 left colon
		CONNECTS_2 skin
WITHOUT_ACTION creating
	ACTS_ON reservoir

RUBRIC "Sigmoidectomy"
SOURCE "ICD-9-CM"
CODE "45.76"
PARAPHRASE "resection of sigmoid colon"
MAIN resecting
	ACTS_ON sigmoid colon

RUBRIC "Other partial excision of large intestine"
SOURCE "ICD-9-CM"
CODE "45.79"
PARAPHRASE "Excision of segment of large intestine"
MAIN OTHER excising
	ACTS_ON segment
		IS_PART_OF large intestine

RUBRIC "Other partial excision of large intestine"
SOURCE "ICD-9-CM"
CODE "45.79"
PARAPHRASE "Partial excision of large intestine"
MAIN OTHER excising
	ACTS_ON large intestine
	HAS_EXTENT partial

RUBRIC "Enterocolectomy"
SOURCE "ICD-9-CM"
CODE "45.79i"
PARAPHRASE "excision of segment of small and large intestine"
HISTORY "
Manual accept at 3:12:04 pm on August 28, 1998 by jon"
MAIN excising
	ACTS_ON_1 segment
		IS_PART_OF small intestine
	ACTS_ON_1 segment
		IS_PART_OF large intestine

RUBRIC "Enterocolectomy"
SOURCE "ICD-9-CM"
CODE "45.79i"
PARAPHRASE "Partial excision of small and large intestine"
HISTORY "
Manual accept at 3:11:46 pm on August 28, 1998 by jon"
MAIN excising
	ACTS_ON_1 small intestine
	ACTS_ON_1 large intestine
	HAS_EXTENT partial

RUBRIC "Total intra-abdominal colectomy"
PARAPHRASE "total excision of large intestine, excluding rectum"
CODE "45.8"
COMMENT "intra-abdominal non so proprio cosa voglia intendere"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - WITHOUT - applied at 10:59:23 am on June 26, 1998"
MAIN excising
	ACTS_ON large intestine
WITHOUT_ACTION excising
	ACTS_ON rectum

RUBRIC "Excision of cecum, colon and sigmoid"
PARAPHRASE "excision of  cecum, colon and sigmoid colon"
CODE "45.8i"
COMMENT "i tre segmenti insieme, piu' il retto, costituiscono il 'large intestine'"
SOURCE "ICD-9-CM"
MAIN excising
	ACTS_ON cecum & colon & sigmoid colon

RUBRIC "Intestinal anastomosis"
SOURCE "ICD-9-CM"
CODE "45.9"
PARAPHRASE "anastomosis between two segments of intestine"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF intestine
		CONNECTS_2 segment
			IS_PART_OF intestine

RUBRIC "Small-to-small intestinal anastomosis"
PARAPHRASE "anastomosis between two segments of small intestine"
SOURCE "ICD-9-CM"
CODE "45.91"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 segment
			IS_PART_OF small intestine

RUBRIC "Anastomosis of small intestine to rectal stump"
SOURCE "ICD-9-CM"
CODE "45.92"
PARAPHRASE "anastomosis between small intestine and the remaining part of rectum [after a partial resection of rectum]"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 stump
			IS_PART_OF rectum

RUBRIC "Hampton procedure"
SOURCE "ICD-9-CM"
CODE "45.92i"
PARAPHRASE "anastomosis between small intestine and the remaining part of rectum [after a partial resection of rectum] according to Hampton method"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 stump
			IS_PART_OF rectum
	HAS_METHOD Hampton method

RUBRIC "Other small to large intestinal anastomosis"
SOURCE "ICD-9-CM"
CODE "45.93"
PARAPHRASE "anastomosis between small and large intestine"
MAIN OTHER constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 segment
			IS_PART_OF large intestine

RUBRIC "Anastomosis to anus"
SOURCE "ICD-9-CM"
CODE "45.95"
PARAPHRASE "anastomosis between a segment of intestine and anal canal"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF intestine
		CONNECTS_2 anal canal

RUBRIC "Formation of endorectal ileal pouch (H pouch) (J pouch) (S pouch) with anastomosis of small intestine to anus"
SOURCE "ICD-9-CM"
CODE "45.95i"
PARAPHRASE "anastomosis between a segment of small intestine and anal canal with creation of a reservoire with J shape"
HISTORY "
Transformation - shape to HAS_FEATURE - applied at 1:00:41 am on June 26, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 anal canal
WITH creating
	BY_MEANS_OF ileum
	ACTS_ON reservoir
		HAS_FEATURE Jshape

RUBRIC "Formation of endorectal ileal pouch (H pouch) (J pouch) (S pouch) with anastomosis of small intestine to anus"
SOURCE "ICD-9-CM"
CODE "45.95i"
PARAPHRASE "anastomosis between a segment of small intestine and anal canal with creation of a reservoire with S shape"
HISTORY "
Transformation - shape to HAS_FEATURE - applied at 1:00:33 am on June 26, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 anal canal
WITH creating
	BY_MEANS_OF ileum
	ACTS_ON reservoir
		HAS_FEATURE Sshape

RUBRIC "Formation of endorectal ileal pouch (H pouch) (J pouch) (S pouch) with anastomosis of small intestine to anus"
SOURCE "ICD-9-CM"
CODE "45.95i"
PARAPHRASE "anastomosis between a segment of small intestine and anal canal with creation of a reservoire with H shape"
HISTORY "
Transformation - shape to HAS_FEATURE - applied at 12:56:06 am on June 26, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 anal canal
WITH creating
	BY_MEANS_OF ileum
	ACTS_ON reservoir
		HAS_FEATURE Hshape

RUBRIC "Other operations on intestine"
SOURCE "ICD-9-CM"
CODE "46"
PARAPHRASE "other operation on intestine"
MAIN OTHER surgical deed
	ACTS_ON intestine

RUBRIC "Exteriorization of intestine"
PARAPHRASE "exteriorization of a segment of intestine"
CODE "46.0"
COMMENT "si potrebbe precisare cos' l'esteriorizzazione : 'fixation of a segment of intestine outside the abdominal wall through an opening of the abdominal wall'"
SOURCE "ICD-9-CM"
MAIN exteriorizing
	ACTS_ON segment
		IS_PART_OF intestine

RUBRIC "Exteriorization of small intestine"
PARAPHRASE "exteriorization of a segment of small intestine"
SOURCE "ICD-9-CM"
CODE "46.01"
COMMENT "exteriorisation: fixation of a segment of intestine outside the abdominal wall through an opening of the abdominal wall"
MAIN exteriorizing
	ACTS_ON segment
		IS_PART_OF small intestine

RUBRIC "Loop ileostomy"
PARAPHRASE "creation of a loop stoma by a segment of small intestine"
SOURCE "ICD-9-CM"
CODE "46.01i"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 segment
			IS_PART_OF small intestine
		CONNECTS_2 skin
	HAS_METHOD loop method

RUBRIC "Resection of exteriorized segment of small intestine"
PARAPHRASE "Excision of exteriorized segment of smallintestine"
SOURCE "ICD-9-CM"
CODE "46.02"
COMMENT "exteriorisation: fixation of a segment of intestine outside the abdominal wall through an opening of the abdominal wall"
HISTORY "
Manual accept at 1:06:59 am on June 26, 1998 by jeremy
Manual accept at 1:07:05 am on June 26, 1998 by jeremy
Manual accept at 7:42:08 pm on July 2, 1998 by jeremy
Manual accept at 7:42:15 pm on July 2, 1998 by jeremy"
MAIN excising
	ACTS_ON segment
		IS_ACTED_ON_BY exteriorizing
		IS_PART_OF small intestine

RUBRIC "Exteriorization of large intestine"
SOURCE "ICD-9-CM"
CODE "46.03"
PARAPHRASE "exteriorization of a segment of large intestine"
MAIN exteriorizing
	ACTS_ON segment
		IS_PART_OF large intestine

RUBRIC "loop colostomy"
SOURCE "ICD-9-CM"
CODE "46.03i"
PARAPHRASE "creation of a loop colostomy [by a lateral opening of the large intestine]"
HISTORY "
Manual accept at 3:23:05 pm on July 2, 1998 by jeremy"
MAIN constructing
	ACTS_ON fistula
		CONNECTS_1 wall
			IS_PART_OF colon
		CONNECTS_2 skin

RUBRIC "Resection of exteriorized segment of large intestine"
SOURCE "ICD-9-CM"
CODE "46.04"
PARAPHRASE "resection of exteriorized segment of large intestine"
MAIN resecting
	ACTS_ON exteriorized segment
		IS_PART_OF large intestine

RUBRIC "Resection of exteriorized segment of intestine"
SOURCE "ICD-9-CM"
CODE "46.04 i"
PARAPHRASE "resection of exteriorized segment of intestine"
MAIN resecting
	ACTS_ON exteriorized segment
		IS_PART_OF intestine

RUBRIC "loop enterostomy"
SOURCE "ICD-9-CM"
CODE "46.0i"
PARAPHRASE "creation of a loop enterostomy [by a lateral opening of the intestine]"
HISTORY "
Manual accept at 3:23:13 pm on July 2, 1998 by jeremy"
MAIN constructing
	ACTS_ON fistula
		CONNECTS_1 wall
			IS_PART_OF intestine
		CONNECTS_2 skin

RUBRIC "Colostomy"
SOURCE "ICD-9-CM"
CODE "46.1"
PARAPHRASE "creation of a colostomy"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 colon

RUBRIC "Colostomy, NOS"
SOURCE "ICD-9-CM"
PARAPHRASE "creation of a colostomy"
CODE "46.10"
CODING_METACOMMENT "NOS"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 colon

RUBRIC "Temporary colostomy"
SOURCE "ICD-9-CM"
CODE "46.11"
PARAPHRASE "creation of a temporary colostomy"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 colon
	HAS_TEMPORAL_MARKER temporary

RUBRIC "Permanent magnetic colostomy"
PARAPHRASE "creation of a permanent colostomy with implant of a subcutaneous magnetic ring"
CODE "46.12"
COMMENT "rimane sottinteso che l'anello e' impiantato nel sottocutaneo intorno alla stomia"
SOURCE "ICD-9-CM"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 colon
	HAS_TEMPORAL_MARKER permanent
WITH implanting
	ACTS_ON magnetic ring
		HAS_DESTINATION subcutaneous tissue

RUBRIC "Other permanent colostomy"
SOURCE "ICD-9-CM"
CODE "46.13"
PARAPHRASE "other creation of a permanent colostomy"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 colon
	HAS_TEMPORAL_MARKER permanent

RUBRIC "Delayed opening of colostomy"
SOURCE "ICD-9-CM"
CODE "46.14"
PARAPHRASE "opening of a colostomy on a previously exteriorised segment of colon"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 exteriorized segment
			IS_PART_OF colon

RUBRIC "Ileostomy"
PARAPHRASE "creation of a stoma on ileum"
SOURCE "ICD-9-CM"
CODE "46.2"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin

RUBRIC "Ileostomy, not otherwise specified"
PARAPHRASE "creation of a stoma on ileum"
SOURCE "ICD-9-CM"
CODE "46.20"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin

RUBRIC "Temporary ileostomy"
PARAPHRASE "creation of a temporary stoma on ileum"
SOURCE "ICD-9-CM"
CODE "46.21"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	HAS_TEMPORAL_MARKER temporary

RUBRIC "Continent ileostomy"
PARAPHRASE "creation of a continent stoma on ileum"
SOURCE "ICD-9-CM"
CODE "46.22"
HISTORY "
Manual accept at 5:45:38 pm on April 15, 1998
Manual accept at 1:19:31 am on June 26, 1998 by jeremy"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
		HAS_FEATURE continent

RUBRIC "Other permanent ileostomy"
PARAPHRASE "creation of a permanent stoma on ileum"
SOURCE "ICD-9-CM"
CODE "46.23"
MAIN OTHER creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	HAS_TEMPORAL_MARKER permanent

RUBRIC "Delayed opening of ileostomy"
PARAPHRASE "Delayed opening of ileostomy"
SOURCE "ICD-9-CM"
CODE "46.24"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	HAS_TEMPORAL_MARKER delayed

RUBRIC "Other enterostomy"
SOURCE "ICD-9-CM"
CODE "46.3"
PARAPHRASE "other creation of an enterostomy"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 intestine

RUBRIC "Delayed opening of other enterostomy"
SOURCE "ICD-9-CM"
CODE "46.31"
PARAPHRASE "opening of a colostomy on a previously exteriorised segment of intestine"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 exteriorized segment
			IS_PART_OF intestine

RUBRIC "Percutaneous (endoscopic) jejunostomy [PEJ]"
PARAPHRASE "creation of a stoma on jejunum under guidance of endoscope by percutaneous approach"
SOURCE "ICD-9-CM"
CODE "46.32"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ileum
		CONNECTS_2 skin
	HAS_APPROACH percutaneous route
WITH_GUIDANCE_BY inspecting
	BY_MEANS_OF endoscope

RUBRIC "Other"
PARAPHRASE "other creation of enterostomy"
SOURCE "ICD-9-CM"
CODE "46.39"
MAIN OTHER creating
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin

RUBRIC "Duodenostomy"
PARAPHRASE "creation of duodenostomy"
SOURCE "ICD-9-CM"
CODE "46.39i1"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 duodenum
		CONNECTS_2 skin

RUBRIC "Feeding enterostomy"
PARAPHRASE "creation of enterostomy to feed the patient"
SOURCE "ICD-9-CM"
CODE "46.39i2"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin
MOTIVATED_OVERALL_BY feeding
	ACTS_ON patient

RUBRIC "Revision of intestinal stoma"
SOURCE "ICD-9-CM"
CODE "46.4"
PARAPHRASE "repairing of an intestinal stoma"
HISTORY "
Manual accept at 3:26:37 pm on July 2, 1998 by jeremy"
MAIN repairing
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin

RUBRIC "Revision of intestinal stoma, NOS"
SOURCE "ICD-9-CM"
PARAPHRASE "repairing of an intestinal stoma, NOS"
CODE "46.40"
CODING_METACOMMENT "NOS"
HISTORY "
Manual accept at 3:26:32 pm on July 2, 1998 by jeremy"
MAIN repairing
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin

RUBRIC "Plastic enlargement of intestinal stoma"
SOURCE "ICD-9-CM"
CODE "46.40i1"
PARAPHRASE "enlargement of intestinal stoma by incising its edges"
HISTORY "
Manual accept at 3:26:23 pm on July 2, 1998 by jeremy"
MAIN enlarging
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin
	BY_TECHNIQUE incising
		ACTS_ON edge
			IS_PART_OF stoma
				CONNECTS_1 intestine
				CONNECTS_2 skin

RUBRIC "Reconstruction of stoma of intestine"
SOURCE "ICD-9-CM"
CODE "46.40i2"
PARAPHRASE "reconstruction of stoma of intestine"
HISTORY "
Manual accept at 3:26:09 pm on July 2, 1998 by jeremy"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin

RUBRIC "Release of scar tissue of intestinal stoma"
SOURCE "ICD-9-CM"
CODE "46.40i3"
PARAPHRASE "incision of scar tissue sorrounding an intestinal stoma"
HISTORY "
Manual accept at 3:25:50 pm on July 2, 1998 by jeremy"
MAIN releasing
	ACTS_ON scar tissue
		IS_PART_OF stoma
			CONNECTS_1 intestine
			CONNECTS_2 skin

RUBRIC "Revision of stoma of small intestine"
PARAPHRASE "Revision of stoma of small intestine"
SOURCE "ICD-9-CM"
CODE "46.41"
MAIN revising
	ACTS_ON stoma
		HAS_LOCATION small intestine

RUBRIC "Repair of pericolostomy hernia"
SOURCE "ICD-9-CM"
CODE "46.42"
PARAPHRASE "repair of abdominal wall to treat a pericolostomy hernia"
MAIN repairing
	ACTS_ON abdominal wall
MOTIVATED_OVERALL_BY curing
	ACTS_ON hernia
		HAS_LOCATION colostomy

RUBRIC "Repair of pericolostomy hernia"
PARAPHRASE "Repair of hernia of pericolostomy region"
SOURCE "ICD-9-CM"
CODE "46.42"
MAIN surgical deed
	ACTS_ON hernia
		HAS_LOCATION pericolostomy region
TO_ACHIEVE_OVERALL repairing
	ACTS_ON abdominal wall

RUBRIC "Other revision of stoma of small intestine"
PARAPHRASE "Other revision of stoma of small intestine"
SOURCE "ICD-9-CM"
CODE "46.43"
MAIN OTHER revising
	ACTS_ON stoma
		HAS_LOCATION small intestine

RUBRIC "Other revision of stoma of large intestine"
SOURCE "ICD-9-CM"
CODE "46.43"
PARAPHRASE "other repairing of a stoma of large intestine"
HISTORY "
Manual accept at 3:25:35 pm on July 2, 1998 by jeremy"
MAIN OTHER repairing
	ACTS_ON stoma
		CONNECTS_1 large intestine
		CONNECTS_2 skin

RUBRIC "Closure of intestinal stoma"
SOURCE "ICD-9-CM"
CODE "46.5"
PARAPHRASE "closure of intestinal stoma"
HISTORY "
Manual accept at 3:25:27 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin

RUBRIC "Closure of intestinal stoma, NOS"
SOURCE "ICD-9-CM"
PARAPHRASE "closure of intestinal stoma, NOS"
CODE "46.50"
CODING_METACOMMENT "NOS"
HISTORY "
Manual accept at 3:25:17 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 intestine
		CONNECTS_2 skin

RUBRIC "Closure of stoma of small intestine"
PARAPHRASE "Closure of stoma of small intestine"
SOURCE "ICD-9-CM"
CODE "46.51"
MAIN closing
	ACTS_ON stoma
		HAS_LOCATION small intestine

RUBRIC "Closure of stoma of large intestine"
SOURCE "ICD-9-CM"
CODE "46.52"
PARAPHRASE "closure of stoma of large intestine"
HISTORY "
Manual accept at 3:25:04 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 large intestine
		CONNECTS_2 skin

RUBRIC "Closure of cecostomy"
SOURCE "ICD-9-CM"
CODE "46.52i1"
PARAPHRASE "Closure of cecostomy"
HISTORY "
Manual accept at 3:24:48 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 cecum
		CONNECTS_2 skin

RUBRIC "Closure of colostomy"
SOURCE "ICD-9-CM"
CODE "46.52i2"
PARAPHRASE "closure of colostomy"
HISTORY "
Manual accept at 3:24:20 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "Closure of sigmoidostomy"
SOURCE "ICD-9-CM"
CODE "46.52i3"
PARAPHRASE "closure of sigmoidostomy"
HISTORY "
Manual accept at 3:24:07 pm on July 2, 1998 by jeremy
Manual accept at 3:24:30 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON stoma
		CONNECTS_1 sigmoid colon
		CONNECTS_2 skin

RUBRIC "Fixation of intestine"
SOURCE "ICD-9-CM"
CODE "46.6"
PARAPHRASE "fixation of intestine"
MAIN fixing
	ACTS_ON intestine

RUBRIC "Fixation of intestine, NOS"
SOURCE "ICD-9-CM"
PARAPHRASE "fixation of intestine,NOS"
CODE "46.60"
CODING_METACOMMENT "NOS"
MAIN fixing
	ACTS_ON intestine

RUBRIC "Fixation of small intestine to abdominal wall"
SOURCE "ICD-9-CM"
CODE "46.61"
PARAPHRASE "fixation of small intestine by suturing it to inner surface of abdominal wall"
MAIN fixing
	ACTS_ON small intestine
	BY_TECHNIQUE suturing
		ACTS_ON_1 small intestine
		ACTS_ON_2 inner surface of abdominal wall

RUBRIC "Ileopexy"
SOURCE "ICD-9-CM"
CODE "46.61i"
PARAPHRASE "fixation of ileus by suturing it to inner surface of abdominal wall"
MAIN fixing
	ACTS_ON ileum
	BY_TECHNIQUE suturing
		ACTS_ON_1 ileum
		ACTS_ON_2 inner surface of abdominal wall

RUBRIC "Other fixation of small intestine"
SOURCE "ICD-9-CM"
CODE "46.62"
PARAPHRASE "other fixation of small intestine"
MAIN OTHER fixing
	ACTS_ON small intestine

RUBRIC "Noble plication of small intestine"
SOURCE "ICD-9-CM"
CODE "46.62i"
PARAPHRASE "plication of small intestine according to Noble method to achieve its fixation"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998"
MAIN plicating
	ACTS_ON small intestine
	HAS_METHOD noble method
TO_ACHIEVE_OVERALL fixing
	ACTS_ON small intestine

RUBRIC "Noble plication of small intestine"
SOURCE "ICD-9-CM"
CODE "46.62i2"
PARAPHRASE "fixation of small intestine by plication according to Noble method "
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998"
MAIN fixing
	ACTS_ON small intestine
	BY_TECHNIQUE plicating
		ACTS_ON intestine
	HAS_METHOD noble method

RUBRIC "Fixation of large intestine to abdominal wall"
SOURCE "ICD-9-CM"
CODE "46.63"
PARAPHRASE "fixation of large intestine by suturing it to inner surface of abdominal wall"
MAIN fixing
	ACTS_ON large intestine
	BY_TECHNIQUE suturing
		ACTS_ON_1 large intestine
		ACTS_ON_2 inner surface of abdominal wall

RUBRIC "Cecoplicopexy"
SOURCE "ICD-9-CM"
CODE "46.63i1"
PARAPHRASE "fixation of cecum by suturing it to inner surface of abdominal wall"
MAIN fixing
	ACTS_ON cecum
	BY_TECHNIQUE suturing
		ACTS_ON_1 cecum
		ACTS_ON_2 inner surface of abdominal wall

RUBRIC "Sigmoidopexy (Moschowitz)"
SOURCE "ICD-9-CM"
CODE "46.63i2"
PARAPHRASE "fixation of sigmoid according to Moschowitz method by suturing it to inner surface of abdominal wall "
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN fixing
	ACTS_ON sigmoid colon
	BY_TECHNIQUE suturing
		ACTS_ON_1 sigmoid colon
		ACTS_ON_2 inner surface of abdominal wall
	HAS_METHOD moschowitz method

RUBRIC "Other fixation of large intestine"
SOURCE "ICD-9-CM"
CODE "46.64"
PARAPHRASE "other fixation of large intestine"
MAIN OTHER fixing
	ACTS_ON large intestine

RUBRIC "Cecofixation"
SOURCE "ICD-9-CM"
CODE "46.64i1"
PARAPHRASE "fixation of cecum"
MAIN fixing
	ACTS_ON cecum

RUBRIC "Colofixation"
SOURCE "ICD-9-CM"
CODE "46.64i2"
PARAPHRASE "fixation of colon"
MAIN fixing
	ACTS_ON colon

RUBRIC "Other repair of intestine"
SOURCE "ICD-9-CM"
CODE "46.7"
PARAPHRASE "other repair of intestine"
MAIN OTHER repairing
	ACTS_ON intestine

RUBRIC " Suture of laceration of duodenum "
PARAPHRASE "Suture of laceration of duodenum"
SOURCE "ICD-9-CM"
CODE "46.71"
MAIN suturing
	ACTS_ON laceration
		HAS_LOCATION duodenum

RUBRIC "Suture of laceration of small intestine, except duodenum"
PARAPHRASE "Suture of laceration of small intestine without suture of laceration of duodenum"
SOURCE "ICD-9-CM"
CODE "46.73"
HISTORY "
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN suturing
	ACTS_ON laceration
		HAS_LOCATION small intestine
WITHOUT_ACTION surgical deed
	ACTS_ON duodenum

RUBRIC "Closure of fistula of small intestine, except duodenum"
PARAPHRASE "Closure of fistula of small intestine without closure of fistula of duodenum"
SOURCE "ICD-9-CM"
CODE "46.74"
HISTORY "
Transformation - WITHOUT - applied at 10:59:17 am on June 26, 1998"
MAIN closing
	ACTS_ON pathological fistula
		HAS_LOCATION small intestine
WITHOUT_ACTION surgical deed
	ACTS_ON duodenum

RUBRIC "Suture of laceration of large intestine"
SOURCE "ICD-9-CM"
CODE "46.75"
PARAPHRASE "repair of laceration of large intestine by suture of laceration of large intestine"
MAIN repairing
	ACTS_ON laceration
		HAS_LOCATION large intestine
	BY_TECHNIQUE suturing
		ACTS_ON laceration
			HAS_LOCATION large intestine

RUBRIC "Closure of fistula of large intestine"
SOURCE "ICD-9-CM"
CODE "46.76"
PARAPHRASE "closure of fistula of large intestine"
HISTORY "
Manual accept at 3:23:55 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 large intestine

RUBRIC "Intra-abdominal manipulation of intestine"
PARAPHRASE "arrangement of intestine by intra-abdominal route"
CODE "46.8"
COMMENT "BY_MEANS_OF hands of surgeon, per rendere la 'manipulation' !?"
SOURCE "ICD-9-CM"
MAIN arranging
	ACTS_ON intestine
	HAS_APPROACH abdominal approach

RUBRIC "Intra-abdominal manipulation of intestine, NOS"
SOURCE "ICD-9-CM"
PARAPHRASE "manipulation of intestine by intra-abdominal route, NOS"
CODE "46.80"
CODING_METACOMMENT "NOS"
MAIN arranging
	ACTS_ON intestine
	HAS_APPROACH abdominal approach

RUBRIC "Correction of intestinal malrotation"
SOURCE "ICD-9-CM"
CODE "46.80i1"
PARAPHRASE "manipulation of intestine by intra-abdominal route to correct intestinal malrotation"
MAIN arranging
	ACTS_ON intestine
	HAS_APPROACH abdominal approach
MOTIVATED_OVERALL_BY correcting
	ACTS_ON malrotation lesion
		HAS_LOCATION intestine

RUBRIC "Reduction of intestinal torsion"
SOURCE "ICD-9-CM"
CODE "46.80i2"
PARAPHRASE "manipulation of intestine by intra-abdominal route to reduce intestinal torsion"
MAIN arranging
	ACTS_ON intestine
	HAS_APPROACH abdominal approach
MOTIVATED_OVERALL_BY correcting
	ACTS_ON torsion lesion
		HAS_LOCATION intestine

RUBRIC "Reduction of intestinal volvulus"
SOURCE "ICD-9-CM"
CODE "46.80i3"
PARAPHRASE "manipulation of intestine by intra-abdominal route to reduce intestinal volvolus"
MAIN arranging
	ACTS_ON intestine
	HAS_APPROACH abdominal approach
MOTIVATED_OVERALL_BY correcting
	ACTS_ON volvulus
		HAS_LOCATION intestine

RUBRIC "Reduction of intussusception"
SOURCE "ICD-9-CM"
CODE "46.80i4"
PARAPHRASE "manipulation of intestine by intra-abdominal route to reduce intussusception"
MAIN arranging
	ACTS_ON intestine
	HAS_APPROACH abdominal approach
MOTIVATED_OVERALL_BY correcting
	ACTS_ON intussusception

RUBRIC "Intra-abdominal manipulation of small intestine"
PARAPHRASE "Manipulation of small intestine by abdominal approach"
SOURCE "ICD-9-CM"
CODE "46.81"
MAIN manipulating
	ACTS_ON small intestine
	HAS_APPROACH abdominal approach

RUBRIC "Intra-abdominal manipulation of large intestine"
SOURCE "ICD-9-CM"
CODE "46.82"
PARAPHRASE "manipulation of large intestine by intra-abdominal route"
MAIN arranging
	ACTS_ON large intestine
	HAS_APPROACH abdominal approach

RUBRIC "Dilatation of intestine"
PARAPHRASE "Dilatation of intestine"
SOURCE "ICD-9-CM"
CODE "46.85"
MAIN dilatating
	ACTS_ON intestine

RUBRIC "Dilatation (balloon) of duodenum"
PARAPHRASE "dilatation of duodenumby means of balloon probe"
SOURCE "ICD-9-CM"
CODE "46.85i1"
MAIN dilatating
	ACTS_ON duodenum
	BY_MEANS_OF balloon probe

RUBRIC "Dilatation (balloon) of jejunum"
PARAPHRASE "dilatation of jejunum by means of balloon probe"
SOURCE "ICD-9-CM"
CODE "46.85i2"
MAIN dilatating
	ACTS_ON jejunum
	BY_MEANS_OF balloon probe

RUBRIC "Other operation on intestine"
SOURCE "ICD-9-CM"
CODE "46.9"
PARAPHRASE "other operation on intestine"
MAIN OTHER surgical deed
	ACTS_ON intestine

RUBRIC "Myotomy of sigmoid colon"
SOURCE "ICD-9-CM"
CODE "46.91"
PARAPHRASE "incision of muscolar layer of the wall of sigmoid colon"
MAIN incising
	ACTS_ON muscle (striated)
		IS_PART_OF wall
			IS_PART_OF sigmoid colon

RUBRIC "Myotomy of other parts of colon"
SOURCE "ICD-9-CM"
CODE "46.92"
PARAPHRASE "incision of muscolar layer of the wall of other part of colon "
MAIN incising
	ACTS_ON muscle (striated)
		IS_PART_OF wall
			IS_PART_OF OTHER part
				IS_PART_OF colon

RUBRIC "Revision of anastomosis of small intestine"
PARAPHRASE "Revision of anastomosis of small intestine"
SOURCE "ICD-9-CM"
CODE "46.93"
MAIN revising
	ACTS_ON stoma
		HAS_LOCATION small intestine

RUBRIC "Revision of anastomosis of large intestine"
SOURCE "ICD-9-CM"
CODE "46.94"
PARAPHRASE "revision of anastomosis of large intestine"
MAIN revising
	ACTS_ON anastomosis structure
		CONNECTS large intestine

RUBRIC "Local perfusion of small intestine"
PARAPHRASE "Local perfusion of small intestine"
SOURCE "ICD-9-CM"
CODE "46.95"
HISTORY "
Manual accept at 5:44:07 pm on April 15, 1998"
MAIN perfusing
	HAS_EXTENT local
	ACTS_ON small intestine

RUBRIC "Local perfusion of large intestine"
SOURCE "ICD-9-CM"
CODE "46.96"
PARAPHRASE "perfusion of large intestine by cannulation of its vessels"
MAIN perfusing
	ACTS_ON large intestine
	BY_TECHNIQUE inserting
		ACTS_ON cannula
			HAS_DESTINATION blood vessel
				SERVES large intestine

RUBRIC "Operations on appendix"
SOURCE "ICD-9-CM"
CODE "47"
PARAPHRASE "operation on appendix"
MAIN surgical deed
	ACTS_ON appendix

RUBRIC "Appendectomy"
SOURCE "ICD-9-CM"
CODE "47.0"
PARAPHRASE "excision of appendix"
MAIN excising
	ACTS_ON appendix

RUBRIC "Drainage of appendiceal abscess"
SOURCE "ICD-9-CM"
CODE "47.2"
PARAPHRASE "drainage of abscess of appendix"
MAIN surgical deed
	ACTS_ON appendix
	MOTIVATED_BY draining
		ACTS_ON abscess
			HAS_LOCATION appendix

RUBRIC "Other operations on appendix"
SOURCE "ICD-9-CM"
CODE "47.9"
PARAPHRASE "other operations on appendix"
MAIN OTHER surgical deed
	ACTS_ON appendix

RUBRIC "Appendicostomy"
SOURCE "ICD-9-CM"
CODE "47.91"
PARAPHRASE "creation of an appendicostomy"
MAIN constructing
	ACTS_ON stoma
		CONNECTS_1 appendix

RUBRIC "Closure of appendiceal fistula"
SOURCE "ICD-9-CM"
CODE "47.92"
PARAPHRASE "closure of a fistula of the appendix"
HISTORY "
Manual accept at 3:23:50 pm on July 2, 1998 by jeremy"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 appendix

RUBRIC "Anastomosis of the appendix"
SOURCE "ICD-9-CM"
CODE "47.99"
PARAPHRASE "reanastomosis of the appendix to cecum"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 appendix
		CONNECTS_2 cecum

RUBRIC "Operation of appendiceal stump"
SOURCE "ICD-9-CM"
CODE "47i"
PARAPHRASE "operation of appendiceal stump"
MAIN surgical deed
	ACTS_ON stump
		IS_PART_OF appendix

RUBRIC "Operations on rectum, rectosigmoid and perirectal tissue"
PARAPHRASE " "
CODE "48"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:23:48 am on June 27, 1998 by jeremy"
MAIN surgical deed
	ACTS_ON rectum / rectosigmoid
OR_MAIN surgical deed
	ACTS_ON perirectal tissue

RUBRIC "Proctotomy"
PARAPHRASE " "
CODE "48.0"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON rectum
	BY_TECHNIQUE incising
		ACTS_ON rectum

RUBRIC "Decompression of imperforate anus"
PARAPHRASE "Surgical operation to achive decompression of rectum "
SOURCE "ICD-9-CM"
CODE "48.0i1"
COMMENT "in fact the <body part> decompressed is the rectum"
MAIN surgical deed
	ACTS_ON imperforate anus
	TO_ACHIEVE decompressing
		ACTS_ON rectum

RUBRIC "Decompression of imperforate anus"
PARAPHRASE "Surgical operation to achive decompression of imperforate anus "
SOURCE "ICD-9-CM"
CODE "48.0i1"
COMMENT "in fact the <body part> decompressed is the rectum"
MAIN surgical deed
	ACTS_ON imperforate anus
	TO_ACHIEVE decompressing
		ACTS_ON imperforate anus

RUBRIC "Panas' operation (linear proctotomy)"
PARAPHRASE "Incision of rectum according to Panas' method"
SOURCE "ICD-9-CM"
CODE "48.0i2"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN incising
	ACTS_ON rectum
	HAS_METHOD panas method

RUBRIC "Proctostomy"
PARAPHRASE " "
CODE "48.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 rectum

RUBRIC "Diagnostic procedures on rectum, rectosigmoid and perirectal  tissue"
PARAPHRASE " "
CODE "48.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:24:17 am on June 27, 1998 by jeremy"
MAIN surgical deed
	ACTS_ON rectum / rectosigmoid
TO_ACHIEVE_OVERALL diagnosis
OR_MAIN surgical deed
	ACTS_ON perirectal tissue
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Transabdominal proctosigmodoscopy"
PARAPHRASE " "
CODE "48.21"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN inspecting
	ACTS_ON rectum & sigmoid colon
	BY_MEANS_OF proctosigmoidoscope
	HAS_APPROACH transabdominal route

RUBRIC "Intraoperative proctosigmoidoscopy"
PARAPHRASE "inspecting of rectum and sigma by means of endoscope during operation "
SOURCE "ICD-9-CM"
CODE "48.21i1"
MAIN inspecting
	ACTS_ON_1 rectum
	ACTS_ON_2 sigmoid colon
	BY_MEANS_OF endoscope
	HAS_TEMPORAL_MARKER intraoperative
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Proctosimoidoscopy through artificial stoma"
PARAPHRASE " "
CODE "48.22"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN inspecting
	ACTS_ON rectum & sigmoid colon
	BY_MEANS_OF proctosigmoidoscope
	HAS_APPROACH through stoma

RUBRIC "Rigid proctosigmoidoscopy"
PARAPHRASE " "
CODE "48.23"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN inspecting
	ACTS_ON anus & rectum
	BY_MEANS_OF rigid proctosigmoidoscope

RUBRIC "Closed biopsy of rectum"
PARAPHRASE " "
CODE "48.24"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN biopsying
	ACTS_ON rectum
	BY_MEANS_OF endoscope

RUBRIC "Brushing or washing for specimen collection"
PARAPHRASE "Washing of rectum for specimen collection"
SOURCE "ICD-9-CM"
CODE "48.24i1"
MAIN washing
	ACTS_ON rectum
	MOTIVATED_BY specimen collection1

RUBRIC "Brushing or washing for specimen collection"
PARAPHRASE "Brushing of rectum for specimen collection"
SOURCE "ICD-9-CM"
CODE "48.24i1"
MAIN brushing
	ACTS_ON rectum
	MOTIVATED_BY specimen collection1

RUBRIC "Proctosigmoidoscopy with biopsy"
PARAPHRASE "Inspecting of rectum and sigma by means of endoscope with biopsy"
SOURCE "ICD-9-CM"
CODE "48.24i2"
MAIN inspecting
	ACTS_ON_1 rectum
	ACTS_ON_2 sigmoid colon
	BY_MEANS_OF endoscope
WITH biopsying
	ACTS_ON rectum / sigmoid colon
MOTIVATED_OVERALL_BY diagnosis

RUBRIC "Open biopsy of rectum"
PARAPHRASE " "
CODE "48.25"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN biopsying
	ACTS_ON rectum
	HAS_APPROACH open

RUBRIC "Biopsy of perirectal tissue"
PARAPHRASE " "
CODE "48.26"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN biopsying
	ACTS_ON perirectal tissue

RUBRIC "Other diagnostic procedures on rectum, rectosigmoid and  perirectal tissue"
PARAPHRASE " "
CODE "48.29"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:24:36 am on June 27, 1998 by jeremy"
MAIN OTHER surgical deed
	ACTS_ON rectum / rectosigmoid
TO_ACHIEVE_OVERALL diagnosis
OR_MAIN OTHER surgical deed
	ACTS_ON perirectal tissue
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local excision of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "excision is expanded at 48.35"
MAIN removing
	ACTS_ON lesion
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, approach nos, all children of lesions"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local excision of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, approach nos, all children of lesions"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, approach nos, all children of lesions"
MAIN destroying
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, approach nos, all children of lesions"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:16 am on June 26, 1998"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, tissue"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, approach nos, all children of lesions"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, all lesions"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local destruction of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, all lesions"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, all lesions"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, lesions"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, lesions"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, all lesions"
MAIN destroying
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, tissue"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, all lesions"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, all lesions"
MAIN destroying
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal destruction of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, transanal, all lesions"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal lesion"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, all lesions"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, all lesions"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal warts "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic destruction of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. destruction is the super from .31 to .33    2.  destruction, endoscopic, all lesions"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal warts "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local endoscopic electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local electrocoagulation of rectal warts "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
MAIN electrocoagulating
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE "local transanal electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.3"
COMMENT "1. electrocoagulation is the super of .31 and .32    2. electrocoagulation"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision or destruction of lesion or tissue of rectum"
PARAPHRASE " "
CODE "48.3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN removing
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local
OR_MAIN destroying
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical endoscopic electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998
Manual accept at 4:11:56 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical transanal electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:12:57 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical endoscopic electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998
Manual accept at 4:12:17 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:13:24 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:13:02 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:13:13 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:13:06 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical endoscopic electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998
Manual accept at 4:12:06 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical endoscopic electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998
Manual accept at 4:12:12 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:13:29 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:13:18 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical transanal electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998
Manual accept at 4:12:36 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE " "
CODE "48.31"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN destroying
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF electrocoagulation equipment
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical transanal electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998
Manual accept at 4:12:30 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical endoscopic electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998
Manual accept at 4:12:01 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical endoscopic electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998
Manual accept at 4:12:25 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical transanal electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:12:51 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical transanal electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:12:41 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT radical

RUBRIC "Radical electrocoagulation of rectal lesion or tissue"
PARAPHRASE "local radical transanal electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.31"
HISTORY "
Manual accept at 4:12:46 pm on August 28, 1998 by jon"
MAIN electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT radical

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal warts"
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal cancer  "
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 1:12:01 am on June 26, 1998
Manual accept at 1:12:10 am on June 26, 1998 by jeremy"
MAIN OTHER electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other  electrocoagulation of rectal lesion or tissue"
PARAPHRASE " "
CODE "48.32"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN destroying
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF electrocoagulation equipment

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal warts "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local transanal electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.32"
MAIN OTHER electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal warts"
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal cancer "
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal polyp "
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal villous adenoma "
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Other electrocoagulation of rectal lesion or tissue"
PARAPHRASE "other local endoscopic electrocoagulation of rectal tumour "
SOURCE "ICD-9-CM"
CODE "48.32"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998"
MAIN OTHER electrocoagulating
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal lesion by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal tissue by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998
Manual accept at 12:31:27 am on June 27, 1998 by jeremy"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal tumour by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal tissue by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal tumour by laser with injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local
WITH injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal polyp by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal cancer by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal cancer by laser with injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local
WITH injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal villous adenoma by laser with injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local
WITH injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal polyp by laser with injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local
WITH injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal warts by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_MEANS_OF laser
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal cancer by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998
Manual accept at 12:30:10 am on June 27, 1998 by jeremy"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_MEANS_OF laser
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal tumour by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998
Manual accept at 12:31:17 am on June 27, 1998 by jeremy"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_MEANS_OF laser
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal villous adenoma by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998
Manual accept at 12:31:12 am on June 27, 1998 by jeremy"
MAIN destroying
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_MEANS_OF laser
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal lesion by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998
Manual accept at 12:31:21 am on June 27, 1998 by jeremy"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_MEANS_OF laser
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE " "
CODE "48.33"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN destroying
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF laser

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal warts by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:21 am on June 26, 1998"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal lesion by laser with injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local
WITH injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal villous adenoma by laser"
SOURCE "ICD-9-CM"
CODE "48.33"
MAIN destroying
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_MEANS_OF laser equipment
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by laser"
PARAPHRASE "local destruction of rectal polyp by laser without injection of photosensitizing drug"
SOURCE "ICD-9-CM"
CODE "48.33"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998
Manual accept at 12:31:06 am on June 27, 1998 by jeremy"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_MEANS_OF laser
	HAS_EXTENT local
WITHOUT_ACTION injecting
	ACTS_ON photosensitizing drug

RUBRIC "Destruction of rectal lesion or tissue by cryosurgery"
PARAPHRASE "local destruction of rectal lesion by cryosurgery"
SOURCE "ICD-9-CM"
CODE "48.34"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_MEANS_OF cryoprobe
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by cryosurgery"
PARAPHRASE " "
CODE "48.34"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN destroying
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF cryoprobe

RUBRIC "Destruction of rectal lesion or tissue by cryosurgery"
PARAPHRASE "local destruction of rectal tissue by cryosurgery"
SOURCE "ICD-9-CM"
CODE "48.34"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_MEANS_OF cryoprobe
	HAS_EXTENT local

RUBRIC "Destruction of rectal lesion or tissue by cryosurgery"
PARAPHRASE "local destruction of rectal warts by cryosurgery"
SOURCE "ICD-9-CM"
CODE "48.34"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_MEANS_OF cryoprobe
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of rectal tissue"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of rectal lesion "
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998"
MAIN removing
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN removing
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998"
MAIN removing
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE " "
CODE "48.35"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN removing
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local excision of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "approach nos"
MAIN removing
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998"
MAIN removing
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON polyp
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transphincteric excision of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transfincteric"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_APPROACH_TECHNIQUE splitting
		ACTS_ON anal sphincter
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of villous adenoma of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic"
MAIN removing
	ACTS_ON villous adenoma
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of polyp of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic   2. In ICD-9-CM exists a specific code for this surgical procedure. It's 48.36 [endoscopic] polypectomy of rectum"
MAIN removing
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON wart
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of tumour of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of tissue of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of lesion of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic"
MAIN removing
	ACTS_ON lesion (as structure)
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of warts of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998"
MAIN removing
	ACTS_ON wart
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local endoscopic excision of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "endoscopic"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope
	HAS_EXTENT local

RUBRIC "Local excision of rectal lesion or tissue"
PARAPHRASE "local transanal excision of cancer of rectum"
SOURCE "ICD-9-CM"
CODE "48.35"
COMMENT "transanal"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION rectum
	HAS_APPROACH anal approach
	HAS_EXTENT local

RUBRIC "[Endoscopic] polipectomy of rectum"
PARAPHRASE "excision of polyp of rectum under guidance of endoscope'"
SOURCE "ICD-9-CM"
CODE "48.36"
COMMENT "E' gi modellata nel file extDiss come variante della rubrica 48.35 'Local excision of rectal lesion or tissue' che abbiamo parafrasato con 'local endoscopic excision of polypof rectum' "
MAIN excising
	ACTS_ON polyp
		HAS_LOCATION rectum
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Pull-through resection of rectum"
PARAPHRASE " "
CODE "48.4"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_EXTENT subtotal
	HAS_METHOD rectal pull through method

RUBRIC "Soave submucosal resection of rectum"
PARAPHRASE "[subtotal] resection of rectum according to Soave method"
CODE "48.41"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_EXTENT subtotal
	HAS_METHOD Soave

RUBRIC "Soave submucosal resection of rectum"
PARAPHRASE "resection of rectum [without removing] rectal mucosa according to Soave method"
CODE "48.41a"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:13 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_METHOD Soave
WITHOUT_ACTION removing
	ACTS_ON rectal mucosa

RUBRIC "Endorectal pull-through operation"
PARAPHRASE "Endorectal pull-through operation"
SOURCE "ICD-9-CM"
CODE "48.41i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH transrectal route
	HAS_METHOD rectal pull through method

RUBRIC "Other pull-through resection of rectum"
PARAPHRASE "[subtotal] resection of rectum according to pull through method"
CODE "48.49"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_EXTENT subtotal
	HAS_METHOD rectal pull through method

RUBRIC " Other pull-through resection of rectum"
PARAPHRASE "resection of rectum [without removing rectal mucosa] according to pull through method"
CODE "48.49a"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:16 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_METHOD rectal pull through method
WITHOUT_ACTION removing
	ACTS_ON rectal mucosa

RUBRIC "Abdominoperineal pull-through"
PARAPHRASE "resection of rectum according to pull-through method by abdominoperineal approach"
SOURCE "ICD-9-CM"
CODE "48.49i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
	HAS_METHOD rectal pull through method

RUBRIC "Altemeier operation"
PARAPHRASE "resection of rectum according to Altemeier pull-through method "
SOURCE "ICD-9-CM"
CODE "48.49i2"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_METHOD rectal pull through method
	HAS_METHOD altemeier method

RUBRIC "Swenson proctectomy"
PARAPHRASE "resection of rectum according to Swenson pull-through method "
SOURCE "ICD-9-CM"
CODE "48.49i3"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_METHOD rectal pull through method
	HAS_METHOD Swenson

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE "abdominoperineal resection of rectum and anus with total cistectomy"
SOURCE "ICD-9-CM"
CODE "48.5"
COMMENT "cistectomy --->  urinary bladder"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT total

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE "abdominoperineal"
SOURCE "ICD-9-CM"
CODE "48.5"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
WITH removing
	ACTS_ON vagina
	HAS_EXTENT partial

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE "abdominoperineal resection of rectum and anus with hysterectomy"
SOURCE "ICD-9-CM"
CODE "48.5"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
WITH removing
	ACTS_ON uterus

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE "abdominoperineal resection of rectum and anus with total cistectomy and hysterectomy"
SOURCE "ICD-9-CM"
CODE "48.5"
COMMENT "cistectomy --->  urinary bladder"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
WITH removing
	ACTS_ON_1 urinary bladder
	ACTS_ON_2 uterus
	HAS_EXTENT total

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE "abdominoperineal resection of rectum and anus with partial excision of urinary bladder"
SOURCE "ICD-9-CM"
CODE "48.5"
COMMENT "cistectomy --->  urinary bladder"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE " "
CODE "48.5"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum & anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach

RUBRIC "Abdominoperineal resection of rectum"
PARAPHRASE "abdominoperineal resection of rectum and anus"
SOURCE "ICD-9-CM"
CODE "48.5"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach

RUBRIC "Combined abdominoendorectal resection"
PARAPHRASE "resection of rectum and anus through abdomen and anus"
SOURCE "ICD-9-CM"
CODE "48.5i1"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH anal approach

RUBRIC "Complete proctectomy"
PARAPHRASE "total abdominoperineal resection of rectum and anus "
SOURCE "ICD-9-CM"
CODE "48.5i2"
MAIN removing
	ACTS_ON rectum to anus
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
	HAS_EXTENT total

RUBRIC "Other resection of rectum"
PARAPHRASE "anterior resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.6"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach

RUBRIC "Other resection of rectum"
PARAPHRASE "other resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.6"
MAIN OTHER removing
	ACTS_ON rectum

RUBRIC "Other resection of rectum"
PARAPHRASE " "
CODE "48.6"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum

RUBRIC "Transacral rectosigmoidectomy"
PARAPHRASE " "
CODE "48.61"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum & sigmoid colon
	HAS_APPROACH transacral approach

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal double stapling technique anastomosis"
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "no additional -ectomy, +all anastomoses"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:55 am on June 26, 1998
Manual accept at 3:22:17 pm on November 3, 1998 by jon
Manual accept at 3:23:41 pm on November 3, 1998 by jon"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
		HAS_METHOD fixing
			BY_MEANS_OF staple
			HAS_NUMBER 2

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with coloanal transanal anastomosis"
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 anus
	HAS_APPROACH anal approach

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal stapled circular anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF circular stapling device
WITH removing
	ACTS_ON uterus

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal stapled anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
WITH removing
	ACTS_ON uterus

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal double stapling technique anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "additional hysterectomy, +all anastomoses"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:44 am on June 26, 1998
Manual accept at 3:24:10 pm on November 3, 1998 by jon"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
		HAS_METHOD fixing
			BY_MEANS_OF staple
			HAS_NUMBER 2
WITH removing
	ACTS_ON uterus

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal stapled circular anastomosis"
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF circular stapling device

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy"
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "no additional -ectomy"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal manual anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stitch
WITH removing
	ACTS_ON uterus

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal manual anastomosis "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stitch

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal manual anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stitch
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with hysterectomy"
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "additional hysterectomy"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH removing
	ACTS_ON uterus

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal stapled anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal stapled circular anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF circular stapling device
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with coloanal transanal anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 anus
	HAS_APPROACH anal approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with coloanal transanal anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 anus
	HAS_APPROACH anal approach
WITH removing
	ACTS_ON uterus

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal double stapling technique anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "partial excision of urinary bladder , +all anastomoses"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Manual accept at 3:24:27 pm on November 3, 1998 by jon"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
		HAS_METHOD fixing
			BY_MEANS_OF staple
			HAS_NUMBER 2
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE "anterior resection of rectum with synchronous colostomy with colorectal stapled anastomosis"
SOURCE "ICD-9-CM"
CODE "48.62"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device

RUBRIC "Anterior resection of rectum with synchronous colostomy"
PARAPHRASE " "
CODE "48.62"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal manual anastomosis "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stitch

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal stapled circular anastomosis"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF circular stapling device

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal double stapling technique anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy, +all anastomoses"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:44 am on June 26, 1998
Manual accept at 3:24:53 pm on November 3, 1998 by jon"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
		HAS_METHOD fixing
			BY_MEANS_OF staple
			HAS_NUMBER 2
WITH removing
	ACTS_ON uterus

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal stapled anastomosis"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with coloanal transanal anastomosis"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "no additional -ectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 anus
	HAS_APPROACH anal approach

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum without colostomy"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "no additional -ectomy, +all anastomoses"
HISTORY "
Manual accept at 12:29:56 am on June 27, 1998 by jeremy"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITHOUT_ACTION creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH removing
	ACTS_ON uterus

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal manual anastomosis with hysterectomy"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stitch
WITH removing
	ACTS_ON uterus

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal stapled anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
WITH removing
	ACTS_ON uterus

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal double stapling technique anastomosis"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "no additional -ectomy, +all anastomoses"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:55 am on June 26, 1998
Manual accept at 3:25:21 pm on November 3, 1998 by jon
Manual accept at 3:25:47 pm on November 3, 1998 by jon"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
		HAS_METHOD fixing
			BY_MEANS_OF staple
			HAS_NUMBER 2

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal stapled circular anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF circular stapling device
WITH removing
	ACTS_ON uterus

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal stapled circular anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF circular stapling device
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with hysterectomy with colostomy"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH removing
	ACTS_ON uterus
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.63"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with partial excision of urinary bladder"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder "
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with partial excision of urinary bladder without colostomy"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder "
HISTORY "
Transformation - WITHOUT - applied at 10:59:16 am on June 26, 1998"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial
WITHOUT_ACTION creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal stapled anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with coloanal transanal anastomosis with hysterectomy "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy, +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 anus
	HAS_APPROACH anal approach
WITH removing
	ACTS_ON uterus

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal double stapling technique anastomosis with partial excision of urinary bladder"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder , +all anastomoses"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998
Manual accept at 3:26:12 pm on November 3, 1998 by jon"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stapling device
		HAS_METHOD fixing
			BY_MEANS_OF staple
			HAS_NUMBER 2
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with coloanal transanal anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 anus
	HAS_APPROACH anal approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with partial excision of urinary bladder with colostomy"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder "
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with hysterectomy without colostomy"
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "additional hysterectomy"
HISTORY "
Manual accept at 12:29:47 am on June 27, 1998 by jeremy"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH removing
	ACTS_ON uterus
WITHOUT_ACTION creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 skin

RUBRIC "other anterior resection of rectum"
PARAPHRASE "other anterior resection of rectum with colorectal manual anastomosis with partial excision of urinary bladder "
SOURCE "ICD-9-CM"
CODE "48.63"
COMMENT "partial excision of urinary bladder , +all anastomoses"
MAIN OTHER removing
	ACTS_ON rectum
	HAS_APPROACH anterior approach
WITH creating
	ACTS_ON stoma
		CONNECTS_1 colon
		CONNECTS_2 rectum
	BY_TECHNIQUE suturing
		BY_MEANS_OF stitch
WITH removing
	ACTS_ON urinary bladder
	HAS_EXTENT partial

RUBRIC "Other resection of rectum"
PARAPHRASE " "
CODE "48.63"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum

RUBRIC "Posterior resection of rectum"
PARAPHRASE "posterior transphincteric resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.64"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH posterior approach
	BY_APPROACH_TECHNIQUE dividing
		ACTS_ON anal sphincter

RUBRIC "Posterior resection of rectum"
PARAPHRASE "posterior transacral resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.64"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH posterior approach
	HAS_APPROACH through sacral region

RUBRIC "Posterior resection of rectum"
PARAPHRASE " "
CODE "48.64"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH posterior approach

RUBRIC "Posterior resection of rectum"
PARAPHRASE "posterior resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.64"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH posterior approach

RUBRIC "Duhamel resection of rectum"
PARAPHRASE "Resection of rectum according to the Duhamel method"
CODE "48.65"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:55 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_METHOD duhamel method

RUBRIC "Duhamel abdominoperineal pull-through"
PARAPHRASE "resection of rectum according to Duhamel pull-through method by abdominoperineal approach"
SOURCE "ICD-9-CM"
CODE "48.65i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN removing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	HAS_APPROACH perineal approach
	HAS_METHOD rectal pull through method
	HAS_METHOD duhamel method

RUBRIC "Other"
PARAPHRASE "resection of rectum"
SOURCE "ICD-9-CM"
CODE "48.69"
MAIN removing
	ACTS_ON rectum

RUBRIC "perineal resection of prolapsed rectum"
PARAPHRASE "perineal resection of prolapsed rectum without colonic pouch"
SOURCE "ICD-9-CM"
CODE "48.69"
HISTORY "
Transformation - WITHOUT - applied at 10:59:21 am on June 26, 1998
Manual accept at 3:27:47 pm on July 2, 1998 by jeremy"
MAIN resecting
	ACTS_ON prolapse
		HAS_LOCATION rectum
	HAS_APPROACH perineal approach
WITHOUT_ACTION creating
	ACTS_ON reservoir
	BY_MEANS_OF colon

RUBRIC "Other"
PARAPHRASE "resection of rectum"
CODE "48.69"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum

RUBRIC "perineal resection of prolapsed rectum"
PARAPHRASE "perineal resection of prolapsed rectum with colonic pouch"
SOURCE "ICD-9-CM"
CODE "48.69"
HISTORY "
Manual accept at 3:28:00 pm on July 2, 1998 by jeremy"
MAIN resecting
	ACTS_ON prolapse
		HAS_LOCATION rectum
	HAS_APPROACH perineal approach
WITH creating
	ACTS_ON reservoir
	BY_MEANS_OF colon

RUBRIC "perineal resection of prolapsed rectum"
PARAPHRASE "perineal resection of prolapsed rectum"
SOURCE "ICD-9-CM"
CODE "48.69"
MAIN resecting
	ACTS_ON prolapse
		HAS_LOCATION rectum
	HAS_APPROACH perineal approach

RUBRIC "Partial proctectomy"
PARAPHRASE "Partial proctectomy"
SOURCE "ICD-9-CM"
CODE "48.69i1"
MAIN removing
	ACTS_ON rectum
	HAS_EXTENT partial

RUBRIC "Partial proctectomy"
PARAPHRASE " "
CODE "48.69i1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum
	HAS_EXTENT partial

RUBRIC "Rectal resection NOS"
PARAPHRASE " "
CODE "48.69i2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON rectum

RUBRIC "Rectal resection NOS"
PARAPHRASE "Rectal resection"
SOURCE "ICD-9-CM"
CODE "48.69i2"
MAIN removing
	ACTS_ON rectum

RUBRIC "Repair of rectum"
PARAPHRASE "repair of prolapse of rectum"
SOURCE "ICD-9-CM"
CODE "48.7"
MAIN deed
	ACTS_ON prolapse
		HAS_LOCATION rectum
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Repair of rectum"
PARAPHRASE " "
CODE "48.7"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON rectum

RUBRIC "Repair of rectum"
PARAPHRASE "repair of rectum"
SOURCE "ICD-9-CM"
CODE "48.7"
MAIN deed
	ACTS_ON rectum
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Repair of rectum"
PARAPHRASE "operation for rectal prolapse"
SOURCE "ICD-9-CM"
CODE "48.7"
MAIN deed
	ACTS_ON rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Suture of laceration of rectum"
PARAPHRASE " "
CODE "48.71"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON rectum
	BY_TECHNIQUE suturing
		ACTS_ON laceration
			HAS_LOCATION rectum

RUBRIC "Suture of laceration of rectum"
PARAPHRASE "Suture of laceration of rectum"
SOURCE "ICD-9-CM"
CODE "48.71"
MAIN surgical deed
	ACTS_ON rectum
	BY_TECHNIQUE suturing
		ACTS_ON laceration
			HAS_LOCATION rectum

RUBRIC "Closure of proctostomy"
PARAPHRASE " "
CODE "48.72"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON stoma
		CONNECTS_1 rectum

RUBRIC "Closure of other rectal fistula"
PARAPHRASE " "
CODE "48.73"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 3:21:56 pm on July 2, 1998 by jeremy"
MAIN repairing
	ACTS_ON fistula
		CONNECTS_1 rectum

RUBRIC "Rectorectostomy"
PARAPHRASE " "
CODE "48.74"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 rectum
		CONNECTS_2 rectum

RUBRIC "Rectal anastomosis NOS"
PARAPHRASE "creation of rectal anastomosis"
SOURCE "ICD-9-CM"
CODE "48.74i1"
HISTORY "
Manual accept at 12:34:51 am on June 27, 1998 by jeremy"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by suture "
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy to repair"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE deed
		ACTS_ON posterior wall
			IS_PART_OF rectum
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by suture to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
HISTORY "
Manual accept at 4:08:16 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by suture to repair"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by mesh"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
		BY_MEANS_OF mesh

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by mesh for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
		BY_MEANS_OF mesh
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by mesh to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
HISTORY "
Manual accept at 4:08:23 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
		BY_MEANS_OF mesh
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
HISTORY "
Manual accept at 4:08:31 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE deed
		ACTS_ON posterior wall
			IS_PART_OF rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by mesh to repair"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
		BY_MEANS_OF mesh
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy by suture for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON posterior wall
			IS_PART_OF rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE deed
		ACTS_ON posterior wall
			IS_PART_OF rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
HISTORY "
Manual accept at 4:11:21 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using stitch to repair"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF stitch
	HAS_APPROACH abdominal approach
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "Abdominal proctopexy"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy to repair"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "Abdominal proctopexy for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using mesh to repair"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_APPROACH abdominal approach
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using stitch"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF stitch
	HAS_APPROACH abdominal approach

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using stitch to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
HISTORY "
Manual accept at 4:11:14 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF stitch
	HAS_APPROACH abdominal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using mesh"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_APPROACH abdominal approach

RUBRIC "posterior abdominal proctopexy "
PARAPHRASE "posterior abdominal proctopexy "
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE deed
		ACTS_ON posterior wall
			IS_PART_OF rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using mesh for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_APPROACH abdominal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using mesh to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
HISTORY "
Manual accept at 4:11:04 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_APPROACH abdominal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE "abdominal proctopexy using stitch for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF stitch
	HAS_APPROACH abdominal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Abdominal proctopexy"
PARAPHRASE " "
CODE "48.75"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum and resecting sigmoid according to frickman procedure"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:26:32 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with suture and resecting sigmoid according to frickman procedure for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:44 am on June 26, 1998"
MAIN fixing
	ACTS_ON rectum
	BY_TECHNIQUE suturing
	HAS_METHOD Frickman
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD Frickman
MOTIVATED_OVERALL_BY treatment
	ACTS_ON prolapse
		HAS_LOCATION rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with suture and resecting sigmoid according to frickman procedure to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998
Manual accept at 4:09:42 pm on August 28, 1998 by jon
Manual accept at 4:09:53 pm on August 28, 1998 by jon
Manual accept at 4:10:11 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	BY_TECHNIQUE suturing
	HAS_METHOD Frickman
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD Frickman
	TO_ACHIEVE treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with suture and resecting sigmoid according to frickman procedure to repair"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:55 am on June 26, 1998
Manual accept at 1:24:09 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	BY_TECHNIQUE suturing
	HAS_METHOD Frickman
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD Frickman
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with suture and resecting sigmoid according to frickman procedure"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:26:28 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	BY_TECHNIQUE suturing
	HAS_METHOD Frickman
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD Frickman

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum and resecting sigmoid according to frickman procedure to repair"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:26:39 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with mesh and resecting sigmoid according to frickman procedure for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:25:22 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method
MOTIVATED_OVERALL_BY treatment
	ACTS_ON prolapse
		HAS_LOCATION rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with mesh and resecting sigmoid according to frickman procedure to repair"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:25:14 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with mesh and resecting sigmoid according to frickman procedure"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:26:24 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum and resecting sigmoid according to frickman procedure to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:25:49 am on June 26, 1998 by jeremy
Manual accept at 4:10:38 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method
	TO_ACHIEVE treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum and resecting sigmoid according to frickman procedure for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:25:34 am on June 26, 1998 by jeremy"
MAIN fixing
	ACTS_ON rectum
	HAS_METHOD frickman method
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD frickman method
MOTIVATED_OVERALL_BY treatment
	ACTS_ON prolapse
		HAS_LOCATION rectum

RUBRIC "Frickman procedure"
PARAPHRASE "fixing rectum with mesh and resecting sigmoid according to frickman procedure to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i1"
HISTORY "
Manual accept at 1:26:08 am on June 26, 1998 by jeremy
Manual accept at 4:10:30 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	BY_MEANS_OF mesh
	HAS_METHOD Frickman
WITH resecting
	ACTS_ON sigmoid colon
	HAS_METHOD Frickman
	TO_ACHIEVE treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Ripstein repair of rectal prolapse"
PARAPHRASE "fixing rectum with mesh through abdominal approach for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i2"
COMMENT "necessarily mesh, anterior aspect of rectum"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON anterior wall
			IS_PART_OF rectum
		BY_MEANS_OF mesh
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Ripstein repair of rectal prolapse"
PARAPHRASE "fixing rectum with mesh through abdominal approach to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.75i2"
COMMENT "necessarily mesh, anterior aspect of rectum"
HISTORY "
Manual accept at 4:08:39 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH abdominal approach
	BY_TECHNIQUE suturing
		ACTS_ON anterior wall
			IS_PART_OF rectum
		BY_MEANS_OF mesh
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE " "
CODE "48.76"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN fixing
	ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "perineal rectopexy to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76"
HISTORY "
Manual accept at 4:07:54 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH perineal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "perineal rectopexy"
SOURCE "ICD-9-CM"
CODE "48.76"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH perineal approach

RUBRIC "Other proctopexy"
PARAPHRASE "Other proctopexy to repair for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76"
HISTORY "
Manual accept at 4:08:07 pm on August 28, 1998 by jon"
MAIN OTHER fixing
	ACTS_ON rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "Other proctopexy to repair"
SOURCE "ICD-9-CM"
CODE "48.76"
MAIN OTHER fixing
	ACTS_ON rectum
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "perineal rectopexy to repair"
SOURCE "ICD-9-CM"
CODE "48.76"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH perineal approach
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "Other proctopexy for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76"
MAIN OTHER fixing
	ACTS_ON rectum
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Other proctopexy"
PARAPHRASE "Other proctopexy "
SOURCE "ICD-9-CM"
CODE "48.76"
MAIN OTHER fixing
	ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "perineal rectopexy with puborectalis sling operation for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76"
HISTORY "
Manual accept at 3:29:53 pm on August 28, 1998 by jon
Manual accept at 3:30:13 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH perineal approach
WITH suturing
	ACTS_ON inner fiber
		IS_PART_OF puborectalis muscle
	HAS_TEMPORAL_MARKER revision
MOTIVATED_OVERALL_BY treatment
	ACTS_ON prolapse
		HAS_LOCATION rectum

RUBRIC "Other proctopexy"
PARAPHRASE "perineal rectopexy with puborectalis sling operation"
SOURCE "ICD-9-CM"
CODE "48.76"
HISTORY "
Manual accept at 3:29:24 pm on August 28, 1998 by jon"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH perineal approach
WITH suturing
	ACTS_ON inner fiber
		IS_PART_OF puborectalis muscle
	HAS_TEMPORAL_MARKER revision
TO_ACHIEVE_OVERALL repairing
	ACTS_ON rectum

RUBRIC "Other proctopexy"
PARAPHRASE "perineal rectopexy for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76"
MAIN fixing
	ACTS_ON rectum
	HAS_APPROACH perineal approach
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION rectum

RUBRIC "Delorme repair of prolapsed rectum"
PARAPHRASE "repair of prolapsed rectum according to delorme procedure"
SOURCE "ICD-9-CM"
CODE "48.76i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:57 am on June 26, 1998"
MAIN deed
	ACTS_ON prolapse
		HAS_LOCATION rectum
	TO_ACHIEVE repairing
		ACTS_ON rectum
	HAS_METHOD Delorme

RUBRIC "Proctosigmoidopexy"
PARAPHRASE "fixing rectum and sigmoid for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76i2"
MAIN fixing
	ACTS_ON rectum
WITH fixing
	ACTS_ON sigmoid colon
MOTIVATED_OVERALL_BY treatment
	ACTS_ON prolapse
		HAS_LOCATION rectum

RUBRIC "Proctosigmoidopexy"
PARAPHRASE "fixing rectum and sigmoid"
SOURCE "ICD-9-CM"
CODE "48.76i2"
MAIN fixing
	ACTS_ON rectum
WITH fixing
	ACTS_ON sigmoid colon

RUBRIC "Puborectalis sling operation"
PARAPHRASE "reapproaching the inner fibers of puborectalis muscles by suturing to achieve fixing of rectum for prolapse"
SOURCE "ICD-9-CM"
CODE "48.76i3"
HISTORY "
Manual accept at 3:28:20 pm on August 28, 1998 by jon"
MAIN suturing
	ACTS_ON inner fiber
		IS_PART_OF puborectalis muscle
	TO_ACHIEVE repairing
		ACTS_ON rectum
	HAS_TEMPORAL_MARKER revision
MOTIVATED_OVERALL_BY treatment
	ACTS_ON prolapse
		HAS_LOCATION rectum

RUBRIC "Puborectalis sling operation"
PARAPHRASE "reapproaching the inner fibers of puborectalis muscles by suturing to achieve fixing of rectum"
SOURCE "ICD-9-CM"
CODE "48.76i3"
HISTORY "
Manual accept at 3:28:46 pm on August 28, 1998 by jon"
MAIN suturing
	ACTS_ON inner fiber
		IS_PART_OF puborectalis muscle
	HAS_TEMPORAL_MARKER revision
	TO_ACHIEVE repairing
		ACTS_ON rectum

RUBRIC "Other repair of rectum"
PARAPHRASE " "
CODE "48.79"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON rectum

RUBRIC "Incision or excision of perirectal tissue or lesion"
PARAPHRASE " "
CODE "48.8"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN incising
	ACTS_ON perirectal tissue
OR_MAIN removing
	ACTS_ON perirectal tissue
OR_MAIN incising
	ACTS_ON perirectal lesion
OR_MAIN removing
	ACTS_ON perirectal lesion

RUBRIC "Incision of perirectal tissue"
PARAPHRASE " "
CODE "48.81"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON perirectal tissue
	BY_TECHNIQUE incising
		ACTS_ON perirectal tissue

RUBRIC "excision of rectovaginal septum"
PARAPHRASE "excision of rectovaginal septum"
SOURCE "ICD-9-CM"
CODE "48.81i1"
MAIN excising
	ACTS_ON rectovaginal septum

RUBRIC "Incision of rectovaginal septum"
PARAPHRASE "'Incision of rectovaginal septum"
SOURCE "ICD-9-CM"
CODE "48.81i1"
MAIN incising
	ACTS_ON rectovaginal septum

RUBRIC "excision of pelvirectal tissue"
PARAPHRASE "excision of pelvirectal tissue"
SOURCE "ICD-9-CM"
CODE "48.81i2"
HISTORY "
Manual accept at 8:19:33 pm on July 2, 1998 by jeremy"
MAIN excising
	ACTS_ON pelvirectal tissue

RUBRIC "Excision of perirectal tissue"
PARAPHRASE " "
CODE "48.82"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON perirectal tissue

RUBRIC "pelvirectal tissue"
PARAPHRASE " 'Incision of pelvirectal tissue"
SOURCE "ICD-9-CM"
CODE "48.8i1"
COMMENT "la rubrica padre  48.8 'Incision or excision of perirectal tissue or lesion' "
MAIN incising

RUBRIC "Other operations on rectum and perirectal tissue"
PARAPHRASE " "
CODE "48.9"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON rectum / rectosigmoid

RUBRIC "Incision of rectal stricture"
PARAPHRASE " "
CODE "48.91"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN incising
	ACTS_ON stricture
		HAS_LOCATION rectum

RUBRIC "Anorectal myectomy"
PARAPHRASE " "
CODE "48.92"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON muscle (striated)
		IS_PART_OF anal region / rectum

RUBRIC "Repair of perirectal fistula"
PARAPHRASE " "
CODE "48.93"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 3:22:21 pm on July 2, 1998 by jeremy"
MAIN repairing
	ACTS_ON fistula
		CONNECTS_2 perirectal tissue
		CONNECTS_1 rectum

RUBRIC "Other"
PARAPHRASE "other operations on rectum and perirectal tissue"
CODE "48.99"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON rectum / rectosigmoid

RUBRIC "Operation on anal region"
PARAPHRASE " "
CODE "49"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON anal region

RUBRIC "Incision or excision of perianal tissue"
PARAPHRASE "excision of perianal tissue"
SOURCE "ICD-9-CM"
CODE "49.0"
MAIN excising
	ACTS_ON perianal tissue

RUBRIC "Incision or excision of perianal tissue"
PARAPHRASE "incision of perianal tissue"
SOURCE "ICD-9-CM"
CODE "49.0"
MAIN incising
	ACTS_ON perianal tissue

RUBRIC "Incision of perianal abscess"
PARAPHRASE " "
CODE "49.01"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN incising
	ACTS_ON abscess
		HAS_LOCATION perianal region

RUBRIC "Other incision of perianal tissue"
PARAPHRASE " "
CODE "49.02"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN incising
	ACTS_ON perianal tissue

RUBRIC "Other incision of perianal tissue"
PARAPHRASE "Other incision of perianal tissue"
SOURCE "ICD-9-CM"
CODE "49.02"
MAIN OTHER incising
	ACTS_ON perianal tissue

RUBRIC "Undercutting of perianal tissue"
PARAPHRASE "Undercutting of perianal tissue"
SOURCE "ICD-9-CM"
CODE "49.02i1"
MAIN detaching
	ACTS_ON perianal tissue
	BY_TECHNIQUE incising
		ACTS_ON perianal tissue

RUBRIC "Excision of perianal skin tags"
PARAPHRASE " "
CODE "49.03"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON perianal skin tag

RUBRIC " Excision of perianal skin tags"
PARAPHRASE " "
CODE "49.03a"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON skin tag
		HAS_LOCATION perianal region

RUBRIC "Other excision of perianal tissue"
PARAPHRASE " "
CODE "49.04"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON perianal pathological tissue

RUBRIC "Other excision of perianal tissue"
PARAPHRASE " "
CODE "49.04a"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION perianal region

RUBRIC "Incision or excision of anal fistula"
PARAPHRASE " "
CODE "49.1"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 3:22:31 pm on July 2, 1998 by jeremy"
MAIN incising
	ACTS_ON fistula
		CONNECTS_1 anus
OR_WITH removing
	ACTS_ON fistula
		CONNECTS_1 anus

RUBRIC "Anal fistulotomy"
PARAPHRASE " "
CODE "49.11"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 3:22:37 pm on July 2, 1998 by jeremy"
MAIN opening
	ACTS_ON fistula
		CONNECTS_1 anus
	BY_TECHNIQUE incising
		ACTS_ON fistula
			CONNECTS_1 anus

RUBRIC "Anal fistulectomy"
PARAPHRASE "anal fistulectomy with skin graft for primary healing of wound"
SOURCE "ICD-9-CM"
CODE "49.12"
MAIN removing
	ACTS_ON pathological fistula
		HAS_LOCATION anus
WITH grafting
	ACTS_ON skin
	TO_ACHIEVE primary healing1
		ACTS_ON wound

RUBRIC "Anal fistulectomy"
PARAPHRASE "anal fistulectomy with rubber seton insertion through fistula for delayed transection "
SOURCE "ICD-9-CM"
CODE "49.12"
COMMENT "nel file venuto da manchester era HAS_LOCATION_1"
HISTORY "
Manual accept at 1:26:15 pm on July 5, 1998 by jeremy"
MAIN removing
	ACTS_ON pathological fistula
		HAS_LOCATION anus
WITH inserting
	ACTS_ON rubber seton
		HAS_DESTINATION fistula
	TO_ACHIEVE transecting
		ACTS_ON anal sphincter
		HAS_TEMPORAL_MARKER delayed

RUBRIC "Anal fistulectomy"
PARAPHRASE "anal fistulectomy with wound suture"
SOURCE "ICD-9-CM"
CODE "49.12"
MAIN removing
	ACTS_ON pathological fistula
		HAS_LOCATION anus
WITH closing
	ACTS_ON wound
	BY_TECHNIQUE suturing
		ACTS_ON wound

RUBRIC "Anal fistulectomy"
PARAPHRASE "anal fistulectomy with rectal mucosal flap"
SOURCE "ICD-9-CM"
CODE "49.12"
MAIN removing
	ACTS_ON pathological fistula
		HAS_LOCATION anus
WITH inserting
	ACTS_ON rectal mucosal flap

RUBRIC "Anal fistulectomy"
PARAPHRASE "anal fistulectomy with wound suture for primary healing of wound"
SOURCE "ICD-9-CM"
CODE "49.12"
MAIN removing
	ACTS_ON pathological fistula
		HAS_LOCATION anus
WITH closing
	ACTS_ON wound
	BY_TECHNIQUE suturing
		ACTS_ON wound
	TO_ACHIEVE primary healing1
		ACTS_ON wound

RUBRIC "Anal fistulectomy"
PARAPHRASE "anal fistulectomy with skin graft"
SOURCE "ICD-9-CM"
CODE "49.12"
MAIN removing
	ACTS_ON pathological fistula
		HAS_LOCATION anus
WITH grafting
	ACTS_ON skin

RUBRIC " Anal fistulectomy"
PARAPHRASE " "
CODE "49.12"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 3:22:40 pm on July 2, 1998 by jeremy"
MAIN removing
	ACTS_ON fistula
		CONNECTS_1 anus
	HAS_EXTENT total

RUBRIC "Diagnostic procedure on anal region and perianal tissue"
PARAPHRASE " "
CODE "49.2"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:25:15 am on June 27, 1998 by jeremy"
MAIN surgical deed
	ACTS_ON anal region
TO_ACHIEVE_OVERALL diagnosis
OR_MAIN surgical deed
	ACTS_ON perianal tissue
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Anoscopy"
PARAPHRASE " "
CODE "49.21"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN inspecting
	ACTS_ON anal region
	BY_MEANS_OF anoscope

RUBRIC "Biopsy of perianal tissue"
PARAPHRASE " "
CODE "49.22"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN biopsying
	ACTS_ON perianal tissue

RUBRIC "Biopsy of anal region"
PARAPHRASE " "
CODE "49.23"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN biopsying
	ACTS_ON anal region

RUBRIC "Other diagnostic procedures on anal region and perianal tissue"
PARAPHRASE " "
CODE "49.29"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:25:32 am on June 27, 1998 by jeremy"
MAIN OTHER surgical deed
	ACTS_ON anal region
TO_ACHIEVE_OVERALL diagnosis
OR_MAIN OTHER surgical deed
	ACTS_ON perianal tissue
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of other tissue of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998"
MAIN removing
	ACTS_ON OTHER pathological tissue
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of anal fissure with posterior anoplasty"
SOURCE "ICD-9-CM"
CODE "49.3"
COMMENT "posterior anoplasty = repairing of the posterior portion of anal margin"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998"
MAIN removing
	ACTS_ON fissure
		HAS_LOCATION anus
	HAS_EXTENT local
WITH repairing
	ACTS_ON posterior part
		IS_PART_OF anal margin

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of anal fissure with posterior anal sphincterotomy and posterior anoplasty"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998"
MAIN removing
	ACTS_ON fissure
		HAS_LOCATION anus
	HAS_EXTENT local
WITH incising
	ACTS_ON posterior wall
		IS_PART_OF anal sphincter
WITH repairing
	ACTS_ON posterior part
		IS_PART_OF anal margin

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local destruction of polyp of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local destruction of cancer of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of warts of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON wart
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of anal fissure with posterior anal sphincterotomy "
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON fissure
		HAS_LOCATION anus
	HAS_EXTENT local
WITH incising
	ACTS_ON posterior wall
		IS_PART_OF anal sphincter

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local destruction of other lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998"
MAIN destroying
	ACTS_ON OTHER lesion (as structure)
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue anal region"
PARAPHRASE " "
CODE "49.3"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN removing
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION anal region
	HAS_EXTENT local
OR_MAIN destroying
	ACTS_ON lesion (as structure) / pathological tissue
		HAS_LOCATION anal region

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of anal fissure"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON fissure
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of anal fibroma of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON anal fibroma
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local destruction of tumour of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local destruction of warts of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of tumour of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of polyp of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON polyp
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of other lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON OTHER lesion (as structure)
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Local excision or destruction of other lesion or tissue of anus"
PARAPHRASE "local excision of cancer of anus"
SOURCE "ICD-9-CM"
CODE "49.3"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of polyp of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON polyp
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON lesion (as structure)
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of tumour of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic destruction of warts of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN destroying
	ACTS_ON wart
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic destruction of lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic destruction of cancer of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic destruction of tumour of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic destruction of tissue of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN destroying
	ACTS_ON pathological tissue
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of tissue of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON pathological tissue
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic destruction of polyp of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN destroying
	ACTS_ON polyp
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of cancer of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON tumour
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of warts of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON wart
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Endoscopic excision or destruction of lesion or tissue of anus"
PARAPHRASE "Endoscopic excision of anal fibroma of anus"
SOURCE "ICD-9-CM"
CODE "49.31"
MAIN removing
	ACTS_ON anal fibroma
		HAS_LOCATION anus
	BY_TECHNIQUE guidance
		BY_MEANS_OF endoscope

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local destruction of tissue of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:36 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON pathological tissue
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of tumour of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
MAIN OTHER removing
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of warts of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:49:43 am on June 26, 1998"
MAIN OTHER removing
	ACTS_ON wart
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
MAIN OTHER removing
	ACTS_ON lesion (as structure)
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of anal fibroma of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:50:48 am on June 26, 1998"
MAIN OTHER removing
	ACTS_ON anal fibroma
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of tissue of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
MAIN OTHER removing
	ACTS_ON pathological tissue
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local destruction of polyp of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON polyp
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local destruction of tumour of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:13 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of cancer of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
MAIN OTHER removing
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local destruction of lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:20 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local destruction of warts of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON wart
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local excision of polyp of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
MAIN OTHER removing
	ACTS_ON polyp
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Other local excision or destruction of lesion or tissue of anus"
PARAPHRASE "Other local destruction of cancer of anus"
SOURCE "ICD-9-CM"
CODE "49.39"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:48:01 am on June 26, 1998"
MAIN OTHER destroying
	ACTS_ON tumour
		HAS_LOCATION anus
	HAS_EXTENT local

RUBRIC "Anal cryptotomy"
PARAPHRASE " local incision of anal cript"
SOURCE "ICD-9-CM"
CODE "49.3i1"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:54 am on June 26, 1998"
MAIN incising
	ACTS_ON anal cript
		IS_PART_OF anus
	HAS_EXTENT local

RUBRIC "Anal cryptotomy"
PARAPHRASE " local incision of anal cript for abscess in anal cript"
SOURCE "ICD-9-CM"
CODE "49.3i1"
HISTORY "
Transformation - attitude to HAS_EXTENT - applied at 12:47:32 am on June 26, 1998"
MAIN incising
	ACTS_ON anal cript
		IS_PART_OF anus
	TO_ACHIEVE draining
		ACTS_ON abscess
			HAS_LOCATION anal cript
	HAS_EXTENT local

RUBRIC "Cauterization of lesion of anus"
PARAPHRASE "cauterization of lesion of anus"
SOURCE "ICD-9-CM"
CODE "49.3i2"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION anus
	BY_TECHNIQUE cauterizing
		ACTS_ON lesion (as structure)
			HAS_LOCATION anus

RUBRIC "Procedures on hemorrhoids"
PARAPHRASE " "
CODE "49.4"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON hemorrhoid

RUBRIC "Reduction of hemorrhoids"
PARAPHRASE " "
CODE "49.41"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:44:25 pm on July 5, 1998 by jeremy"
MAIN reducing
	ACTS_ON hemorrhoid

RUBRIC "Injection of hemorrhoids"
PARAPHRASE " "
CODE "49.42"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE injecting
		ACTS_ON hemorrhoid

RUBRIC " Cauterization of hemorrhoids"
PARAPHRASE " "
CODE "49.43"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE cauterizing
		ACTS_ON hemorrhoid

RUBRIC "Cauterization of hemorrhoids"
PARAPHRASE "cauterization of hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.43"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE cauterizing
		ACTS_ON hemorrhoid

RUBRIC "Clamp and cautery of hemorrhoids"
PARAPHRASE "clamp and cautery of hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.43i1"
MAIN clamping
	ACTS_ON hemorrhoid
WITH destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE cauterizing
		ACTS_ON hemorrhoid

RUBRIC "Destruction of hemorrhoids by cryotherapy"
PARAPHRASE " "
CODE "49.44"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE freezing
		ACTS_ON hemorrhoid

RUBRIC "Destruction of hemorrhoids by cryotherapy"
PARAPHRASE "Destruction of hemorrhoids by cryotherapy"
SOURCE "ICD-9-CM"
CODE "49.44"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE freezing
		ACTS_ON hemorrhoid

RUBRIC "Ligation of hemorrhoids"
PARAPHRASE "Ligation of hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.45"
HISTORY "
Transformation - expanding descriptor: ligating - applied at 11:46:59 am on July 5, 1998"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE occluding
		ACTS_ON hemorrhoid
		BY_MEANS_OF band ligature
		BY_MEANS_OF ligature

RUBRIC "Ligation of hemorrhoids"
PARAPHRASE " "
CODE "49.45"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Transformation - expanding descriptor: ligating - applied at 11:46:59 am on July 5, 1998"
MAIN destroying
	ACTS_ON hemorrhoid
	BY_TECHNIQUE occluding
		ACTS_ON hemorrhoid
		BY_MEANS_OF band ligature
		BY_MEANS_OF ligature

RUBRIC "Excision of hemorrhoids"
PARAPHRASE " "
CODE "49.46"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON hemorrhoid

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.46"
MAIN removing
	ACTS_ON hemorrhoid

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Milligan-Morgan method without internal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:56 am on June 26, 1998
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD milligan-morgan method
WITHOUT_ACTION dividing
	ACTS_ON internal wall
		IS_PART_OF anal sphincter

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Milligan-Morgan method with internal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:44 am on June 26, 1998"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD milligan-morgan method
WITH dividing
	ACTS_ON internal wall
		IS_PART_OF anal sphincter

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Milligan-Morgan method"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:23:55 am on June 26, 1998"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD milligan-morgan method

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "open excision of hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.46"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_APPROACH open

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Parks method"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Manual accept at 1:25:26 am on June 26, 1998 by jeremy"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD parks method

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Ferguson method"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Manual accept at 1:26:34 am on June 26, 1998 by jeremy"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD ferguson method

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "closed excision of hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.46"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_APPROACH closed

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Parks method without internal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Manual accept at 1:26:15 am on June 26, 1998 by jeremy
Manual accept at 12:28:46 am on June 27, 1998 by jeremy"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD parks method
WITHOUT_ACTION dividing
	ACTS_ON internal wall
		IS_PART_OF anal sphincter

RUBRIC "Excision of hemorrhoids"
PARAPHRASE "Excision of hemorrhoids according to Parks method with internal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.46"
HISTORY "
Manual accept at 1:25:39 am on June 26, 1998 by jeremy"
MAIN removing
	ACTS_ON hemorrhoid
	HAS_METHOD parks method
WITH dividing
	ACTS_ON internal wall
		IS_PART_OF anal sphincter

RUBRIC "Hemorrhoidectomy NOS"
PARAPHRASE "Hemorrhoidectomy "
SOURCE "ICD-9-CM"
CODE "49.46i1"
MAIN removing
	ACTS_ON hemorrhoid

RUBRIC "Evacuation of thrombosed hemorrhoids"
PARAPHRASE " "
CODE "49.47"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 3:15:41 pm on August 28, 1998 by jon"
MAIN evacuating
	ACTS_ON hemorrhoid

RUBRIC "Other procedures on hemorrhoids"
PARAPHRASE " "
CODE "49.49"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN surgical deed
	ACTS_ON hemorrhoid

RUBRIC "Other procedures on hemorrhoids"
PARAPHRASE "Other procedures on hemorrhoids"
SOURCE "ICD-9-CM"
CODE "49.49"
MAIN OTHER deed
	ACTS_ON hemorrhoid

RUBRIC "Other procedures on hemorrhoids"
PARAPHRASE "Other procedures on hemorrhoids according to Lord procedure"
SOURCE "ICD-9-CM"
CODE "49.49i1"
HISTORY "
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN OTHER deed
	ACTS_ON hemorrhoid
	HAS_METHOD Lord

RUBRIC "Division of anal sphincter"
PARAPHRASE "Division of anal sphincter"
SOURCE "ICD-9-CM"
CODE "49.5"
MAIN dividing
	ACTS_ON anal sphincter

RUBRIC "Division of anal sphincter"
PARAPHRASE " "
CODE "49.5"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN dividing
	ACTS_ON anal sphincter

RUBRIC "Left lateral anal sphincterotomy"
PARAPHRASE " "
CODE "49.51"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
HISTORY "
Manual accept at 12:26:38 am on June 27, 1998 by jeremy"
MAIN dividing
	ACTS_ON solid part
		IS_PART_OF anal sphincter
		HAS_LATERALITY left

RUBRIC "Left lateral anal sphincterotomy"
PARAPHRASE "open left lateral anal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.51"
MAIN dividing
	ACTS_ON solid part
		HAS_LATERALITY left
		IS_PART_OF anal sphincter
	HAS_APPROACH open

RUBRIC "Left lateral anal sphincterotomy"
PARAPHRASE "closed left lateral anal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.51"
MAIN dividing
	ACTS_ON solid part
		HAS_LATERALITY left
		IS_PART_OF anal sphincter
	HAS_APPROACH closed

RUBRIC "Left lateral anal sphincterotomy"
PARAPHRASE "Left lateral anal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.51"
HISTORY "
Manual accept at 12:28:32 am on June 27, 1998 by jeremy"
MAIN dividing
	ACTS_ON solid part
		IS_PART_OF anal sphincter
		HAS_LATERALITY left

RUBRIC "Posterior anal sphincterotomy"
PARAPHRASE " "
CODE "49.52"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN dividing
	ACTS_ON posterior part
		IS_PART_OF anal sphincter

RUBRIC "Posterior anal sphincterotomy"
PARAPHRASE "Posterior anal sphincterotomy "
SOURCE "ICD-9-CM"
CODE "49.52"
COMMENT "La 'posterior analsphincterotomy' l'abbiamo modellata come intervento aggiuntivo nella rubrica 49.3 'Local excision or destruction of other lesion or tissue of anus' che viene parafrasata anche come'local excision of anal fissure with posterior anal sph"
MAIN incising
	ACTS_ON posterior part
		IS_PART_OF anal sphincter

RUBRIC "Other anal sphincterotomy"
PARAPHRASE "Other anal sphincterotomy"
SOURCE "ICD-9-CM"
CODE "49.59"
MAIN OTHER incising
	ACTS_ON anal sphincter

RUBRIC "Other anal sphincterotomy"
PARAPHRASE " "
CODE "49.59"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN dividing
	ACTS_ON anal sphincter

RUBRIC "Division of sphincter NOS"
PARAPHRASE "Division of anal sphincter"
SOURCE "ICD-9-CM"
CODE "49.59i1"
MAIN dividing
	ACTS_ON anal sphincter

RUBRIC "Excision of anal region"
PARAPHRASE " "
CODE "49.6"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN removing
	ACTS_ON anal region

RUBRIC "Excision of anal region"
PARAPHRASE "Excision of anal region"
SOURCE "ICD-9-CM"
CODE "49.6"
MAIN removing
	ACTS_ON anal region

RUBRIC "Repair of anal region"
PARAPHRASE " "
CODE "49.7"
ENGLISH_RUBRIC " "
SOURCE "ICD-9-CM"
MAIN repairing
	ACTS_ON anal region

RUBRIC "Repair of anal region"
PARAPHRASE "Repair of anal region"
SOURCE "ICD-9-CM"
CODE "49.7"
MAIN repairing
	ACTS_ON anal region

RUBRIC "Suture of laceration of anus"
PARAPHRASE "Suture of laceration of anus"
SOURCE "ICD-9-CM"
CODE "49.71"
MAIN surgical deed
	ACTS_ON anus
	BY_TECHNIQUE suturing
		ACTS_ON laceration
			HAS_LOCATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus with insertion of artificial anal sphincter"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
WITH inserting
	ACTS_ON artificial anal sphincter
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus "
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus to achieve restoration of anal continence with insertion of Angelcyck prosthesis"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
	TO_ACHIEVE correcting
		ACTS_ON anal continence1
WITH inserting
	ACTS_ON angelcyck prosthesis
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus to achieve restoration of anal continence with insertion of silicone rubber band"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
	TO_ACHIEVE correcting
		ACTS_ON anal continence1
WITH inserting
	ACTS_ON silicone rubber band
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus with insertion of Angelcyck prosthesis "
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
WITH inserting
	ACTS_ON angelcyck prosthesis
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus to achieve restoration of anal continence with insertion of artificial anal sphincter"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
	TO_ACHIEVE correcting
		ACTS_ON anal continence1
WITH inserting
	ACTS_ON artificial anal sphincter
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus with insertion of wire"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
WITH inserting
	ACTS_ON wire
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus with insertion of silicone rubber band"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
WITH inserting
	ACTS_ON silicone rubber band
		HAS_DESTINATION anus

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus to achieve restoration of anal continence"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
	TO_ACHIEVE correcting
		ACTS_ON anal continence1

RUBRIC "Anal cerclage"
PARAPHRASE "inserting cerclage device around the anus to achieve restoration of anal continence with insertion of wire"
SOURCE "ICD-9-CM"
CODE "49.72"
MAIN inserting
	ACTS_ON cerclage device
		HAS_DESTINATION anus
	TO_ACHIEVE correcting
		ACTS_ON anal continence1
WITH inserting
	ACTS_ON wire
		HAS_DESTINATION anus

RUBRIC "Closure of anal fistula"
PARAPHRASE "closure of anal fistula"
SOURCE "ICD-9-CM"
CODE "49.73"
MAIN closing
	ACTS_ON pathological fistula
		HAS_LOCATION anus

RUBRIC "Gracilis muscle transplant for anal incontinence"
PARAPHRASE "Gracilis muscle transplant for anal incontinence"
SOURCE "ICD-9-CM"
CODE "49.74a"
MAIN transplanting
	ACTS_ON gracilis muscle
	TO_ACHIEVE correcting
		ACTS_ON anal continence1

RUBRIC "Gracilis muscle transplant for anal incontinence"
PARAPHRASE "Gracilis muscle transplant for anal incontinence with insertion of electrical stimulator"
SOURCE "ICD-9-CM"
CODE "49.74b"
COMMENT "device assists anatomy is not available"
HISTORY "
Manual accept at 8:20:23 am on August 29, 1998 by jon
Manual accept at 8:20:31 am on August 29, 1998 by jon"
MAIN transplanting
	ACTS_ON gracilis muscle
	TO_ACHIEVE correcting
		ACTS_ON anal continence1
WITH inserting
	ACTS_ON electrical stimulator
MOTIVATED_OVERALL_BY treating
	ACTS_ON anal continence1

RUBRIC "Gracilis muscle transplant for anal incontinence"
PARAPHRASE "Gracilis muscle transplant for anal incontinence without insertion of electrical stimulator"
SOURCE "ICD-9-CM"
CODE "49.74c"
HISTORY "
Transformation - WITHOUT - applied at 10:59:14 am on June 26, 1998"
MAIN transplanting
	ACTS_ON gracilis muscle
	TO_ACHIEVE correcting
		ACTS_ON anal continence1
WITHOUT_ACTION inserting
	ACTS_ON electrical stimulator
		HAS_DESTINATION anus

RUBRIC "Other repair of anal sphincter"
PARAPHRASE "repair the anterior portion of levator ani muscle by anterior approach and repair the anterior portion of levator ani muscle by anterior approach"
SOURCE "ICD-9-CM"
CODE "49.79"
COMMENT "total pelvic floor repair: le due procedure di sopra combinate"
MAIN repairing
	ACTS_ON anterior portion
		IS_PART_OF levator ani muscle
	HAS_APPROACH anterior approach
WITH repairing
	ACTS_ON posterior part
		IS_PART_OF levator ani muscle
	HAS_APPROACH posterior approach

RUBRIC "Other repair of anal sphincter"
PARAPHRASE "plication of anterior portion of external anal sphincter by anterior approach"
SOURCE "ICD-9-CM"
CODE "49.79"
MAIN plicating
	ACTS_ON anterior portion
		IS_PART_OF external anal sphincter
	HAS_APPROACH anterior approach

RUBRIC "Other repair of anal sphincter"
PARAPHRASE "repair the posterior portion of levator ani muscle by posterior approach"
SOURCE "ICD-9-CM"
CODE "49.79"
COMMENT "postanal repair"
MAIN repairing
	ACTS_ON posterior part
		IS_PART_OF levator ani muscle
	HAS_APPROACH posterior approach

RUBRIC "Other repair of anal sphincter"
PARAPHRASE "plication of posterior portion of external anal sphincter by posterior approach"
SOURCE "ICD-9-CM"
CODE "49.79"
MAIN plicating
	ACTS_ON posterior part
		IS_PART_OF external anal sphincter
	HAS_APPROACH posterior approach

RUBRIC "Other repair of anal sphincter"
PARAPHRASE "repair the anterior portion of levator ani muscle by anterior approach"
SOURCE "ICD-9-CM"
CODE "49.79"
COMMENT "anterior levatorplasty"
MAIN repairing
	ACTS_ON anterior portion
		IS_PART_OF levator ani muscle
	HAS_APPROACH anterior approach

RUBRIC "Other repair of anal sphincter"
PARAPHRASE "Other repair of anal sphincter"
SOURCE "ICD-9-CM"
CODE "49.79"
MAIN OTHER repairing
	ACTS_ON anal sphincter

RUBRIC "Repair of old obstetric laceration of anus"
PARAPHRASE "Repair of old obstetric laceration of anus"
SOURCE "ICD-9-CM"
CODE "49.79i1"
HISTORY "
Transformation - time to HAS_TEMPORAL_MARKER - applied at 1:09:18 am on June 26, 1998
Manual accept at 12:35:06 am on June 27, 1998 by jeremy
Manual accept at 12:35:37 am on June 27, 1998 by jeremy
Manual accept at 12:36:12 am on June 27, 1998 by jeremy
Manual accept at 12:30:53 pm on April 13, 2000 by DrJeremy Rogers"
MAIN repairing
	ACTS_ON laceration
		HAS_LOCATION anus
		CAUSED_BY parturition

RUBRIC "Other operation on anus"
PARAPHRASE "Other operation on anus"
SOURCE "ICD-9-CM"
CODE "49.9"
MAIN OTHER surgical deed
	ACTS_ON anus

RUBRIC "Incision of anal septum"
PARAPHRASE "Incision of anal septum"
SOURCE "ICD-9-CM"
CODE "49.91"
MAIN incising
	ACTS_ON septum
		IS_PART_OF anus

RUBRIC "Insertion of subcutaneous electrical anal stimulator"
PARAPHRASE "Insertion of subcutaneous electrical anal stimulator"
SOURCE "ICD-9-CM"
CODE "49.92"
COMMENT "device assists anatomy is not available; il 'subcutaneous' e' da tutt'altra parte del corpo (di solito l'addome)"
HISTORY "
Manual accept at 8:19:01 am on August 29, 1998 by jon
Manual accept at 8:20:57 am on August 29, 1998 by jon"
MAIN inserting
	ACTS_ON electrical stimulator
		HAS_LOCATION subcutaneous region
MOTIVATED_OVERALL_BY treating
	ACTS_ON anal continence1

RUBRIC "Other incision of anus"
PARAPHRASE "Other incision of anus"
SOURCE "ICD-9-CM"
CODE "49.93"
MAIN OTHER incising
	ACTS_ON anus

RUBRIC "Removal of foreign body from anus with incision"
PARAPHRASE "removal foreign body from anus by incision "
SOURCE "ICD-9-CM"
CODE "49.93i1"
MAIN removing
	ACTS_ON foreign body
		HAS_LOCATION anus
	BY_TECHNIQUE incising
		ACTS_ON anus

RUBRIC "Removal of seton from anus"
PARAPHRASE "removal seton from anus by incision of anus"
SOURCE "ICD-9-CM"
CODE "49.93i2"
COMMENT "quello della 49.12 i , quando ti stufi di aspettare che caschi da solo"
MAIN removing
	ACTS_ON seton
		HAS_LOCATION anus
	BY_TECHNIQUE incising
		ACTS_ON anus

RUBRIC "Reduction of anal prolapse"
PARAPHRASE "Reduction of anal prolapse"
SOURCE "ICD-9-CM"
CODE "49.94"
COMMENT "48.7: operation for rectal prolapse; come in questo file"
MAIN deed
	ACTS_ON anus
	MOTIVATED_BY treatment
		ACTS_ON prolapse
			HAS_LOCATION anus

RUBRIC "Control of (postoperative) hemorrhage of anus"
PARAPHRASE "Control of (postoperative) hemorrhage of anus"
SOURCE "ICD-9-CM"
CODE "49.95"
COMMENT "il link HAS_TEMPORAL_MARKER da Jeremy  accettato attaccato al <deed>, non so quindi se questo passer su SPET"
MAIN deed
	ACTS_ON haemorrhage
		HAS_LOCATION anus
	MOTIVATED_BY control
		ACTS_ON haemorrhage
			HAS_LOCATION anus

RUBRIC "Other"
PARAPHRASE "Other operation of anus"
SOURCE "ICD-9-CM"
CODE "49.99"
COMMENT "uguale a 49.9"
MAIN OTHER surgical deed
	ACTS_ON anus

RUBRIC "Ecografia intraoperatoria laparoscopica"
SOURCE "ICD-9-CM"
CODE "5."
PARAPHRASE "Laparoscopic intraoperative ultrasonography"
HISTORY "
Transformation - time to HAS_TEMPORAL_MARKER - applied at 1:09:18 am on June 26, 1998"
MAIN inspecting
	ACTS_ON organ
		IS_CONTAINED_IN abdominal cavity
	BY_MEANS_OF ultrasound machine
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	HAS_TEMPORAL_MARKER intraoperative
OR_MAIN inspecting
	ACTS_ON abnormal growth
		IS_CONTAINED_IN abdominal cavity
	BY_MEANS_OF ultrasound machine
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	HAS_TEMPORAL_MARKER intraoperative

RUBRIC "Esplorazione della via biliare laparoscopica"
SOURCE "ICD-9-CM"
CODE "6."
PARAPHRASE "Laparoscopic common bile duct exploration"
MAIN inspecting
	ACTS_ON biliary tract
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Esplorazione transcistica della via biliare laparoscopica"
SOURCE "ICD-9-CM"
CODE "6i1."
PARAPHRASE "Laparoscopic transcystic common bile duct exploration"
MAIN inspecting
	ACTS_ON biliary tract
	HAS_APPROACH through gallbladder
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Esplorazione transcistica della via biliare laparoscopica con dilatazione della via biliare"
SOURCE "ICD-9-CM"
CODE "6i1.1"
PARAPHRASE "Laparoscopic transcystic biliary tract exploration with dilatation of biliary tract "
MAIN inspecting
	ACTS_ON biliary tract
	HAS_APPROACH through gallbladder
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH dilatating
	ACTS_ON biliary tract

RUBRIC "Esplorazione transcistica della via biliare laparoscopica con dilatazione della via biliare e asportazione dei calcoli"
SOURCE "ICD-9-CM"
CODE "6i1.1.1"
PARAPHRASE "Laparoscopic transcystic biliary tract exploration with dilatation of biliary tract and removal of stones"
MAIN inspecting
	ACTS_ON biliary tract
	HAS_APPROACH through gallbladder
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH dilatating
	ACTS_ON biliary tract
WITH removing
	ACTS_ON calculus
		HAS_LOCATION biliary tract

RUBRIC "Esplorazione della via biliare laparoscopica con coledocotomia"
SOURCE "ICD-9-CM"
CODE "6i2."
PARAPHRASE "Laparoscopic biliary tract exploration with choledochotomy"
MAIN inspecting
	ACTS_ON biliary tract
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON choledochus

RUBRIC "Esplorazione della via biliare laparoscopica con coledocotomia e asportazione dei calcoli"
SOURCE "ICD-9-CM"
CODE "6i2.1"
PARAPHRASE "Laparoscopic biliary tract exploration with choledochotomy and removal of stones"
MAIN inspecting
	ACTS_ON biliary tract
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON choledochus
		BY_TECHNIQUE guidance
			BY_MEANS_OF laparoscope
WITH removing
	ACTS_ON calculus
		HAS_LOCATION biliary tract

RUBRIC "Esplorazione transcistica della via biliare con dilatazione ampollare laparoscopica"
SOURCE "ICD-9-CM"
CODE "6i3."
PARAPHRASE "Laparoscopic transcystic biliary tract exploration with ampullary balloon dilation"
MAIN inspecting
	ACTS_ON biliary tract
	HAS_APPROACH through gallbladder
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH dilatating
	ACTS_ON sphincter of oddi

RUBRIC "Esplorazione transcistica della via biliare laparoscopica con sfinterotomia transcistica anterograda"
SOURCE "ICD-9-CM"
CODE "6i4."
PARAPHRASE "Laparoscopic transcystic biliary tract exploration with antegrade transcystic sphincterotomy"
MAIN inspecting
	ACTS_ON biliary tract
	HAS_APPROACH through gallbladder
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH incising
	ACTS_ON sphincter of oddi
	HAS_APPROACH through urinary bladder
	HAS_APPROACH transabdominal route

RUBRIC "Esplorazione transcistica della via biliare laparoscopica con sfinterotomia endoscopica retrograda"
SOURCE "ICD-9-CM"
CODE "6i5."
PARAPHRASE "Laparoscopic transcystic biliary tract exploration with retrograde endoscopic sphincterotomy"
HISTORY "
Manual accept at 3:15:57 pm on August 28, 1998 by jon"
MAIN inspecting
	ACTS_ON biliary tract
	HAS_APPROACH through gallbladder
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH incising
	ACTS_ON sphincter of oddi
	HAS_APPROACH transpapillary route & transoral access
	BY_TECHNIQUE guidance
		BY_MEANS_OF duodenoscope
		BY_MEANS_OF fluoroscope

RUBRIC "Ernioplastica laparoscopica transaddominale preperitoneale per ernia inguinale"
SOURCE "ICD-9-CM"
CODE "7."
PARAPHRASE "Laparoscopic transabdominal preperitoneal inguinal hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
	BY_MEANS_OF mesh
	HAS_APPROACH transabdominal preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	MOTIVATED_BY curing
		ACTS_ON inguinal hernia

RUBRIC "Ernioplastica laparoscopica transaddominale preperitoneale per ernia inguinale"
SOURCE "ICD-9-CM"
CODE "7.a"
PARAPHRASE "Laparoscopic transabdominal preperitoneal inguinal hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
	BY_TECHNIQUE inserting
		ACTS_ON mesh
		HAS_APPROACH transabdominal preperitoneal approach
		BY_TECHNIQUE guidance
			BY_MEANS_OF laparoscope
	MOTIVATED_BY curing
		ACTS_ON inguinal hernia

RUBRIC "Ernioplastica sinistra laparoscopica transaddominale preperitoneale per ernia inguinale"
SOURCE "ICD-9-CM"
CODE "7i1."
PARAPHRASE "Laparoscopic transabdominal preperitoneal left inguinal hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
			HAS_LATERALITY left
	BY_MEANS_OF mesh
	HAS_APPROACH transabdominal preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	MOTIVATED_BY curing
		ACTS_ON inguinal hernia

RUBRIC "Ernioplastica destra laparoscopica transaddominale preperitoneale per ernia inguinale"
SOURCE "ICD-9-CM"
CODE "7i2."
PARAPHRASE "Laparoscopic transabdominal preperitoneal right inguinal hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
			HAS_LATERALITY right
	BY_MEANS_OF mesh
	HAS_APPROACH transabdominal preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	MOTIVATED_BY curing
		ACTS_ON inguinal hernia

RUBRIC "Ernioplastica bilaterale laparoscopica transaddominale preperitoneale per ernia inguinale"
SOURCE "ICD-9-CM"
CODE "7i3."
PARAPHRASE "Laparoscopic transabdominal preperitoneal bilateral inguinal hernia repair"
MAIN repairing
	HAS_LATERALITY bilateral
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
	BY_MEANS_OF mesh
	HAS_APPROACH transabdominal preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
	MOTIVATED_BY curing
		ACTS_ON inguinal hernia

RUBRIC "Ernioplastica laparoscopica preperitoneale "
SOURCE "ICD-9-CM"
CODE "8."
PARAPHRASE "Laparoscopic preperitoneal hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
	BY_MEANS_OF mesh
	HAS_APPROACH preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Ernioplastica laparoscopica preperitoneale "
SOURCE "ICD-9-CM"
CODE "8.a"
PARAPHRASE "Laparoscopic preperitoneal hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
	BY_TECHNIQUE inserting
		ACTS_ON mesh
		HAS_APPROACH preperitoneal approach
		BY_TECHNIQUE guidance
			BY_MEANS_OF laparoscope

RUBRIC "Ernioplastica sinistra  laparoscopica"
SOURCE "ICD-9-CM"
CODE "8i1."
PARAPHRASE "Laparoscopic preperitoneal left hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
			HAS_LATERALITY left
	BY_MEANS_OF mesh
	HAS_APPROACH preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Ernioplastica destra laparoscopica"
SOURCE "ICD-9-CM"
CODE "8i2."
PARAPHRASE "Laparoscopic preperitoneal right hernia repair"
MAIN repairing
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
			HAS_LATERALITY right
	BY_MEANS_OF mesh
	HAS_APPROACH preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Ernioplastica bilaterale laparoscopica"
SOURCE "ICD-9-CM"
CODE "8i3."
PARAPHRASE "Laparoscopic preperitoneal bilateral hernia repair"
MAIN repairing
	HAS_LATERALITY bilateral
	ACTS_ON abdominal wall
		IS_PART_OF inguinal region
	BY_MEANS_OF mesh
	HAS_APPROACH preperitoneal approach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Cardiomiotomia esofagea laparoscopica"
SOURCE "ICD-9-CM"
CODE "9."
PARAPHRASE "Laparoscopic esophageal myotomy"
HISTORY "
Manual accept at 3:16:16 pm on August 28, 1998 by jon
Manual accept at 3:18:11 pm on August 28, 1998 by jon"
MAIN incising
	ACTS_ON_1 lower esophageal sphincter
	ACTS_ON_1 upper anterior aspect of stomach
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope

RUBRIC "Cardiomiotomia esofagea con funduplicatio anteriore sec. Dor laparoscopica"
PARAPHRASE "Laparoscopic esophageal myotomy with fundiplication according to the Dor method"
CODE "9i1."
ENGLISH_RUBRIC "Laparoscopic esophageal myotomy with anterior Dor fundoplication"
SOURCE "ICD-9-CM"
HISTORY "
Transformation - wrap to HAS_FEATURE - applied at 1:15:47 am on June 26, 1998
Transformation - method to HAS_METHOD - applied at 1:22:58 am on June 26, 1998"
MAIN incising
	ACTS_ON lower esophageal sphincter
	BY_TECHNIQUE guidance
		BY_MEANS_OF laparoscope
WITH repairing
	ACTS_ON lower esophageal sphincter
	BY_TECHNIQUE plicating
		ACTS_ON fundus of stomach
		BY_TECHNIQUE guidance
			BY_MEANS_OF laparoscope
		HAS_METHOD dor method
		HAS_FEATURE anterior wrap 180 degrees

