;;                          Exported from Tigger version 4.7, at 12:47:34 pm on May 29, 1998
;;                         Exported from Tigger version 4.7, at 2:53:29 pm on May 29, 1998
;;                        Exported from Tigger version 4.7, at 1:42:53 am on June 26, 1998
;;                       Exported from Tigger version 4.7, at 1:17:23 pm on June 26, 1998
;;                      Exported from Tigger version 4.7, at 1:53:54 pm on June 26, 1998
;;                     Exported from Tigger version 4.7, at 3:18:30 pm on June 26, 1998
;;                    Exported from Tigger version 4.7, at 6:55:24 pm on June 26, 1998
;;                   Exported from Tigger version 4.7, at 10:32:19 pm on June 26, 1998
;;                  Exported from Tigger version 4.7, at 1:14:35 am on June 27, 1998
;;                 Exported from Tigger version 4.7, at 1:32:35 am on June 27, 1998
;;                Exported from Tigger version 4.7, at 4:34:32 pm on July 3, 1998
;;               Exported from Tigger version 4.7, at 1:59:03 pm on July 5, 1998
;;              Exported from Tigger version 4.8, at 8:53:36 pm on August 20, 1998
;;             Exported from Tigger version 4.8, at 2:24:16 pm on August 24, 1998
;;            Exported from Tigger version 4.8, at 9:44:54 am on September 10, 1998
;;           Exported from Tigger version 4.8, at 10:20:18 am on September 10, 1998
;;          Exported from Tigger version 4.8, at 4:35:02 pm on September 20, 1998
;;         Exported from Tigger version 4.8, at 1:53:30 am on September 27, 1998
;;        Exported from Tigger version 4.8, at 1:59:43 pm on September 27, 1998
;;       Exported from Tigger version 4.8, at 9:29:11 am on September 29, 1998
;;      Exported from Tigger version 4.8, at 10:53:12 am on October 1, 1998
;;     Exported from Tigger version 4.8, at 1:38:09 pm on October 1, 1998
;;    Exported from Tigger version 4.9, at 10:44:32 am on November 4, 1998
;;   Exported from Tigger version 4.9, at 11:55:36 am on April 20, 1999
;;  Exported from Tigger version 4.9, at 11:13:30 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:40:55 pm on April 13, 2000

RUBRIC "Open coronary artery endarterectomy"
ENGLISH_RUBRIC "Open coronary artery endarterectomy"
SOURCE "READ"
CODE "X00tN"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Percutaneous transluminal balloon angioplasty of bypass graft of coronary artery"
ENGLISH_RUBRIC "Percutaneous transluminal balloon angioplasty of bypass graft of coronary artery"
SOURCE "READ"
CODE "79282"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON coronary artery
	BY_MEANS_OF angioplasty catheter
	FOLLOWS constructing
		ACTS_ON bypass structure
			BYPASSES coronary artery

RUBRIC "Balloon pulmonary valvotomy"
ENGLISH_RUBRIC "Balloon pulmonary valvotomy"
SOURCE "READ"
CODE "X00w6"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON pulmonary valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Insertion of permanent epicardial cardiac pacemaker system"
ENGLISH_RUBRIC "Insertion of permanent epicardial cardiac pacemaker system"
SOURCE "READ"
CODE "X011z"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Manual accept at 1:30:27 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER permanent
	ACTS_ON cardiac pacemaker implant
		HAS_DESTINATION cardiac structure

RUBRIC "Resection of left ventricular muscle"
ENGLISH_RUBRIC "Resection of left ventricular muscle"
SOURCE "READ"
CODE "X00zx"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON left ventricular structure

RUBRIC "Classical Glenn shunt"
ENGLISH_RUBRIC "Classical Glenn shunt"
SOURCE "READ"
CODE "X012r"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON direct anastomosis structure
		CONNECTS_1 superior vena cava
		CONNECTS_2 right pulmonary artery

RUBRIC "Closure of defect of interventricular septum using pericardial patch"
ENGLISH_RUBRIC "Closure of defect of interventricular septum using pericardial patch"
SOURCE "READ"
CODE "79081"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - TYPE_OF_PATCH merge TARGET - applied at 12:00:29 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 12:44:12 am on June 27, 1998 by jeremy"
MAIN applying
	ACTS_ON pericardial patch
		HAS_DESTINATION ventricular septum
MOTIVATED_OVERALL_BY treating
	ACTS_ON unspecified defect

RUBRIC "Percutaneous angioplasty of common iliac artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of common iliac artery"
SOURCE "READ"
CODE "X013j"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON common iliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Ligation of aberrant subclavian artery"
ENGLISH_RUBRIC "Ligation of aberrant subclavian artery"
SOURCE "READ"
CODE "X016R"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON aberrant subclavian artery
		HAS_LOCATION subclavian artery
	BY_MEANS_OF ligature

RUBRIC "Percutaneous transluminal mapping of conducting system of heart"
ENGLISH_RUBRIC "Percutaneous transluminal mapping of conducting system of heart"
SOURCE "READ"
CODE "79350"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN mapping - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON cardiac conducting system structure

RUBRIC "Percutaneous thrombolysis of iliofemoral vein"
ENGLISH_RUBRIC "Percutaneous thrombolysis of iliofemoral vein"
SOURCE "READ"
CODE "X017J"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE + SITE - applied at 12:01:08 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON thrombolytic
		HAS_DESTINATION femoral vein
		HAS_DESTINATION iliac vein

RUBRIC "Harvesting of vein"
ENGLISH_RUBRIC "Harvesting of vein"
SOURCE "READ"
CODE "X018B"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN harvesting - action
	ACTS_ON vein

RUBRIC "Percutaneous thrombectomy of intracranial vein"
ENGLISH_RUBRIC "Percutaneous thrombectomy of intracranial vein"
SOURCE "READ"
CODE "Xa0Gk"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON unspecified thrombus
		HAS_LOCATION intracranial vein

RUBRIC "Percutaneous embolisation of vein of Galen"
ENGLISH_RUBRIC "Percutaneous embolisation of vein of Galen"
SOURCE "READ"
CODE "Xa0Rm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON great cerebral vein

RUBRIC "Excision of aneurysm of circle of Willis"
ENGLISH_RUBRIC "Excision of aneurysm of circle of Willis"
SOURCE "READ"
CODE "7A231"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION artery of circle of Willis

RUBRIC "Fenestration of patch of ventricular septum"
ENGLISH_RUBRIC "Fenestration of patch of ventricular septum"
SOURCE "READ"
CODE "X010M"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 12:47:10 am on June 27, 1998 by jeremy"
MAIN fenestration - action
	ACTS_ON prosthetic patch
		HAS_LOCATION ventricular septum

RUBRIC "Repair of rupture of mitral chordae tendinae"
ENGLISH_RUBRIC "Repair of rupture of mitral chordae tendinae"
SOURCE "READ"
CODE "X00ts"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified rupture
		HAS_LOCATION mitral chordae tendinae

RUBRIC "Revision of implantation of prosthetic heart"
ENGLISH_RUBRIC "Revision of implantation of prosthetic heart"
SOURCE "READ"
CODE "79014"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON prosthetic heart
		HAS_DESTINATION cardiac structure

RUBRIC "Take down of Potts anastomosis"
ENGLISH_RUBRIC "Take down of Potts anastomosis"
SOURCE "READ"
CODE "X0135"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN reversal - action
	ACTS_ON cardiovascular structure
	FOLLOWS constructing
		ACTS_ON null
		ACTS_ON anastomosis structure
			CONNECTS_1 descending thoracic aorta
			CONNECTS_2 left pulmonary artery

RUBRIC "Percutaneous endarterectomy of internal carotid artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of internal carotid artery"
SOURCE "READ"
CODE "Xa0G6"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION internal carotid artery

RUBRIC "Decalcification of implanted truncal valve"
ENGLISH_RUBRIC "Decalcification of implanted truncal valve"
SOURCE "READ"
CODE "X00xS"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION truncal valve structure

RUBRIC "Insertion of stent in superior vena cava"
ENGLISH_RUBRIC "Insertion of stent in superior vena cava"
SOURCE "READ"
CODE "X00yK"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION superior vena cava

RUBRIC "Operation to open an interatrial communication"
ENGLISH_RUBRIC "Operation to open an interatrial communication"
SOURCE "READ"
CODE "X00zC"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN opening - action
	ACTS_ON atrial septum

RUBRIC "Exploration of brachial artery"
ENGLISH_RUBRIC "Exploration of brachial artery"
SOURCE "READ"
CODE "XaBBW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON brachial artery

RUBRIC "Adjustment of arteriovenous fistula stent"
ENGLISH_RUBRIC "Adjustment of arteriovenous fistula stent"
SOURCE "READ"
CODE "X018g"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON vascular stent
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Anastomosis of confluence and connecting vein to left atrium"
ENGLISH_RUBRIC "Anastomosis of confluence and connecting vein to left atrium"
SOURCE "READ"
CODE "X90PA"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 pulmonary vein
		CONNECTS_2 left atrial structure

RUBRIC "Embolectomy of subclavian artery"
ENGLISH_RUBRIC "Embolectomy of subclavian artery"
SOURCE "READ"
CODE "Xa7pt"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION subclavian artery

RUBRIC "Injection sclerotherapy to varicose vein of leg"
ENGLISH_RUBRIC "Injection sclerotherapy to varicose vein of leg"
SOURCE "READ"
CODE "7A680"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SUBSTANCE + SURGICAL_PATHOLOGY - applied at 12:01:13 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON sclerosant
		HAS_DESTINATION unspecified varix
			HAS_LOCATION vein of lower limb

RUBRIC "Ligation of varicose vein"
ENGLISH_RUBRIC "Ligation of varicose vein"
SOURCE "READ"
CODE "XNS12"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified varix
		HAS_LOCATION vein
	BY_MEANS_OF ligature

RUBRIC "Subfascial venous ligation"
ENGLISH_RUBRIC "Subfascial venous ligation"
SOURCE "READ"
CODE "Xa8Oy"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998
Manual accept at 8:01:49 pm on August 20, 1998 by jon
Manual accept at 8:02:04 pm on August 20, 1998 by jon
Manual accept at 8:03:56 pm on August 20, 1998 by jon"
MAIN occluding
	ACTS_ON perforating vein
	BY_MEANS_OF ligature
	HAS_ROUTE subfascial

RUBRIC "Percutaneous transluminal valvuloplasty"
ENGLISH_RUBRIC "Percutaneous transluminal valvuloplasty"
SOURCE "READ"
CODE "79194"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN clinical action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON cardiac valve structure

RUBRIC "Open embolectomy of subclavian artery"
ENGLISH_RUBRIC "Open embolectomy of subclavian artery"
SOURCE "READ"
CODE "7A276"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION subclavian artery

RUBRIC "Repair of double outlet left ventricle with intraventricular right ventricle to pulmonary trunk tunnel"
ENGLISH_RUBRIC "Repair of double outlet left ventricle with intraventricular right ventricle to pulmonary trunk tunnel"
SOURCE "READ"
CODE "X010r"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998
Manual accept at 12:48:28 am on June 27, 1998 by jeremy"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 pulmonary trunk
MOTIVATED_OVERALL_BY treating
	ACTS_ON double outlet left ventricle
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Excision of supramitral valve ring"
ENGLISH_RUBRIC "Excision of supramitral valve ring"
SOURCE "READ"
CODE "X00u6"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:58 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON supra-mitral left atrial ring
		HAS_LOCATION mitral valve structure
		HAS_LOCATION left atrial structure

RUBRIC "Automatic defibrillator procedure"
ENGLISH_RUBRIC "Automatic defibrillator procedure"
SOURCE "READ"
CODE "X011j"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON automatic cardiac defibrillator
		HAS_LOCATION cardiac structure

RUBRIC "Operation for pulmonary embolism"
ENGLISH_RUBRIC "Operation for pulmonary embolism"
SOURCE "READ"
CODE "X012b"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON unspecified embolus
		HAS_LOCATION pulmonary artery structure

RUBRIC "Implantation of left ventricular assist device"
ENGLISH_RUBRIC "Implantation of left ventricular assist device"
SOURCE "READ"
CODE "X00xx"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON left ventricular assist device
		HAS_DESTINATION left ventricular structure

RUBRIC "Construction of conduit - right atrium to right ventricle"
ENGLISH_RUBRIC "Construction of conduit - right atrium to right ventricle"
SOURCE "READ"
CODE "X00yp"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right atrial structure
		CONNECTS_2 right ventricular structure

RUBRIC "Transluminal right ventricular outflow tract laser operation"
ENGLISH_RUBRIC "Transluminal right ventricular outflow tract laser operation"
SOURCE "READ"
CODE "X00zh"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH transvascular approach
	ACTS_ON right ventricular outflow tract
	BY_MEANS_OF laser

RUBRIC "Angioplasty of abdominal aorta"
ENGLISH_RUBRIC "Angioplasty of abdominal aorta"
SOURCE "READ"
CODE "X013Z"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON abdominal aorta structure
	BY_MEANS_OF angioplasty catheter

RUBRIC "Ligation of congenital arteriovenous malformation"
ENGLISH_RUBRIC "Ligation of congenital arteriovenous malformation"
SOURCE "READ"
CODE "7A613"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON congenital arteriovenous malformation
		HAS_LOCATION vascular structure
	BY_MEANS_OF ligature

RUBRIC "Transluminal insertion of aortic balloon pump"
ENGLISH_RUBRIC "Transluminal insertion of aortic balloon pump"
SOURCE "READ"
CODE "79330"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transarterial approach
	ACTS_ON aortic pulsation balloon
		HAS_DESTINATION descending thoracic aorta

RUBRIC "Endarterectomy of superior mesenteric artery"
ENGLISH_RUBRIC "Endarterectomy of superior mesenteric artery"
SOURCE "READ"
CODE "X014R"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION superior mesenteric artery

RUBRIC "Arterial jump graft"
ENGLISH_RUBRIC "Arterial jump graft"
SOURCE "READ"
CODE "X016B"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: side-to-side anastomosis - applied at 11:59:15 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Manual accept at 11:50:41 am on September 28, 1998 by jon"
MAIN constructing
	ACTS_ON arterial structure & side-to-side anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 arterial structure

RUBRIC "Double anastomosis of mammary arteries to coronary arteries"
ENGLISH_RUBRIC "Double anastomosis of mammary arteries to coronary arteries"
SOURCE "READ"
CODE "XE0En"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON coronary artery
	ACTS_ON anastomosis structure
		CONNECTS_1 internal mammary artery
		CONNECTS_2 coronary artery

RUBRIC "Ligation of carotid artery"
ENGLISH_RUBRIC "Ligation of carotid artery"
SOURCE "READ"
CODE "7A211"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON carotid artery
	BY_MEANS_OF ligature

RUBRIC "Division of ductus arteriosus"
ENGLISH_RUBRIC "Division of ductus arteriosus"
SOURCE "READ"
CODE "7A010"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN division - action
	ACTS_ON ductus arteriosus

RUBRIC "Ligation of coronary artery"
ENGLISH_RUBRIC "Ligation of coronary artery"
SOURCE "READ"
CODE "X00tc"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON coronary artery
	BY_MEANS_OF ligature

RUBRIC "Removal of intravenous cannula"
ENGLISH_RUBRIC "Removal of intravenous cannula"
SOURCE "READ"
CODE "Ua1Ay"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular cannula
		HAS_LOCATION vein

RUBRIC "Balloon dilatation of implanted aortic valve"
ENGLISH_RUBRIC "Balloon dilatation of implanted aortic valve"
SOURCE "READ"
CODE "X00vS"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH transvascular approach
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION aortic valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Repair of cor triatrium"
ENGLISH_RUBRIC "Repair of cor triatrium"
SOURCE "READ"
CODE "X00z3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON divided right atrium
		HAS_LOCATION left atrial structure

RUBRIC "Placement of stent in ductus arteriosus and banding of both pulmonary arteries"
ENGLISH_RUBRIC "Placement of stent in ductus arteriosus and banding of both pulmonary arteries"
SOURCE "READ"
CODE "X0115"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - expanding descriptor: placement of device - applied at 11:59:41 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998
Manual accept at 3:42:18 pm on September 20, 1998 by jon"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION ductus arteriosus
WITH inserting
	ACTS_ON surgical band
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Dural spinal embolisation"
ENGLISH_RUBRIC "Dural spinal embolisation"
SOURCE "READ"
CODE "X014w"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON spinal artery

RUBRIC "Procedure on arterial intraluminal device"
ENGLISH_RUBRIC "Procedure on arterial intraluminal device"
SOURCE "READ"
CODE "X016g"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION arterial structure

RUBRIC "Embolisation of arteriovenous fistula"
ENGLISH_RUBRIC "Embolisation of arteriovenous fistula"
SOURCE "READ"
CODE "X018W"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON surgical arteriovenous fistula

RUBRIC "Central venous cannula insertion via external jugular vein"
ENGLISH_RUBRIC "Central venous cannula insertion via external jugular vein"
SOURCE "READ"
CODE "X019O"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via external jugular vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Coronary inclusion technique"
ENGLISH_RUBRIC "Coronary inclusion technique"
SOURCE "READ"
CODE "X90WS"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN constructing
	ACTS_ON coronary artery
	ACTS_ON anastomosis structure
		CONNECTS_1 coronary artery
		CONNECTS_2 thoracic aorta structure

RUBRIC "Repair of sinus venosus"
ENGLISH_RUBRIC "Repair of sinus venosus"
SOURCE "READ"
CODE "790F0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON sinus venosus defect
		HAS_LOCATION atrial septum

RUBRIC "Unifocalisation operation"
ENGLISH_RUBRIC "Unifocalisation operation"
SOURCE "READ"
CODE "X010b"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:46 am on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:46 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 12:49:44 am on June 27, 1998 by jeremy"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS intrathoracic cardiovascular structure
MOTIVATED_OVERALL_BY treating
	ACTS_ON major aortopulmonary collateral artery
MOTIVATED_OVERALL_BY treating
	ACTS_ON tetralogy of Fallot

RUBRIC "Ablation operation for arrhythmia"
ENGLISH_RUBRIC "Ablation operation for arrhythmia"
SOURCE "READ"
CODE "X011Z"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN destruction - action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Resection of pulmonary valve cusp"
ENGLISH_RUBRIC "Resection of pulmonary valve cusp"
SOURCE "READ"
CODE "X00vx"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pulmonary valve cusp

RUBRIC "Excision of vegetations from implanted atrioventricular valve"
ENGLISH_RUBRIC "Excision of vegetations from implanted atrioventricular valve"
SOURCE "READ"
CODE "X00wp"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION atrioventricular valve structure

RUBRIC "Operation on the pulmonary trunk and arteries"
ENGLISH_RUBRIC "Operation on the pulmonary trunk and arteries"
SOURCE "READ"
CODE "X012R"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON pulmonary artery structure

RUBRIC "Resection of right ventricular muscle"
ENGLISH_RUBRIC "Resection of right ventricular muscle"
SOURCE "READ"
CODE "X00zX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON right ventricular structure

RUBRIC "Inspection of valve of heart"
ENGLISH_RUBRIC "Inspection of valve of heart"
SOURCE "READ"
CODE "79310"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve structure

RUBRIC "Femorofemoral crossover bypass graft"
ENGLISH_RUBRIC "Femorofemoral crossover bypass graft"
SOURCE "READ"
CODE "X0162"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES artery of lower limb
		CONNECTS_1 femoral artery
		CONNECTS_2 femoral artery

RUBRIC "Banding of vertical vein"
ENGLISH_RUBRIC "Banding of vertical vein"
SOURCE "READ"
CODE "X90PV"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998
Manual accept at 12:50:01 am on June 27, 1998 by jeremy"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION intrathoracic systemic vein
MOTIVATED_OVERALL_BY treating
	ACTS_ON persistent vertical vein

RUBRIC "High ligation of long saphenous vein"
ENGLISH_RUBRIC "High ligation of long saphenous vein"
SOURCE "READ"
CODE "Xa7vY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON saphenofemoral junction
	BY_MEANS_OF ligature

RUBRIC "Percutaneous transluminal angioplasty of axillary artery"
ENGLISH_RUBRIC "Percutaneous transluminal angioplasty of axillary artery"
SOURCE "READ"
CODE "7A28C"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON axillary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Porcine aortic valve replacement"
ENGLISH_RUBRIC "Porcine aortic valve replacement"
SOURCE "READ"
CODE "XaBXp"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON porcine cardiac valve
		HAS_DESTINATION aortic valve structure

RUBRIC "Repair of implanted mitral paravalvular leak"
ENGLISH_RUBRIC "Repair of implanted mitral paravalvular leak"
SOURCE "READ"
CODE "X00uK"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON paraprosthetic mitral regurgitation
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION mitral valve structure

RUBRIC "Annuloplasty of aortic valve"
ENGLISH_RUBRIC "Annuloplasty of aortic valve"
SOURCE "READ"
CODE "X00vC"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON aortic annulus
	TO_ACHIEVE repairing

RUBRIC "Angioplasty of coronary artery"
ENGLISH_RUBRIC "Angioplasty of coronary artery"
SOURCE "READ"
CODE "X00tS"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON coronary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Xenograft atrioventricular valve replacement"
ENGLISH_RUBRIC "Xenograft atrioventricular valve replacement"
SOURCE "READ"
CODE "X00x3"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON xenograft cardiac valve
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Angioplasty of common femoral artery"
ENGLISH_RUBRIC "Angioplasty of common femoral artery"
SOURCE "READ"
CODE "X013o"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON common femoral artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolectomy of femoral artery"
ENGLISH_RUBRIC "Embolectomy of femoral artery"
SOURCE "READ"
CODE "X014g"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION femoral artery

RUBRIC "Exploration of vein"
ENGLISH_RUBRIC "Exploration of vein"
SOURCE "READ"
CODE "X018G"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON vein

RUBRIC "Allograft replacement of three coronary arteries"
ENGLISH_RUBRIC "Allograft replacement of three coronary arteries"
SOURCE "READ"
CODE "79222"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF allograft vein
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Complete ventricular septation operation"
ENGLISH_RUBRIC "Complete ventricular septation operation"
SOURCE "READ"
CODE "X010R"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN septation - action
	ACTS_ON ventricular septum
	HAS_EXTENT complete

RUBRIC "Operation on mitral leaflet"
ENGLISH_RUBRIC "Operation on mitral leaflet"
SOURCE "READ"
CODE "X00tx"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON mitral leaflet

RUBRIC "Removal of thrombus from tricuspid valve"
ENGLISH_RUBRIC "Removal of thrombus from tricuspid valve"
SOURCE "READ"
CODE "X00up"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION tricuspid valve structure

RUBRIC "Aortic valve resuspension and replacement of ascending aorta"
ENGLISH_RUBRIC "Aortic valve resuspension and replacement of ascending aorta"
SOURCE "READ"
CODE "X00vh"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:55 pm on May 29, 1998"
MAIN suspension - action
	ACTS_ON aortic valve structure
WITH constructing
	ACTS_ON thoracic aorta structure
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 ascending aorta
		CONNECTS_2 thoracic aorta structure

RUBRIC "Pericardial shunt operation"
ENGLISH_RUBRIC "Pericardial shunt operation"
SOURCE "READ"
CODE "X012B"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:46 am on May 29, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS pericardial structure

RUBRIC "Balloon dilatation of implanted truncal valve"
ENGLISH_RUBRIC "Balloon dilatation of implanted truncal valve"
SOURCE "READ"
CODE "X00xX"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION truncal valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Operation on inferior vena cava"
ENGLISH_RUBRIC "Operation on inferior vena cava"
SOURCE "READ"
CODE "X00yP"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON inferior vena cava

RUBRIC "Atrial septostomy operations"
ENGLISH_RUBRIC "Atrial septostomy operations"
SOURCE "READ"
CODE "X00zH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN incision - action
	ACTS_ON atrial septum

RUBRIC "Axillo-unifemoral PTFE bypass graft"
ENGLISH_RUBRIC "Axillo-unifemoral PTFE bypass graft"
SOURCE "READ"
CODE "7A103"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF polytetrafluoroethylene graft
	ACTS_ON bypass structure
		BYPASSES aortic structure
		CONNECTS_1 axillary artery
		CONNECTS_2 femoral artery

RUBRIC "Excision of arteriovenous graft"
ENGLISH_RUBRIC "Excision of arteriovenous graft"
SOURCE "READ"
CODE "X018l"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON arteriovenous graft

RUBRIC "Superior mesenteric vein cannula insertion"
ENGLISH_RUBRIC "Superior mesenteric vein cannula insertion"
SOURCE "READ"
CODE "X019d"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:39 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION superior mesenteric vein

RUBRIC "Percutaneous thrombolysis of hepatic artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of hepatic artery"
SOURCE "READ"
CODE "X70Xa"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION hepatic artery

RUBRIC "Anastomosis of pulmonary venous confluence to connecting vein"
ENGLISH_RUBRIC "Anastomosis of pulmonary venous confluence to connecting vein"
SOURCE "READ"
CODE "X90PF"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 pulmonary vein
		CONNECTS_2 left atrial structure

RUBRIC "Ball valve mitral valve replacement"
ENGLISH_RUBRIC "Ball valve mitral valve replacement"
SOURCE "READ"
CODE "XM1IU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON ball and cage prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Percutaneous removal of foreign body from pulmonary artery"
ENGLISH_RUBRIC "Percutaneous removal of foreign body from pulmonary artery"
SOURCE "READ"
CODE "Xa0aT"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH percutaneous approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION pulmonary artery structure

RUBRIC "Ligation of popliteal artery"
ENGLISH_RUBRIC "Ligation of popliteal artery"
SOURCE "READ"
CODE "Xa7py"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON popliteal artery
	BY_MEANS_OF ligature

RUBRIC "Bileaflet truncal valve replacement"
ENGLISH_RUBRIC "Bileaflet truncal valve replacement"
SOURCE "READ"
CODE "XaBY3"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Angioplasty of axillary artery"
ENGLISH_RUBRIC "Angioplasty of axillary artery"
SOURCE "READ"
CODE "Xa7y1"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON axillary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous transluminal embolectomy of subclavian artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolectomy of subclavian artery"
SOURCE "READ"
CODE "7A283"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION subclavian artery

RUBRIC "Take-down of Fontan operation"
ENGLISH_RUBRIC "Take-down of Fontan operation"
SOURCE "READ"
CODE "X010w"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN reversal - action
	HAS_TEMPORAL_MARKER revision
	ACTS_ON intrathoracic cardiovascular structure
	FOLLOWS constructing
		ACTS_ON bypass structure
			BYPASSES right ventricular structure
			CONNECTS_1 right atrial structure
			CONNECTS_2 pulmonary artery structure

RUBRIC "Unsynchronised direct current defibrillation"
ENGLISH_RUBRIC "Unsynchronised direct current defibrillation"
SOURCE "READ"
CODE "X011o"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - TIMING to HAS_TEMPORAL_MARKER - applied at 1:09:25 am on June 26, 1998"
MAIN electrical discharge - action
	HAS_TEMPORAL_MARKER asynchronous
	ACTS_ON ventricular fibrillation
		HAS_LOCATION cardiac structure

RUBRIC "Ligation of pulmonary arteriovenous malformation"
ENGLISH_RUBRIC "Ligation of pulmonary arteriovenous malformation"
SOURCE "READ"
CODE "X012g"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON intrapulmonary arteriovenous fistula
		HAS_LOCATION pulmonary vascular structure
	BY_MEANS_OF ligature

RUBRIC "Endarterectomy of superficial femoral artery"
ENGLISH_RUBRIC "Endarterectomy of superficial femoral artery"
SOURCE "READ"
CODE "X014W"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION superficial femoral artery

RUBRIC "Percutaneous endarterectomy of brachial artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of brachial artery"
SOURCE "READ"
CODE "Xa0Fh"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION brachial artery

RUBRIC "Excision of left atrial lesion"
ENGLISH_RUBRIC "Excision of left atrial lesion"
SOURCE "READ"
CODE "X00yu"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION left atrial structure

RUBRIC "Construction of conduit - right ventricle to left pulmonary artery"
ENGLISH_RUBRIC "Construction of conduit - right ventricle to left pulmonary artery"
SOURCE "READ"
CODE "X00zm"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 left pulmonary artery

RUBRIC "Closure of atrial septal defect"
ENGLISH_RUBRIC "Closure of atrial septal defect"
SOURCE "READ"
CODE "7907."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON unspecified defect
		HAS_LOCATION atrial septum

RUBRIC "Multiple phlebectomy"
ENGLISH_RUBRIC "Multiple phlebectomy"
SOURCE "READ"
CODE "X0187"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON vein of lower limb

RUBRIC "Thrombectomy of vascular graft"
ENGLISH_RUBRIC "Thrombectomy of vascular graft"
SOURCE "READ"
CODE "XaAsV"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION vascular graft

RUBRIC "Closed atrial septectomy"
ENGLISH_RUBRIC "Closed atrial septectomy"
SOURCE "READ"
CODE "790B0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH closed approach
	ACTS_ON atrial septum

RUBRIC "Porto-caval shunt"
ENGLISH_RUBRIC "Porto-caval shunt"
SOURCE "READ"
CODE "XE0Fk"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 portal vein
		CONNECTS_2 inferior vena cava

RUBRIC "Saphenous vein graft replacement of three coronary arteries"
ENGLISH_RUBRIC "Saphenous vein graft replacement of three coronary arteries"
SOURCE "READ"
CODE "79202"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF saphenous vein graft
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Intravascular ultrasound of arterial graft"
ENGLISH_RUBRIC "Intravascular ultrasound of arterial graft"
SOURCE "READ"
CODE "X70m8"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 12:01:51 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN imaging - action
	BY_MEANS_OF ultrasound technique
	HAS_APPROACH transvascular approach
	ACTS_ON arterial graft

RUBRIC "Construction of conduit - left ventricle to ascending aorta"
ENGLISH_RUBRIC "Construction of conduit - left ventricle to ascending aorta"
SOURCE "READ"
CODE "X010B"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 left ventricular structure
		CONNECTS_2 ascending aorta

RUBRIC "Inspection of mitral valve"
ENGLISH_RUBRIC "Inspection of mitral valve"
SOURCE "READ"
CODE "X00th"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON mitral valve structure

RUBRIC "Revision of transplantation of heart and lung"
ENGLISH_RUBRIC "Revision of transplantation of heart and lung"
SOURCE "READ"
CODE "79001"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Manual accept at 3:43:40 pm on September 20, 1998 by jon"
MAIN transplantation - action
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac structure
WITH transplantation - action
	HAS_TEMPORAL_MARKER revision
	ACTS_ON lung structure

RUBRIC "Operation on implanted aortic valve"
ENGLISH_RUBRIC "Operation on implanted aortic valve"
SOURCE "READ"
CODE "X00vX"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION aortic valve structure

RUBRIC "Inspection of implanted atrioventricular valve"
ENGLISH_RUBRIC "Inspection of implanted atrioventricular valve"
SOURCE "READ"
CODE "X00wP"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Repair of truncal valve"
ENGLISH_RUBRIC "Repair of truncal valve"
SOURCE "READ"
CODE "X00xH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON truncal valve structure

RUBRIC "Closure of patent foramen ovale"
ENGLISH_RUBRIC "Closure of patent foramen ovale"
SOURCE "READ"
CODE "X00z8"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON patent foramen ovale
		HAS_LOCATION atrial septum

RUBRIC "Change of cardiac pacemaker"
ENGLISH_RUBRIC "Change of cardiac pacemaker"
SOURCE "READ"
CODE "X0122"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac pacemaker implant
		HAS_DESTINATION cardiac conducting system structure

RUBRIC "Bypass graft of the descending thoracic aorta"
ENGLISH_RUBRIC "Bypass graft of the descending thoracic aorta"
SOURCE "READ"
CODE "X015t"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES descending thoracic aorta

RUBRIC "Insertion of thoracic aorta stent"
ENGLISH_RUBRIC "Insertion of thoracic aorta stent"
SOURCE "READ"
CODE "X016l"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION thoracic aorta structure

RUBRIC "Transjugular intrahepatic portosystemic shunt"
ENGLISH_RUBRIC "Transjugular intrahepatic portosystemic shunt"
SOURCE "READ"
CODE "X017d"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	HAS_APPROACH via jugular vein
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 intrahepatic portal vein
		CONNECTS_2 hepatic vein

RUBRIC "Central venous cannula insertion via femoral vein"
ENGLISH_RUBRIC "Central venous cannula insertion via femoral vein"
SOURCE "READ"
CODE "X019T"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via femoral vein
	ACTS_ON device
		HAS_DESTINATION superior vena cava

RUBRIC "Percutaneous transluminal embolisation of portal vein"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of portal vein"
SOURCE "READ"
CODE "78081"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON portal system vein

RUBRIC "Endarterectomy of vertebral artery"
ENGLISH_RUBRIC "Endarterectomy of vertebral artery"
SOURCE "READ"
CODE "7A263"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION vertebral artery

RUBRIC "Pulmonary arterioplasty operations"
ENGLISH_RUBRIC "Pulmonary arterioplasty operations"
SOURCE "READ"
CODE "X012W"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON pulmonary artery structure
	TO_ACHIEVE repairing

RUBRIC "Closure of atrioventricular valve"
ENGLISH_RUBRIC "Closure of atrioventricular valve"
SOURCE "READ"
CODE "X00wu"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Cardiac support procedure"
ENGLISH_RUBRIC "Cardiac support procedure"
SOURCE "READ"
CODE "X00xm"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Manual accept at 10:52:06 am on September 30, 1998 by jon
Manual accept at 10:52:14 am on September 30, 1998 by jon
Manual accept at 10:53:41 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON intrathoracic cardiovascular structure
TO_ACHIEVE_OVERALL treating
	ACTS_ON heart failure

RUBRIC "Repair of total anomalous pulmonary venous connection"
ENGLISH_RUBRIC "Repair of total anomalous pulmonary venous connection"
SOURCE "READ"
CODE "7905."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON total anomalous pulmonary venous connection
		HAS_LOCATION pulmonary vein

RUBRIC "Closure of coronary sinus"
ENGLISH_RUBRIC "Closure of coronary sinus"
SOURCE "READ"
CODE "X00ye"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON coronary sinus structure

RUBRIC "Femorodistal bypass"
ENGLISH_RUBRIC "Femorodistal bypass"
SOURCE "READ"
CODE "X0167"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES arterial structure
		CONNECTS_1 femoral artery
		CONNECTS_2 infragenicular popliteal artery

RUBRIC "Left ventricular aneurysm plication"
ENGLISH_RUBRIC "Left ventricular aneurysm plication"
SOURCE "READ"
CODE "X0102"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION left ventricular structure

RUBRIC "Angioscopy of coronary artery"
ENGLISH_RUBRIC "Angioscopy of coronary artery"
SOURCE "READ"
CODE "X00tX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN examination - action
	HAS_APPROACH endoscopic approach
	HAS_APPROACH transarterial approach
	ACTS_ON coronary artery

RUBRIC "Replacement of implanted mitral valve"
ENGLISH_RUBRIC "Replacement of implanted mitral valve"
SOURCE "READ"
CODE "X00uP"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Repair of implanted atrioventricular paravalvular leak"
ENGLISH_RUBRIC "Repair of implanted atrioventricular paravalvular leak"
SOURCE "READ"
CODE "X00x8"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON prosthetic cardiac paravalvular leak
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION atrioventricular valve structure

RUBRIC "Aortic valve cusp resection and repair with circumferential annuloplasty"
ENGLISH_RUBRIC "Aortic valve cusp resection and repair with circumferential annuloplasty"
SOURCE "READ"
CODE "X00vH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998
Manual accept at 8:04:52 pm on August 20, 1998 by jon"
MAIN excision - action
	ACTS_ON aortic valve cusp
WITH constructing
	ACTS_ON aortic annulus
	TO_ACHIEVE repairing

RUBRIC "Cardiomyoplasty operation"
ENGLISH_RUBRIC "Cardiomyoplasty operation"
SOURCE "READ"
CODE "X00y0"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN augmentation - action
	ACTS_ON cardiac structure

RUBRIC "Percutaneous angioplasty of profunda femoris"
ENGLISH_RUBRIC "Percutaneous angioplasty of profunda femoris"
SOURCE "READ"
CODE "X013t"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON profunda femoris artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Supraclinoid arterial embolisation"
ENGLISH_RUBRIC "Supraclinoid arterial embolisation"
SOURCE "READ"
CODE "X014l"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON intracranial artery

RUBRIC "Removal of intraluminal device from vein"
ENGLISH_RUBRIC "Removal of intraluminal device from vein"
SOURCE "READ"
CODE "X017T"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION vein

RUBRIC "Construction of arteriovenous fistula"
ENGLISH_RUBRIC "Construction of arteriovenous fistula"
SOURCE "READ"
CODE "X018L"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN constructing
	ACTS_ON vascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 vein

RUBRIC "Venous cannula insertion"
ENGLISH_RUBRIC "Venous cannula insertion"
SOURCE "READ"
CODE "X019D"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION vein

RUBRIC "Maintenance of battery of intravenous cardiac pacemaker system"
ENGLISH_RUBRIC "Maintenance of battery of intravenous cardiac pacemaker system"
SOURCE "READ"
CODE "79362"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN maintenance - action
	ACTS_ON pacemaker battery
		HAS_LOCATION cardiac structure

RUBRIC "Endarterectomy of crural artery"
ENGLISH_RUBRIC "Endarterectomy of crural artery"
SOURCE "READ"
CODE "X70XA"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION crural artery

RUBRIC "Sclerotherapy of varicose vein"
ENGLISH_RUBRIC "Sclerotherapy of varicose vein"
SOURCE "READ"
CODE "Xa8bU"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SUBSTANCE + SURGICAL_PATHOLOGY - applied at 12:01:13 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON sclerosant
		HAS_DESTINATION unspecified varix
			HAS_LOCATION vein

RUBRIC "Biological atrioventricular valve replacement"
ENGLISH_RUBRIC "Biological atrioventricular valve replacement"
SOURCE "READ"
CODE "XaBXu"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve bio-prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Open aortic valvotomy"
ENGLISH_RUBRIC "Open aortic valvotomy"
SOURCE "READ"
CODE "79161"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON aortic valve structure

RUBRIC "Suturing of sinus of Valsalva fistula"
ENGLISH_RUBRIC "Suturing of sinus of Valsalva fistula"
SOURCE "READ"
CODE "XaCGT"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON unspecified fistula
		HAS_LOCATION aortic sinus

RUBRIC "Anastomosis of circle of Willis"
ENGLISH_RUBRIC "Anastomosis of circle of Willis"
SOURCE "READ"
CODE "7A243"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON direct anastomosis structure
		CONNECTS_1 artery of circle of Willis
		CONNECTS_2 artery of circle of Willis

RUBRIC "Closure of atrial septal defect using patch"
ENGLISH_RUBRIC "Closure of atrial septal defect using patch"
SOURCE "READ"
CODE "XaCHL"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 12:53:32 am on June 27, 1998 by jeremy"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION atrial septum
TO_ACHIEVE_OVERALL closing
	ACTS_ON defect
		HAS_LOCATION atrial septum

RUBRIC "Operation for major aortopulmonary collateral arteries"
ENGLISH_RUBRIC "Operation for major aortopulmonary collateral arteries"
SOURCE "READ"
CODE "X010W"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON tetralogy of Fallot
		HAS_LOCATION intrathoracic cardiovascular structure
	ACTS_ON major aortopulmonary collateral artery

RUBRIC "Repair of supraaortic stenosis"
ENGLISH_RUBRIC "Repair of supraaortic stenosis"
SOURCE "READ"
CODE "791A3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON supravalvar aortic stenosis
		HAS_LOCATION aortic valve structure

RUBRIC "Tricuspid valvotomy"
ENGLISH_RUBRIC "Tricuspid valvotomy"
SOURCE "READ"
CODE "X00uu"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON tricuspid valve structure

RUBRIC "Ligation of renal artery"
ENGLISH_RUBRIC "Ligation of renal artery"
SOURCE "READ"
CODE "7A311"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON renal artery
	BY_MEANS_OF ligature

RUBRIC "Shortening plasty to atrioventricular valve chordae tendinae"
ENGLISH_RUBRIC "Shortening plasty to atrioventricular valve chordae tendinae"
SOURCE "READ"
CODE "X00we"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN shortening - action
	ACTS_ON atrioventricular valve chordae tendinae

RUBRIC "Aortoventriculoplasty"
ENGLISH_RUBRIC "Aortoventriculoplasty"
SOURCE "READ"
CODE "X00vm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998
Manual accept at 8:17:33 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON_1 left ventricular outflow tract
	ACTS_ON_1 aortic valve structure
	TO_ACHIEVE repairing

RUBRIC "Division of inferior vena cava"
ENGLISH_RUBRIC "Division of inferior vena cava"
SOURCE "READ"
CODE "X00yU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN division - action
	ACTS_ON inferior vena cava

RUBRIC "Repair of atrioventricular septal defect: ventricular component"
ENGLISH_RUBRIC "Repair of atrioventricular septal defect: ventricular component"
SOURCE "READ"
CODE "X00zM"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON atrioventricular septal defect - isolated ventricular component
		HAS_LOCATION atrioventricular septum

RUBRIC "Replacement of conduit"
ENGLISH_RUBRIC "Replacement of conduit"
SOURCE "READ"
CODE "X011O"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN constructing
	HAS_TEMPORAL_MARKER revision
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 intrathoracic cardiovascular structure
		CONNECTS_2 intrathoracic cardiovascular structure

RUBRIC "Repair of common arterial trunk using right ventricle to pulmonary trunk conduit"
ENGLISH_RUBRIC "Repair of common arterial trunk using right ventricle to pulmonary trunk conduit"
SOURCE "READ"
CODE "X012G"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998
Manual accept at 12:53:52 am on June 27, 1998 by jeremy"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 pulmonary trunk
MOTIVATED_OVERALL_BY treating
	ACTS_ON persistent truncus arteriosus

RUBRIC "Saphenopopliteal ligation"
ENGLISH_RUBRIC "Saphenopopliteal ligation"
SOURCE "READ"
CODE "X017y"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON saphenopopliteal junction
	BY_MEANS_OF ligature

RUBRIC "Revascularisation of upper limb"
ENGLISH_RUBRIC "Revascularisation of upper limb"
SOURCE "READ"
CODE "X018q"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of upper limb

RUBRIC "Angioscopy of intracranial artery"
ENGLISH_RUBRIC "Angioscopy of intracranial artery"
SOURCE "READ"
CODE "X00He"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN examination - action
	HAS_APPROACH endoscopic approach
	HAS_APPROACH transarterial approach
	ACTS_ON intracranial artery

RUBRIC "Cannulation of arteriovenous interposition graft"
ENGLISH_RUBRIC "Cannulation of arteriovenous interposition graft"
SOURCE "READ"
CODE "X019i"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:39 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION arteriovenous graft

RUBRIC "Exploration of popliteal artery"
ENGLISH_RUBRIC "Exploration of popliteal artery"
SOURCE "READ"
CODE "XaBBa"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON popliteal artery

RUBRIC "Percutaneous embolisation of vertebral artery"
ENGLISH_RUBRIC "Percutaneous embolisation of vertebral artery"
SOURCE "READ"
CODE "7A288"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON vertebral artery

RUBRIC "Repair of vein"
ENGLISH_RUBRIC "Repair of vein"
SOURCE "READ"
CODE "7A6D4"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON vein

RUBRIC "Coronary artery bypass grafts x 2"
ENGLISH_RUBRIC "Coronary artery bypass grafts x 2"
SOURCE "READ"
CODE "X00tH"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Aortic valve and adjacent structure operations"
ENGLISH_RUBRIC "Aortic valve and adjacent structure operations"
SOURCE "READ"
CODE "X00v8"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON aortic valve structure

RUBRIC "Exploration of coronary artery"
ENGLISH_RUBRIC "Exploration of coronary artery"
SOURCE "READ"
CODE "79274"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON coronary artery

RUBRIC "Removal of thrombus from pulmonary valve"
ENGLISH_RUBRIC "Removal of thrombus from pulmonary valve"
SOURCE "READ"
CODE "X00w0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION pulmonary valve structure

RUBRIC "Insertion of endocardial electrode for temporary cardiac pacing"
ENGLISH_RUBRIC "Insertion of endocardial electrode for temporary cardiac pacing"
SOURCE "READ"
CODE "X011t"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Manual accept at 1:24:57 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER temporary
	ACTS_ON endocardial pacemaker electrode
		HAS_DESTINATION cardiac structure

RUBRIC "Open removal of foreign body from left atrium"
ENGLISH_RUBRIC "Open removal of foreign body from left atrium"
SOURCE "READ"
CODE "X00yz"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH open approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION left atrial structure

RUBRIC "Transluminal left ventricular biopsy"
ENGLISH_RUBRIC "Transluminal left ventricular biopsy"
SOURCE "READ"
CODE "X00zr"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN biopsy - action
	HAS_APPROACH transvascular approach
	ACTS_ON left ventricular structure

RUBRIC "Central aortopulmonary shunt operation"
ENGLISH_RUBRIC "Central aortopulmonary shunt operation"
SOURCE "READ"
CODE "X012l"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 ascending aorta
		CONNECTS_2 pulmonary artery structure

RUBRIC "Angioplasty of coeliac artery"
ENGLISH_RUBRIC "Angioplasty of coeliac artery"
SOURCE "READ"
CODE "X013d"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON coeliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of cavernous sinus"
ENGLISH_RUBRIC "Embolisation of cavernous sinus"
SOURCE "READ"
CODE "X017D"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON cavernous sinus

RUBRIC "Subclavian artery cannula insertion"
ENGLISH_RUBRIC "Subclavian artery cannula insertion"
SOURCE "READ"
CODE "X0194"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION subclavian artery

RUBRIC "Ligation of descending vein"
ENGLISH_RUBRIC "Ligation of descending vein"
SOURCE "READ"
CODE "X90Qh"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON persistent descending vein
		HAS_LOCATION intrathoracic systemic vein
	BY_MEANS_OF ligature

RUBRIC "Percutaneous endarterectomy of coeliac artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of coeliac artery"
SOURCE "READ"
CODE "Xa0Fm"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION coeliac artery

RUBRIC "Percutaneous embolisation of internal iliac artery"
ENGLISH_RUBRIC "Percutaneous embolisation of internal iliac artery"
SOURCE "READ"
CODE "Xa0Rg"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON internal iliac artery

RUBRIC "Suturing of defect of tricuspid valve leaflet"
ENGLISH_RUBRIC "Suturing of defect of tricuspid valve leaflet"
SOURCE "READ"
CODE "XaCI4"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON unspecified defect
		HAS_LOCATION tricuspid leaflet

RUBRIC "Operation on the interventricular septum"
ENGLISH_RUBRIC "Operation on the interventricular septum"
SOURCE "READ"
CODE "X010G"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON ventricular septum

RUBRIC "Mitral annulus enlargement"
ENGLISH_RUBRIC "Mitral annulus enlargement"
SOURCE "READ"
CODE "X00tm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON mitral annulus

RUBRIC "Division/resection of tricuspid chordae tendinae"
ENGLISH_RUBRIC "Division/resection of tricuspid chordae tendinae"
SOURCE "READ"
CODE "X00ue"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON tricuspid chordae tendinae

RUBRIC "Percutaneous insertion of pericardial drainage tube"
ENGLISH_RUBRIC "Percutaneous insertion of pericardial drainage tube"
SOURCE "READ"
CODE "X0127"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH percutaneous approach
	ACTS_ON tube drain
		HAS_DESTINATION pericardial structure

RUBRIC "Plication annuloplasty of atrioventricular valve"
ENGLISH_RUBRIC "Plication annuloplasty of atrioventricular valve"
SOURCE "READ"
CODE "X00wU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON atrioventricular valve annulus

RUBRIC "Excision of lesion from truncal valve cusp"
ENGLISH_RUBRIC "Excision of lesion from truncal valve cusp"
SOURCE "READ"
CODE "X00xM"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION truncal valve leaflet

RUBRIC "Angioplasty of pulmonary venous pathway"
ENGLISH_RUBRIC "Angioplasty of pulmonary venous pathway"
SOURCE "READ"
CODE "X00yE"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON pulmonary venous pathway
	BY_MEANS_OF angioplasty catheter

RUBRIC "Insertion of popliteal artery stent"
ENGLISH_RUBRIC "Insertion of popliteal artery stent"
SOURCE "READ"
CODE "X016q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION popliteal artery

RUBRIC "Procedure on intraluminal device of arteriovenous fistula"
ENGLISH_RUBRIC "Procedure on intraluminal device of arteriovenous fistula"
SOURCE "READ"
CODE "X018a"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Pulmonary artery catheter insertion via femoral vein"
ENGLISH_RUBRIC "Pulmonary artery catheter insertion via femoral vein"
SOURCE "READ"
CODE "X019Y"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via femoral vein
	ACTS_ON vascular catheter
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Percutaneous thrombolysis of subclavian artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of subclavian artery"
SOURCE "READ"
CODE "X70XV"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION subclavian artery

RUBRIC "Creation of right to left atrial tunnel with roofing patch"
ENGLISH_RUBRIC "Creation of right to left atrial tunnel with roofing patch"
SOURCE "READ"
CODE "X90Q3"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN opening - action
	ACTS_ON atrial septum

RUBRIC "Percutaneous angioplasty of inferior vena cava"
ENGLISH_RUBRIC "Percutaneous angioplasty of inferior vena cava"
SOURCE "READ"
CODE "Xa0F8"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON inferior vena cava
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of popliteal artery"
ENGLISH_RUBRIC "Embolisation of popliteal artery"
SOURCE "READ"
CODE "Xa7pn"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON popliteal artery

RUBRIC "Ligation of recurrent varicose vein of leg"
ENGLISH_RUBRIC "Ligation of recurrent varicose vein of leg"
SOURCE "READ"
CODE "7A672"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	HAS_TEMPORAL_MARKER revision
	ACTS_ON unspecified varix
		HAS_LOCATION vein of lower limb
	BY_MEANS_OF ligature

RUBRIC "High ligation of short saphenous vein"
ENGLISH_RUBRIC "High ligation of short saphenous vein"
SOURCE "READ"
CODE "Xa9w7"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON saphenopopliteal junction
	BY_MEANS_OF ligature

RUBRIC "Partial excision of portal vein"
ENGLISH_RUBRIC "Partial excision of portal vein"
SOURCE "READ"
CODE "XaB2B"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON portal vein
	HAS_EXTENT partial

RUBRIC "Placement of arterial cross clamp"
ENGLISH_RUBRIC "Placement of arterial cross clamp"
SOURCE "READ"
CODE "Xa87J"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cross clamp
		HAS_DESTINATION arterial structure

RUBRIC "Repair of pericardium"
ENGLISH_RUBRIC "Repair of pericardium"
SOURCE "READ"
CODE "793D1"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pericardial structure

RUBRIC "Repair of double outlet right ventricle"
ENGLISH_RUBRIC "Repair of double outlet right ventricle"
SOURCE "READ"
CODE "X010l"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON double outlet right ventricle
		HAS_LOCATION right ventricular structure

RUBRIC "Excision of lesion from mitral leaflet"
ENGLISH_RUBRIC "Excision of lesion from mitral leaflet"
SOURCE "READ"
CODE "X00u0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION mitral leaflet

RUBRIC "Percutaneous embolectomy of popliteal artery"
ENGLISH_RUBRIC "Percutaneous embolectomy of popliteal artery"
SOURCE "READ"
CODE "7A4B3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION popliteal artery

RUBRIC "Balloon dilatation of implanted atrioventricular valve"
ENGLISH_RUBRIC "Balloon dilatation of implanted atrioventricular valve"
SOURCE "READ"
CODE "X00wz"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION atrioventricular valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Excision of right atrial vegetations"
ENGLISH_RUBRIC "Excision of right atrial vegetations"
SOURCE "READ"
CODE "X00yj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION right atrial structure

RUBRIC "Right ventricular endocardectomy"
ENGLISH_RUBRIC "Right ventricular endocardectomy"
SOURCE "READ"
CODE "X00zb"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Manual accept at 8:18:53 pm on August 20, 1998 by jon"
MAIN excision - action
	ACTS_ON endocardial
		HAS_LOCATION right ventricular structure

RUBRIC "Intraventricular pump support operation"
ENGLISH_RUBRIC "Intraventricular pump support operation"
SOURCE "READ"
CODE "X00xr"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON intraventricular pump
		HAS_LOCATION cardiac ventricular structure

RUBRIC "Radiofrequency ablation operation for arrhythmia"
ENGLISH_RUBRIC "Radiofrequency ablation operation for arrhythmia"
SOURCE "READ"
CODE "X011d"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN destruction - action
	BY_MEANS_OF radiofrequency controlled thermal probe
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Angioplasty of brachial artery"
ENGLISH_RUBRIC "Angioplasty of brachial artery"
SOURCE "READ"
CODE "X013T"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON brachial artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous thrombolysis of crural artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of crural artery"
SOURCE "READ"
CODE "X015D"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION crural artery

RUBRIC "Xenograft tricuspid valve replacement"
ENGLISH_RUBRIC "Xenograft tricuspid valve replacement"
SOURCE "READ"
CODE "79121"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON xenograft cardiac valve
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Scrotal ligation of varicocele"
ENGLISH_RUBRIC "Scrotal ligation of varicocele"
SOURCE "READ"
CODE "7C134"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 10:13:43 am on June 30, 1998 by jon
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998
Manual accept at 8:19:17 pm on August 20, 1998 by jon"
MAIN occluding
	HAS_APPROACH scrotal
	ACTS_ON unspecified varix
		HAS_LOCATION vein of spermatic cord
	BY_MEANS_OF ligature

RUBRIC "Biological truncal valve replacement"
ENGLISH_RUBRIC "Biological truncal valve replacement"
SOURCE "READ"
CODE "XaBXz"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve bio-prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Tricuspid annuloplasty using ring"
ENGLISH_RUBRIC "Tricuspid annuloplasty using ring"
SOURCE "READ"
CODE "X00uU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic cardiac annuloplasty ring
		HAS_DESTINATION tricuspid annulus

RUBRIC "Operation on implanted pulmonary valve"
ENGLISH_RUBRIC "Operation on implanted pulmonary valve"
SOURCE "READ"
CODE "X00wE"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION pulmonary valve structure

RUBRIC "Removal of thrombus from aortic valve"
ENGLISH_RUBRIC "Removal of thrombus from aortic valve"
SOURCE "READ"
CODE "X00vM"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION aortic valve structure

RUBRIC "Orthotopic allotransplant of heart"
ENGLISH_RUBRIC "Orthotopic allotransplant of heart"
SOURCE "READ"
CODE "X00y5"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Manual accept at 8:20:05 pm on August 20, 1998 by jon
Manual accept at 8:20:29 pm on August 20, 1998 by jon
Manual accept at 8:22:35 pm on August 20, 1998 by jon
Manual accept at 8:22:48 pm on August 20, 1998 by jon
Manual accept at 2:20:55 pm on November 3, 1998 by jon"
MAIN transplantation - action
	ACTS_ON cardiac structure
		HAS_FEATURE orthotopic

RUBRIC "Percutaneous angioplasty of arterial graft"
ENGLISH_RUBRIC "Percutaneous angioplasty of arterial graft"
SOURCE "READ"
CODE "X013y"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON arterial graft
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of internal carotid artery"
ENGLISH_RUBRIC "Embolisation of internal carotid artery"
SOURCE "READ"
CODE "X014q"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON internal carotid artery

RUBRIC "Excision/biopsy of artery"
ENGLISH_RUBRIC "Excision/biopsy of artery"
SOURCE "READ"
CODE "X016a"
STATUS "i"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON arterial structure

RUBRIC "Adjustment of inferior vena caval filter"
ENGLISH_RUBRIC "Adjustment of inferior vena caval filter"
SOURCE "READ"
CODE "X017Y"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON vena cava filter
		HAS_LOCATION inferior vena cava

RUBRIC "Creation of Scribner shunt"
ENGLISH_RUBRIC "Creation of Scribner shunt"
SOURCE "READ"
CODE "X018Q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF scribner shunt
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 vein

RUBRIC "Peripheral venous cannula insertion - dorsum of foot"
ENGLISH_RUBRIC "Peripheral venous cannula insertion - dorsum of foot"
SOURCE "READ"
CODE "X019I"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON device
		HAS_DESTINATION dorsal vein of foot

RUBRIC "Abdominal aortic aneurysm stenting"
ENGLISH_RUBRIC "Abdominal aortic aneurysm stenting"
SOURCE "READ"
CODE "XaBD1"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 12:54:43 am on June 27, 1998 by jeremy"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION abdominal aorta structure
MOTIVATED_OVERALL_BY managing
	ACTS_ON aneurysm
		HAS_LOCATION abdominal aorta

RUBRIC "Patch repair of aorta"
ENGLISH_RUBRIC "Patch repair of aorta"
SOURCE "READ"
CODE "7A182"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION aortic structure

RUBRIC "Closed cardiac valvotomy"
ENGLISH_RUBRIC "Closed cardiac valvotomy"
SOURCE "READ"
CODE "7917."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON cardiac valve structure

RUBRIC "Resection of conduit aneurysm"
ENGLISH_RUBRIC "Resection of conduit aneurysm"
SOURCE "READ"
CODE "X011T"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION cardiac conduit
			HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Operation on implanted tricuspid valve"
ENGLISH_RUBRIC "Operation on implanted tricuspid valve"
SOURCE "READ"
CODE "X00uz"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION tricuspid valve structure

RUBRIC "Operation on papillary muscle"
ENGLISH_RUBRIC "Operation on papillary muscle"
SOURCE "READ"
CODE "791B0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON papillary muscle

RUBRIC "Closure of true atrioventricular valve cleft"
ENGLISH_RUBRIC "Closure of true atrioventricular valve cleft"
SOURCE "READ"
CODE "X00wj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON true cleft of common atrioventricular valve leaflet
		HAS_LOCATION atrioventricular valve leaflet

RUBRIC "Mechanical prosthetic truncal valve replacement"
ENGLISH_RUBRIC "Mechanical prosthetic truncal valve replacement"
SOURCE "READ"
CODE "X00xb"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON mechanical cardiac valve prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Inspection of pulmonary valve"
ENGLISH_RUBRIC "Inspection of pulmonary valve"
SOURCE "READ"
CODE "X00vr"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON pulmonary valve structure

RUBRIC "Open right ventricular biopsy"
ENGLISH_RUBRIC "Open right ventricular biopsy"
SOURCE "READ"
CODE "X00zR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN biopsy - action
	HAS_APPROACH open approach
	ACTS_ON right ventricular structure

RUBRIC "Endocardial excision of rhythmogenic focus"
ENGLISH_RUBRIC "Endocardial excision of rhythmogenic focus"
SOURCE "READ"
CODE "79302"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:00:22 pm on August 20, 1998 by jon
Manual accept at 8:00:49 pm on August 20, 1998 by jon"
MAIN excision - action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION endocardial

RUBRIC "Insertion of stent in systemic venous pathway"
ENGLISH_RUBRIC "Insertion of stent in systemic venous pathway"
SOURCE "READ"
CODE "X00yZ"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION systemic venous pathway

RUBRIC "Transpulmonary endovascular oversewing of ductus arteriosus"
ENGLISH_RUBRIC "Transpulmonary endovascular oversewing of ductus arteriosus"
SOURCE "READ"
CODE "X012L"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN suturing - action
	HAS_APPROACH transpulmonary artery approach
	ACTS_ON ductus arteriosus

RUBRIC "Xenograft mitral valve replacement"
ENGLISH_RUBRIC "Xenograft mitral valve replacement"
SOURCE "READ"
CODE "79101"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON xenograft cardiac valve
		HAS_DESTINATION mitral valve structure

RUBRIC "Removal of foreign body from intracranial artery"
ENGLISH_RUBRIC "Removal of foreign body from intracranial artery"
SOURCE "READ"
CODE "X00Hj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION intracranial artery

RUBRIC "Thrombolysis of artery"
ENGLISH_RUBRIC "Thrombolysis of artery"
SOURCE "READ"
CODE "X0154"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON thrombolytic
		HAS_DESTINATION arterial structure

RUBRIC "Revascularisation of finger"
ENGLISH_RUBRIC "Revascularisation of finger"
SOURCE "READ"
CODE "X018v"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON digital artery of hand

RUBRIC "Vascular cannula removal"
ENGLISH_RUBRIC "Vascular cannula removal"
SOURCE "READ"
CODE "X019n"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular cannula
		HAS_LOCATION cardiovascular structure

RUBRIC "Division of coronary arteriovenous fistula"
ENGLISH_RUBRIC "Division of coronary arteriovenous fistula"
SOURCE "READ"
CODE "XaCIn"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN division - action
	ACTS_ON coronary artery fistula
		HAS_LOCATION coronary artery

RUBRIC "Patch repair of femoral artery"
ENGLISH_RUBRIC "Patch repair of femoral artery"
SOURCE "READ"
CODE "XaCLV"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION femoral artery

RUBRIC "Endarterectomy of coronary artery"
ENGLISH_RUBRIC "Endarterectomy of coronary artery"
SOURCE "READ"
CODE "X00tM"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Mitral valvectomy"
ENGLISH_RUBRIC "Mitral valvectomy"
SOURCE "READ"
CODE "X00uE"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON mitral valve structure

RUBRIC "Insertion of permanent endocardial cardiac pacemaker system"
ENGLISH_RUBRIC "Insertion of permanent endocardial cardiac pacemaker system"
SOURCE "READ"
CODE "X011y"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Manual accept at 1:34:35 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER permanent
	ACTS_ON cardiac pacemaker implant
		HAS_DESTINATION cardiac structure

RUBRIC "Percutaneous transluminal balloon angioplasty of multiple coronary arteries"
ENGLISH_RUBRIC "Percutaneous transluminal balloon angioplasty of multiple coronary arteries"
SOURCE "READ"
CODE "79281"
STATUS "r"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON coronary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Open embolisation of pulmonary artery"
ENGLISH_RUBRIC "Open embolisation of pulmonary artery"
SOURCE "READ"
CODE "7A094"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH open approach
	ACTS_ON pulmonary artery structure

RUBRIC "Pulmonary valvotomy"
ENGLISH_RUBRIC "Pulmonary valvotomy"
SOURCE "READ"
CODE "X00w5"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON pulmonary valve structure

RUBRIC "Suture of left ventricle"
ENGLISH_RUBRIC "Suture of left ventricle"
SOURCE "READ"
CODE "X00zw"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON left ventricular structure

RUBRIC "Closure of defect of interventricular septum using prosthetic patch"
ENGLISH_RUBRIC "Closure of defect of interventricular septum using prosthetic patch"
SOURCE "READ"
CODE "79080"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - TYPE_OF_PATCH merge TARGET - applied at 12:00:29 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 12:56:23 am on June 27, 1998 by jeremy"
MAIN applying
	ACTS_ON prosthetic patch
		HAS_DESTINATION ventricular septum
TO_ACHIEVE_OVERALL closing
	ACTS_ON defect
		HAS_LOCATION ventricular septum

RUBRIC "Modified Blalock-Taussig shunt"
ENGLISH_RUBRIC "Modified Blalock-Taussig shunt"
SOURCE "READ"
CODE "X012q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 subclavian artery
		CONNECTS_2 pulmonary artery structure

RUBRIC "Angioplasty of common iliac artery"
ENGLISH_RUBRIC "Angioplasty of common iliac artery"
SOURCE "READ"
CODE "X013i"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON common iliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Arterial embolectomy"
ENGLISH_RUBRIC "Arterial embolectomy"
SOURCE "READ"
CODE "X014a"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION arterial structure

RUBRIC "Percutaneous thrombolysis of axillary vein"
ENGLISH_RUBRIC "Percutaneous thrombolysis of axillary vein"
SOURCE "READ"
CODE "X017I"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON thrombolytic
		HAS_DESTINATION axillary vein

RUBRIC "Sclerotherapy of venous flares"
ENGLISH_RUBRIC "Sclerotherapy of venous flares"
SOURCE "READ"
CODE "X018A"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SUBSTANCE + SURGICAL_PATHOLOGY - applied at 12:01:13 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON sclerosant
		HAS_DESTINATION hyphenwebs
			HAS_LOCATION vein

RUBRIC "Femoral artery cannula insertion"
ENGLISH_RUBRIC "Femoral artery cannula insertion"
SOURCE "READ"
CODE "X0199"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION femoral artery

RUBRIC "Percutaneous endarterectomy of common femoral artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of common femoral artery"
SOURCE "READ"
CODE "Xa0Fr"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION common femoral artery

RUBRIC "Percutaneous embolisation of cavernous sinus"
ENGLISH_RUBRIC "Percutaneous embolisation of cavernous sinus"
SOURCE "READ"
CODE "Xa0Rl"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON cavernous sinus

RUBRIC "Excision of aneurysm of cerebral artery"
ENGLISH_RUBRIC "Excision of aneurysm of cerebral artery"
SOURCE "READ"
CODE "7A230"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION cerebral artery

RUBRIC "Removal of patch from ventricular septum"
ENGLISH_RUBRIC "Removal of patch from ventricular septum"
SOURCE "READ"
CODE "X010L"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 1:32:02 am on June 27, 1998 by jeremy"
MAIN removal - action
	ACTS_ON prosthetic patch
		HAS_LOCATION ventricular septum

RUBRIC "Operation on mitral chordae tendinae"
ENGLISH_RUBRIC "Operation on mitral chordae tendinae"
SOURCE "READ"
CODE "X00tr"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON mitral chordae tendinae

RUBRIC "Heterotopic allotransplant of heart"
ENGLISH_RUBRIC "Heterotopic allotransplant of heart"
SOURCE "READ"
CODE "79013"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 12:02:10 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Manual accept at 8:25:30 pm on August 20, 1998 by jon
Manual accept at 2:22:16 pm on November 3, 1998 by jon"
MAIN transplantation - action
	ACTS_ON cardiac structure
		HAS_FEATURE heterotopic
	BY_MEANS_OF allograft heart

RUBRIC "Resection of tricuspid valve leaflet"
ENGLISH_RUBRIC "Resection of tricuspid valve leaflet"
SOURCE "READ"
CODE "X00uj"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON tricuspid leaflet

RUBRIC "Operation on atrioventricular valve chordae tendinae"
ENGLISH_RUBRIC "Operation on atrioventricular valve chordae tendinae"
SOURCE "READ"
CODE "X00wZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrioventricular valve chordae tendinae

RUBRIC "Decalcification of truncal valve"
ENGLISH_RUBRIC "Decalcification of truncal valve"
SOURCE "READ"
CODE "X00xR"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION truncal valve structure

RUBRIC "Angioplasty of superior vena cava"
ENGLISH_RUBRIC "Angioplasty of superior vena cava"
SOURCE "READ"
CODE "X00yJ"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON superior vena cava
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous prosthetic closure of atrial septal defect"
ENGLISH_RUBRIC "Percutaneous prosthetic closure of atrial septal defect"
SOURCE "READ"
CODE "X00zB"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Manual accept at 12:58:06 am on June 27, 1998 by jeremy"
MAIN inserting
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON prosthetic patch
		HAS_DESTINATION atrial septum
TO_ACHIEVE_OVERALL closing
	ACTS_ON defect
		HAS_LOCATION atrial septum

RUBRIC "Take-down of Waterston shunt"
ENGLISH_RUBRIC "Take-down of Waterston shunt"
SOURCE "READ"
CODE "X0134"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN reversal - action
	ACTS_ON cardiovascular structure
	FOLLOWS constructing
		ACTS_ON null
		ACTS_ON anastomosis structure
			CONNECTS_1 ascending aorta
			CONNECTS_2 right pulmonary artery

RUBRIC "Exploration of artery with inspection only"
ENGLISH_RUBRIC "Exploration of artery with inspection only"
SOURCE "READ"
CODE "X016v"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON arterial structure

RUBRIC "Ligation of vein"
ENGLISH_RUBRIC "Ligation of vein"
SOURCE "READ"
CODE "X017n"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON vein
	BY_MEANS_OF ligature

RUBRIC "Adjustment of intraluminal device of arteriovenous fistula"
ENGLISH_RUBRIC "Adjustment of intraluminal device of arteriovenous fistula"
SOURCE "READ"
CODE "X018f"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Extracranial to intracranial arterial anastomosis"
ENGLISH_RUBRIC "Extracranial to intracranial arterial anastomosis"
SOURCE "READ"
CODE "X00HZ"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Manual accept at 11:53:21 am on September 28, 1998 by jon"
MAIN constructing
	ACTS_ON intracranial artery & anastomosis structure
		CONNECTS_1 artery of head and neck
		CONNECTS_2 intracranial artery

RUBRIC "Percutaneous removal of foreign body from intracranial artery"
ENGLISH_RUBRIC "Percutaneous removal of foreign body from intracranial artery"
SOURCE "READ"
CODE "Xa0aN"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 12:58:20 am on June 27, 1998 by jeremy"
MAIN extraction - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION intracranial artery

RUBRIC "Embolectomy of renal artery"
ENGLISH_RUBRIC "Embolectomy of renal artery"
SOURCE "READ"
CODE "Xa7ps"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION renal artery

RUBRIC "Exploration of axillary artery"
ENGLISH_RUBRIC "Exploration of axillary artery"
SOURCE "READ"
CODE "XaBBV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON axillary artery

RUBRIC "Exploration of artery"
ENGLISH_RUBRIC "Exploration of artery"
SOURCE "READ"
CODE "Xa8Ox"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON arterial structure

RUBRIC "Percutaneous transluminal pulmonary valvotomy"
ENGLISH_RUBRIC "Percutaneous transluminal pulmonary valvotomy"
SOURCE "READ"
CODE "79193"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON pulmonary valve structure

RUBRIC "Venous clamping procedure"
ENGLISH_RUBRIC "Venous clamping procedure"
SOURCE "READ"
CODE "Xa87O"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular clamp
		HAS_DESTINATION vein

RUBRIC "Ligation of vertebral artery"
ENGLISH_RUBRIC "Ligation of vertebral artery"
SOURCE "READ"
CODE "7A275"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON vertebral artery
	BY_MEANS_OF ligature

RUBRIC "Repair of double outlet left ventricle with direct right ventricle to pulmonary trunk anastomosis and ventricular septal defect closure"
ENGLISH_RUBRIC "Repair of double outlet left ventricle with direct right ventricle to pulmonary trunk anastomosis and ventricular septal defect closure"
SOURCE "READ"
CODE "X010q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:25 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 pulmonary trunk
MOTIVATED_OVERALL_BY double outlet left ventricle
	HAS_LOCATION left ventricular structure
WITH closure - action
	ACTS_ON unspecified defect
		HAS_LOCATION ventricular septum

RUBRIC "Removal of thrombus from implanted mitral valve"
ENGLISH_RUBRIC "Removal of thrombus from implanted mitral valve"
SOURCE "READ"
CODE "X00u5"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION mitral valve structure

RUBRIC "Corridor operation"
ENGLISH_RUBRIC "Corridor operation"
SOURCE "READ"
CODE "X011i"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 11:22:03 am on September 30, 1998 by jon
Manual accept at 11:32:14 am on September 30, 1998 by jon
Manual accept at 11:32:27 am on September 30, 1998 by jon
Manual accept at 11:35:13 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure
	BY_MEANS_OF tunnel

RUBRIC "Excision of vegetations from pulmonary trunk"
ENGLISH_RUBRIC "Excision of vegetations from pulmonary trunk"
SOURCE "READ"
CODE "X012a"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION pulmonary trunk

RUBRIC "Implantation of right ventricular assist device"
ENGLISH_RUBRIC "Implantation of right ventricular assist device"
SOURCE "READ"
CODE "X00xw"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON right ventricular assist device
		HAS_DESTINATION right ventricular structure

RUBRIC "Eustachian valve operation"
ENGLISH_RUBRIC "Eustachian valve operation"
SOURCE "READ"
CODE "X00yo"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON valve of the inferior vena cava

RUBRIC "Embolisation of arteriovenous abnormality"
ENGLISH_RUBRIC "Embolisation of arteriovenous abnormality"
SOURCE "READ"
CODE "7A612"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON congenital arteriovenous malformation
		HAS_LOCATION vascular structure

RUBRIC "Balloon dilatation of right ventricular outflow tract"
ENGLISH_RUBRIC "Balloon dilatation of right ventricular outflow tract"
SOURCE "READ"
CODE "X00zg"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON right ventricular outflow tract
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Percutaneous angioplasty of thoracic aorta"
ENGLISH_RUBRIC "Percutaneous angioplasty of thoracic aorta"
SOURCE "READ"
CODE "X013Y"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thoracic aorta structure
	BY_MEANS_OF angioplasty catheter

RUBRIC "Endarterectomy of coeliac artery"
ENGLISH_RUBRIC "Endarterectomy of coeliac artery"
SOURCE "READ"
CODE "X014Q"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION coeliac artery

RUBRIC "Interposition arterial graft"
ENGLISH_RUBRIC "Interposition arterial graft"
SOURCE "READ"
CODE "X016A"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 arterial structure

RUBRIC "Thrombectomy of intracranial vein"
ENGLISH_RUBRIC "Thrombectomy of intracranial vein"
SOURCE "READ"
CODE "X0179"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION intracranial vein

RUBRIC "Tangential pulmonary artery resection"
ENGLISH_RUBRIC "Tangential pulmonary artery resection"
SOURCE "READ"
CODE "X90RU"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pulmonary artery structure

RUBRIC "Coronary artery operation"
ENGLISH_RUBRIC "Coronary artery operation"
SOURCE "READ"
CODE "XE0Em"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON coronary artery

RUBRIC "Patching of atrioventricular valve"
ENGLISH_RUBRIC "Patching of atrioventricular valve"
SOURCE "READ"
CODE "XaCG9"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Embolisation of coronary artery fistula"
ENGLISH_RUBRIC "Embolisation of coronary artery fistula"
SOURCE "READ"
CODE "X00tb"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery

RUBRIC "Heparinising central line"
ENGLISH_RUBRIC "Heparinising central line"
SOURCE "READ"
CODE "Ua1Ax"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SUBSTANCE + TYPE_OF_DEVICE - applied at 12:01:19 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON heparin
		HAS_DESTINATION vascular catheter
			HAS_LOCATION superior vena cava

RUBRIC "Balloon aortic valvotomy"
ENGLISH_RUBRIC "Balloon aortic valvotomy"
SOURCE "READ"
CODE "X00vR"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH transvascular approach
	ACTS_ON aortic valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Operation on vascular graft"
ENGLISH_RUBRIC "Operation on vascular graft"
SOURCE "READ"
CODE "7A6H."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vascular graft

RUBRIC "Lengthening operation on tricuspid papillary muscle"
ENGLISH_RUBRIC "Lengthening operation on tricuspid papillary muscle"
SOURCE "READ"
CODE "X00uZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN lengthening - action
	ACTS_ON tricuspid papillary muscle

RUBRIC "Plication of left atrial appendage"
ENGLISH_RUBRIC "Plication of left atrial appendage"
SOURCE "READ"
CODE "X00z2"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON left atrial appendage

RUBRIC "Direct aorta to pulmonary artery anastomosis with fenestrated baffle"
ENGLISH_RUBRIC "Direct aorta to pulmonary artery anastomosis with fenestrated baffle"
SOURCE "READ"
CODE "X0114"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON direct anastomosis structure
		CONNECTS_1 thoracic aorta structure
		CONNECTS_2 pulmonary artery structure

RUBRIC "Embolisation of spinal artery"
ENGLISH_RUBRIC "Embolisation of spinal artery"
SOURCE "READ"
CODE "X014v"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON spinal artery

RUBRIC "Excision of carotid body tumour"
ENGLISH_RUBRIC "Excision of carotid body tumour"
SOURCE "READ"
CODE "X016f"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified tumour
		HAS_LOCATION carotid body

RUBRIC "Thrombolysis of arteriovenous graft"
ENGLISH_RUBRIC "Thrombolysis of arteriovenous graft"
SOURCE "READ"
CODE "X018V"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON thrombolytic
		HAS_DESTINATION arteriovenous graft

RUBRIC "Central venous cannula insertion via internal jugular vein"
ENGLISH_RUBRIC "Central venous cannula insertion via internal jugular vein"
SOURCE "READ"
CODE "X019N"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via internal jugular vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Closed pulmonary valvotomy"
ENGLISH_RUBRIC "Closed pulmonary valvotomy"
SOURCE "READ"
CODE "79173"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON pulmonary valve structure

RUBRIC "Operation on the pulmonary venous system"
ENGLISH_RUBRIC "Operation on the pulmonary venous system"
SOURCE "READ"
CODE "7A6A1"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON pulmonary vein

RUBRIC "Cardiovascular procedure"
ENGLISH_RUBRIC "Cardiovascular procedure"
SOURCE "READ"
CODE "XE0hc"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiovascular structure

RUBRIC "Simple suture repair of artery"
ENGLISH_RUBRIC "Simple suture repair of artery"
SOURCE "READ"
CODE "7A524"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON arterial structure

RUBRIC "Placement of stent in major aortopulmonary collateral artery"
ENGLISH_RUBRIC "Placement of stent in major aortopulmonary collateral artery"
SOURCE "READ"
CODE "X010a"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:38 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 1:02:42 am on June 27, 1998 by jeremy"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION major aortopulmonary collateral artery
MOTIVATED_OVERALL_BY tetralogy of Fallot

RUBRIC "Ligation operation for arrhythmia"
ENGLISH_RUBRIC "Ligation operation for arrhythmia"
SOURCE "READ"
CODE "X011Y"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure
	BY_MEANS_OF ligature

RUBRIC "Resection of aneurysm of ductus arteriosus"
ENGLISH_RUBRIC "Resection of aneurysm of ductus arteriosus"
SOURCE "READ"
CODE "X012Q"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION ductus arteriosus

RUBRIC "Operation on pulmonary valve cusp"
ENGLISH_RUBRIC "Operation on pulmonary valve cusp"
SOURCE "READ"
CODE "X00vw"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON pulmonary valve cusp

RUBRIC "Excision of vegetations from atrioventricular valve"
ENGLISH_RUBRIC "Excision of vegetations from atrioventricular valve"
SOURCE "READ"
CODE "X00wo"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Percutaneous thrombolysis of common femoral artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of common femoral artery"
SOURCE "READ"
CODE "X0159"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION common femoral artery

RUBRIC "Suture of right ventricle"
ENGLISH_RUBRIC "Suture of right ventricle"
SOURCE "READ"
CODE "X00zW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON right ventricular structure

RUBRIC "Axillo-bifemoral bypass graft"
ENGLISH_RUBRIC "Axillo-bifemoral bypass graft"
SOURCE "READ"
CODE "X0161"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES aortic structure
		CONNECTS_1 axillary artery
		CONNECTS_2 femoral artery

RUBRIC "Banding of descending vein"
ENGLISH_RUBRIC "Banding of descending vein"
SOURCE "READ"
CODE "X90PU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION intrathoracic systemic vein
MOTIVATED_OVERALL_BY persistent descending vein

RUBRIC "Embolectomy of intracranial artery"
ENGLISH_RUBRIC "Embolectomy of intracranial artery"
SOURCE "READ"
CODE "X00Ho"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION intracranial artery

RUBRIC "Biological aortic valve replacement"
ENGLISH_RUBRIC "Biological aortic valve replacement"
SOURCE "READ"
CODE "XaBXo"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve bio-prosthesis
		HAS_DESTINATION aortic valve structure

RUBRIC "Percutaneous high speed rotational coronary atherectomy"
ENGLISH_RUBRIC "Percutaneous high speed rotational coronary atherectomy"
SOURCE "READ"
CODE "X00tR"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	BY_MEANS_OF high speed rotablator
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Rotation of implanted mitral valve"
ENGLISH_RUBRIC "Rotation of implanted mitral valve"
SOURCE "READ"
CODE "X00uJ"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN rotating
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION mitral valve structure

RUBRIC "Repair of aortic valve"
ENGLISH_RUBRIC "Repair of aortic valve"
SOURCE "READ"
CODE "X00vB"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON aortic valve structure

RUBRIC "Maintenance of ductus arteriosus patency"
ENGLISH_RUBRIC "Maintenance of ductus arteriosus patency"
SOURCE "READ"
CODE "X012v"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Manual accept at 10:59:00 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON ductus arteriosus
TO_ACHIEVE_OVERALL unblocking
	ACTS_ON ductus arteriosus

RUBRIC "Homograft atrioventricular valve replacement"
ENGLISH_RUBRIC "Homograft atrioventricular valve replacement"
SOURCE "READ"
CODE "X00x2"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON homograft cardiac valve
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Percutaneous angioplasty of external iliac artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of external iliac artery"
SOURCE "READ"
CODE "X013n"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON external iliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Clipping of artery"
ENGLISH_RUBRIC "Clipping of artery"
SOURCE "READ"
CODE "X016V"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Manual accept at 8:26:01 pm on August 20, 1998 by jon"
MAIN applying
	ACTS_ON clip
		HAS_DESTINATION arterial structure

RUBRIC "Percutaneous endarterectomy of profunda femoris"
ENGLISH_RUBRIC "Percutaneous endarterectomy of profunda femoris"
SOURCE "READ"
CODE "Xa0Fw"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION profunda femoris artery

RUBRIC "Biopsy of vein"
ENGLISH_RUBRIC "Biopsy of vein"
SOURCE "READ"
CODE "X018F"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN biopsy - action
	ACTS_ON vein

RUBRIC "Percutaneous thrombolysis of vein"
ENGLISH_RUBRIC "Percutaneous thrombolysis of vein"
SOURCE "READ"
CODE "Xa0Go"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON thrombolytic
		HAS_DESTINATION vein

RUBRIC "Axillo-unifemoral bypass graft"
ENGLISH_RUBRIC "Axillo-unifemoral bypass graft"
SOURCE "READ"
CODE "Xa9wv"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES aortic structure
		CONNECTS_1 axillary artery
		CONNECTS_2 femoral artery

RUBRIC "Iliofemoral prosthetic crossover graft"
ENGLISH_RUBRIC "Iliofemoral prosthetic crossover graft"
SOURCE "READ"
CODE "7A41F"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES artery of lower limb
		CONNECTS_1 iliac artery
		CONNECTS_2 femoral artery

RUBRIC "Internal iliac artery vasopressin infusion"
ENGLISH_RUBRIC "Internal iliac artery vasopressin infusion"
SOURCE "READ"
CODE "X405v"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN infusion - action
	ACTS_ON arginine vasopressin
		HAS_DESTINATION internal iliac artery

RUBRIC "Pericardiectomy"
ENGLISH_RUBRIC "Pericardiectomy"
SOURCE "READ"
CODE "793A."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pericardial structure

RUBRIC "Allograft replacement of two coronary arteries"
ENGLISH_RUBRIC "Allograft replacement of two coronary arteries"
SOURCE "READ"
CODE "79221"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF allograft vein
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Partial ventricular septation operation"
ENGLISH_RUBRIC "Partial ventricular septation operation"
SOURCE "READ"
CODE "X010Q"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN septation - action
	ACTS_ON ventricular septum
	HAS_EXTENT partial

RUBRIC "Shortening plasty to mitral chordae tendinae"
ENGLISH_RUBRIC "Shortening plasty to mitral chordae tendinae"
SOURCE "READ"
CODE "X00tw"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN shortening - action
	ACTS_ON mitral chordae tendinae

RUBRIC "Excision of vegetations from implanted tricuspid valve"
ENGLISH_RUBRIC "Excision of vegetations from implanted tricuspid valve"
SOURCE "READ"
CODE "X00uo"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION tricuspid valve structure

RUBRIC "Endarterectomy of renal artery"
ENGLISH_RUBRIC "Endarterectomy of renal artery"
SOURCE "READ"
CODE "7A303"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION renal artery

RUBRIC "Composite aortic root operation"
ENGLISH_RUBRIC "Composite aortic root operation"
SOURCE "READ"
CODE "X00vg"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON aortic valve structure

RUBRIC "Balloon truncal valvotomy"
ENGLISH_RUBRIC "Balloon truncal valvotomy"
SOURCE "READ"
CODE "X00xW"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON truncal valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Diversion of superior vena cava to systemic venous atrium"
ENGLISH_RUBRIC "Diversion of superior vena cava to systemic venous atrium"
SOURCE "READ"
CODE "X00yO"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 superior vena cava
		CONNECTS_2 atrial structure

RUBRIC "Closed atrial fenestration"
ENGLISH_RUBRIC "Closed atrial fenestration"
SOURCE "READ"
CODE "X00zG"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN fenestration - action
	HAS_APPROACH closed approach
	ACTS_ON atrial septum

RUBRIC "Construction of conduit - right pulmonary artery to left pulmonary artery"
ENGLISH_RUBRIC "Construction of conduit - right pulmonary artery to left pulmonary artery"
SOURCE "READ"
CODE "X011I"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right pulmonary artery
		CONNECTS_2 left pulmonary artery

RUBRIC "Open decompression of cardiac tamponade"
ENGLISH_RUBRIC "Open decompression of cardiac tamponade"
SOURCE "READ"
CODE "X012A"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN decompression - action
	HAS_APPROACH open approach
	ACTS_ON cardiac tamponade
		HAS_LOCATION pericardial structure

RUBRIC "Excision of arteriovenous fistula"
ENGLISH_RUBRIC "Excision of arteriovenous fistula"
SOURCE "READ"
CODE "X018k"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON surgical arteriovenous fistula

RUBRIC "Pancreatic vein cannula insertion"
ENGLISH_RUBRIC "Pancreatic vein cannula insertion"
SOURCE "READ"
CODE "X019c"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION pancreatic vein

RUBRIC "Laser cardiac valvotomy"
ENGLISH_RUBRIC "Laser cardiac valvotomy"
SOURCE "READ"
CODE "X70Vp"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON cardiac valve structure
	BY_MEANS_OF laser

RUBRIC "Percutaneous angioplasty of arteriovenous fistula"
ENGLISH_RUBRIC "Percutaneous angioplasty of arteriovenous fistula"
SOURCE "READ"
CODE "Xa0FB"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON surgical arteriovenous fistula
	BY_MEANS_OF angioplasty catheter

RUBRIC "Pulmonary venous confluence anastomosis"
ENGLISH_RUBRIC "Pulmonary venous confluence anastomosis"
SOURCE "READ"
CODE "Xa0Md"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 pulmonary vein
		CONNECTS_2 left atrial structure

RUBRIC "Ligation of maxillary artery"
ENGLISH_RUBRIC "Ligation of maxillary artery"
SOURCE "READ"
CODE "Xa7px"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON maxillary artery
	BY_MEANS_OF ligature

RUBRIC "Single leaflet truncal valve replacement"
ENGLISH_RUBRIC "Single leaflet truncal valve replacement"
SOURCE "READ"
CODE "XaBY2"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Percutaneous transluminal angioplasty of vertebral artery"
ENGLISH_RUBRIC "Percutaneous transluminal angioplasty of vertebral artery"
SOURCE "READ"
CODE "7A282"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON vertebral artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Patching of left ventricle"
ENGLISH_RUBRIC "Patching of left ventricle"
SOURCE "READ"
CODE "XaCLK"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION left ventricular structure

RUBRIC "Synchronised direct current defibrillation"
ENGLISH_RUBRIC "Synchronised direct current defibrillation"
SOURCE "READ"
CODE "X011n"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - TIMING to HAS_TEMPORAL_MARKER - applied at 1:09:25 am on June 26, 1998"
MAIN electrical discharge - action
	HAS_TEMPORAL_MARKER synchronous
	ACTS_ON ventricular fibrillation
		HAS_LOCATION cardiac structure

RUBRIC "Repair of implanted tricuspid paravalvular leak"
ENGLISH_RUBRIC "Repair of implanted tricuspid paravalvular leak"
SOURCE "READ"
CODE "X00v2"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON paraprosthetic tricuspid regurgitation
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION tricuspid valve structure

RUBRIC "Embolisation of pulmonary arteriovenous malformation"
ENGLISH_RUBRIC "Embolisation of pulmonary arteriovenous malformation"
SOURCE "READ"
CODE "X012f"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH transvascular approach
	ACTS_ON intrapulmonary arteriovenous fistula
		HAS_LOCATION pulmonary vascular structure

RUBRIC "Repair of pulmonary artery using patch"
ENGLISH_RUBRIC "Repair of pulmonary artery using patch"
SOURCE "READ"
CODE "7A081"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Endarterectomy of common femoral artery"
ENGLISH_RUBRIC "Endarterectomy of common femoral artery"
SOURCE "READ"
CODE "X014V"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION common femoral artery

RUBRIC "Left atrial operation"
ENGLISH_RUBRIC "Left atrial operation"
SOURCE "READ"
CODE "X00yt"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON left atrial structure

RUBRIC "Construction of conduit - right ventricle to right pulmonary artery"
ENGLISH_RUBRIC "Construction of conduit - right ventricle to right pulmonary artery"
SOURCE "READ"
CODE "X00zl"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 right pulmonary artery

RUBRIC "Avulsion of varicose vein"
ENGLISH_RUBRIC "Avulsion of varicose vein"
SOURCE "READ"
CODE "X0186"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Manual accept at 12:10:09 pm on September 28, 1998 by jon"
MAIN avulsion - action
	ACTS_ON varicose vein

RUBRIC "Percutaneous endarterectomy of subclavian artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of subclavian artery"
SOURCE "READ"
CODE "Xa0Fg"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION subclavian artery

RUBRIC "Repair of acquired arteriovenous fistula"
ENGLISH_RUBRIC "Repair of acquired arteriovenous fistula"
SOURCE "READ"
CODE "XE0Fj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON acquired arteriovenous fistula
		HAS_LOCATION vascular structure

RUBRIC "Saphenous vein graft replacement of two coronary arteries"
ENGLISH_RUBRIC "Saphenous vein graft replacement of two coronary arteries"
SOURCE "READ"
CODE "79201"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF saphenous vein graft
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Intravascular ultrasound of intracranial artery"
ENGLISH_RUBRIC "Intravascular ultrasound of intracranial artery"
SOURCE "READ"
CODE "X70m7"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 12:01:51 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN imaging - action
	BY_MEANS_OF ultrasound technique
	HAS_APPROACH transvascular approach
	ACTS_ON intracranial artery

RUBRIC "Construction of conduit - apex of left ventricle to descending aorta"
ENGLISH_RUBRIC "Construction of conduit - apex of left ventricle to descending aorta"
SOURCE "READ"
CODE "X010A"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 left ventricular apex
		CONNECTS_2 descending thoracic aorta

RUBRIC "Allotransplant of heart and lung"
ENGLISH_RUBRIC "Allotransplant of heart and lung"
SOURCE "READ"
CODE "79000"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 12:02:10 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Manual accept at 3:45:15 pm on September 20, 1998 by jon"
MAIN transplantation - action
	ACTS_ON_1 lung structure
	ACTS_ON_1 cardiac structure
	BY_MEANS_OF allograft heart
	BY_MEANS_OF allograft lung

RUBRIC "Mitral valve operation"
ENGLISH_RUBRIC "Mitral valve operation"
SOURCE "READ"
CODE "X00tg"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON mitral valve structure

RUBRIC "Autograft aortic valve replacement"
ENGLISH_RUBRIC "Autograft aortic valve replacement"
SOURCE "READ"
CODE "X00vW"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON autograft cardiac valve
		HAS_DESTINATION aortic valve structure

RUBRIC "Inspection of atrioventricular valve"
ENGLISH_RUBRIC "Inspection of atrioventricular valve"
SOURCE "READ"
CODE "X00wO"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Inspection of implanted truncal valve"
ENGLISH_RUBRIC "Inspection of implanted truncal valve"
SOURCE "READ"
CODE "X00xG"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION truncal valve structure

RUBRIC "Reprogramming of cardiac pacemaker"
ENGLISH_RUBRIC "Reprogramming of cardiac pacemaker"
SOURCE "READ"
CODE "X0121"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure

RUBRIC "Operation to close an interatrial communication"
ENGLISH_RUBRIC "Operation to close an interatrial communication"
SOURCE "READ"
CODE "X00z7"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON unspecified surgical disorder
		HAS_LOCATION atrial septum

RUBRIC "Portosystemic shunt operation"
ENGLISH_RUBRIC "Portosystemic shunt operation"
SOURCE "READ"
CODE "X017c"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 portal system vein
		CONNECTS_2 systemic abdominal vein

RUBRIC "Central venous cannula insertion via umbilical vein"
ENGLISH_RUBRIC "Central venous cannula insertion via umbilical vein"
SOURCE "READ"
CODE "X019S"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via umbilical vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Percutaneous embolisation of hepatic artery"
ENGLISH_RUBRIC "Percutaneous embolisation of hepatic artery"
SOURCE "READ"
CODE "78080"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON hepatic artery

RUBRIC "Annuloplasty of mitral valve"
ENGLISH_RUBRIC "Annuloplasty of mitral valve"
SOURCE "READ"
CODE "79180"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON mitral annulus
	TO_ACHIEVE repairing

RUBRIC "Resection and end-to-end anastomosis of pulmonary trunk"
ENGLISH_RUBRIC "Resection and end-to-end anastomosis of pulmonary trunk"
SOURCE "READ"
CODE "X012V"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pulmonary trunk

RUBRIC "Decalcification of implanted atrioventricular valve"
ENGLISH_RUBRIC "Decalcification of implanted atrioventricular valve"
SOURCE "READ"
CODE "X00wt"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION atrioventricular valve structure

RUBRIC "Truncal root replacement"
ENGLISH_RUBRIC "Truncal root replacement"
SOURCE "READ"
CODE "X00xl"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON device
		HAS_DESTINATION truncal valve structure

RUBRIC "Relief of coronary sinus obstruction"
ENGLISH_RUBRIC "Relief of coronary sinus obstruction"
SOURCE "READ"
CODE "X00yd"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON unspecified obstruction
		HAS_LOCATION coronary sinus structure

RUBRIC "Angioplasty of artery"
ENGLISH_RUBRIC "Angioplasty of artery"
SOURCE "READ"
CODE "X013N"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON arterial structure
	BY_MEANS_OF angioplasty catheter

RUBRIC "Endarterectomy of common carotid artery"
ENGLISH_RUBRIC "Endarterectomy of common carotid artery"
SOURCE "READ"
CODE "X014F"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION common carotid artery

RUBRIC "Femoropopliteal bypass graft"
ENGLISH_RUBRIC "Femoropopliteal bypass graft"
SOURCE "READ"
CODE "X0166"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Manual accept at 1:56:15 pm on June 30, 1998 by jon"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES femoral artery
		BYPASSES popliteal artery
		CONNECTS_1 femoral artery
		CONNECTS_2 supragenicular popliteal artery

RUBRIC "Ligation of penile veins"
ENGLISH_RUBRIC "Ligation of penile veins"
SOURCE "READ"
CODE "Xa8P0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON penile vein
	BY_MEANS_OF ligature

RUBRIC "Flushing of Hickman line"
ENGLISH_RUBRIC "Flushing of Hickman line"
SOURCE "READ"
CODE "XaBr3"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN irrigation - action
	ACTS_ON hickman line
		HAS_LOCATION cardiovascular structure

RUBRIC "Left ventricular aneurysm operation"
ENGLISH_RUBRIC "Left ventricular aneurysm operation"
SOURCE "READ"
CODE "X0101"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION left ventricular structure

RUBRIC "Exploration of coronary artery with arteriotomy"
ENGLISH_RUBRIC "Exploration of coronary artery with arteriotomy"
SOURCE "READ"
CODE "X00tW"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON coronary artery

RUBRIC "Porcine pulmonary valve replacement"
ENGLISH_RUBRIC "Porcine pulmonary valve replacement"
SOURCE "READ"
CODE "XaBXt"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON porcine cardiac valve
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Resection of aortic valve cusp"
ENGLISH_RUBRIC "Resection of aortic valve cusp"
SOURCE "READ"
CODE "X00vG"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON aortic valve cusp

RUBRIC "Rotation of implanted atrioventricular valve"
ENGLISH_RUBRIC "Rotation of implanted atrioventricular valve"
SOURCE "READ"
CODE "X00x7"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN rotating
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Percutaneous rotational coronary endarterectomy"
ENGLISH_RUBRIC "Percutaneous rotational coronary endarterectomy"
SOURCE "READ"
CODE "79293"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	BY_MEANS_OF rotablator
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Angioplasty of profunda femoris artery"
ENGLISH_RUBRIC "Angioplasty of profunda femoris artery"
SOURCE "READ"
CODE "X013s"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON profunda femoris artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of intracranial artery"
ENGLISH_RUBRIC "Embolisation of intracranial artery"
SOURCE "READ"
CODE "X014k"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON intracranial artery

RUBRIC "Umbilical artery cannula insertion"
ENGLISH_RUBRIC "Umbilical artery cannula insertion"
SOURCE "READ"
CODE "X019C"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION umbilical artery

RUBRIC "Insertion of iliac artery stent"
ENGLISH_RUBRIC "Insertion of iliac artery stent"
SOURCE "READ"
CODE "7A443"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION iliac artery

RUBRIC "Open mitral valvotomy"
ENGLISH_RUBRIC "Open mitral valvotomy"
SOURCE "READ"
CODE "79160"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON mitral valve structure

RUBRIC "Anastomosis of cerebral artery"
ENGLISH_RUBRIC "Anastomosis of cerebral artery"
SOURCE "READ"
CODE "7A242"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON direct anastomosis structure
		CONNECTS_1 cerebral artery
		CONNECTS_2 cerebral artery

RUBRIC "Closure of atrial septal defect using sutures"
ENGLISH_RUBRIC "Closure of atrial septal defect using sutures"
SOURCE "READ"
CODE "XaCHK"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON unspecified defect
		HAS_LOCATION atrial septum

RUBRIC "Patch arterioplasty of pulmonary artery"
ENGLISH_RUBRIC "Patch arterioplasty of pulmonary artery"
SOURCE "READ"
CODE "XaCIC"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Biopsy of the temporal artery"
ENGLISH_RUBRIC "Biopsy of the temporal artery"
SOURCE "READ"
CODE "7A511"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN biopsy - action
	ACTS_ON superficial temporal artery

RUBRIC "Prosthetic bypass of coronary artery"
ENGLISH_RUBRIC "Prosthetic bypass of coronary artery"
SOURCE "READ"
CODE "7923."
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Repair of pulmonary atresia with ventricular septal defect"
ENGLISH_RUBRIC "Repair of pulmonary atresia with ventricular septal defect"
SOURCE "READ"
CODE "X010V"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary atresia with ventricular septal defect
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Operations on the left ventricular outflow tract"
ENGLISH_RUBRIC "Operations on the left ventricular outflow tract"
SOURCE "READ"
CODE "791A2"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON left ventricular outflow tract

RUBRIC "Closure of tricuspid valve"
ENGLISH_RUBRIC "Closure of tricuspid valve"
SOURCE "READ"
CODE "X00ut"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON tricuspid valve structure

RUBRIC "Open embolectomy of renal artery"
ENGLISH_RUBRIC "Open embolectomy of renal artery"
SOURCE "READ"
CODE "7A310"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION renal artery

RUBRIC "Fenestration operation to atrioventricular valve chordae tendinae"
ENGLISH_RUBRIC "Fenestration operation to atrioventricular valve chordae tendinae"
SOURCE "READ"
CODE "X00wd"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN fenestration - action
	ACTS_ON atrioventricular valve chordae tendinae

RUBRIC "Aortic valve replacement and plication of ascending aorta"
ENGLISH_RUBRIC "Aortic valve replacement and plication of ascending aorta"
SOURCE "READ"
CODE "X00vl"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION aortic valve structure
WITH plication - action
	ACTS_ON ascending aorta

RUBRIC "Ligation of inferior vena cava"
ENGLISH_RUBRIC "Ligation of inferior vena cava"
SOURCE "READ"
CODE "X00yT"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON inferior vena cava
	BY_MEANS_OF ligature

RUBRIC "Construction of adjustable interatrial communication"
ENGLISH_RUBRIC "Construction of adjustable interatrial communication"
SOURCE "READ"
CODE "X00zL"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN opening - action
	ACTS_ON atrial septum

RUBRIC "Operation on a cardiac conduit"
ENGLISH_RUBRIC "Operation on a cardiac conduit"
SOURCE "READ"
CODE "X011N"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac conduit
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Saphenofemoral ligation"
ENGLISH_RUBRIC "Saphenofemoral ligation"
SOURCE "READ"
CODE "X017x"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON saphenofemoral junction
	BY_MEANS_OF ligature

RUBRIC "Limb revascularisation"
ENGLISH_RUBRIC "Limb revascularisation"
SOURCE "READ"
CODE "X018p"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of limb

RUBRIC "Cannulation of arteriovenous dialysis fistula"
ENGLISH_RUBRIC "Cannulation of arteriovenous dialysis fistula"
SOURCE "READ"
CODE "X019h"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Percutaneous thrombolysis of arteriovenous fistula"
ENGLISH_RUBRIC "Percutaneous thrombolysis of arteriovenous fistula"
SOURCE "READ"
CODE "Xa0H7"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON thrombolytic
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Embolisation of artery of internal nose"
ENGLISH_RUBRIC "Embolisation of artery of internal nose"
SOURCE "READ"
CODE "74042"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON artery of internal nose

RUBRIC "Stripping of the short saphenous vein"
ENGLISH_RUBRIC "Stripping of the short saphenous vein"
SOURCE "READ"
CODE "7A691"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN stripping - action
	ACTS_ON short saphenous vein

RUBRIC "Percutaneous transluminal embolisation of brachial artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of brachial artery"
SOURCE "READ"
CODE "7A287"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON brachial artery

RUBRIC "Endarterectomy of aorta"
ENGLISH_RUBRIC "Endarterectomy of aorta"
SOURCE "READ"
CODE "XM0nY"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION aortic structure

RUBRIC "Coronary artery bypass graft x 1"
ENGLISH_RUBRIC "Coronary artery bypass graft x 1"
SOURCE "READ"
CODE "X00tG"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Replacement of implanted tricuspid valve"
ENGLISH_RUBRIC "Replacement of implanted tricuspid valve"
SOURCE "READ"
CODE "X00v7"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Insertion of epicardial electrode for temporary cardiac pacing"
ENGLISH_RUBRIC "Insertion of epicardial electrode for temporary cardiac pacing"
SOURCE "READ"
CODE "X011s"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Manual accept at 1:31:54 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER temporary
	ACTS_ON epicardial pacemaker electrode
		HAS_DESTINATION cardiac ventricle

RUBRIC "Systemic to pulmonary shunt operation"
ENGLISH_RUBRIC "Systemic to pulmonary shunt operation"
SOURCE "READ"
CODE "X012k"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 intrathoracic systemic artery
		CONNECTS_2 pulmonary artery structure

RUBRIC "Open left ventricular biopsy"
ENGLISH_RUBRIC "Open left ventricular biopsy"
SOURCE "READ"
CODE "X00zq"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN biopsy - action
	HAS_APPROACH open approach
	ACTS_ON left ventricular structure

RUBRIC "Percutaneous angioplasty of hepatic artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of hepatic artery"
SOURCE "READ"
CODE "X013c"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON hepatic artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Ligation of artery"
ENGLISH_RUBRIC "Ligation of artery"
SOURCE "READ"
CODE "X016K"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON arterial structure
	BY_MEANS_OF ligature

RUBRIC "Central splenorenal shunt"
ENGLISH_RUBRIC "Central splenorenal shunt"
SOURCE "READ"
CODE "7A624"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Manual accept at 8:26:33 pm on August 20, 1998 by jon
Manual accept at 8:27:43 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON end-to-side anastomosis
		CONNECTS_1 splenic vein
		CONNECTS_2 renal vein

RUBRIC "Embolisation of intracranial vein"
ENGLISH_RUBRIC "Embolisation of intracranial vein"
SOURCE "READ"
CODE "X017C"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON intracranial vein

RUBRIC "Temporal artery cannula insertion"
ENGLISH_RUBRIC "Temporal artery cannula insertion"
SOURCE "READ"
CODE "X0193"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION superficial temporal artery

RUBRIC "Percutaneous endarterectomy of hepatic artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of hepatic artery"
SOURCE "READ"
CODE "Xa0Fl"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION hepatic artery

RUBRIC "Interposition of vein"
ENGLISH_RUBRIC "Interposition of vein"
SOURCE "READ"
CODE "XM00B"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Manual accept at 8:28:00 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON_1 vein
	ACTS_ON_2 interposition anastomosis structure

RUBRIC "Patching of coronary sinus atrial septal defect"
ENGLISH_RUBRIC "Patching of coronary sinus atrial septal defect"
SOURCE "READ"
CODE "XaCGC"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 9:50:32 pm on June 26, 1998 by jeremy"
MAIN applying
	ACTS_ON prosthetic patch
		HAS_DESTINATION coronary sinus structure
MOTIVATED_OVERALL_BY atrial septal defect through coronary sinus orifice

RUBRIC "Patching of defect of mitral leaflet"
ENGLISH_RUBRIC "Patching of defect of mitral leaflet"
SOURCE "READ"
CODE "XaCI3"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION mitral leaflet
MOTIVATED_OVERALL_BY unspecified defect

RUBRIC "Plication annuloplasty of mitral valve"
ENGLISH_RUBRIC "Plication annuloplasty of mitral valve"
SOURCE "READ"
CODE "X00tl"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON mitral annulus

RUBRIC "Prosthetic replacement of tricuspid chordae tendinae"
ENGLISH_RUBRIC "Prosthetic replacement of tricuspid chordae tendinae"
SOURCE "READ"
CODE "X00ud"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:39 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic chorda tendinae
		HAS_DESTINATION tricuspid chordae tendinae

RUBRIC "Pericardial operation"
ENGLISH_RUBRIC "Pericardial operation"
SOURCE "READ"
CODE "X0126"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON pericardial structure

RUBRIC "Atrioventricular valve annuloplasty using ring"
ENGLISH_RUBRIC "Atrioventricular valve annuloplasty using ring"
SOURCE "READ"
CODE "X00wT"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic cardiac annuloplasty ring
		HAS_DESTINATION atrioventricular valve annulus

RUBRIC "Resection of truncal valve cusp"
ENGLISH_RUBRIC "Resection of truncal valve cusp"
SOURCE "READ"
CODE "X00xL"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON truncal valve leaflet

RUBRIC "Repair of pulmonary venous pathway"
ENGLISH_RUBRIC "Repair of pulmonary venous pathway"
SOURCE "READ"
CODE "X00yD"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary venous pathway

RUBRIC "Repair of aortic aneurysm using straight graft"
ENGLISH_RUBRIC "Repair of aortic aneurysm using straight graft"
SOURCE "READ"
CODE "X015x"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 abdominal aorta structure
		CONNECTS_2 infrarenal abdominal aorta
MOTIVATED_OVERALL_BY unspecified aneurysm
	HAS_LOCATION abdominal aorta structure

RUBRIC "Insertion superficial femoral artery stent"
ENGLISH_RUBRIC "Insertion superficial femoral artery stent"
SOURCE "READ"
CODE "X016p"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION superficial femoral artery

RUBRIC "Reconstruction of vein"
ENGLISH_RUBRIC "Reconstruction of vein"
SOURCE "READ"
CODE "X017h"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON vein
	TO_ACHIEVE repairing

RUBRIC "Pulmonary artery catheter insertion via subclavian vein"
ENGLISH_RUBRIC "Pulmonary artery catheter insertion via subclavian vein"
SOURCE "READ"
CODE "X019X"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via subclavian vein
	ACTS_ON vascular catheter
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Replacement of intraluminal device in vein"
ENGLISH_RUBRIC "Replacement of intraluminal device in vein"
SOURCE "READ"
CODE "X70YM"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON intraluminal vascular device
		HAS_DESTINATION vein

RUBRIC "Ligation of short saphenous vein"
ENGLISH_RUBRIC "Ligation of short saphenous vein"
SOURCE "READ"
CODE "7A671"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON short saphenous vein
	BY_MEANS_OF ligature

RUBRIC "Percutaneous angioplasty of superior vena cava"
ENGLISH_RUBRIC "Percutaneous angioplasty of superior vena cava"
SOURCE "READ"
CODE "Xa0F7"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON superior vena cava
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of femoral artery"
ENGLISH_RUBRIC "Embolisation of femoral artery"
SOURCE "READ"
CODE "Xa7pm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON femoral artery

RUBRIC "Excision of portal vein"
ENGLISH_RUBRIC "Excision of portal vein"
SOURCE "READ"
CODE "XaB2A"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON portal vein

RUBRIC "Endarterectomy of iliac artery"
ENGLISH_RUBRIC "Endarterectomy of iliac artery"
SOURCE "READ"
CODE "XaBF0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION iliac artery

RUBRIC "Pericardial biopsy"
ENGLISH_RUBRIC "Pericardial biopsy"
SOURCE "READ"
CODE "793D0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN biopsy - action
	ACTS_ON pericardial structure

RUBRIC "Construction of intraventricular left ventricle to aorta spiral tunnel"
ENGLISH_RUBRIC "Construction of intraventricular left ventricle to aorta spiral tunnel"
SOURCE "READ"
CODE "X010k"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 left ventricular structure
		CONNECTS_2 ascending aorta
MOTIVATED_OVERALL_BY abnormal ventriculoarterial connection
	HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Laser ablation operation for arrhythmia"
ENGLISH_RUBRIC "Laser ablation operation for arrhythmia"
SOURCE "READ"
CODE "X011c"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN destruction - action
	BY_MEANS_OF laser
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Transluminal removal of aortic balloon pump"
ENGLISH_RUBRIC "Transluminal removal of aortic balloon pump"
SOURCE "READ"
CODE "X00xq"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH transarterial approach
	ACTS_ON aortic pulsation balloon
		HAS_LOCATION descending thoracic aorta

RUBRIC "Correction of total anomalous pulmonary venous connection to infradiaphragmatic vessel"
ENGLISH_RUBRIC "Correction of total anomalous pulmonary venous connection to infradiaphragmatic vessel"
SOURCE "READ"
CODE "79052"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON total anomalous pulmonary venous connection
		HAS_LOCATION pulmonary vein

RUBRIC "Resection of septomarginal trabeculation"
ENGLISH_RUBRIC "Resection of septomarginal trabeculation"
SOURCE "READ"
CODE "X00za"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON septomarginal trabeculation

RUBRIC "Excision of right atrial myxoma"
ENGLISH_RUBRIC "Excision of right atrial myxoma"
SOURCE "READ"
CODE "X00yi"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON atrial myxoma
		HAS_LOCATION right atrial structure

RUBRIC "Open chest massage of the heart"
ENGLISH_RUBRIC "Open chest massage of the heart"
SOURCE "READ"
CODE "79321"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN massage - action
	HAS_APPROACH open approach
	ACTS_ON cardiac structure

RUBRIC "Balloon atrioventricular valvotomy"
ENGLISH_RUBRIC "Balloon atrioventricular valvotomy"
SOURCE "READ"
CODE "X00wy"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON atrioventricular valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Percutaneous embolectomy of femoral artery"
ENGLISH_RUBRIC "Percutaneous embolectomy of femoral artery"
SOURCE "READ"
CODE "7A4B2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION femoral artery

RUBRIC "Angioplasty of subclavian artery"
ENGLISH_RUBRIC "Angioplasty of subclavian artery"
SOURCE "READ"
CODE "X013S"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON subclavian artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous thrombolysis of popliteal artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of popliteal artery"
SOURCE "READ"
CODE "X015C"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION popliteal artery

RUBRIC "Homograft tricuspid valve replacement"
ENGLISH_RUBRIC "Homograft tricuspid valve replacement"
SOURCE "READ"
CODE "79120"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON homograft cardiac valve
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Angioplasty of systemic to pulmonary artery shunt"
ENGLISH_RUBRIC "Angioplasty of systemic to pulmonary artery shunt"
SOURCE "READ"
CODE "X90RO"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON systemic to pulmonary arterial shunt
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous embolisation of branch of external carotid artery"
ENGLISH_RUBRIC "Percutaneous embolisation of branch of external carotid artery"
SOURCE "READ"
CODE "Xa0RV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON branch of external carotid artery

RUBRIC "Inguinal ligation of varicocele"
ENGLISH_RUBRIC "Inguinal ligation of varicocele"
SOURCE "READ"
CODE "7C133"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 9:53:43 am on June 30, 1998 by jon
Manual accept at 9:56:52 am on June 30, 1998 by jon
Manual accept at 10:02:24 am on June 30, 1998 by jon
Manual accept at 10:14:13 am on June 30, 1998 by jon
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998
Manual accept at 8:28:20 pm on August 20, 1998 by jon"
MAIN occluding
	HAS_APPROACH inguinal
	ACTS_ON unspecified varix
		HAS_LOCATION vein of spermatic cord
	BY_MEANS_OF ligature

RUBRIC "Balloon dilatation of left ventricular outflow tract"
ENGLISH_RUBRIC "Balloon dilatation of left ventricular outflow tract"
SOURCE "READ"
CODE "X0106"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON left ventricular outflow tract
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Bileaflet atrioventricular valve replacement"
ENGLISH_RUBRIC "Bileaflet atrioventricular valve replacement"
SOURCE "READ"
CODE "XaBXy"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Pulmonary valve replacement"
ENGLISH_RUBRIC "Pulmonary valve replacement"
SOURCE "READ"
CODE "X00wD"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Excision of vegetations from implanted aortic valve"
ENGLISH_RUBRIC "Excision of vegetations from implanted aortic valve"
SOURCE "READ"
CODE "X00vL"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION aortic valve structure

RUBRIC "Allotransplant of heart"
ENGLISH_RUBRIC "Allotransplant of heart"
SOURCE "READ"
CODE "X00y4"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 12:02:10 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN transplantation - action
	ACTS_ON cardiac structure
	BY_MEANS_OF allograft heart

RUBRIC "Repair of tricuspid valve"
ENGLISH_RUBRIC "Repair of tricuspid valve"
SOURCE "READ"
CODE "X00uT"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON tricuspid valve structure

RUBRIC "Angioplasty of arterial graft"
ENGLISH_RUBRIC "Angioplasty of arterial graft"
SOURCE "READ"
CODE "X013x"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON arterial graft
	BY_MEANS_OF angioplasty catheter

RUBRIC "Infraclinoid arterial embolisation"
ENGLISH_RUBRIC "Infraclinoid arterial embolisation"
SOURCE "READ"
CODE "X014p"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON intracranial artery

RUBRIC "Adjustment of venous stent"
ENGLISH_RUBRIC "Adjustment of venous stent"
SOURCE "READ"
CODE "X017X"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON vascular stent
		HAS_LOCATION vein

RUBRIC "Creation of external arteriovenous shunt"
ENGLISH_RUBRIC "Creation of external arteriovenous shunt"
SOURCE "READ"
CODE "X018P"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular shunt
	ACTS_ON vascular structure
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 vein

RUBRIC "Embolisation of intracranial aneurysm"
ENGLISH_RUBRIC "Embolisation of intracranial aneurysm"
SOURCE "READ"
CODE "X00HD"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION intracranial artery

RUBRIC "Peripheral venous cannula insertion - antecubital fossa"
ENGLISH_RUBRIC "Peripheral venous cannula insertion - antecubital fossa"
SOURCE "READ"
CODE "X019H"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION antecubital fossa vein

RUBRIC "Ligation of common carotid artery"
ENGLISH_RUBRIC "Ligation of common carotid artery"
SOURCE "READ"
CODE "XaBD0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON common carotid artery
	BY_MEANS_OF ligature

RUBRIC "Repair of aorta with subclavian flap"
ENGLISH_RUBRIC "Repair of aorta with subclavian flap"
SOURCE "READ"
CODE "7A181"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - TYPE_OF_PATCH merge TARGET - applied at 12:00:29 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON autologous artery
		HAS_DESTINATION thoracic aorta structure

RUBRIC "High ligation and local ligation of varicose veins"
ENGLISH_RUBRIC "High ligation and local ligation of varicose veins"
SOURCE "READ"
CODE "Xa9yp"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998
Manual accept at 12:39:18 pm on July 5, 1998 by jeremy"
MAIN occluding
	ACTS_ON saphenofemoral junction
	BY_MEANS_OF ligature
WITH occluding
	BY_MEANS_OF ligature
	ACTS_ON unspecified varix
		HAS_LOCATION vein of lower limb

RUBRIC "Patch repair of coeliac artery"
ENGLISH_RUBRIC "Patch repair of coeliac artery"
SOURCE "READ"
CODE "Xa9Ix"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION coeliac artery

RUBRIC "Decompression of cardiac tamponade"
ENGLISH_RUBRIC "Decompression of cardiac tamponade"
SOURCE "READ"
CODE "793B0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN decompression - action
	ACTS_ON cardiac tamponade
		HAS_LOCATION pericardial structure

RUBRIC "Prosthetic replacement of four or more coronary arteries"
ENGLISH_RUBRIC "Prosthetic replacement of four or more coronary arteries"
SOURCE "READ"
CODE "79233"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Balloon dilatation of conduit"
ENGLISH_RUBRIC "Balloon dilatation of conduit"
SOURCE "READ"
CODE "X011S"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 8:29:14 pm on August 20, 1998 by jon
Manual accept at 3:50:25 pm on September 28, 1998 by jon"
MAIN dilatation - action
	ACTS_ON cardiac conduit
		HAS_LOCATION intrathoracic cardiovascular structure
	BY_MEANS_OF balloon dilatation catheter
		CONNECTS_1 intrathoracic cardiovascular structure
		CONNECTS_2 intrathoracic cardiovascular structure

RUBRIC "Tricuspid valve replacement"
ENGLISH_RUBRIC "Tricuspid valve replacement"
SOURCE "READ"
CODE "X00uy"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Pulmonary valve operation"
ENGLISH_RUBRIC "Pulmonary valve operation"
SOURCE "READ"
CODE "X00vq"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON pulmonary valve structure

RUBRIC "Excision of lesion from atrioventricular valve leaflet"
ENGLISH_RUBRIC "Excision of lesion from atrioventricular valve leaflet"
SOURCE "READ"
CODE "X00wi"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION atrioventricular valve leaflet

RUBRIC "Angioplasty of systemic venous pathway"
ENGLISH_RUBRIC "Angioplasty of systemic venous pathway"
SOURCE "READ"
CODE "X00yY"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON systemic venous pathway
	BY_MEANS_OF angioplasty catheter

RUBRIC "Right ventricular operation"
ENGLISH_RUBRIC "Right ventricular operation"
SOURCE "READ"
CODE "X00zQ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON right ventricular structure

RUBRIC "Epicardial excision of rhythmogenic focus"
ENGLISH_RUBRIC "Epicardial excision of rhythmogenic focus"
SOURCE "READ"
CODE "79301"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:01:10 pm on August 20, 1998 by jon"
MAIN excision - action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION epicardial

RUBRIC "Xenograft truncal valve replacement"
ENGLISH_RUBRIC "Xenograft truncal valve replacement"
SOURCE "READ"
CODE "X00xa"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON xenograft cardiac valve
		HAS_DESTINATION truncal valve structure

RUBRIC "Homograft mitral valve replacement"
ENGLISH_RUBRIC "Homograft mitral valve replacement"
SOURCE "READ"
CODE "79100"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON homograft cardiac valve
		HAS_DESTINATION mitral valve structure

RUBRIC "Closure of ductus arteriosus with clip"
ENGLISH_RUBRIC "Closure of ductus arteriosus with clip"
SOURCE "READ"
CODE "X012K"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Manual accept at 8:29:38 pm on August 20, 1998 by jon"
MAIN applying
	ACTS_ON clip
		HAS_DESTINATION ductus arteriosus

RUBRIC "Embolisation of arterial graft"
ENGLISH_RUBRIC "Embolisation of arterial graft"
SOURCE "READ"
CODE "X0153"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON arterial graft

RUBRIC "Revascularisation of thumb"
ENGLISH_RUBRIC "Revascularisation of thumb"
SOURCE "READ"
CODE "X018u"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of the hand

RUBRIC "Vascular cannula replacement"
ENGLISH_RUBRIC "Vascular cannula replacement"
SOURCE "READ"
CODE "X019m"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON vascular cannula
		HAS_DESTINATION cardiovascular structure

RUBRIC "External electrode cardioversion"
ENGLISH_RUBRIC "External electrode cardioversion"
SOURCE "READ"
CODE "XM1KN"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN electrical discharge - action
	HAS_APPROACH closed approach
	ACTS_ON cardiac structure

RUBRIC "Percutaneous embolisation of arteriovenous fistula"
ENGLISH_RUBRIC "Percutaneous embolisation of arteriovenous fistula"
SOURCE "READ"
CODE "Xa0RF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON surgical arteriovenous fistula

RUBRIC "Patch repair of subclavian artery"
ENGLISH_RUBRIC "Patch repair of subclavian artery"
SOURCE "READ"
CODE "XaCLU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION subclavian artery

RUBRIC "Coronary artery bypass grafts greater than 5"
ENGLISH_RUBRIC "Coronary artery bypass grafts greater than 5"
SOURCE "READ"
CODE "X00tL"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Transluminal radiofrequency mitral valvotomy"
ENGLISH_RUBRIC "Transluminal radiofrequency mitral valvotomy"
SOURCE "READ"
CODE "X00uD"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH transvascular approach
	ACTS_ON mitral valve structure
	BY_MEANS_OF radiofrequency controlled thermal probe

RUBRIC "Permanent cardiac pacemaker procedure"
ENGLISH_RUBRIC "Permanent cardiac pacemaker procedure"
SOURCE "READ"
CODE "X011x"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 1:32:17 pm on June 30, 1998 by jon"
MAIN clinical action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure
	HAS_TEMPORAL_MARKER permanent

RUBRIC "Percutaneous transluminal balloon angioplasty of one coronary artery"
ENGLISH_RUBRIC "Percutaneous transluminal balloon angioplasty of one coronary artery"
SOURCE "READ"
CODE "79280"
STATUS "r"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON coronary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Closure of pulmonary valve"
ENGLISH_RUBRIC "Closure of pulmonary valve"
SOURCE "READ"
CODE "X00w4"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON pulmonary valve structure

RUBRIC "Open pulmonary embolectomy"
ENGLISH_RUBRIC "Open pulmonary embolectomy"
SOURCE "READ"
CODE "7A093"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION pulmonary artery structure

RUBRIC "Open removal of foreign body from left ventricle"
ENGLISH_RUBRIC "Open removal of foreign body from left ventricle"
SOURCE "READ"
CODE "X00zv"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH open approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION left ventricular structure

RUBRIC "Classical Blalock-Taussig shunt"
ENGLISH_RUBRIC "Classical Blalock-Taussig shunt"
SOURCE "READ"
CODE "X012p"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: end-to-side anastomosis - applied at 11:59:21 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON end-to-side anastomosis structure
		CONNECTS_1 subclavian artery
		CONNECTS_2 pulmonary artery structure

RUBRIC "Angioplasty of renal artery"
ENGLISH_RUBRIC "Angioplasty of renal artery"
SOURCE "READ"
CODE "X013h"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON renal artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Plication of vena cava"
ENGLISH_RUBRIC "Plication of vena cava"
SOURCE "READ"
CODE "7A631"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON vena caval structure

RUBRIC "Ulnar artery cannula insertion"
ENGLISH_RUBRIC "Ulnar artery cannula insertion"
SOURCE "READ"
CODE "X0198"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION ulnar artery

RUBRIC "Percutaneous endarterectomy of external iliac artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of external iliac artery"
SOURCE "READ"
CODE "Xa0Fq"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION external iliac artery

RUBRIC "Procedure related to surgical arteriovenous connection"
ENGLISH_RUBRIC "Procedure related to surgical arteriovenous connection"
SOURCE "READ"
CODE "Xa0ol"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vascular structure

RUBRIC "Patching of tricuspid valve"
ENGLISH_RUBRIC "Patching of tricuspid valve"
SOURCE "READ"
CODE "XaCI8"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Construction of central aortopulmonary interposition shunt"
ENGLISH_RUBRIC "Construction of central aortopulmonary interposition shunt"
SOURCE "READ"
CODE "7A03."
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 ascending aorta
		CONNECTS_2 pulmonary artery structure

RUBRIC "Operation on ventricular septal patch"
ENGLISH_RUBRIC "Operation on ventricular septal patch"
SOURCE "READ"
CODE "X010K"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON patch
		HAS_LOCATION ventricular septum

RUBRIC "Reimplantation of mitral papillary muscle"
ENGLISH_RUBRIC "Reimplantation of mitral papillary muscle"
SOURCE "READ"
CODE "X00tq"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN reimplantation - action
	ACTS_ON mitral papillary muscle

RUBRIC "Implantation of prosthetic heart"
ENGLISH_RUBRIC "Implantation of prosthetic heart"
SOURCE "READ"
CODE "79012"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic heart
		HAS_DESTINATION cardiac structure

RUBRIC "Repair of defect of tricuspid leaflet"
ENGLISH_RUBRIC "Repair of defect of tricuspid leaflet"
SOURCE "READ"
CODE "X00ui"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified defect
		HAS_LOCATION tricuspid leaflet

RUBRIC "Reimplantation of atrioventricular valve papillary muscle"
ENGLISH_RUBRIC "Reimplantation of atrioventricular valve papillary muscle"
SOURCE "READ"
CODE "X00wY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN reimplantation - action
	ACTS_ON atrioventricular valve papillary muscle

RUBRIC "Removal of thrombus from implanted truncal valve"
ENGLISH_RUBRIC "Removal of thrombus from implanted truncal valve"
SOURCE "READ"
CODE "X00xQ"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION truncal valve structure

RUBRIC "Repair of superior vena cava"
ENGLISH_RUBRIC "Repair of superior vena cava"
SOURCE "READ"
CODE "X00yI"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON superior vena cava

RUBRIC "Repair of implanted aortic paravalvular leak"
ENGLISH_RUBRIC "Repair of implanted aortic paravalvular leak"
SOURCE "READ"
CODE "X00va"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON paraprosthetic aortic regurgitation
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION aortic valve structure

RUBRIC "Closure of systemic to pulmonary artery shunt"
ENGLISH_RUBRIC "Closure of systemic to pulmonary artery shunt"
SOURCE "READ"
CODE "X0133"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN reversal - action
	ACTS_ON cardiovascular structure
	FOLLOWS constructing
		ACTS_ON null
		ACTS_ON anastomosis structure
			CONNECTS_1 intrathoracic systemic artery
			CONNECTS_2 pulmonary artery structure

RUBRIC "Adjustment of arterial stent"
ENGLISH_RUBRIC "Adjustment of arterial stent"
SOURCE "READ"
CODE "X016u"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON vascular stent
		HAS_LOCATION arterial structure

RUBRIC "Plication of vein"
ENGLISH_RUBRIC "Plication of vein"
SOURCE "READ"
CODE "X017m"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON vein

RUBRIC "Removal of stent from arteriovenous fistula"
ENGLISH_RUBRIC "Removal of stent from arteriovenous fistula"
SOURCE "READ"
CODE "X018e"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular stent
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Intracranial to intracranial arterial anastomosis"
ENGLISH_RUBRIC "Intracranial to intracranial arterial anastomosis"
SOURCE "READ"
CODE "X00HY"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intracranial artery
	ACTS_ON anastomosis structure
		CONNECTS_1 intracranial artery
		CONNECTS_2 intracranial artery

RUBRIC "Injection into varicose vein of leg"
ENGLISH_RUBRIC "Injection into varicose vein of leg"
SOURCE "READ"
CODE "7A68."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON unspecified varix
		HAS_LOCATION vein of lower limb

RUBRIC "Percutaneous thrombolysis of renal artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of renal artery"
SOURCE "READ"
CODE "X70XZ"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION renal artery

RUBRIC "Embolisation of suprarenal artery"
ENGLISH_RUBRIC "Embolisation of suprarenal artery"
SOURCE "READ"
CODE "Xa7pr"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON adrenal artery

RUBRIC "Profundoplasty"
ENGLISH_RUBRIC "Profundoplasty"
SOURCE "READ"
CODE "Xa8Ow"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON profunda femoris artery
	TO_ACHIEVE repairing

RUBRIC "Percutaneous transluminal tricuspid valvotomy"
ENGLISH_RUBRIC "Percutaneous transluminal tricuspid valvotomy"
SOURCE "READ"
CODE "79192"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON tricuspid valve structure

RUBRIC "Removal of aortic cross clamp"
ENGLISH_RUBRIC "Removal of aortic cross clamp"
SOURCE "READ"
CODE "Xa87N"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular cross clamp
		HAS_LOCATION aortic structure

RUBRIC "Exploration of subclavian artery"
ENGLISH_RUBRIC "Exploration of subclavian artery"
SOURCE "READ"
CODE "XaBBU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON subclavian artery

RUBRIC "Ligation of brachial artery"
ENGLISH_RUBRIC "Ligation of brachial artery"
SOURCE "READ"
CODE "7A274"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON brachial artery
	BY_MEANS_OF ligature

RUBRIC "Repair of double outlet left ventricle with right ventricle to pulmonary trunk conduit and ventricular septal defect closure"
ENGLISH_RUBRIC "Repair of double outlet left ventricle with right ventricle to pulmonary trunk conduit and ventricular septal defect closure"
SOURCE "READ"
CODE "X010p"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 pulmonary trunk
MOTIVATED_OVERALL_BY double outlet left ventricle
	HAS_LOCATION left ventricular structure
WITH closure - action
	ACTS_ON unspecified defect
		HAS_LOCATION ventricular septum

RUBRIC "Removal of thrombus from mitral valve"
ENGLISH_RUBRIC "Removal of thrombus from mitral valve"
SOURCE "READ"
CODE "X00u4"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION mitral valve structure

RUBRIC "Maze operation"
ENGLISH_RUBRIC "Maze operation"
SOURCE "READ"
CODE "X011h"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 11:21:19 am on September 30, 1998 by jon
Manual accept at 11:21:34 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure
	HAS_METHOD maze procedure

RUBRIC "Angioplasty of thoracic aorta"
ENGLISH_RUBRIC "Angioplasty of thoracic aorta"
SOURCE "READ"
CODE "X013X"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON thoracic aorta structure
	BY_MEANS_OF angioplasty catheter

RUBRIC "Implantation of ventricular assist device"
ENGLISH_RUBRIC "Implantation of ventricular assist device"
SOURCE "READ"
CODE "X00xv"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON ventricular assist device
		HAS_DESTINATION cardiac ventricular structure

RUBRIC "Plication of right atrial wall"
ENGLISH_RUBRIC "Plication of right atrial wall"
SOURCE "READ"
CODE "X00yn"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON right atrial structure

RUBRIC "Right ventricular outflow tract myotomy"
ENGLISH_RUBRIC "Right ventricular outflow tract myotomy"
SOURCE "READ"
CODE "X00zf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN incision - action
	ACTS_ON right ventricular outflow tract

RUBRIC "Endarterectomy of hepatic artery"
ENGLISH_RUBRIC "Endarterectomy of hepatic artery"
SOURCE "READ"
CODE "X014P"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION hepatic artery

RUBRIC "Thrombectomy of vein"
ENGLISH_RUBRIC "Thrombectomy of vein"
SOURCE "READ"
CODE "X0178"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION vein

RUBRIC "Division of vein"
ENGLISH_RUBRIC "Division of vein"
SOURCE "READ"
CODE "X0180"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN division - action
	ACTS_ON vein

RUBRIC "Annuloplasty of tricuspid valve"
ENGLISH_RUBRIC "Annuloplasty of tricuspid valve"
SOURCE "READ"
CODE "XE0El"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON tricuspid annulus
	TO_ACHIEVE repairing

RUBRIC "Suturing of mitral valve"
ENGLISH_RUBRIC "Suturing of mitral valve"
SOURCE "READ"
CODE "XaCG8"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON mitral valve structure

RUBRIC "Open operation for coronary artery fistula"
ENGLISH_RUBRIC "Open operation for coronary artery fistula"
SOURCE "READ"
CODE "X00ta"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	HAS_APPROACH open approach
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery

RUBRIC "Heparinising cannula"
ENGLISH_RUBRIC "Heparinising cannula"
SOURCE "READ"
CODE "Ua1Aw"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SUBSTANCE + TYPE_OF_DEVICE - applied at 12:01:19 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON heparin
		HAS_DESTINATION vascular cannula
			HAS_LOCATION cardiovascular structure

RUBRIC "Aortic valvotomy"
ENGLISH_RUBRIC "Aortic valvotomy"
SOURCE "READ"
CODE "X00vQ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON aortic valve structure

RUBRIC "Insertion of stent in pulmonary vein"
ENGLISH_RUBRIC "Insertion of stent in pulmonary vein"
SOURCE "READ"
CODE "X00y9"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION pulmonary vein

RUBRIC "Plication of left atrial wall"
ENGLISH_RUBRIC "Plication of left atrial wall"
SOURCE "READ"
CODE "X00z1"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON left atrial structure

RUBRIC "Shortening operation on tricuspid papillary muscle"
ENGLISH_RUBRIC "Shortening operation on tricuspid papillary muscle"
SOURCE "READ"
CODE "X00uY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN shortening - action
	ACTS_ON tricuspid papillary muscle

RUBRIC "Ligation of penile veins for impotence"
ENGLISH_RUBRIC "Ligation of penile veins for impotence"
SOURCE "READ"
CODE "7A6G5"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON impotence
		HAS_LOCATION penile vein
	BY_MEANS_OF ligature

RUBRIC "Norwood type operation"
ENGLISH_RUBRIC "Norwood type operation"
SOURCE "READ"
CODE "X0113"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 11:50:03 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON hypoplastic left heart syndrome
		HAS_LOCATION cardiac structure
	HAS_METHOD Norwood Method

RUBRIC "Embolisation of vertebral artery"
ENGLISH_RUBRIC "Embolisation of vertebral artery"
SOURCE "READ"
CODE "X014u"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON vertebral artery

RUBRIC "Thrombolysis of arteriovenous fistula"
ENGLISH_RUBRIC "Thrombolysis of arteriovenous fistula"
SOURCE "READ"
CODE "X018U"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON thrombolytic
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Closed tricuspid valvotomy"
ENGLISH_RUBRIC "Closed tricuspid valvotomy"
SOURCE "READ"
CODE "79172"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON tricuspid valve structure

RUBRIC "Plication of ascending aorta"
ENGLISH_RUBRIC "Plication of ascending aorta"
SOURCE "READ"
CODE "XaDqk"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON ascending aorta

RUBRIC "Transluminal right ventricular biopsy after heart transplant"
ENGLISH_RUBRIC "Transluminal right ventricular biopsy after heart transplant"
SOURCE "READ"
CODE "XaBYA"
STATUS "a"
HISTORY "
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN biopsy - action
	HAS_APPROACH transvenous approach
	ACTS_ON right ventricular structure
	FOLLOWS transplantation - action
		ACTS_ON cardiac structure

RUBRIC "Exclusion operation for arrhythmia"
ENGLISH_RUBRIC "Exclusion operation for arrhythmia"
SOURCE "READ"
CODE "X011X"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 11:37:42 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure
	TO_ACHIEVE diagnosis

RUBRIC "Excision of vegetations from ductus arteriosus"
ENGLISH_RUBRIC "Excision of vegetations from ductus arteriosus"
SOURCE "READ"
CODE "X012P"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION ductus arteriosus

RUBRIC "Excision of vegetations from implanted pulmonary valve"
ENGLISH_RUBRIC "Excision of vegetations from implanted pulmonary valve"
SOURCE "READ"
CODE "X00vv"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION pulmonary valve structure

RUBRIC "Liberation of superior bridging leaflet using patch"
ENGLISH_RUBRIC "Liberation of superior bridging leaflet using patch"
SOURCE "READ"
CODE "X00wn"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN freeing - action
	ACTS_ON superior bridging leaflet

RUBRIC "Percutaneous embolisation of renal artery"
ENGLISH_RUBRIC "Percutaneous embolisation of renal artery"
SOURCE "READ"
CODE "7A322"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON renal artery

RUBRIC "Repair of implanted truncal paravalvular leak"
ENGLISH_RUBRIC "Repair of implanted truncal paravalvular leak"
SOURCE "READ"
CODE "X00xf"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON prosthetic cardiac paravalvular leak
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION truncal valve structure

RUBRIC "Open removal of foreign body from right ventricle"
ENGLISH_RUBRIC "Open removal of foreign body from right ventricle"
SOURCE "READ"
CODE "X00zV"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH open approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION right ventricular structure

RUBRIC "Percutaneous thrombolysis of external iliac artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of external iliac artery"
SOURCE "READ"
CODE "X0158"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION external iliac artery

RUBRIC "Axillofemoral bypass graft"
ENGLISH_RUBRIC "Axillofemoral bypass graft"
SOURCE "READ"
CODE "X0160"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES aortic structure
		CONNECTS_1 axillary artery
		CONNECTS_2 femoral artery

RUBRIC "Revascularisation of foot"
ENGLISH_RUBRIC "Revascularisation of foot"
SOURCE "READ"
CODE "X018z"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON foot artery

RUBRIC "Endarterectomy of subclavian artery"
ENGLISH_RUBRIC "Endarterectomy of subclavian artery"
SOURCE "READ"
CODE "X70Ww"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION subclavian artery

RUBRIC "Endarterectomy of intracranial artery"
ENGLISH_RUBRIC "Endarterectomy of intracranial artery"
SOURCE "READ"
CODE "X00Hn"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION intracranial artery

RUBRIC "Patching of defect of atrioventricular valve leaflet"
ENGLISH_RUBRIC "Patching of defect of atrioventricular valve leaflet"
SOURCE "READ"
CODE "XaCHz"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION atrioventricular valve leaflet
MOTIVATED_OVERALL_BY unspecified defect

RUBRIC "Patch repair of adrenal artery"
ENGLISH_RUBRIC "Patch repair of adrenal artery"
SOURCE "READ"
CODE "XaCLZ"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION adrenal artery

RUBRIC "Percutaneous low speed rotational coronary atherectomy"
ENGLISH_RUBRIC "Percutaneous low speed rotational coronary atherectomy"
SOURCE "READ"
CODE "X00tQ"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	BY_MEANS_OF low speed rotablator
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Inspection of implanted aortic valve"
ENGLISH_RUBRIC "Inspection of implanted aortic valve"
SOURCE "READ"
CODE "X00vA"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION aortic valve structure

RUBRIC "Transluminal radiofrequency pulmonary valvotomy"
ENGLISH_RUBRIC "Transluminal radiofrequency pulmonary valvotomy"
SOURCE "READ"
CODE "X00w9"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH transvascular approach
	ACTS_ON pulmonary valve structure
	BY_MEANS_OF radiofrequency controlled thermal probe

RUBRIC "Atrioventricular (non-mitral non-tricuspid) valve replacement"
ENGLISH_RUBRIC "Atrioventricular (non-mitral non-tricuspid) valve replacement"
SOURCE "READ"
CODE "X00x1"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Division of superior vena cava with end-to-side anastomoses of both ends to the right pulmonary artery with isolation from right atrium"
ENGLISH_RUBRIC "Division of superior vena cava with end-to-side anastomoses of both ends to the right pulmonary artery with isolation from right atrium"
SOURCE "READ"
CODE "X012u"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: end-to-side anastomosis - applied at 11:59:21 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON end-to-side anastomosis structure
		CONNECTS_1 superior vena cava
		CONNECTS_2 right pulmonary artery
WITH division - action
	ACTS_ON superior vena cava

RUBRIC "Angioplasty of external iliac artery"
ENGLISH_RUBRIC "Angioplasty of external iliac artery"
SOURCE "READ"
CODE "X013m"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON external iliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Ligation of anterior division of internal iliac artery"
ENGLISH_RUBRIC "Ligation of anterior division of internal iliac artery"
SOURCE "READ"
CODE "X016U"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON anterior division of internal iliac artery
	BY_MEANS_OF ligature

RUBRIC "Insertion of stent into vein"
ENGLISH_RUBRIC "Insertion of stent into vein"
SOURCE "READ"
CODE "X017M"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:39 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION vein

RUBRIC "Excision of varicose vein"
ENGLISH_RUBRIC "Excision of varicose vein"
SOURCE "READ"
CODE "X018E"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON varices
		HAS_LOCATION vein

RUBRIC "Percutaneous thrombolysis of artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of artery"
SOURCE "READ"
CODE "Xa0Gn"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION arterial structure

RUBRIC "Ligation of intracranial aneurysm"
ENGLISH_RUBRIC "Ligation of intracranial aneurysm"
SOURCE "READ"
CODE "X00H9"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified aneurysm
		HAS_LOCATION intracranial artery
	BY_MEANS_OF ligature

RUBRIC "Allograft replacement of one coronary artery"
ENGLISH_RUBRIC "Allograft replacement of one coronary artery"
SOURCE "READ"
CODE "79220"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF allograft vein
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Placement of vein cuff around arterial anastomosis"
ENGLISH_RUBRIC "Placement of vein cuff around arterial anastomosis"
SOURCE "READ"
CODE "XaBVI"
STATUS "r"
HISTORY "
Transformation - MATERIAL to BY_MEANS_OF - applied at 12:02:30 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN reinforcement - action
	ACTS_ON arterial structure
	BY_MEANS_OF autologous vein

RUBRIC "Ventricular septation operation"
ENGLISH_RUBRIC "Ventricular septation operation"
SOURCE "READ"
CODE "X010P"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN septation - action
	ACTS_ON ventricular septum

RUBRIC "Fenestration operation on mitral chordae tendinae"
ENGLISH_RUBRIC "Fenestration operation on mitral chordae tendinae"
SOURCE "READ"
CODE "X00tv"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN fenestration - action
	ACTS_ON mitral chordae tendinae

RUBRIC "Excision of vegetations from tricuspid valve"
ENGLISH_RUBRIC "Excision of vegetations from tricuspid valve"
SOURCE "READ"
CODE "X00un"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION tricuspid valve structure

RUBRIC "Reimplantation of renal artery"
ENGLISH_RUBRIC "Reimplantation of renal artery"
SOURCE "READ"
CODE "7A302"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN transposition - action
	ACTS_ON renal artery

RUBRIC "Open truncal valvotomy"
ENGLISH_RUBRIC "Open truncal valvotomy"
SOURCE "READ"
CODE "X00xV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON truncal valve structure

RUBRIC "Replacement of implanted aortic valve"
ENGLISH_RUBRIC "Replacement of implanted aortic valve"
SOURCE "READ"
CODE "X00vf"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION aortic valve structure

RUBRIC "Open atrial fenestration"
ENGLISH_RUBRIC "Open atrial fenestration"
SOURCE "READ"
CODE "X00zF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN fenestration - action
	HAS_APPROACH open approach
	ACTS_ON atrial septum

RUBRIC "Division of superior vena cava"
ENGLISH_RUBRIC "Division of superior vena cava"
SOURCE "READ"
CODE "X00yN"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN division - action
	ACTS_ON superior vena cava

RUBRIC "Construction of conduit - pulmonary trunk to left pulmonary artery"
ENGLISH_RUBRIC "Construction of conduit - pulmonary trunk to left pulmonary artery"
SOURCE "READ"
CODE "X011H"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 pulmonary trunk
		CONNECTS_2 left pulmonary artery

RUBRIC "Exploration of aneurysm"
ENGLISH_RUBRIC "Exploration of aneurysm"
SOURCE "READ"
CODE "X016z"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION arterial structure

RUBRIC "Creation of ventriculoatrial shunt"
ENGLISH_RUBRIC "Creation of ventriculoatrial shunt"
SOURCE "READ"
CODE "X00Gf"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 ventricle of brain
		CONNECTS_2 right atrial structure

RUBRIC "Banding of arteriovenous fistula"
ENGLISH_RUBRIC "Banding of arteriovenous fistula"
SOURCE "READ"
CODE "X018j"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Splenic vein cannula insertion"
ENGLISH_RUBRIC "Splenic vein cannula insertion"
SOURCE "READ"
CODE "X019b"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION splenic vein

RUBRIC "General maintenance of cardiac pacemaker"
ENGLISH_RUBRIC "General maintenance of cardiac pacemaker"
SOURCE "READ"
CODE "Xa02R"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN maintenance - action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure

RUBRIC "Percutaneous angioplasty of systemic venous pathway"
ENGLISH_RUBRIC "Percutaneous angioplasty of systemic venous pathway"
SOURCE "READ"
CODE "Xa0FA"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON systemic venous pathway
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous removal of foreign body from arterial graft"
ENGLISH_RUBRIC "Percutaneous removal of foreign body from arterial graft"
SOURCE "READ"
CODE "Xa0aR"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH percutaneous approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION arterial graft

RUBRIC "Embolisation of pulmonary artery"
ENGLISH_RUBRIC "Embolisation of pulmonary artery"
SOURCE "READ"
CODE "Xa7pw"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON pulmonary artery structure

RUBRIC "Translocation of branch of renal artery"
ENGLISH_RUBRIC "Translocation of branch of renal artery"
SOURCE "READ"
CODE "XE0FD"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN transposition - action
	ACTS_ON branch of renal artery

RUBRIC "Disc valve truncal valve replacement"
ENGLISH_RUBRIC "Disc valve truncal valve replacement"
SOURCE "READ"
CODE "XaBY1"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Patch repair of systemic venous pathway"
ENGLISH_RUBRIC "Patch repair of systemic venous pathway"
SOURCE "READ"
CODE "XaCD0"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION systemic venous pathway

RUBRIC "Percutaneous angioplasty of brachial artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of brachial artery"
SOURCE "READ"
CODE "7A281"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON brachial artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Insertion of subclavian feeding line"
ENGLISH_RUBRIC "Insertion of subclavian feeding line"
SOURCE "READ"
CODE "7A6C5"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via subclavian vein
	ACTS_ON vascular catheter
		HAS_DESTINATION superior vena cava

RUBRIC "Closure of mitral valve"
ENGLISH_RUBRIC "Closure of mitral valve"
SOURCE "READ"
CODE "X00u9"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON mitral valve structure

RUBRIC "Rotation of implanted tricuspid valve"
ENGLISH_RUBRIC "Rotation of implanted tricuspid valve"
SOURCE "READ"
CODE "X00v1"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN rotating
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION tricuspid valve structure

RUBRIC "Operation for pulmonary arteriovenous malformation"
ENGLISH_RUBRIC "Operation for pulmonary arteriovenous malformation"
SOURCE "READ"
CODE "X012e"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON intrapulmonary arteriovenous fistula
		HAS_LOCATION pulmonary vascular structure

RUBRIC "Repair of pulmonary artery using prosthesis"
ENGLISH_RUBRIC "Repair of pulmonary artery using prosthesis"
SOURCE "READ"
CODE "7A080"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary artery structure

RUBRIC "Endarterectomy of external iliac artery"
ENGLISH_RUBRIC "Endarterectomy of external iliac artery"
SOURCE "READ"
CODE "X014U"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION external iliac artery

RUBRIC "Direct insertion of right atrial catheter"
ENGLISH_RUBRIC "Direct insertion of right atrial catheter"
SOURCE "READ"
CODE "X00ys"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH open approach
	ACTS_ON vascular catheter
		HAS_DESTINATION right atrial structure

RUBRIC "Construction of conduit - right ventricle to pulmonary trunk"
ENGLISH_RUBRIC "Construction of conduit - right ventricle to pulmonary trunk"
SOURCE "READ"
CODE "X00zk"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 pulmonary trunk

RUBRIC "Patch repair of artery"
ENGLISH_RUBRIC "Patch repair of artery"
SOURCE "READ"
CODE "X016E"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION arterial structure

RUBRIC "Open intracoronary repair of coronary artery fistula"
ENGLISH_RUBRIC "Open intracoronary repair of coronary artery fistula"
SOURCE "READ"
CODE "X90Qa"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	HAS_APPROACH open approach
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery

RUBRIC "Percutaneous embolisation of uterine artery"
ENGLISH_RUBRIC "Percutaneous embolisation of uterine artery"
SOURCE "READ"
CODE "XaDca"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	ACTS_ON uterine artery

RUBRIC "Mechanical prosthetic pulmonary valve replacement"
ENGLISH_RUBRIC "Mechanical prosthetic pulmonary valve replacement"
SOURCE "READ"
CODE "79132"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON mechanical cardiac valve prosthesis
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Excision of congenital arteriovenous malformation"
ENGLISH_RUBRIC "Excision of congenital arteriovenous malformation"
SOURCE "READ"
CODE "XE0Fi"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON congenital arteriovenous malformation
		HAS_LOCATION vascular structure

RUBRIC "Saphenous vein graft replacement of one coronary artery"
ENGLISH_RUBRIC "Saphenous vein graft replacement of one coronary artery"
SOURCE "READ"
CODE "79200"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF saphenous vein graft
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Intravascular ultrasound of artery"
ENGLISH_RUBRIC "Intravascular ultrasound of artery"
SOURCE "READ"
CODE "X70m6"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 12:01:51 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN imaging - action
	BY_MEANS_OF ultrasound technique
	HAS_APPROACH transvascular approach
	ACTS_ON arterial structure

RUBRIC "Heart valve operation"
ENGLISH_RUBRIC "Heart valve operation"
SOURCE "READ"
CODE "X00tf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve structure

RUBRIC "Maintenance procedure for cardiac pacemaker system"
ENGLISH_RUBRIC "Maintenance procedure for cardiac pacemaker system"
SOURCE "READ"
CODE "X0120"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN maintenance - action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure

RUBRIC "Aortic valve replacement"
ENGLISH_RUBRIC "Aortic valve replacement"
SOURCE "READ"
CODE "X00vV"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON device
		HAS_DESTINATION aortic valve structure

RUBRIC "Vein graft thrombectomy"
ENGLISH_RUBRIC "Vein graft thrombectomy"
SOURCE "READ"
CODE "7A6H2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:30:50 pm on August 20, 1998 by jon
Manual accept at 8:31:52 pm on August 20, 1998 by jon"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION vein graft
			HAS_LOCATION artery

RUBRIC "Inspection of truncal valve"
ENGLISH_RUBRIC "Inspection of truncal valve"
SOURCE "READ"
CODE "X00xF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON truncal valve structure

RUBRIC "Atrioventricular (non-mitral, non-tricuspid) valve operation"
ENGLISH_RUBRIC "Atrioventricular (non-mitral, non-tricuspid) valve operation"
SOURCE "READ"
CODE "X00wN"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrioventricular valve structure

RUBRIC "Atrial septation operation"
ENGLISH_RUBRIC "Atrial septation operation"
SOURCE "READ"
CODE "X00z6"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrial septum

RUBRIC "Embolisation of bronchial artery"
ENGLISH_RUBRIC "Embolisation of bronchial artery"
SOURCE "READ"
CODE "X014z"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON bronchial artery

RUBRIC "Insertion of carotid artery stent"
ENGLISH_RUBRIC "Insertion of carotid artery stent"
SOURCE "READ"
CODE "X016j"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION carotid artery

RUBRIC "Bypass / graft of vein"
ENGLISH_RUBRIC "Bypass / graft of vein"
SOURCE "READ"
CODE "X017b"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:55 pm on May 29, 1998"
MAIN constructing
	ACTS_ON vein
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 vein
		CONNECTS_2 vein

RUBRIC "Embolectomy of arteriovenous graft"
ENGLISH_RUBRIC "Embolectomy of arteriovenous graft"
SOURCE "READ"
CODE "X018Z"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION arteriovenous graft

RUBRIC "Central venous cannula insertion via antecubital fossa vein"
ENGLISH_RUBRIC "Central venous cannula insertion via antecubital fossa vein"
SOURCE "READ"
CODE "X019R"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:39 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via antecubital vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Excision of artery"
ENGLISH_RUBRIC "Excision of artery"
SOURCE "READ"
CODE "XaBCB"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON arterial structure

RUBRIC "Operation for transposition-like conditions"
ENGLISH_RUBRIC "Operation for transposition-like conditions"
SOURCE "READ"
CODE "X010e"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON abnormal ventriculoarterial connection
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Ligation of aneurysm of popliteal artery"
ENGLISH_RUBRIC "Ligation of aneurysm of popliteal artery"
SOURCE "READ"
CODE "7A4A4"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified aneurysm
		HAS_LOCATION popliteal artery
	BY_MEANS_OF ligature

RUBRIC "Transection and oversewing of pulmonary trunk"
ENGLISH_RUBRIC "Transection and oversewing of pulmonary trunk"
SOURCE "READ"
CODE "X012U"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN division - action
	ACTS_ON pulmonary trunk

RUBRIC "Decalcification of atrioventricular valve"
ENGLISH_RUBRIC "Decalcification of atrioventricular valve"
SOURCE "READ"
CODE "X00ws"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Replacement of implanted truncal valve"
ENGLISH_RUBRIC "Replacement of implanted truncal valve"
SOURCE "READ"
CODE "X00xk"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Closure of coronary sinus atrial septal defect"
ENGLISH_RUBRIC "Closure of coronary sinus atrial septal defect"
SOURCE "READ"
CODE "X00yc"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON atrial septal defect through coronary sinus orifice
		HAS_LOCATION coronary sinus structure

RUBRIC "Endarterectomy of external carotid artery"
ENGLISH_RUBRIC "Endarterectomy of external carotid artery"
SOURCE "READ"
CODE "X014E"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION external carotid artery

RUBRIC "Iliopopliteal graft"
ENGLISH_RUBRIC "Iliopopliteal graft"
SOURCE "READ"
CODE "X0165"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES null
		CONNECTS_1 iliac artery
		CONNECTS_2 popliteal artery

RUBRIC "Mechanical prosthetic aortic valve replacement"
ENGLISH_RUBRIC "Mechanical prosthetic aortic valve replacement"
SOURCE "READ"
CODE "79112"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON mechanical cardiac valve prosthesis
		HAS_DESTINATION aortic valve structure

RUBRIC "Left ventricular endocardectomy"
ENGLISH_RUBRIC "Left ventricular endocardectomy"
SOURCE "READ"
CODE "X0100"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Manual accept at 8:32:38 pm on August 20, 1998 by jon
Manual accept at 8:32:56 pm on August 20, 1998 by jon"
MAIN excision - action
	ACTS_ON endocardial
		HAS_LOCATION left ventricular structure

RUBRIC "Exploration of coronary artery with inspection only"
ENGLISH_RUBRIC "Exploration of coronary artery with inspection only"
SOURCE "READ"
CODE "X00tV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON coronary artery

RUBRIC "Plication of aortic valve cusp"
ENGLISH_RUBRIC "Plication of aortic valve cusp"
SOURCE "READ"
CODE "X00vF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON aortic valve cusp

RUBRIC "Heart procedure"
ENGLISH_RUBRIC "Heart procedure"
SOURCE "READ"
CODE "79..."
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON intrathoracic cardiovascular structure

RUBRIC "Application of band to systemic to pulmonary artery shunt"
ENGLISH_RUBRIC "Application of band to systemic to pulmonary artery shunt"
SOURCE "READ"
CODE "X012z"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION systemic to pulmonary arterial shunt

RUBRIC "Percutaneous angioplasty of superficial femoral artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of superficial femoral artery"
SOURCE "READ"
CODE "X013r"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON superficial femoral artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of artery"
ENGLISH_RUBRIC "Embolisation of artery"
SOURCE "READ"
CODE "X014j"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON arterial structure

RUBRIC "Division of subclavian artery"
ENGLISH_RUBRIC "Division of subclavian artery"
SOURCE "READ"
CODE "X016Z"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN division - action
	ACTS_ON subclavian artery

RUBRIC "Insertion of stent into iliac vein"
ENGLISH_RUBRIC "Insertion of stent into iliac vein"
SOURCE "READ"
CODE "X017R"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION iliac vein

RUBRIC "Arteriovenous procedure"
ENGLISH_RUBRIC "Arteriovenous procedure"
SOURCE "READ"
CODE "X018J"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vascular structure

RUBRIC "Dorsalis pedis artery cannula insertion"
ENGLISH_RUBRIC "Dorsalis pedis artery cannula insertion"
SOURCE "READ"
CODE "X019B"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION dorsalis pedis artery

RUBRIC "Biological pulmonary valve replacement"
ENGLISH_RUBRIC "Biological pulmonary valve replacement"
SOURCE "READ"
CODE "XaBXs"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve bio-prosthesis
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Patching of aortopulmonary window"
ENGLISH_RUBRIC "Patching of aortopulmonary window"
SOURCE "READ"
CODE "XaCGR"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 2:22:38 pm on November 3, 1998 by jon
Manual accept at 2:22:53 pm on November 3, 1998 by jon"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION intrathoracic cardiovascular structure
MOTIVATED_OVERALL_BY closing
	ACTS_ON aortopulmonary window

RUBRIC "Patch repair of carotid artery"
ENGLISH_RUBRIC "Patch repair of carotid artery"
SOURCE "READ"
CODE "Xa9Ir"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION carotid artery

RUBRIC "Aspiration of pericardium"
ENGLISH_RUBRIC "Aspiration of pericardium"
SOURCE "READ"
CODE "Xa1nd"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN aspiration - action
	ACTS_ON pericardial structure

RUBRIC "Repair of Fallot-type double outlet right ventricle"
ENGLISH_RUBRIC "Repair of Fallot-type double outlet right ventricle"
SOURCE "READ"
CODE "X010U"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON double outlet right ventricle
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Construction of aortopulmonary window"
ENGLISH_RUBRIC "Construction of aortopulmonary window"
SOURCE "READ"
CODE "7A040"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 ascending aorta
		CONNECTS_2 pulmonary artery structure

RUBRIC "Aortic valve replacement and patch aortoplasty"
ENGLISH_RUBRIC "Aortic valve replacement and patch aortoplasty"
SOURCE "READ"
CODE "X00vk"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION aortic valve structure
WITH applying
	ACTS_ON patch
		HAS_DESTINATION aortic structure

RUBRIC "Division/resection of atrioventricular valve chordae tendinae"
ENGLISH_RUBRIC "Division/resection of atrioventricular valve chordae tendinae"
SOURCE "READ"
CODE "X00wc"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON atrioventricular valve chordae tendinae

RUBRIC "Decalcification of implanted tricuspid valve"
ENGLISH_RUBRIC "Decalcification of implanted tricuspid valve"
SOURCE "READ"
CODE "X00us"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION tricuspid valve structure

RUBRIC "Insertion of stent in inferior vena cava"
ENGLISH_RUBRIC "Insertion of stent in inferior vena cava"
SOURCE "READ"
CODE "X00yS"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION inferior vena cava

RUBRIC "Static balloon atrial septostomy"
ENGLISH_RUBRIC "Static balloon atrial septostomy"
SOURCE "READ"
CODE "X00zK"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN incision - action
	HAS_APPROACH transvascular approach
	ACTS_ON atrial septum
	BY_MEANS_OF balloon septostomy catheter

RUBRIC "Cardiac massage"
ENGLISH_RUBRIC "Cardiac massage"
SOURCE "READ"
CODE "X012E"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN massage - action
	ACTS_ON cardiac structure

RUBRIC "Repair of aortic aneurysm using bifurcation graft"
ENGLISH_RUBRIC "Repair of aortic aneurysm using bifurcation graft"
SOURCE "READ"
CODE "7A11."
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES aortic bifurcation
MOTIVATED_OVERALL_BY unspecified aneurysm

RUBRIC "Removal of intravascular foreign body from artery"
ENGLISH_RUBRIC "Removal of intravascular foreign body from artery"
SOURCE "READ"
CODE "X0145"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION arterial structure

RUBRIC "Laparoscopic ligation of varicocele"
ENGLISH_RUBRIC "Laparoscopic ligation of varicocele"
SOURCE "READ"
CODE "X017w"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	HAS_APPROACH endoscopic approach
	ACTS_ON unspecified varix
		HAS_LOCATION vein of spermatic cord
	BY_MEANS_OF ligature

RUBRIC "Exploration of arteriovenous graft"
ENGLISH_RUBRIC "Exploration of arteriovenous graft"
SOURCE "READ"
CODE "X018o"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON arteriovenous graft

RUBRIC "Cannulation of vascular fistula, graft or prosthetic device"
ENGLISH_RUBRIC "Cannulation of vascular fistula, graft or prosthetic device"
SOURCE "READ"
CODE "X019g"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION cardiovascular structure

RUBRIC "Percutaneous angioplasty of intracranial artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of intracranial artery"
SOURCE "READ"
CODE "X00Hc"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON intracranial artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Bileaflet mitral valve replacement"
ENGLISH_RUBRIC "Bileaflet mitral valve replacement"
SOURCE "READ"
CODE "XM1IX"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Ligation of ethmoid artery"
ENGLISH_RUBRIC "Ligation of ethmoid artery"
SOURCE "READ"
CODE "74041"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON ethmoid artery
	BY_MEANS_OF ligature

RUBRIC "Stripping of the long saphenous vein"
ENGLISH_RUBRIC "Stripping of the long saphenous vein"
SOURCE "READ"
CODE "7A690"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN stripping - action
	ACTS_ON long saphenous vein

RUBRIC "Resection of interrupted aortic arch"
ENGLISH_RUBRIC "Resection of interrupted aortic arch"
SOURCE "READ"
CODE "XaBY6"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 10:56:44 am on September 30, 1998 by jon"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION aortic arch

RUBRIC "Reversal of procedure for complex congenital heart disease"
ENGLISH_RUBRIC "Reversal of procedure for complex congenital heart disease"
SOURCE "READ"
CODE "XaDe1"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN reversal - action
	ACTS_ON congenital heart disease
		HAS_LOCATION cardiovascular structure
	FOLLOWS clinical action
		ACTS_ON cardiovascular structure

RUBRIC "Percutaneous transluminal embolisation of subclavian artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of subclavian artery"
SOURCE "READ"
CODE "7A286"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON subclavian artery

RUBRIC "Total cavopulmonary connection"
ENGLISH_RUBRIC "Total cavopulmonary connection"
SOURCE "READ"
CODE "X010z"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	HAS_EXTENT total
	ACTS_ON anastomosis structure
		CONNECTS_1 vena cava
		CONNECTS_2 pulmonary artery structure

RUBRIC "Transection of coronary artery muscle bridge"
ENGLISH_RUBRIC "Transection of coronary artery muscle bridge"
SOURCE "READ"
CODE "79272"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN division - action
	ACTS_ON unspecified obstruction
		HAS_LOCATION coronary artery

RUBRIC "Direct temporary cardiac pacemaker procedure"
ENGLISH_RUBRIC "Direct temporary cardiac pacemaker procedure"
SOURCE "READ"
CODE "X011r"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Manual accept at 1:33:44 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_APPROACH open approach
	HAS_TEMPORAL_MARKER temporary
	ACTS_ON cardiac pacemaker implant
		HAS_DESTINATION cardiac structure

RUBRIC "Closure of an aortic tunnel"
ENGLISH_RUBRIC "Closure of an aortic tunnel"
SOURCE "READ"
CODE "X012j"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON aortic tunnel
		HAS_LOCATION thoracic aorta structure

RUBRIC "Removal of left atrial thrombus"
ENGLISH_RUBRIC "Removal of left atrial thrombus"
SOURCE "READ"
CODE "X00yx"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION left atrial structure

RUBRIC "Left ventricular operation"
ENGLISH_RUBRIC "Left ventricular operation"
SOURCE "READ"
CODE "X00zp"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON left ventricular structure

RUBRIC "Angioplasty of hepatic artery"
ENGLISH_RUBRIC "Angioplasty of hepatic artery"
SOURCE "READ"
CODE "X013b"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON hepatic artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Distal splenorenal shunt"
ENGLISH_RUBRIC "Distal splenorenal shunt"
SOURCE "READ"
CODE "7A623"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998
Manual accept at 1:06:06 am on June 26, 1998 by jeremy
Manual accept at 1:06:11 am on June 26, 1998 by jeremy
Manual accept at 8:33:20 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON end-to-side anastomosis
		CONNECTS_1 splenic vein
		CONNECTS_2 renal vein

RUBRIC "Embolisation of vein"
ENGLISH_RUBRIC "Embolisation of vein"
SOURCE "READ"
CODE "X017B"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON vein

RUBRIC "Arterial cannula insertion"
ENGLISH_RUBRIC "Arterial cannula insertion"
SOURCE "READ"
CODE "X0192"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION arterial structure

RUBRIC "Construction of arteriovenous shunt"
ENGLISH_RUBRIC "Construction of arteriovenous shunt"
SOURCE "READ"
CODE "XE2tw"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular shunt
	ACTS_ON vascular structure
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 vein

RUBRIC "Percutaneous endarterectomy of renal artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of renal artery"
SOURCE "READ"
CODE "Xa0Fk"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION renal artery

RUBRIC "Ligation of long saphenous vein"
ENGLISH_RUBRIC "Ligation of long saphenous vein"
SOURCE "READ"
CODE "XE0Fn"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON long saphenous vein
	BY_MEANS_OF ligature

RUBRIC "Suturing of defect of mitral leaflet"
ENGLISH_RUBRIC "Suturing of defect of mitral leaflet"
SOURCE "READ"
CODE "XaCI2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON unspecified defect
		HAS_LOCATION mitral leaflet

RUBRIC "Transluminal closure of ductus arteriosus with prosthesis"
ENGLISH_RUBRIC "Transluminal closure of ductus arteriosus with prosthesis"
SOURCE "READ"
CODE "7A020"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 8:33:44 pm on August 20, 1998 by jon"
MAIN inserting
	HAS_APPROACH transvascular approach
	ACTS_ON patent ductus closure prosthesis
		HAS_DESTINATION ductus arteriosus
MOTIVATED_OVERALL_BY treating
	ACTS_ON patent ductus arteriosus

RUBRIC "Insertion of permanent cardiac pacemaker"
ENGLISH_RUBRIC "Insertion of permanent cardiac pacemaker"
SOURCE "READ"
CODE "Xa1nT"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Manual accept at 12:19:06 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER permanent
	ACTS_ON cardiac pacemaker implant
		HAS_DESTINATION cardiac structure

RUBRIC "Mitral annuloplasty using ring"
ENGLISH_RUBRIC "Mitral annuloplasty using ring"
SOURCE "READ"
CODE "X00tk"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic cardiac annuloplasty ring
		HAS_DESTINATION mitral annulus

RUBRIC "Repair of rupture of tricuspid chordae tendinae"
ENGLISH_RUBRIC "Repair of rupture of tricuspid chordae tendinae"
SOURCE "READ"
CODE "X00uc"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified rupture
		HAS_LOCATION tricuspid chordae tendinae

RUBRIC "Removal of cardiac pacemaker"
ENGLISH_RUBRIC "Removal of cardiac pacemaker"
SOURCE "READ"
CODE "X0125"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON cardiac pacemaker system
		HAS_LOCATION cardiac structure

RUBRIC "Annuloplasty of atrioventricular valve"
ENGLISH_RUBRIC "Annuloplasty of atrioventricular valve"
SOURCE "READ"
CODE "X00wS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON atrioventricular valve annulus
	TO_ACHIEVE repairing

RUBRIC "Repair of truncal valve cusp"
ENGLISH_RUBRIC "Repair of truncal valve cusp"
SOURCE "READ"
CODE "X00xK"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON truncal valve leaflet

RUBRIC "Insertion of stent in pulmonary venous pathway"
ENGLISH_RUBRIC "Insertion of stent in pulmonary venous pathway"
SOURCE "READ"
CODE "X00yC"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION pulmonary venous pathway

RUBRIC "Straight graft of the abdominal aorta"
ENGLISH_RUBRIC "Straight graft of the abdominal aorta"
SOURCE "READ"
CODE "X015w"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN constructing
	ACTS_ON abdominal aorta structure
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 abdominal aorta structure
		CONNECTS_2 abdominal aorta structure

RUBRIC "Insertion of external iliac artery stent"
ENGLISH_RUBRIC "Insertion of external iliac artery stent"
SOURCE "READ"
CODE "X016o"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION external iliac artery

RUBRIC "Femorofemoral venous crossover shunt"
ENGLISH_RUBRIC "Femorofemoral venous crossover shunt"
SOURCE "READ"
CODE "X017g"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 femoral vein
		CONNECTS_2 femoral vein

RUBRIC "Pulmonary artery catheter insertion via jugular vein"
ENGLISH_RUBRIC "Pulmonary artery catheter insertion via jugular vein"
SOURCE "READ"
CODE "X019W"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via jugular vein
	ACTS_ON vascular catheter
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Percutaneous angioplasty of pulmonary vein"
ENGLISH_RUBRIC "Percutaneous angioplasty of pulmonary vein"
SOURCE "READ"
CODE "Xa0F6"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON pulmonary vein
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of brachial artery"
ENGLISH_RUBRIC "Embolisation of brachial artery"
SOURCE "READ"
CODE "Xa7pl"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON brachial artery

RUBRIC "Excision of lesion of atrium"
ENGLISH_RUBRIC "Excision of lesion of atrium"
SOURCE "READ"
CODE "790G0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION atrial structure

RUBRIC "Single anastomosis of mammary artery to left anterior descending coronary artery"
ENGLISH_RUBRIC "Single anastomosis of mammary artery to left anterior descending coronary artery"
SOURCE "READ"
CODE "79252"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 left internal mammary artery
		CONNECTS_2 left anterior descending artery

RUBRIC "Construction of intraventricular left ventricle to aorta tunnel"
ENGLISH_RUBRIC "Construction of intraventricular left ventricle to aorta tunnel"
SOURCE "READ"
CODE "X010j"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 left ventricular structure
		CONNECTS_2 ascending aorta
MOTIVATED_OVERALL_BY abnormal ventriculoarterial connection
	HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Cryoablation operation for arrhythmia"
ENGLISH_RUBRIC "Cryoablation operation for arrhythmia"
SOURCE "READ"
CODE "X011b"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN destruction - action
	BY_MEANS_OF cryoprobe
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Percutaneous angioplasty of popliteal artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of popliteal artery"
SOURCE "READ"
CODE "7A4B1"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON popliteal artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Closed atrioventricular valvotomy"
ENGLISH_RUBRIC "Closed atrioventricular valvotomy"
SOURCE "READ"
CODE "X00wx"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON atrioventricular valve structure

RUBRIC "Transluminal maintenance of aortic balloon pump"
ENGLISH_RUBRIC "Transluminal maintenance of aortic balloon pump"
SOURCE "READ"
CODE "X00xp"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN maintenance - action
	HAS_APPROACH transarterial approach
	ACTS_ON aortic pulsation balloon
		HAS_LOCATION descending thoracic aorta

RUBRIC "Excision of right atrial lesion"
ENGLISH_RUBRIC "Excision of right atrial lesion"
SOURCE "READ"
CODE "X00yh"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION right atrial structure

RUBRIC "Correction of total anomalous pulmonary venous connection to coronary sinus"
ENGLISH_RUBRIC "Correction of total anomalous pulmonary venous connection to coronary sinus"
SOURCE "READ"
CODE "79051"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON total anomalous pulmonary venous connection
		HAS_LOCATION pulmonary vein

RUBRIC "Removal of infected arteriovenous shunt"
ENGLISH_RUBRIC "Removal of infected arteriovenous shunt"
SOURCE "READ"
CODE "7A603"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified infection
		HAS_LOCATION arteriovenous shunt
			HAS_LOCATION vascular structure

RUBRIC "Placement of stent in pulmonary artery"
ENGLISH_RUBRIC "Placement of stent in pulmonary artery"
SOURCE "READ"
CODE "X012Z"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Percutaneous angioplasty of extracranial carotid artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of extracranial carotid artery"
SOURCE "READ"
CODE "X013R"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON carotid artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous thrombolysis of profunda femoris"
ENGLISH_RUBRIC "Percutaneous thrombolysis of profunda femoris"
SOURCE "READ"
CODE "X015B"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION profunda femoris artery

RUBRIC "Angioplasty of vein"
ENGLISH_RUBRIC "Angioplasty of vein"
SOURCE "READ"
CODE "X0172"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON vein
	BY_MEANS_OF angioplasty catheter

RUBRIC "Intracranial bypass to carotid artery"
ENGLISH_RUBRIC "Intracranial bypass to carotid artery"
SOURCE "READ"
CODE "7A201"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES carotid artery
		CONNECTS_1 intracranial artery
		CONNECTS_2 intracranial artery

RUBRIC "High ligation of testicular vein for varicocele"
ENGLISH_RUBRIC "High ligation of testicular vein for varicocele"
SOURCE "READ"
CODE "7C132"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified varix
		HAS_LOCATION testicular vein
	BY_MEANS_OF ligature

RUBRIC "Repair of common arterial trunk"
ENGLISH_RUBRIC "Repair of common arterial trunk"
SOURCE "READ"
CODE "7A000"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON persistent truncus arteriosus
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Ligation of testicular vein"
ENGLISH_RUBRIC "Ligation of testicular vein"
SOURCE "READ"
CODE "Xa9IR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON testicular vein
	BY_MEANS_OF ligature

RUBRIC "Left ventricular outflow tract myotomy"
ENGLISH_RUBRIC "Left ventricular outflow tract myotomy"
SOURCE "READ"
CODE "X0105"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN incision - action
	ACTS_ON left ventricular outflow tract

RUBRIC "Single leaflet atrioventricular valve replacement"
ENGLISH_RUBRIC "Single leaflet atrioventricular valve replacement"
SOURCE "READ"
CODE "XaBXx"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Inspection of implanted tricuspid valve"
ENGLISH_RUBRIC "Inspection of implanted tricuspid valve"
SOURCE "READ"
CODE "X00uS"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION tricuspid valve structure

RUBRIC "Excision of vegetations from aortic valve"
ENGLISH_RUBRIC "Excision of vegetations from aortic valve"
SOURCE "READ"
CODE "X00vK"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION aortic valve structure

RUBRIC "Closed pulmonary valvectomy"
ENGLISH_RUBRIC "Closed pulmonary valvectomy"
SOURCE "READ"
CODE "X00wC"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH closed approach
	ACTS_ON pulmonary valve structure

RUBRIC "Percutaneous angioplasty of crural artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of crural artery"
SOURCE "READ"
CODE "X013w"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON crural artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Heart transplant"
ENGLISH_RUBRIC "Heart transplant"
SOURCE "READ"
CODE "X00y3"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN transplantation - action
	ACTS_ON cardiac structure

RUBRIC "Embolisation of choroidal artery"
ENGLISH_RUBRIC "Embolisation of choroidal artery"
SOURCE "READ"
CODE "X014o"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON choroidal artery

RUBRIC "Adjustment of intraluminal device of vein"
ENGLISH_RUBRIC "Adjustment of intraluminal device of vein"
SOURCE "READ"
CODE "X017W"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION vein

RUBRIC "Creation of saphenous vein shunt"
ENGLISH_RUBRIC "Creation of saphenous vein shunt"
SOURCE "READ"
CODE "X018O"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN constructing
	ACTS_ON vascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 artery of lower limb
		CONNECTS_2 long saphenous vein

RUBRIC "Peripheral venous cannula insertion - forearm"
ENGLISH_RUBRIC "Peripheral venous cannula insertion - forearm"
SOURCE "READ"
CODE "X019G"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION superficial forearm vein

RUBRIC "Biopsy of artery"
ENGLISH_RUBRIC "Biopsy of artery"
SOURCE "READ"
CODE "XM13Y"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN biopsy - action
	ACTS_ON arterial structure

RUBRIC "Excision of intracranial aneurysm"
ENGLISH_RUBRIC "Excision of intracranial aneurysm"
SOURCE "READ"
CODE "X00HC"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION intracranial artery

RUBRIC "Venous valve transplantation"
ENGLISH_RUBRIC "Venous valve transplantation"
SOURCE "READ"
CODE "7A650"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN transposition - action
	ACTS_ON vein

RUBRIC "Closure of patent foramen ovale using patch"
ENGLISH_RUBRIC "Closure of patent foramen ovale using patch"
SOURCE "READ"
CODE "XaCHO"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION atrial septum
MOTIVATED_OVERALL_BY patent foramen ovale

RUBRIC "Prosthetic replacement of three coronary arteries"
ENGLISH_RUBRIC "Prosthetic replacement of three coronary arteries"
SOURCE "READ"
CODE "79232"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Transluminal embolisation of major aortopulmonary collateral artery"
ENGLISH_RUBRIC "Transluminal embolisation of major aortopulmonary collateral artery"
SOURCE "READ"
CODE "X010Z"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH transvascular approach
	ACTS_ON tetralogy of Fallot
		HAS_LOCATION intrathoracic cardiovascular structure
	ACTS_ON major aortopulmonary collateral artery

RUBRIC "Tricuspid valvectomy"
ENGLISH_RUBRIC "Tricuspid valvectomy"
SOURCE "READ"
CODE "X00ux"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON tricuspid valve structure

RUBRIC "Placement of left ventricular outflow tract transannular patch"
ENGLISH_RUBRIC "Placement of left ventricular outflow tract transannular patch"
SOURCE "READ"
CODE "X00vp"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Manual accept at 8:35:29 pm on August 20, 1998 by jon
Manual accept at 8:35:56 pm on August 20, 1998 by jon"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION heart valve fibrous ring
			HAS_LOCATION left ventricular outflow tract

RUBRIC "Resection of atrioventricular valve leaflet"
ENGLISH_RUBRIC "Resection of atrioventricular valve leaflet"
SOURCE "READ"
CODE "X00wh"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON atrioventricular valve leaflet

RUBRIC "Atrial inversion operation using atrial wall"
ENGLISH_RUBRIC "Atrial inversion operation using atrial wall"
SOURCE "READ"
CODE "79031"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Manual accept at 11:39:54 am on September 30, 1998 by jon"
MAIN inversion - action
	ACTS_ON atrial structure
	BY_MEANS_OF atrial wall

RUBRIC "Repair of systemic venous pathway"
ENGLISH_RUBRIC "Repair of systemic venous pathway"
SOURCE "READ"
CODE "X00yX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON systemic venous pathway

RUBRIC "Ventricular operation"
ENGLISH_RUBRIC "Ventricular operation"
SOURCE "READ"
CODE "X00zP"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac ventricular structure

RUBRIC "Excision of ductus arteriosus"
ENGLISH_RUBRIC "Excision of ductus arteriosus"
SOURCE "READ"
CODE "X012J"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON ductus arteriosus

RUBRIC "Embolisation of internal iliac artery"
ENGLISH_RUBRIC "Embolisation of internal iliac artery"
SOURCE "READ"
CODE "X0152"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON internal iliac artery

RUBRIC "Revascularisation of hand"
ENGLISH_RUBRIC "Revascularisation of hand"
SOURCE "READ"
CODE "X018t"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of the hand

RUBRIC "Vascular cannula unblockage"
ENGLISH_RUBRIC "Vascular cannula unblockage"
SOURCE "READ"
CODE "X019l"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 10:48:09 am on September 30, 1998 by jon
Manual accept at 10:48:55 am on September 30, 1998 by jon"
MAIN attention - action
	ACTS_ON vascular cannula
		HAS_LOCATION cardiovascular structure
TO_ACHIEVE_OVERALL unblocking

RUBRIC "Coronary artery bypass grafts x 5"
ENGLISH_RUBRIC "Coronary artery bypass grafts x 5"
SOURCE "READ"
CODE "X00tK"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Balloon dilatation of implanted mitral valve"
ENGLISH_RUBRIC "Balloon dilatation of implanted mitral valve"
SOURCE "READ"
CODE "X00uC"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION mitral valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Decalcification of implanted pulmonary valve"
ENGLISH_RUBRIC "Decalcification of implanted pulmonary valve"
SOURCE "READ"
CODE "X00w3"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION pulmonary valve structure

RUBRIC "Transthoracic cardiac pacing procedure"
ENGLISH_RUBRIC "Transthoracic cardiac pacing procedure"
SOURCE "READ"
CODE "X011w"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN pacing - action
	HAS_APPROACH transthoracic approach
	ACTS_ON cardiac structure

RUBRIC "Removal of band from pulmonary artery"
ENGLISH_RUBRIC "Removal of band from pulmonary artery"
SOURCE "READ"
CODE "7A092"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON surgical band
		HAS_LOCATION pulmonary artery structure

RUBRIC "Removal of left ventricular thrombus"
ENGLISH_RUBRIC "Removal of left ventricular thrombus"
SOURCE "READ"
CODE "X00zu"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION left ventricular structure

RUBRIC "Subclavian to pulmonary artery shunt operation"
ENGLISH_RUBRIC "Subclavian to pulmonary artery shunt operation"
SOURCE "READ"
CODE "X012o"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 subclavian artery
		CONNECTS_2 pulmonary artery structure

RUBRIC "Closure of ventricular septal defect"
ENGLISH_RUBRIC "Closure of ventricular septal defect"
SOURCE "READ"
CODE "7908."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON unspecified defect
		HAS_LOCATION ventricular septum

RUBRIC "Percutaneous angioplasty of the superior mesenteric artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of the superior mesenteric artery"
SOURCE "READ"
CODE "X013g"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON superior mesenteric artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Insertion of inferior vena caval filter"
ENGLISH_RUBRIC "Insertion of inferior vena caval filter"
SOURCE "READ"
CODE "7A630"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vena cava filter
		HAS_DESTINATION inferior vena cava

RUBRIC "Thrombolysis of vein"
ENGLISH_RUBRIC "Thrombolysis of vein"
SOURCE "READ"
CODE "X017G"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON thrombolytic
		HAS_DESTINATION vein

RUBRIC "Radial artery cannula insertion"
ENGLISH_RUBRIC "Radial artery cannula insertion"
SOURCE "READ"
CODE "X0197"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION radial artery

RUBRIC "Percutaneous endarterectomy of internal iliac artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of internal iliac artery"
SOURCE "READ"
CODE "Xa0Fp"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION internal iliac artery

RUBRIC "Percutaneous embolectomy of intracranial artery"
ENGLISH_RUBRIC "Percutaneous embolectomy of intracranial artery"
SOURCE "READ"
CODE "Xa0Gh"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 2:54:43 pm on July 3, 1998 by jon"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION intracranial artery

RUBRIC "Percutaneous embolisation of varicocele"
ENGLISH_RUBRIC "Percutaneous embolisation of varicocele"
SOURCE "READ"
CODE "Xa0Rj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON unspecified varix
		HAS_LOCATION vein of spermatic cord

RUBRIC "Procedure for arteriovenous disorder"
ENGLISH_RUBRIC "Procedure for arteriovenous disorder"
SOURCE "READ"
CODE "Xa0ok"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION vascular structure

RUBRIC "Direct current defibrillation"
ENGLISH_RUBRIC "Direct current defibrillation"
SOURCE "READ"
CODE "XaBdb"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN electrical discharge - action
	ACTS_ON ventricular fibrillation
		HAS_LOCATION cardiac structure

RUBRIC "Suturing of tricuspid valve"
ENGLISH_RUBRIC "Suturing of tricuspid valve"
SOURCE "READ"
CODE "XaCI7"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON tricuspid valve structure

RUBRIC "Percutaneous transluminal embolectomy of bifurcation of aorta"
ENGLISH_RUBRIC "Percutaneous transluminal embolectomy of bifurcation of aorta"
SOURCE "READ"
CODE "7A1A2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION aortic bifurcation

RUBRIC "Transluminal closure of ventricular septal defect using prosthesis"
ENGLISH_RUBRIC "Transluminal closure of ventricular septal defect using prosthesis"
SOURCE "READ"
CODE "X010J"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvascular approach
	ACTS_ON septal defect prosthesis
		HAS_DESTINATION ventricular septum
MOTIVATED_OVERALL_BY unspecified defect

RUBRIC "Lengthening operation on mitral papillary muscle"
ENGLISH_RUBRIC "Lengthening operation on mitral papillary muscle"
SOURCE "READ"
CODE "X00tp"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN lengthening - action
	ACTS_ON mitral papillary muscle

RUBRIC "Operation on tricuspid valve leaflet"
ENGLISH_RUBRIC "Operation on tricuspid valve leaflet"
SOURCE "READ"
CODE "X00uh"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON tricuspid leaflet

RUBRIC "Xenotransplant of heart"
ENGLISH_RUBRIC "Xenotransplant of heart"
SOURCE "READ"
CODE "79011"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 12:02:10 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN transplantation - action
	ACTS_ON cardiac structure
	BY_MEANS_OF xenograft heart

RUBRIC "Lengthening operation on atrioventricular valve papillary muscle"
ENGLISH_RUBRIC "Lengthening operation on atrioventricular valve papillary muscle"
SOURCE "READ"
CODE "X00wX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN lengthening - action
	ACTS_ON atrioventricular valve papillary muscle

RUBRIC "Removal of thrombus from truncal valve"
ENGLISH_RUBRIC "Removal of thrombus from truncal valve"
SOURCE "READ"
CODE "X00xP"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION truncal valve structure

RUBRIC "Operation on superior vena cava"
ENGLISH_RUBRIC "Operation on superior vena cava"
SOURCE "READ"
CODE "X00yH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON superior vena cava

RUBRIC "Resection of systemic to pulmonary shunt aneurysm"
ENGLISH_RUBRIC "Resection of systemic to pulmonary shunt aneurysm"
SOURCE "READ"
CODE "X0132"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION systemic to pulmonary arterial shunt

RUBRIC "Adjustment of arterial intraluminal device"
ENGLISH_RUBRIC "Adjustment of arterial intraluminal device"
SOURCE "READ"
CODE "X016t"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION arterial structure

RUBRIC "Direct anastomosis of vein"
ENGLISH_RUBRIC "Direct anastomosis of vein"
SOURCE "READ"
CODE "X017l"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 vein
		CONNECTS_2 vein

RUBRIC "Removal of intraluminal device from arteriovenous fistula"
ENGLISH_RUBRIC "Removal of intraluminal device from arteriovenous fistula"
SOURCE "READ"
CODE "X018d"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Percutaneous thrombolysis of superior mesenteric artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of superior mesenteric artery"
SOURCE "READ"
CODE "X70XY"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION superior mesenteric artery

RUBRIC "Percutaneous endarterectomy of crural artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of crural artery"
SOURCE "READ"
CODE "Xa0G3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION crural artery

RUBRIC "Resection of pulmonary artery"
ENGLISH_RUBRIC "Resection of pulmonary artery"
SOURCE "READ"
CODE "Xa0Km"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pulmonary artery structure

RUBRIC "Embolisation of inferior mesenteric artery"
ENGLISH_RUBRIC "Embolisation of inferior mesenteric artery"
SOURCE "READ"
CODE "Xa7pq"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON inferior mesenteric artery

RUBRIC "Exploration of carotid artery"
ENGLISH_RUBRIC "Exploration of carotid artery"
SOURCE "READ"
CODE "XaBBT"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON carotid artery

RUBRIC "Percutaneous transluminal aortic valvotomy"
ENGLISH_RUBRIC "Percutaneous transluminal aortic valvotomy"
SOURCE "READ"
CODE "79191"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON aortic valve structure

RUBRIC "Removal of arterial cross clamp"
ENGLISH_RUBRIC "Removal of arterial cross clamp"
SOURCE "READ"
CODE "Xa87M"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON arterial structure

RUBRIC "Repair of double outlet left ventricle"
ENGLISH_RUBRIC "Repair of double outlet left ventricle"
SOURCE "READ"
CODE "X010o"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON double outlet left ventricle
		HAS_LOCATION left ventricular structure

RUBRIC "Excision of vegetations from implanted mitral valve"
ENGLISH_RUBRIC "Excision of vegetations from implanted mitral valve"
SOURCE "READ"
CODE "X00u3"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION mitral valve structure

RUBRIC "Complete atrioventricular disconnection operation"
ENGLISH_RUBRIC "Complete atrioventricular disconnection operation"
SOURCE "READ"
CODE "X011g"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN division - action
	ACTS_ON atrioventricular junction
	HAS_EXTENT total

RUBRIC "Angioplasty of aorta"
ENGLISH_RUBRIC "Angioplasty of aorta"
SOURCE "READ"
CODE "X013W"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON aortic structure
	BY_MEANS_OF angioplasty catheter

RUBRIC "Endarterectomy of abdominal aorta"
ENGLISH_RUBRIC "Endarterectomy of abdominal aorta"
SOURCE "READ"
CODE "X014O"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION abdominal aorta structure

RUBRIC "Transluminal removal of intraventricular pump"
ENGLISH_RUBRIC "Transluminal removal of intraventricular pump"
SOURCE "READ"
CODE "X00xu"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH transvascular approach
	ACTS_ON intraventricular pump
		HAS_LOCATION cardiac ventricular structure

RUBRIC "Suture of right atrium"
ENGLISH_RUBRIC "Suture of right atrium"
SOURCE "READ"
CODE "X00ym"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON right atrial structure

RUBRIC "Repair of defect of the atrioventricular septum"
ENGLISH_RUBRIC "Repair of defect of the atrioventricular septum"
SOURCE "READ"
CODE "7906."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified defect
		HAS_LOCATION atrioventricular septum

RUBRIC "Right ventricular outflow tract muscle resection"
ENGLISH_RUBRIC "Right ventricular outflow tract muscle resection"
SOURCE "READ"
CODE "X00ze"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON right ventricular outflow tract

RUBRIC "Repair of Ebstein's anomaly of tricuspid valve"
ENGLISH_RUBRIC "Repair of Ebstein's anomaly of tricuspid valve"
SOURCE "READ"
CODE "79124"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON ebstein's anomaly of tricuspid valve
		HAS_LOCATION tricuspid valve structure

RUBRIC "Percutaneous embolisation of bronchial artery"
ENGLISH_RUBRIC "Percutaneous embolisation of bronchial artery"
SOURCE "READ"
CODE "Xa0RZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON bronchial artery

RUBRIC "Open enlargement of atrial septal defect"
ENGLISH_RUBRIC "Open enlargement of atrial septal defect"
SOURCE "READ"
CODE "790A0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON unspecified defect
		HAS_LOCATION atrial septum

RUBRIC "Patching of mitral valve"
ENGLISH_RUBRIC "Patching of mitral valve"
SOURCE "READ"
CODE "XaCG7"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION mitral valve structure

RUBRIC "Operation on tricuspid papillary muscle"
ENGLISH_RUBRIC "Operation on tricuspid papillary muscle"
SOURCE "READ"
CODE "X00uX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON tricuspid papillary muscle

RUBRIC "Decalcification of implanted aortic valve"
ENGLISH_RUBRIC "Decalcification of implanted aortic valve"
SOURCE "READ"
CODE "X00vP"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION aortic valve structure

RUBRIC "Repair of implanted pulmonary paravalvular leak"
ENGLISH_RUBRIC "Repair of implanted pulmonary paravalvular leak"
SOURCE "READ"
CODE "X00wH"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON paraprosthetic pulmonary regurgitation
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION pulmonary valve structure

RUBRIC "Hypoplastic left heart operation"
ENGLISH_RUBRIC "Hypoplastic left heart operation"
SOURCE "READ"
CODE "X0112"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON hypoplastic left heart syndrome
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Refief of anastomotic stricture between pulmonary venous confluence and left atrium"
ENGLISH_RUBRIC "Refief of anastomotic stricture between pulmonary venous confluence and left atrium"
SOURCE "READ"
CODE "X00y8"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:36:41 pm on August 20, 1998 by jon
Manual accept at 11:58:56 am on September 28, 1998 by jon
Manual accept at 11:59:39 am on September 28, 1998 by jon"
MAIN clinical action
	ACTS_ON anastomosis structure
		CONNECTS pulmonary vein
TO_ACHIEVE_OVERALL treating
	ACTS_ON unspecified anastomotic stricture
		CONNECTS pulmonary vein

RUBRIC "Suture of left atrium"
ENGLISH_RUBRIC "Suture of left atrium"
SOURCE "READ"
CODE "X00z0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON left atrial structure

RUBRIC "Embolisation of branch of external carotid artery"
ENGLISH_RUBRIC "Embolisation of branch of external carotid artery"
SOURCE "READ"
CODE "X014t"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON branch of external carotid artery

RUBRIC "Carotid subclavian bypass graft"
ENGLISH_RUBRIC "Carotid subclavian bypass graft"
SOURCE "READ"
CODE "X015l"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES carotid artery
		CONNECTS_1 subclavian artery
		CONNECTS_2 carotid artery

RUBRIC "Radically extended resection of thoracic aorta"
ENGLISH_RUBRIC "Radically extended resection of thoracic aorta"
SOURCE "READ"
CODE "X016d"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON thoracic aorta structure
	HAS_EXTENT extended radical

RUBRIC "Angioplasty of arteriovenous fistula"
ENGLISH_RUBRIC "Angioplasty of arteriovenous fistula"
SOURCE "READ"
CODE "X018T"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON surgical arteriovenous fistula
	BY_MEANS_OF angioplasty catheter

RUBRIC "Central venous cannula insertion"
ENGLISH_RUBRIC "Central venous cannula insertion"
SOURCE "READ"
CODE "X019L"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvenous approach
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Ligation of intracranial vein"
ENGLISH_RUBRIC "Ligation of intracranial vein"
SOURCE "READ"
CODE "X00HH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON intracranial vein
	BY_MEANS_OF ligature

RUBRIC "Embolectomy of iliac artery"
ENGLISH_RUBRIC "Embolectomy of iliac artery"
SOURCE "READ"
CODE "X70XI"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION iliac artery

RUBRIC "Closed aortic valvotomy"
ENGLISH_RUBRIC "Closed aortic valvotomy"
SOURCE "READ"
CODE "79171"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON aortic valve structure

RUBRIC "Ligation of external carotid artery"
ENGLISH_RUBRIC "Ligation of external carotid artery"
SOURCE "READ"
CODE "X00oS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON external carotid artery
	BY_MEANS_OF ligature

RUBRIC "Excision operation for arrhythmia"
ENGLISH_RUBRIC "Excision operation for arrhythmia"
SOURCE "READ"
CODE "X011W"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Formalin infiltration of ductus arteriosus"
ENGLISH_RUBRIC "Formalin infiltration of ductus arteriosus"
SOURCE "READ"
CODE "X012O"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN infiltration - action
	ACTS_ON formaldehyde
		HAS_DESTINATION ductus arteriosus

RUBRIC "Excision of vegetations from pulmonary valve"
ENGLISH_RUBRIC "Excision of vegetations from pulmonary valve"
SOURCE "READ"
CODE "X00vu"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION pulmonary valve structure

RUBRIC "Percutaneous transluminal embolectomy of renal artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolectomy of renal artery"
SOURCE "READ"
CODE "7A321"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION renal artery

RUBRIC "Rotation of implanted truncal valve"
ENGLISH_RUBRIC "Rotation of implanted truncal valve"
SOURCE "READ"
CODE "X00xe"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN rotating
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION truncal valve structure

RUBRIC "Division of atrioventricular valve bridging leaflet"
ENGLISH_RUBRIC "Division of atrioventricular valve bridging leaflet"
SOURCE "READ"
CODE "X00wm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN division - action
	ACTS_ON atrioventricular valve leaflet

RUBRIC "Excision of right ventricular vegetations"
ENGLISH_RUBRIC "Excision of right ventricular vegetations"
SOURCE "READ"
CODE "X00zU"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION right ventricular structure

RUBRIC "Percutaneous thrombolysis of common iliac artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of common iliac artery"
SOURCE "READ"
CODE "X0157"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION common iliac artery

RUBRIC "Revascularisation of whole leg"
ENGLISH_RUBRIC "Revascularisation of whole leg"
SOURCE "READ"
CODE "X018y"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of lower limb

RUBRIC "Percutaneous embolisation of choroidal artery"
ENGLISH_RUBRIC "Percutaneous embolisation of choroidal artery"
SOURCE "READ"
CODE "Xa0RJ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON choroidal artery

RUBRIC "Ligation of adrenal artery"
ENGLISH_RUBRIC "Ligation of adrenal artery"
SOURCE "READ"
CODE "XaB2Z"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON adrenal artery
	BY_MEANS_OF ligature

RUBRIC "Open embolectomy of iliac artery"
ENGLISH_RUBRIC "Open embolectomy of iliac artery"
SOURCE "READ"
CODE "XE0FS"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION iliac artery

RUBRIC "Suture of defect of atrioventricular valve leaflet"
ENGLISH_RUBRIC "Suture of defect of atrioventricular valve leaflet"
SOURCE "READ"
CODE "XaCHy"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON unspecified defect
		HAS_LOCATION atrioventricular valve leaflet

RUBRIC "Patch repair of axillary artery"
ENGLISH_RUBRIC "Patch repair of axillary artery"
SOURCE "READ"
CODE "XaCLY"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION axillary artery

RUBRIC "Porcine mitral valve replacement"
ENGLISH_RUBRIC "Porcine mitral valve replacement"
SOURCE "READ"
CODE "XaBXm"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON porcine cardiac valve
		HAS_DESTINATION mitral valve structure

RUBRIC "Percutaneous directional coronary atherectomy"
ENGLISH_RUBRIC "Percutaneous directional coronary atherectomy"
SOURCE "READ"
CODE "X00tP"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	BY_MEANS_OF rotablator
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Operation on implanted mitral valve"
ENGLISH_RUBRIC "Operation on implanted mitral valve"
SOURCE "READ"
CODE "X00uH"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION mitral valve structure

RUBRIC "Hemi-Fontan operation"
ENGLISH_RUBRIC "Hemi-Fontan operation"
SOURCE "READ"
CODE "X012t"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: end-to-side anastomosis - applied at 11:59:21 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON end-to-side anastomosis structure
		CONNECTS_1 superior vena cava
		CONNECTS_2 right pulmonary artery

RUBRIC "Transluminal laser pulmonary valvotomy"
ENGLISH_RUBRIC "Transluminal laser pulmonary valvotomy"
SOURCE "READ"
CODE "X00w8"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH transvascular approach
	ACTS_ON pulmonary valve structure
	BY_MEANS_OF laser

RUBRIC "Atrioventricular valvectomy"
ENGLISH_RUBRIC "Atrioventricular valvectomy"
SOURCE "READ"
CODE "X00x0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Percutaneous angioplasty of internal iliac artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of internal iliac artery"
SOURCE "READ"
CODE "X013l"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON internal iliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Transluminal laser resection of left ventricular muscle"
ENGLISH_RUBRIC "Transluminal laser resection of left ventricular muscle"
SOURCE "READ"
CODE "X00zz"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH transvascular approach
	ACTS_ON left ventricular structure
	BY_MEANS_OF laser

RUBRIC "Ligation of internal iliac artery"
ENGLISH_RUBRIC "Ligation of internal iliac artery"
SOURCE "READ"
CODE "X016T"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON internal iliac artery
	BY_MEANS_OF ligature

RUBRIC "Insertion of intraluminal device into vein"
ENGLISH_RUBRIC "Insertion of intraluminal device into vein"
SOURCE "READ"
CODE "X017L"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON intraluminal vascular device
		HAS_DESTINATION vein

RUBRIC "Percutaneous endarterectomy of superficial femoral artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of superficial femoral artery"
SOURCE "READ"
CODE "Xa0Fu"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION superficial femoral artery

RUBRIC "Clipping of intracranial aneurysm"
ENGLISH_RUBRIC "Clipping of intracranial aneurysm"
SOURCE "READ"
CODE "X00H8"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:37:18 pm on August 20, 1998 by jon"
MAIN applying
	ACTS_ON clip
		HAS_DESTINATION unspecified aneurysm
			HAS_LOCATION intracranial artery

RUBRIC "Percutaneous embolectomy of arteriovenous fistula"
ENGLISH_RUBRIC "Percutaneous embolectomy of arteriovenous fistula"
SOURCE "READ"
CODE "Xa0Gm"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON unspecified embolus
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Pericardiocentesis"
ENGLISH_RUBRIC "Pericardiocentesis"
SOURCE "READ"
CODE "XaC38"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN aspiration - action
	ACTS_ON pericardial structure

RUBRIC "Creation of saphenocorporal shunt"
ENGLISH_RUBRIC "Creation of saphenocorporal shunt"
SOURCE "READ"
CODE "X30HQ"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN constructing
	ACTS_ON erectile structure of penis
	ACTS_ON anastomosis structure
		CONNECTS_1 erectile structure of penis
		CONNECTS_2 saphenous vein

RUBRIC "Clipping of aneurysm of circle of Willis"
ENGLISH_RUBRIC "Clipping of aneurysm of circle of Willis"
SOURCE "READ"
CODE "7A233"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Manual accept at 8:37:53 pm on August 20, 1998 by jon"
MAIN applying
	ACTS_ON clip
		HAS_DESTINATION unspecified aneurysm
			HAS_LOCATION artery of circle of Willis

RUBRIC "Vein patch repair of artery"
ENGLISH_RUBRIC "Vein patch repair of artery"
SOURCE "READ"
CODE "XaBVH"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - TYPE_OF_PATCH merge TARGET - applied at 12:00:29 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON autologous vein patch
		HAS_DESTINATION arterial structure

RUBRIC "Resection of subarterial outlet septum"
ENGLISH_RUBRIC "Resection of subarterial outlet septum"
SOURCE "READ"
CODE "X010O"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON outlet muscular septum

RUBRIC "Division/resection of mitral chordae tendinae"
ENGLISH_RUBRIC "Division/resection of mitral chordae tendinae"
SOURCE "READ"
CODE "X00tu"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON mitral chordae tendinae

RUBRIC "Bypass of renal artery"
ENGLISH_RUBRIC "Bypass of renal artery"
SOURCE "READ"
CODE "7A301"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES renal artery

RUBRIC "Repair of tetralogy of Fallot"
ENGLISH_RUBRIC "Repair of tetralogy of Fallot"
SOURCE "READ"
CODE "7902."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON tetralogy of Fallot
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Closure of true tricuspid cleft"
ENGLISH_RUBRIC "Closure of true tricuspid cleft"
SOURCE "READ"
CODE "X00um"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON true cleft of tricuspid leaflet
		HAS_LOCATION tricuspid leaflet

RUBRIC "Closed truncal valvotomy"
ENGLISH_RUBRIC "Closed truncal valvotomy"
SOURCE "READ"
CODE "X00xU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON truncal valve structure

RUBRIC "Ligation of left superior vena cava"
ENGLISH_RUBRIC "Ligation of left superior vena cava"
SOURCE "READ"
CODE "X00yM"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON persistent left superior vena cava
		HAS_LOCATION superior vena cava
	BY_MEANS_OF ligature

RUBRIC "Atrial fenestration operation"
ENGLISH_RUBRIC "Atrial fenestration operation"
SOURCE "READ"
CODE "X00zE"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN fenestration - action
	ACTS_ON atrial septum

RUBRIC "Construction of conduit - pulmonary trunk to right pulmonary artery"
ENGLISH_RUBRIC "Construction of conduit - pulmonary trunk to right pulmonary artery"
SOURCE "READ"
CODE "X011G"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 pulmonary trunk
		CONNECTS_2 right pulmonary artery

RUBRIC "Arterial procedure"
ENGLISH_RUBRIC "Arterial procedure"
SOURCE "READ"
CODE "X0137"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON arterial structure

RUBRIC "Patch repair of arteriovenous fistula"
ENGLISH_RUBRIC "Patch repair of arteriovenous fistula"
SOURCE "READ"
CODE "X018i"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Portal vein cannula insertion"
ENGLISH_RUBRIC "Portal vein cannula insertion"
SOURCE "READ"
CODE "X019a"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION portal vein

RUBRIC "Percutaneous endarterectomy of common carotid artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of common carotid artery"
SOURCE "READ"
CODE "Xa0G8"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION common carotid artery

RUBRIC "Embolectomy of axillary artery"
ENGLISH_RUBRIC "Embolectomy of axillary artery"
SOURCE "READ"
CODE "Xa7pv"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION axillary artery

RUBRIC "Exploration of femoral artery"
ENGLISH_RUBRIC "Exploration of femoral artery"
SOURCE "READ"
CODE "XaBBY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON femoral artery

RUBRIC "Ball valve truncal valve replacement"
ENGLISH_RUBRIC "Ball valve truncal valve replacement"
SOURCE "READ"
CODE "XaBY0"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON ball and cage prosthesis
		HAS_DESTINATION truncal valve structure

RUBRIC "Open embolectomy of vertebral artery"
ENGLISH_RUBRIC "Open embolectomy of vertebral artery"
SOURCE "READ"
CODE "7A278"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION vertebral artery

RUBRIC "Percutaneous angioplasty of subclavian artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of subclavian artery"
SOURCE "READ"
CODE "7A280"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON subclavian artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Decalcification of implanted mitral valve"
ENGLISH_RUBRIC "Decalcification of implanted mitral valve"
SOURCE "READ"
CODE "X00u8"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION mitral valve structure

RUBRIC "Removal of central venous line"
ENGLISH_RUBRIC "Removal of central venous line"
SOURCE "READ"
CODE "7A6C4"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular cannula
		HAS_LOCATION superior vena cava

RUBRIC "Fontan operation with direct anastomosis of right atrium to pulmonary artery"
ENGLISH_RUBRIC "Fontan operation with direct anastomosis of right atrium to pulmonary artery"
SOURCE "READ"
CODE "X010t"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON direct anastomosis structure
		CONNECTS_1 right atrial structure
		CONNECTS_2 pulmonary artery structure

RUBRIC "Removal of automatic cardiac defibrillator"
ENGLISH_RUBRIC "Removal of automatic cardiac defibrillator"
SOURCE "READ"
CODE "X011l"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON automatic cardiac defibrillator
		HAS_LOCATION cardiac structure

RUBRIC "Cardiac support using extracorporeal membrane oxygenation circuitry"
ENGLISH_RUBRIC "Cardiac support using extracorporeal membrane oxygenation circuitry"
SOURCE "READ"
CODE "X00xz"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON extracorporeal membrane oxygenation circuit
		HAS_LOCATION cardiac structure

RUBRIC "Construction of conduit - right atrium to pulmonary trunk"
ENGLISH_RUBRIC "Construction of conduit - right atrium to pulmonary trunk"
SOURCE "READ"
CODE "X00yr"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right atrial structure
		CONNECTS_2 pulmonary trunk

RUBRIC "Repair of atrioventricular septal defect: atrial component"
ENGLISH_RUBRIC "Repair of atrioventricular septal defect: atrial component"
SOURCE "READ"
CODE "79063"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON atrioventricular septal defect - isolated atrial component
		HAS_LOCATION atrioventricular septum

RUBRIC "Open insertion of right ventricular catheter"
ENGLISH_RUBRIC "Open insertion of right ventricular catheter"
SOURCE "READ"
CODE "X00zj"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH open approach
	ACTS_ON vascular catheter
		HAS_DESTINATION right ventricular outflow tract

RUBRIC "Transluminal fragmentation of pulmonary embolus"
ENGLISH_RUBRIC "Transluminal fragmentation of pulmonary embolus"
SOURCE "READ"
CODE "X012d"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN fragmentation - action
	HAS_APPROACH transvascular approach
	ACTS_ON unspecified embolus
		HAS_LOCATION pulmonary artery structure

RUBRIC "Endarterectomy of internal iliac artery"
ENGLISH_RUBRIC "Endarterectomy of internal iliac artery"
SOURCE "READ"
CODE "X014T"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION internal iliac artery

RUBRIC "Replacement of aneurysmal iliac artery by anastomosis"
ENGLISH_RUBRIC "Replacement of aneurysmal iliac artery by anastomosis"
SOURCE "READ"
CODE "X016D"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN constructing
	ACTS_ON direct anastomosis structure
		CONNECTS_1 iliac artery
		CONNECTS_2 iliac artery
MOTIVATED_OVERALL_BY unspecified aneurysm
	HAS_LOCATION null

RUBRIC "Stripping of varicose vein tributary"
ENGLISH_RUBRIC "Stripping of varicose vein tributary"
SOURCE "READ"
CODE "X0184"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN stripping - action
	ACTS_ON unspecified varix
		HAS_LOCATION varicose vein tributary

RUBRIC "Percutaneous endarterectomy of intracranial artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of intracranial artery"
SOURCE "READ"
CODE "Xa0Fe"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 2:54:59 pm on July 3, 1998 by jon
Manual accept at 2:55:57 pm on July 3, 1998 by jon"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION intracranial artery

RUBRIC "Xenograft pulmonary valve replacement"
ENGLISH_RUBRIC "Xenograft pulmonary valve replacement"
SOURCE "READ"
CODE "79131"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON xenograft cardiac valve
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Heart and lung transplant"
ENGLISH_RUBRIC "Heart and lung transplant"
SOURCE "READ"
CODE "7900."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Manual accept at 3:45:41 pm on September 20, 1998 by jon"
MAIN transplantation - action
	ACTS_ON_1 lung structure
	ACTS_ON_2 cardiac structure

RUBRIC "Removal of foreign body from coronary artery"
ENGLISH_RUBRIC "Removal of foreign body from coronary artery"
SOURCE "READ"
CODE "X00te"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION coronary artery

RUBRIC "Transluminal radiofrequency aortic valvotomy"
ENGLISH_RUBRIC "Transluminal radiofrequency aortic valvotomy"
SOURCE "READ"
CODE "X00vU"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH transvascular approach
	ACTS_ON aortic valve structure
	BY_MEANS_OF radiofrequency controlled thermal probe

RUBRIC "Prosthetic graft thrombectomy"
ENGLISH_RUBRIC "Prosthetic graft thrombectomy"
SOURCE "READ"
CODE "7A6H1"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	BY_MEANS_OF vascular prosthesis
	ACTS_ON unspecified embolus
		HAS_LOCATION arterial graft

RUBRIC "Truncal valve operation"
ENGLISH_RUBRIC "Truncal valve operation"
SOURCE "READ"
CODE "X00xE"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON truncal valve structure

RUBRIC "Replacement of implanted pulmonary valve"
ENGLISH_RUBRIC "Replacement of implanted pulmonary valve"
SOURCE "READ"
CODE "X00wM"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Direct insertion of left atrial catheter"
ENGLISH_RUBRIC "Direct insertion of left atrial catheter"
SOURCE "READ"
CODE "X00z5"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH open approach
	ACTS_ON vascular catheter
		HAS_DESTINATION left atrial structure

RUBRIC "Construction of a cardiac conduit"
ENGLISH_RUBRIC "Construction of a cardiac conduit"
SOURCE "READ"
CODE "X0117"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 intrathoracic cardiovascular structure
		CONNECTS_2 intrathoracic cardiovascular structure

RUBRIC "Insertion of arterial stent"
ENGLISH_RUBRIC "Insertion of arterial stent"
SOURCE "READ"
CODE "X016i"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION arterial structure

RUBRIC "Embolectomy of arteriovenous fistula"
ENGLISH_RUBRIC "Embolectomy of arteriovenous fistula"
SOURCE "READ"
CODE "X018Y"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION surgical arteriovenous fistula

RUBRIC "Central venous cannula insertion via axillary vein"
ENGLISH_RUBRIC "Central venous cannula insertion via axillary vein"
SOURCE "READ"
CODE "X019Q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via axillary vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Open embolectomy of bifurcation of aorta"
ENGLISH_RUBRIC "Open embolectomy of bifurcation of aorta"
SOURCE "READ"
CODE "7A192"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION aortic bifurcation

RUBRIC "Fenestration of pericardium"
ENGLISH_RUBRIC "Fenestration of pericardium"
SOURCE "READ"
CODE "793C1"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN fenestration - action
	ACTS_ON aspect of pericardium

RUBRIC "Unifocalisation operation using the azygos system"
ENGLISH_RUBRIC "Unifocalisation operation using the azygos system"
SOURCE "READ"
CODE "X010d"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:46 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:46 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998
Manual accept at 8:38:43 pm on August 20, 1998 by jon
Manual accept at 8:39:01 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS intrathoracic cardiovascular structure
		CONNECTS_2 azygos vein
WITH creating
	ACTS_ON major aortopulmonary collateral artery
MOTIVATED_OVERALL_BY treating
	ACTS_ON tetralogy of Fallot

RUBRIC "Open embolectomy popliteal artery"
ENGLISH_RUBRIC "Open embolectomy popliteal artery"
SOURCE "READ"
CODE "7A4A3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION popliteal artery

RUBRIC "Excision of lesion from pulmonary valve cusp"
ENGLISH_RUBRIC "Excision of lesion from pulmonary valve cusp"
SOURCE "READ"
CODE "X00vz"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION pulmonary valve cusp

RUBRIC "Removal of thrombus from implanted atrioventricular valve"
ENGLISH_RUBRIC "Removal of thrombus from implanted atrioventricular valve"
SOURCE "READ"
CODE "X00wr"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION atrioventricular valve structure

RUBRIC "Reimplantation of pulmonary artery"
ENGLISH_RUBRIC "Reimplantation of pulmonary artery"
SOURCE "READ"
CODE "X012T"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN reimplantation - action
	ACTS_ON pulmonary artery structure

RUBRIC "Repair of unroofed coronary sinus to create tunnel"
ENGLISH_RUBRIC "Repair of unroofed coronary sinus to create tunnel"
SOURCE "READ"
CODE "X00yb"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:57 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:40:10 pm on August 20, 1998 by jon
Manual accept at 8:52:20 pm on August 20, 1998 by jon
Manual accept at 8:52:28 pm on August 20, 1998 by jon"
MAIN repair - action
	ACTS_ON coronary sinus defect in left atrium

RUBRIC "Transluminal laser resection of right ventricular muscle"
ENGLISH_RUBRIC "Transluminal laser resection of right ventricular muscle"
SOURCE "READ"
CODE "X00zZ"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH transvascular approach
	ACTS_ON right ventricular structure
	BY_MEANS_OF laser

RUBRIC "Endarterectomy of internal carotid artery"
ENGLISH_RUBRIC "Endarterectomy of internal carotid artery"
SOURCE "READ"
CODE "X014D"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION internal carotid artery

RUBRIC "Iliofemoral graft"
ENGLISH_RUBRIC "Iliofemoral graft"
SOURCE "READ"
CODE "X0164"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES arterial structure
		CONNECTS_1 iliac artery
		CONNECTS_2 femoral artery

RUBRIC "Percutaneous embolectomy of pulmonary artery"
ENGLISH_RUBRIC "Percutaneous embolectomy of pulmonary artery"
SOURCE "READ"
CODE "7A0A1"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON unspecified embolus
		HAS_LOCATION pulmonary artery structure

RUBRIC "Xenograft aortic valve replacement"
ENGLISH_RUBRIC "Xenograft aortic valve replacement"
SOURCE "READ"
CODE "79111"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON xenograft cardiac valve
		HAS_DESTINATION aortic valve structure

RUBRIC "Percutaneous thrombolysis of intracranial vein"
ENGLISH_RUBRIC "Percutaneous thrombolysis of intracranial vein"
SOURCE "READ"
CODE "X00Hr"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON thrombolytic
		HAS_DESTINATION intracranial vein

RUBRIC "Precordial thump"
ENGLISH_RUBRIC "Precordial thump"
SOURCE "READ"
CODE "Ua1sS"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN clinical action
	HAS_APPROACH closed approach
	ACTS_ON cardiac structure

RUBRIC "Percutaneous transluminal embolisation of axillary artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of axillary artery"
SOURCE "READ"
CODE "7A28E"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON axillary artery

RUBRIC "Operation on aortic valve cusp"
ENGLISH_RUBRIC "Operation on aortic valve cusp"
SOURCE "READ"
CODE "X00vE"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON aortic valve cusp

RUBRIC "Percutaneous transluminal coronary thrombolysis using streptokinase"
ENGLISH_RUBRIC "Percutaneous transluminal coronary thrombolysis using streptokinase"
SOURCE "READ"
CODE "79291"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON streptokinase
		HAS_DESTINATION coronary artery

RUBRIC "Operation on implanted atrioventricular valve"
ENGLISH_RUBRIC "Operation on implanted atrioventricular valve"
SOURCE "READ"
CODE "X00x5"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Insertion of coronary artery stent"
ENGLISH_RUBRIC "Insertion of coronary artery stent"
SOURCE "READ"
CODE "X00tU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvascular approach
	ACTS_ON vascular stent
		HAS_DESTINATION coronary artery

RUBRIC "Operation on systemic to pulmonary artery shunt"
ENGLISH_RUBRIC "Operation on systemic to pulmonary artery shunt"
SOURCE "READ"
CODE "X012y"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON systemic to pulmonary arterial shunt

RUBRIC "Angioplasty of superficial femoral artery"
ENGLISH_RUBRIC "Angioplasty of superficial femoral artery"
SOURCE "READ"
CODE "X013q"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON superficial femoral artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolectomy of arterial graft"
ENGLISH_RUBRIC "Embolectomy of arterial graft"
SOURCE "READ"
CODE "X014i"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:20 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION arterial graft

RUBRIC "Division of aortic arch"
ENGLISH_RUBRIC "Division of aortic arch"
SOURCE "READ"
CODE "X016Y"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN division - action
	ACTS_ON aortic arch

RUBRIC "Insertion of stent into subclavian vein"
ENGLISH_RUBRIC "Insertion of stent into subclavian vein"
SOURCE "READ"
CODE "X017Q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION subclavian vein

RUBRIC "Exploration of vein with venotomy"
ENGLISH_RUBRIC "Exploration of vein with venotomy"
SOURCE "READ"
CODE "X018I"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON vein

RUBRIC "Posterior tibial artery cannula insertion"
ENGLISH_RUBRIC "Posterior tibial artery cannula insertion"
SOURCE "READ"
CODE "X019A"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION posterior tibial artery

RUBRIC "Replacement of arterial stent"
ENGLISH_RUBRIC "Replacement of arterial stent"
SOURCE "READ"
CODE "X70Y6"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON vascular stent
		HAS_DESTINATION arterial structure

RUBRIC "Percutaneous endarterectomy of popliteal artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of popliteal artery"
SOURCE "READ"
CODE "Xa0Fz"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION popliteal artery

RUBRIC "Embolectomy of carotid artery"
ENGLISH_RUBRIC "Embolectomy of carotid artery"
SOURCE "READ"
CODE "Xa8Aq"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION carotid artery

RUBRIC "Porcine tricuspid valve replacement"
ENGLISH_RUBRIC "Porcine tricuspid valve replacement"
SOURCE "READ"
CODE "XaBXr"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON porcine cardiac valve
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Percutaneous transluminal embolectomy of iliac artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolectomy of iliac artery"
SOURCE "READ"
CODE "7A441"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION iliac artery

RUBRIC "Open cardiac valvotomy"
ENGLISH_RUBRIC "Open cardiac valvotomy"
SOURCE "READ"
CODE "7916."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON cardiac valve structure

RUBRIC "Suturing of aortopulmonary window"
ENGLISH_RUBRIC "Suturing of aortopulmonary window"
SOURCE "READ"
CODE "XaCGQ"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON aortopulmonary window
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Delorme pericardiectomy"
ENGLISH_RUBRIC "Delorme pericardiectomy"
SOURCE "READ"
CODE "793A1"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pericardial structure

RUBRIC "Operations for Fallot-type conditions"
ENGLISH_RUBRIC "Operations for Fallot-type conditions"
SOURCE "READ"
CODE "X010T"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON tetralogy of Fallot
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Resection of mitral leaflet"
ENGLISH_RUBRIC "Resection of mitral leaflet"
SOURCE "READ"
CODE "X00tz"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON mitral leaflet

RUBRIC "Infundibulectomy of heart using patch"
ENGLISH_RUBRIC "Infundibulectomy of heart using patch"
SOURCE "READ"
CODE "791A0"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON right ventricular outflow tract
WITH applying
	ACTS_ON patch
		HAS_DESTINATION right ventricular outflow tract

RUBRIC "Prosthetic replacement of atrioventricular valve chordae tendinae"
ENGLISH_RUBRIC "Prosthetic replacement of atrioventricular valve chordae tendinae"
SOURCE "READ"
CODE "X00wb"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic chorda tendinae
		HAS_DESTINATION atrioventricular valve chordae tendinae

RUBRIC "Aortic valve replacement and aortoplasty"
ENGLISH_RUBRIC "Aortic valve replacement and aortoplasty"
SOURCE "READ"
CODE "X00vj"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Manual accept at 2:25:04 pm on November 3, 1998 by jon"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION aortic valve structure
WITH plastic repairing
	ACTS_ON aorta

RUBRIC "Balloon atrial septostomy by pull-back"
ENGLISH_RUBRIC "Balloon atrial septostomy by pull-back"
SOURCE "READ"
CODE "X00zJ"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN incision - action
	HAS_APPROACH transvascular approach
	ACTS_ON atrial septum
	BY_MEANS_OF balloon septostomy catheter

RUBRIC "Angioplasty of inferior vena cava"
ENGLISH_RUBRIC "Angioplasty of inferior vena cava"
SOURCE "READ"
CODE "X00yR"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON inferior vena cava
	BY_MEANS_OF angioplasty catheter

RUBRIC "Decalcification of tricuspid valve"
ENGLISH_RUBRIC "Decalcification of tricuspid valve"
SOURCE "READ"
CODE "X00ur"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION tricuspid valve structure

RUBRIC "Homograft truncal valve replacement"
ENGLISH_RUBRIC "Homograft truncal valve replacement"
SOURCE "READ"
CODE "X00xZ"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON homograft cardiac valve
		HAS_DESTINATION truncal valve structure

RUBRIC "Pericardioperitoneal shunt operation"
ENGLISH_RUBRIC "Pericardioperitoneal shunt operation"
SOURCE "READ"
CODE "X012D"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 pericardial structure
		CONNECTS_2 peritoneal cavity structure

RUBRIC "Angioplasty of intracranial artery"
ENGLISH_RUBRIC "Angioplasty of intracranial artery"
SOURCE "READ"
CODE "X00Hb"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH transarterial approach
	ACTS_ON intracranial artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Exploration of arteriovenous fistula"
ENGLISH_RUBRIC "Exploration of arteriovenous fistula"
SOURCE "READ"
CODE "X018n"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON surgical arteriovenous fistula

RUBRIC "Insertion of haemodialysis shunt"
ENGLISH_RUBRIC "Insertion of haemodialysis shunt"
SOURCE "READ"
CODE "X019f"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998
Manual accept at 1:06:30 am on June 26, 1998 by jeremy
Manual accept at 8:41:15 pm on August 20, 1998 by jon
Manual accept at 8:41:39 pm on August 20, 1998 by jon
Manual accept at 8:41:52 pm on August 20, 1998 by jon
Manual accept at 8:42:08 pm on August 20, 1998 by jon
Manual accept at 1:37:42 pm on September 28, 1998 by jon
Manual accept at 1:38:12 pm on September 28, 1998 by jon
Manual accept at 1:38:55 pm on September 28, 1998 by jon
Manual accept at 1:40:01 pm on September 28, 1998 by jon
Manual accept at 1:40:39 pm on September 28, 1998 by jon"
MAIN creating
	ACTS_ON shunt structure
		CONNECTS_1 arterial structure
		CONNECTS_2 vein
	BY_MEANS_OF vascular cannula
TO_ACHIEVE_OVERALL dialysing

RUBRIC "Radiofrequency cardiac valvotomy"
ENGLISH_RUBRIC "Radiofrequency cardiac valvotomy"
SOURCE "READ"
CODE "X70Vs"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON cardiac valve structure
	BY_MEANS_OF radiofrequency controlled thermal probe

RUBRIC "Percutaneous thrombolysis of internal iliac artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of internal iliac artery"
SOURCE "READ"
CODE "X70Xc"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION internal iliac artery

RUBRIC "Single leaflet mitral valve replacement"
ENGLISH_RUBRIC "Single leaflet mitral valve replacement"
SOURCE "READ"
CODE "XM1IW"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Coronary artery graft placement"
ENGLISH_RUBRIC "Coronary artery graft placement"
SOURCE "READ"
CODE "Xa0Kw"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Manual accept at 1:24:34 am on June 26, 1998 by jeremy"
MAIN constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_2 coronary artery

RUBRIC "Embolisation of portal vein"
ENGLISH_RUBRIC "Embolisation of portal vein"
SOURCE "READ"
CODE "Xa7y3"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON portal system vein

RUBRIC "Resection of segmental aortic hypoplasia"
ENGLISH_RUBRIC "Resection of segmental aortic hypoplasia"
SOURCE "READ"
CODE "XaBY5"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION thoracic aorta structure

RUBRIC "Closure of sinus of Valsalva fistula"
ENGLISH_RUBRIC "Closure of sinus of Valsalva fistula"
SOURCE "READ"
CODE "XaC3b"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON unspecified fistula
		HAS_LOCATION aortic sinus

RUBRIC "Percutaneous transluminal embolectomy of vertebral artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolectomy of vertebral artery"
SOURCE "READ"
CODE "7A285"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION vertebral artery

RUBRIC "Coronary artery bypass grafting"
ENGLISH_RUBRIC "Coronary artery bypass grafting"
SOURCE "READ"
CODE "X00tE"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Repair of coronary artery aneurysm"
ENGLISH_RUBRIC "Repair of coronary artery aneurysm"
SOURCE "READ"
CODE "79271"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION coronary artery

RUBRIC "Total cavopulmonary connection operation"
ENGLISH_RUBRIC "Total cavopulmonary connection operation"
SOURCE "READ"
CODE "X010y"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	HAS_EXTENT total
	ACTS_ON anastomosis structure
		CONNECTS_1 vena cava
		CONNECTS_2 pulmonary artery structure

RUBRIC "Construction of conduit - right ventricle to aorta"
ENGLISH_RUBRIC "Construction of conduit - right ventricle to aorta"
SOURCE "READ"
CODE "X00zo"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 thoracic aorta structure

RUBRIC "Excision of left atrial vegetations"
ENGLISH_RUBRIC "Excision of left atrial vegetations"
SOURCE "READ"
CODE "X00yw"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION left atrial structure

RUBRIC "Temporary cardiac pacemaker procedure"
ENGLISH_RUBRIC "Temporary cardiac pacemaker procedure"
SOURCE "READ"
CODE "X011q"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 1:30:14 pm on June 30, 1998 by jon"
MAIN clinical action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure
	HAS_TEMPORAL_MARKER temporary

RUBRIC "Repair of sinus of Valsalva aneurysm"
ENGLISH_RUBRIC "Repair of sinus of Valsalva aneurysm"
SOURCE "READ"
CODE "X012i"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION aortic sinus

RUBRIC "Percutaneous angioplasty of abdominal aorta"
ENGLISH_RUBRIC "Percutaneous angioplasty of abdominal aorta"
SOURCE "READ"
CODE "X013a"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON abdominal aorta structure
	BY_MEANS_OF angioplasty catheter

RUBRIC "Endarterectomy of popliteal artery"
ENGLISH_RUBRIC "Endarterectomy of popliteal artery"
SOURCE "READ"
CODE "X014Y"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION popliteal artery

RUBRIC "Bypass/graft of artery"
ENGLISH_RUBRIC "Bypass/graft of artery"
SOURCE "READ"
CODE "X015Q"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:14 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN constructing
	ACTS_ON arterial structure
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 arterial graft
		CONNECTS_1 arterial structure
		CONNECTS_2 arterial graft
		CONNECTS_2 arterial structure

RUBRIC "Thrombectomy of iliofemoral vein"
ENGLISH_RUBRIC "Thrombectomy of iliofemoral vein"
SOURCE "READ"
CODE "X017A"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:58 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:43:15 pm on August 20, 1998 by jon
Manual accept at 8:43:56 pm on August 20, 1998 by jon
Manual accept at 8:45:06 pm on August 20, 1998 by jon"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION_2 femoral vein
		HAS_LOCATION_2 iliac vein

RUBRIC "Sclerotherapy of vein"
ENGLISH_RUBRIC "Sclerotherapy of vein"
SOURCE "READ"
CODE "X0189"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON sclerosant
		HAS_DESTINATION vein

RUBRIC "Vascular cannulation procedure"
ENGLISH_RUBRIC "Vascular cannulation procedure"
SOURCE "READ"
CODE "X0191"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vascular cannula
		HAS_LOCATION cardiovascular structure

RUBRIC "Transluminal balloon atrial septostomy"
ENGLISH_RUBRIC "Transluminal balloon atrial septostomy"
SOURCE "READ"
CODE "XE2tv"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN incision - action
	HAS_APPROACH transvascular approach
	ACTS_ON atrial septum
	BY_MEANS_OF balloon septostomy catheter

RUBRIC "Percutaneous endarterectomy of abdominal aorta"
ENGLISH_RUBRIC "Percutaneous endarterectomy of abdominal aorta"
SOURCE "READ"
CODE "Xa0Fj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION abdominal aorta structure

RUBRIC "Great vessel and pulmonary artery procedure"
ENGLISH_RUBRIC "Great vessel and pulmonary artery procedure"
SOURCE "READ"
CODE "XE0Eu"
STATUS "i"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Manual accept at 10:54:06 am on September 30, 1998 by jon
Manual accept at 10:54:30 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON great vessel
	ACTS_ON pulmonary artery

RUBRIC "Removal of infected vascular graft"
ENGLISH_RUBRIC "Removal of infected vascular graft"
SOURCE "READ"
CODE "XaAsX"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified infection
		HAS_LOCATION vascular graft

RUBRIC "Suturing of atrioventricular valve"
ENGLISH_RUBRIC "Suturing of atrioventricular valve"
SOURCE "READ"
CODE "XaCGA"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Insertion of temporary cardiac pacemaker"
ENGLISH_RUBRIC "Insertion of temporary cardiac pacemaker"
SOURCE "READ"
CODE "Xa1nS"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Manual accept at 1:33:17 pm on June 30, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER temporary
	ACTS_ON cardiac pacemaker implant
		HAS_DESTINATION cardiac structure

RUBRIC "Vascular cannula insertion"
ENGLISH_RUBRIC "Vascular cannula insertion"
SOURCE "READ"
CODE "Xa1oK"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvascular approach
	ACTS_ON vascular cannula
		HAS_DESTINATION cardiovascular structure

RUBRIC "Repair of mitral valve"
ENGLISH_RUBRIC "Repair of mitral valve"
SOURCE "READ"
CODE "X00tj"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON mitral valve structure

RUBRIC "Operation on tricuspid chordae tendinae"
ENGLISH_RUBRIC "Operation on tricuspid chordae tendinae"
SOURCE "READ"
CODE "X00ub"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON tricuspid chordae tendinae

RUBRIC "Rotation of implanted aortic valve"
ENGLISH_RUBRIC "Rotation of implanted aortic valve"
SOURCE "READ"
CODE "X00vZ"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN rotating
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION aortic valve structure

RUBRIC "Repair of Ebstein's anomaly of atrioventricular valve"
ENGLISH_RUBRIC "Repair of Ebstein's anomaly of atrioventricular valve"
SOURCE "READ"
CODE "X00wR"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON ebstein's anomaly of common atrioventricular valve
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Operation on truncal valve cusp"
ENGLISH_RUBRIC "Operation on truncal valve cusp"
SOURCE "READ"
CODE "X00xJ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON truncal valve leaflet

RUBRIC "Angioplasty of pulmonary vein"
ENGLISH_RUBRIC "Angioplasty of pulmonary vein"
SOURCE "READ"
CODE "X00yB"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON pulmonary vein
	BY_MEANS_OF angioplasty catheter

RUBRIC "Removal of cardiac pacing electrode"
ENGLISH_RUBRIC "Removal of cardiac pacing electrode"
SOURCE "READ"
CODE "X0124"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON cardiac pacemaker electrode
		HAS_LOCATION cardiac structure

RUBRIC "Insertion common iliac artery stent"
ENGLISH_RUBRIC "Insertion common iliac artery stent"
SOURCE "READ"
CODE "X016n"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION common iliac artery

RUBRIC "Mesoatrial shunt"
ENGLISH_RUBRIC "Mesoatrial shunt"
SOURCE "READ"
CODE "X017f"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 superior mesenteric vein
		CONNECTS_2 right atrial structure

RUBRIC "Pulmonary artery catheter insertion"
ENGLISH_RUBRIC "Pulmonary artery catheter insertion"
SOURCE "READ"
CODE "X019V"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvenous approach
	ACTS_ON vascular catheter
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Balloon cardiac valvotomy"
ENGLISH_RUBRIC "Balloon cardiac valvotomy"
SOURCE "READ"
CODE "X70Vc"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON cardiac valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Embolisation of axillary artery"
ENGLISH_RUBRIC "Embolisation of axillary artery"
SOURCE "READ"
CODE "Xa7pk"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON axillary artery

RUBRIC "Replacement of ascending aorta"
ENGLISH_RUBRIC "Replacement of ascending aorta"
SOURCE "READ"
CODE "XaDqt"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Manual accept at 11:56:21 am on September 28, 1998 by jon
Manual accept at 11:56:26 am on September 28, 1998 by jon
Manual accept at 11:56:35 am on September 28, 1998 by jon"
MAIN constructing
	ACTS_ON thoracic aorta structure
	BY_MEANS_OF constructing
		ACTS_ON indirect anastomosis structure
			CONNECTS_1 ascending aorta
			CONNECTS_2 thoracic aorta structure

RUBRIC "Excision of vegetations of valve of heart"
ENGLISH_RUBRIC "Excision of vegetations of valve of heart"
SOURCE "READ"
CODE "79183"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION cardiac valve structure

RUBRIC "Intraventricular operation for transposition or double outlet ventricle"
ENGLISH_RUBRIC "Intraventricular operation for transposition or double outlet ventricle"
SOURCE "READ"
CODE "X010i"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON abnormal ventriculoarterial connection
		HAS_LOCATION cardiac ventricular structure

RUBRIC "Diathermy ablation operation for arrhythmia"
ENGLISH_RUBRIC "Diathermy ablation operation for arrhythmia"
SOURCE "READ"
CODE "X011a"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN destruction - action
	BY_MEANS_OF diathermy device
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Balloon dilatation of pulmonary artery"
ENGLISH_RUBRIC "Balloon dilatation of pulmonary artery"
SOURCE "READ"
CODE "X012Y"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON pulmonary artery structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Angioplasty of external carotid artery"
ENGLISH_RUBRIC "Angioplasty of external carotid artery"
SOURCE "READ"
CODE "X013Q"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON external carotid artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Aortic balloon pump operation"
ENGLISH_RUBRIC "Aortic balloon pump operation"
SOURCE "READ"
CODE "X00xo"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON aortic pulsation balloon
		HAS_LOCATION descending thoracic aorta

RUBRIC "Open atrioventricular valvotomy"
ENGLISH_RUBRIC "Open atrioventricular valvotomy"
SOURCE "READ"
CODE "X00ww"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON atrioventricular valve structure

RUBRIC "Correction of total anomalous pulmonary venous connection to supracardiac vessel"
ENGLISH_RUBRIC "Correction of total anomalous pulmonary venous connection to supracardiac vessel"
SOURCE "READ"
CODE "79050"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON total anomalous pulmonary venous connection
		HAS_LOCATION pulmonary vein

RUBRIC "Attention to arteriovenous shunt"
ENGLISH_RUBRIC "Attention to arteriovenous shunt"
SOURCE "READ"
CODE "7A602"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN attention - action
	ACTS_ON arteriovenous shunt
		HAS_LOCATION vascular structure

RUBRIC "Right atrial operation"
ENGLISH_RUBRIC "Right atrial operation"
SOURCE "READ"
CODE "X00yg"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON right atrial structure

RUBRIC "Percutaneous thrombolysis of superficial femoral artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of superficial femoral artery"
SOURCE "READ"
CODE "X015A"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION superficial femoral artery

RUBRIC "Bypass/graft of renal artery"
ENGLISH_RUBRIC "Bypass/graft of renal artery"
SOURCE "READ"
CODE "X0169"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON renal artery
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 renal artery
		CONNECTS_1 abdominal aorta structure
		CONNECTS_2 renal artery

RUBRIC "Venous procedure"
ENGLISH_RUBRIC "Venous procedure"
SOURCE "READ"
CODE "X0171"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vein

RUBRIC "Ligation of sinus of Valsalva fistula"
ENGLISH_RUBRIC "Ligation of sinus of Valsalva fistula"
SOURCE "READ"
CODE "XM1LT"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified fistula
		HAS_LOCATION aortic sinus
	BY_MEANS_OF ligature

RUBRIC "Mechanical prosthetic mitral valve replacement"
ENGLISH_RUBRIC "Mechanical prosthetic mitral valve replacement"
SOURCE "READ"
CODE "XE0Ee"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON mechanical cardiac valve prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Removal of tumour from inferior vena cava"
ENGLISH_RUBRIC "Removal of tumour from inferior vena cava"
SOURCE "READ"
CODE "Xa4On"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified tumour
		HAS_LOCATION inferior vena cava

RUBRIC "Embolisation of varicocele"
ENGLISH_RUBRIC "Embolisation of varicocele"
SOURCE "READ"
CODE "7C131"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON unspecified varix
		HAS_LOCATION vein of spermatic cord

RUBRIC "Left ventricular outflow tract muscle resection"
ENGLISH_RUBRIC "Left ventricular outflow tract muscle resection"
SOURCE "READ"
CODE "X0104"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON left ventricular outflow tract

RUBRIC "Operation for coronary artery fistula"
ENGLISH_RUBRIC "Operation for coronary artery fistula"
SOURCE "READ"
CODE "X00tZ"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery

RUBRIC "Inspection of tricuspid valve"
ENGLISH_RUBRIC "Inspection of tricuspid valve"
SOURCE "READ"
CODE "X00uR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON tricuspid valve structure

RUBRIC "Repair of aortic valve cusp"
ENGLISH_RUBRIC "Repair of aortic valve cusp"
SOURCE "READ"
CODE "X00vJ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON aortic valve cusp

RUBRIC "Open pulmonary valvectomy"
ENGLISH_RUBRIC "Open pulmonary valvectomy"
SOURCE "READ"
CODE "X00wB"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH open approach
	ACTS_ON pulmonary valve structure

RUBRIC "Angioplasty of crural artery"
ENGLISH_RUBRIC "Angioplasty of crural artery"
SOURCE "READ"
CODE "X013v"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON crural artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Removal of heart-lung block from donor"
ENGLISH_RUBRIC "Removal of heart-lung block from donor"
SOURCE "READ"
CODE "X00y2"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Manual accept at 8:45:18 pm on August 20, 1998 by jon"
MAIN harvesting - action
	ACTS_ON_1 lung structure
	ACTS_ON_2 cardiac structure

RUBRIC "Embolisation of middle cerebral artery"
ENGLISH_RUBRIC "Embolisation of middle cerebral artery"
SOURCE "READ"
CODE "X014n"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON middle cerebral artery

RUBRIC "Removal of inferior vena caval filter"
ENGLISH_RUBRIC "Removal of inferior vena caval filter"
SOURCE "READ"
CODE "X017V"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vena cava filter
		HAS_LOCATION inferior vena cava

RUBRIC "Creation brachiocephalic fistula"
ENGLISH_RUBRIC "Creation brachiocephalic fistula"
SOURCE "READ"
CODE "X018N"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON vascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 brachial artery
		CONNECTS_2 cephalic vein

RUBRIC "Peripheral venous cannula insertion - dorsum of hand"
ENGLISH_RUBRIC "Peripheral venous cannula insertion - dorsum of hand"
SOURCE "READ"
CODE "X019F"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Manual accept at 1:05:54 am on June 26, 1998 by jeremy"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION dorsal vein of hand

RUBRIC "Disc valve atrioventricular valve replacement"
ENGLISH_RUBRIC "Disc valve atrioventricular valve replacement"
SOURCE "READ"
CODE "XaBXw"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Complete removal of implanted cardiac pacemaker system"
ENGLISH_RUBRIC "Complete removal of implanted cardiac pacemaker system"
SOURCE "READ"
CODE "79364"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON cardiac pacemaker system
		HAS_LOCATION cardiac structure

RUBRIC "Reinforcing of wall of intracranial aneurysm"
ENGLISH_RUBRIC "Reinforcing of wall of intracranial aneurysm"
SOURCE "READ"
CODE "X00HB"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN reinforcement - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION intracranial artery

RUBRIC "Open pulmonary valvotomy"
ENGLISH_RUBRIC "Open pulmonary valvotomy"
SOURCE "READ"
CODE "79163"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON pulmonary valve structure

RUBRIC "Open embolectomy of circle of Willis"
ENGLISH_RUBRIC "Open embolectomy of circle of Willis"
SOURCE "READ"
CODE "7A245"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION artery of circle of Willis

RUBRIC "Patch repair of brachial artery"
ENGLISH_RUBRIC "Patch repair of brachial artery"
SOURCE "READ"
CODE "Xa9Iv"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION brachial artery

RUBRIC "Closure of patent foramen ovale using sutures"
ENGLISH_RUBRIC "Closure of patent foramen ovale using sutures"
SOURCE "READ"
CODE "XaCHN"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON patent foramen ovale
		HAS_LOCATION atrial septum

RUBRIC "Prosthetic replacement of two coronary arteries"
ENGLISH_RUBRIC "Prosthetic replacement of two coronary arteries"
SOURCE "READ"
CODE "79231"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Banding of major aortopulmonary collateral artery"
ENGLISH_RUBRIC "Banding of major aortopulmonary collateral artery"
SOURCE "READ"
CODE "X010Y"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:38 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 8:46:12 pm on August 20, 1998 by jon"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION intrathoracic cardiovascular structure
	TO_ACHIEVE occluding
		ACTS_ON major aortopulmonary collateral artery
MOTIVATED_OVERALL_BY treating
	ACTS_ON tetralogy of Fallot

RUBRIC "Patch enlargement of conduit"
ENGLISH_RUBRIC "Patch enlargement of conduit"
SOURCE "READ"
CODE "X011Q"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON cardiac conduit
		HAS_DESTINATION intrathoracic cardiovascular structure

RUBRIC "Balloon dilatation of implanted tricuspid valve"
ENGLISH_RUBRIC "Balloon dilatation of implanted tricuspid valve"
SOURCE "READ"
CODE "X00uw"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION tricuspid valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Non-Konno aortoventriculoplasty"
ENGLISH_RUBRIC "Non-Konno aortoventriculoplasty"
SOURCE "READ"
CODE "X00vo"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998
Manual accept at 8:17:49 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON_1 left ventricular outflow tract
	ACTS_ON_1 aortic valve structure
	TO_ACHIEVE repairing

RUBRIC "Atrial inversion operation with patch"
ENGLISH_RUBRIC "Atrial inversion operation with patch"
SOURCE "READ"
CODE "79030"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Manual accept at 11:40:04 am on September 30, 1998 by jon"
MAIN inversion - action
	ACTS_ON atrial structure
	BY_MEANS_OF patch

RUBRIC "Repair of defect of atrioventricular valve leaflet"
ENGLISH_RUBRIC "Repair of defect of atrioventricular valve leaflet"
SOURCE "READ"
CODE "X00wg"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified defect
		HAS_LOCATION atrioventricular valve leaflet

RUBRIC "Operation on systemic venous pathway"
ENGLISH_RUBRIC "Operation on systemic venous pathway"
SOURCE "READ"
CODE "X00yW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON systemic venous pathway

RUBRIC "Repair of atrioventricular septal defect associated with Fallot's tetralogy"
ENGLISH_RUBRIC "Repair of atrioventricular septal defect associated with Fallot's tetralogy"
SOURCE "READ"
CODE "X00zO"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 2:58:06 pm on August 20, 1998 by jon
Manual accept at 2:58:27 pm on August 20, 1998 by jon
Manual accept at 2:58:45 pm on August 20, 1998 by jon"
MAIN repair - action
	ACTS_ON tetralogy of Fallot
		HAS_LOCATION atrioventricular septum
		HAS_LOCATION atrioventricular junction

RUBRIC "Operation on the ductus arteriosus"
ENGLISH_RUBRIC "Operation on the ductus arteriosus"
SOURCE "READ"
CODE "X012I"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON ductus arteriosus

RUBRIC "Endarterectomy"
ENGLISH_RUBRIC "Endarterectomy"
SOURCE "READ"
CODE "X0149"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION arterial structure

RUBRIC "Embolisation of hepatic artery"
ENGLISH_RUBRIC "Embolisation of hepatic artery"
SOURCE "READ"
CODE "X0151"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON hepatic artery

RUBRIC "Revascularisation of forearm"
ENGLISH_RUBRIC "Revascularisation of forearm"
SOURCE "READ"
CODE "X018s"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of upper limb

RUBRIC "Cannulation of subcutaneous reservoir"
ENGLISH_RUBRIC "Cannulation of subcutaneous reservoir"
SOURCE "READ"
CODE "X019k"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION cardiovascular structure

RUBRIC "Local excision of varicose vein of leg"
ENGLISH_RUBRIC "Local excision of varicose vein of leg"
SOURCE "READ"
CODE "7A694"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	HAS_EXTENT focal
	ACTS_ON varicose veins of leg
		HAS_LOCATION vein of lower limb

RUBRIC "Open embolectomy of axillary artery"
ENGLISH_RUBRIC "Open embolectomy of axillary artery"
SOURCE "READ"
CODE "7A27B"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION axillary artery

RUBRIC "Patch repair of vertebral artery"
ENGLISH_RUBRIC "Patch repair of vertebral artery"
SOURCE "READ"
CODE "XaCLS"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION vertebral artery

RUBRIC "Coronary artery bypass grafts x 4"
ENGLISH_RUBRIC "Coronary artery bypass grafts x 4"
SOURCE "READ"
CODE "X00tJ"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Balloon mitral valvotomy"
ENGLISH_RUBRIC "Balloon mitral valvotomy"
SOURCE "READ"
CODE "X00uB"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON mitral valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Transoesophageal cardiac pacing procedure"
ENGLISH_RUBRIC "Transoesophageal cardiac pacing procedure"
SOURCE "READ"
CODE "X011v"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN pacing - action
	HAS_APPROACH transoesophageal approach
	ACTS_ON cardiac conducting system structure

RUBRIC "Decalcification of pulmonary valve"
ENGLISH_RUBRIC "Decalcification of pulmonary valve"
SOURCE "READ"
CODE "X00w2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION pulmonary valve structure

RUBRIC "Percutaneous angioplasty of coronary artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of coronary artery"
SOURCE "READ"
CODE "7928."
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON coronary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Adjustment of pulmonary artery band"
ENGLISH_RUBRIC "Adjustment of pulmonary artery band"
SOURCE "READ"
CODE "7A091"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON surgical band
		HAS_LOCATION pulmonary artery structure

RUBRIC "Anastomosis of descending aorta to left pulmonary artery"
ENGLISH_RUBRIC "Anastomosis of descending aorta to left pulmonary artery"
SOURCE "READ"
CODE "X012n"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 descending thoracic aorta
		CONNECTS_2 left pulmonary artery

RUBRIC "Excision of left ventricular vegetations"
ENGLISH_RUBRIC "Excision of left ventricular vegetations"
SOURCE "READ"
CODE "X00zt"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION left ventricular structure

RUBRIC "Angioplasty of superior mesenteric artery"
ENGLISH_RUBRIC "Angioplasty of superior mesenteric artery"
SOURCE "READ"
CODE "X013f"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON superior mesenteric artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Brachial artery cannula insertion"
ENGLISH_RUBRIC "Brachial artery cannula insertion"
SOURCE "READ"
CODE "X0196"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:39 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION brachial artery

RUBRIC "Percutaneous endarterectomy of common iliac artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of common iliac artery"
SOURCE "READ"
CODE "Xa0Fo"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION common iliac artery

RUBRIC "Closure of ventricular septal defect using patch"
ENGLISH_RUBRIC "Closure of ventricular septal defect using patch"
SOURCE "READ"
CODE "X010I"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION ventricular septum
MOTIVATED_OVERALL_BY unspecified defect

RUBRIC "Shortening operation on mitral papillary muscle"
ENGLISH_RUBRIC "Shortening operation on mitral papillary muscle"
SOURCE "READ"
CODE "X00to"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN shortening - action
	ACTS_ON mitral papillary muscle

RUBRIC "Shortening plasty to tricuspid chordae tendinae"
ENGLISH_RUBRIC "Shortening plasty to tricuspid chordae tendinae"
SOURCE "READ"
CODE "X00ug"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN shortening - action
	ACTS_ON tricuspid chordae tendinae

RUBRIC "Pericardiotomy and drainage of effusion"
ENGLISH_RUBRIC "Pericardiotomy and drainage of effusion"
SOURCE "READ"
CODE "X0129"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN drainage - action
	HAS_APPROACH open approach
	ACTS_ON unspecified effusion
		HAS_LOCATION pericardial structure

RUBRIC "Shortening operation on atrioventricular valve papillary muscle"
ENGLISH_RUBRIC "Shortening operation on atrioventricular valve papillary muscle"
SOURCE "READ"
CODE "X00wW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN shortening - action
	ACTS_ON atrioventricular valve papillary muscle

RUBRIC "Excision of vegetations from implanted truncal valve"
ENGLISH_RUBRIC "Excision of vegetations from implanted truncal valve"
SOURCE "READ"
CODE "X00xO"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION truncal valve structure

RUBRIC "Operation on systemic great vein"
ENGLISH_RUBRIC "Operation on systemic great vein"
SOURCE "READ"
CODE "X00yG"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vena caval structure

RUBRIC "Adjustment of systemic to pulmonary artery shunt"
ENGLISH_RUBRIC "Adjustment of systemic to pulmonary artery shunt"
SOURCE "READ"
CODE "X0131"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON systemic to pulmonary arterial shunt

RUBRIC "Removal of arterial stent"
ENGLISH_RUBRIC "Removal of arterial stent"
SOURCE "READ"
CODE "X016s"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular stent
		HAS_LOCATION arterial structure

RUBRIC "Insertion of stent into arteriovenous fistula"
ENGLISH_RUBRIC "Insertion of stent into arteriovenous fistula"
SOURCE "READ"
CODE "X018c"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Percutaneous thrombolysis of coeliac artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of coeliac artery"
SOURCE "READ"
CODE "X70XX"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION coeliac artery

RUBRIC "Embolisation of superior mesenteric artery"
ENGLISH_RUBRIC "Embolisation of superior mesenteric artery"
SOURCE "READ"
CODE "Xa7pp"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON superior mesenteric artery

RUBRIC "Central venous cannula insertion via jugular vein"
ENGLISH_RUBRIC "Central venous cannula insertion via jugular vein"
SOURCE "READ"
CODE "Xa96o"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via jugular vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Exploration of abdominal aorta"
ENGLISH_RUBRIC "Exploration of abdominal aorta"
SOURCE "READ"
CODE "XaBBS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON abdominal aorta structure

RUBRIC "Percutaneous transluminal mitral valvotomy"
ENGLISH_RUBRIC "Percutaneous transluminal mitral valvotomy"
SOURCE "READ"
CODE "79190"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON mitral valve structure

RUBRIC "Placement of aortic cross clamp"
ENGLISH_RUBRIC "Placement of aortic cross clamp"
SOURCE "READ"
CODE "Xa87L"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cross clamp
		HAS_DESTINATION aortic structure

RUBRIC "Exploration of pericardium"
ENGLISH_RUBRIC "Exploration of pericardium"
SOURCE "READ"
CODE "793D3"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON pericardial structure

RUBRIC "Rev operation"
ENGLISH_RUBRIC "Rev operation"
SOURCE "READ"
CODE "X010n"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:47:44 pm on August 20, 1998 by jon"
MAIN repair - action
	ACTS_ON double outlet right ventricle
		CONNECTS_1 left ventricular structure
		CONNECTS_1 thoracic aorta structure
WITH constructing
	ACTS_ON right ventricular outflow tract
	ACTS_ON direct anastomosis structure
		CONNECTS_1 right ventricular outflow tract
		CONNECTS_2 pulmonary trunk

RUBRIC "Excision of vegetations from mitral valve"
ENGLISH_RUBRIC "Excision of vegetations from mitral valve"
SOURCE "READ"
CODE "X00u2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION mitral valve structure

RUBRIC "Percutaneous transluminal embolisation of popliteal artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of popliteal artery"
SOURCE "READ"
CODE "7A4B5"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON popliteal artery

RUBRIC "Partial atrioventricular disconnection operation"
ENGLISH_RUBRIC "Partial atrioventricular disconnection operation"
SOURCE "READ"
CODE "X011f"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN division - action
	ACTS_ON atrioventricular junction
	HAS_EXTENT partial

RUBRIC "Transluminal maintenance of intraventricular pump"
ENGLISH_RUBRIC "Transluminal maintenance of intraventricular pump"
SOURCE "READ"
CODE "X00xt"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN maintenance - action
	HAS_APPROACH transvascular approach
	ACTS_ON intraventricular pump
		HAS_LOCATION cardiac ventricular structure

RUBRIC "Open removal of foreign body from right atrium"
ENGLISH_RUBRIC "Open removal of foreign body from right atrium"
SOURCE "READ"
CODE "X00yl"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH open approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION right atrial structure

RUBRIC "Operation on the right ventricular outflow tract"
ENGLISH_RUBRIC "Operation on the right ventricular outflow tract"
SOURCE "READ"
CODE "X00zd"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON right ventricular outflow tract

RUBRIC "Endarterectomy of brachial artery"
ENGLISH_RUBRIC "Endarterectomy of brachial artery"
SOURCE "READ"
CODE "X014N"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION brachial artery

RUBRIC "Reconstruction of artery"
ENGLISH_RUBRIC "Reconstruction of artery"
SOURCE "READ"
CODE "X015F"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON arterial structure
	TO_ACHIEVE repairing

RUBRIC "Angioscopy of vein"
ENGLISH_RUBRIC "Angioscopy of vein"
SOURCE "READ"
CODE "X0176"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN examination - action
	HAS_APPROACH endoscopic approach
	HAS_APPROACH transvenous approach
	ACTS_ON vein

RUBRIC "Surgical avulsion of vein"
ENGLISH_RUBRIC "Surgical avulsion of vein"
SOURCE "READ"
CODE "X206W"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN avulsion - action
	ACTS_ON vein

RUBRIC "Percutaneous transluminal angioscopy"
ENGLISH_RUBRIC "Percutaneous transluminal angioscopy"
SOURCE "READ"
CODE "792A0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN examination - action
	HAS_APPROACH endoscopic approach
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON coronary artery

RUBRIC "Embolisation of uterine artery"
ENGLISH_RUBRIC "Embolisation of uterine artery"
SOURCE "READ"
CODE "XaDcZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON uterine artery

RUBRIC "Percutaneous embolisation of coronary artery fistula"
ENGLISH_RUBRIC "Percutaneous embolisation of coronary artery fistula"
SOURCE "READ"
CODE "Xa0RY"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery

RUBRIC "Resection of subaortic fibromuscular shelf"
ENGLISH_RUBRIC "Resection of subaortic fibromuscular shelf"
SOURCE "READ"
CODE "X0109"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON subaortic stenosis
		HAS_LOCATION left ventricular outflow tract

RUBRIC "Take down of total cavopulmonary connection"
ENGLISH_RUBRIC "Take down of total cavopulmonary connection"
SOURCE "READ"
CODE "X0111"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN reversal - action
	HAS_TEMPORAL_MARKER revision
	ACTS_ON intrathoracic cardiovascular structure
	FOLLOWS constructing
		ACTS_ON intrathoracic cardiovascular structure
		HAS_EXTENT total
		ACTS_ON anastomosis structure
			CONNECTS_1 vena cava
			CONNECTS_2 pulmonary artery structure

RUBRIC "Bicuspidisation of tricuspid valve"
ENGLISH_RUBRIC "Bicuspidisation of tricuspid valve"
SOURCE "READ"
CODE "X00uW"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON tricuspid annulus
	TO_ACHIEVE repairing

RUBRIC "Flushing cannula"
ENGLISH_RUBRIC "Flushing cannula"
SOURCE "READ"
CODE "Ua1Au"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN irrigation - action
	ACTS_ON vascular cannula
		HAS_LOCATION cardiovascular structure

RUBRIC "Rotation of implanted pulmonary valve"
ENGLISH_RUBRIC "Rotation of implanted pulmonary valve"
SOURCE "READ"
CODE "X00wG"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN rotating
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION pulmonary valve structure

RUBRIC "Decalcification of aortic valve"
ENGLISH_RUBRIC "Decalcification of aortic valve"
SOURCE "READ"
CODE "X00vO"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION aortic valve structure

RUBRIC "Operation on the great veins and coronary sinus"
ENGLISH_RUBRIC "Operation on the great veins and coronary sinus"
SOURCE "READ"
CODE "X00y7"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON great vein

RUBRIC "Embolisation of external carotid artery"
ENGLISH_RUBRIC "Embolisation of external carotid artery"
SOURCE "READ"
CODE "X014s"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON external carotid artery

RUBRIC "Extended resection of thoracic aorta"
ENGLISH_RUBRIC "Extended resection of thoracic aorta"
SOURCE "READ"
CODE "X016c"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON thoracic aorta structure
	HAS_EXTENT extended

RUBRIC "Superficialisation of vessel for vascular access"
ENGLISH_RUBRIC "Superficialisation of vessel for vascular access"
SOURCE "READ"
CODE "X018S"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN transposition - action
	ACTS_ON vascular structure

RUBRIC "Peripheral venous cannula insertion - scalp"
ENGLISH_RUBRIC "Peripheral venous cannula insertion - scalp"
SOURCE "READ"
CODE "X019K"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION scalp vein

RUBRIC "Embolectomy of aortoiliac segment"
ENGLISH_RUBRIC "Embolectomy of aortoiliac segment"
SOURCE "READ"
CODE "X70XH"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION aortic bifurcation

RUBRIC "Closed mitral valvotomy"
ENGLISH_RUBRIC "Closed mitral valvotomy"
SOURCE "READ"
CODE "79170"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH closed approach
	ACTS_ON mitral valve structure

RUBRIC "Transantral ligation of maxillary artery"
ENGLISH_RUBRIC "Transantral ligation of maxillary artery"
SOURCE "READ"
CODE "X00oR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	HAS_APPROACH transantral approach
	ACTS_ON maxillary artery
	BY_MEANS_OF ligature

RUBRIC "Transection operation for arrhythmia"
ENGLISH_RUBRIC "Transection operation for arrhythmia"
SOURCE "READ"
CODE "X011V"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:21 pm on May 29, 1998"
MAIN division - action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Placement of stent in ductus arteriosus"
ENGLISH_RUBRIC "Placement of stent in ductus arteriosus"
SOURCE "READ"
CODE "X012N"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION ductus arteriosus

RUBRIC "Repair of pulmonary valve"
ENGLISH_RUBRIC "Repair of pulmonary valve"
SOURCE "READ"
CODE "X00vt"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary valve structure

RUBRIC "Percutaneous angioplasty of renal artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of renal artery"
SOURCE "READ"
CODE "7A320"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON renal artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Suturing together of atrioventricular valve bridging leaflets"
ENGLISH_RUBRIC "Suturing together of atrioventricular valve bridging leaflets"
SOURCE "READ"
CODE "X00wl"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON atrioventricular valve leaflet

RUBRIC "Excision of right ventricular lesion"
ENGLISH_RUBRIC "Excision of right ventricular lesion"
SOURCE "READ"
CODE "X00zT"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION right ventricular structure

RUBRIC "Revascularisation of lower limb"
ENGLISH_RUBRIC "Revascularisation of lower limb"
SOURCE "READ"
CODE "X018x"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of lower limb

RUBRIC "Percutaneous embolisation of middle cerebral artery"
ENGLISH_RUBRIC "Percutaneous embolisation of middle cerebral artery"
SOURCE "READ"
CODE "Xa0RI"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON middle cerebral artery

RUBRIC "Open atrial septectomy"
ENGLISH_RUBRIC "Open atrial septectomy"
SOURCE "READ"
CODE "XE0EZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH open approach
	ACTS_ON atrial septum

RUBRIC "Patch repair of common iliac artery"
ENGLISH_RUBRIC "Patch repair of common iliac artery"
SOURCE "READ"
CODE "XaCLX"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION common iliac artery

RUBRIC "Biological mitral valve replacement"
ENGLISH_RUBRIC "Biological mitral valve replacement"
SOURCE "READ"
CODE "XaBXl"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve bio-prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Bjork-Shiley prosthetic replacement of mitral valve"
ENGLISH_RUBRIC "Bjork-Shiley prosthetic replacement of mitral valve"
SOURCE "READ"
CODE "X00uG"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Percutaneous endarterectomy of coronary artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of coronary artery"
SOURCE "READ"
CODE "X00tO"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Balloon dilatation of implanted pulmonary valve"
ENGLISH_RUBRIC "Balloon dilatation of implanted pulmonary valve"
SOURCE "READ"
CODE "X00w7"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH transvascular approach
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION pulmonary valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Bidirectional Glenn shunt"
ENGLISH_RUBRIC "Bidirectional Glenn shunt"
SOURCE "READ"
CODE "X012s"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: end-to-side anastomosis - applied at 11:59:21 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON end-to-side anastomosis structure
		CONNECTS_1 vena cava
		CONNECTS_2 pulmonary artery structure

RUBRIC "Angioplasty of internal iliac artery"
ENGLISH_RUBRIC "Angioplasty of internal iliac artery"
SOURCE "READ"
CODE "X013k"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON internal iliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolectomy of brachial artery"
ENGLISH_RUBRIC "Embolectomy of brachial artery"
SOURCE "READ"
CODE "X014c"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION brachial artery

RUBRIC "Open resection of left ventricular muscle"
ENGLISH_RUBRIC "Open resection of left ventricular muscle"
SOURCE "READ"
CODE "X00zy"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH open approach
	ACTS_ON left ventricular structure

RUBRIC "Ligation of uterine artery"
ENGLISH_RUBRIC "Ligation of uterine artery"
SOURCE "READ"
CODE "X016S"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON uterine artery
	BY_MEANS_OF ligature

RUBRIC "Procedure on intraluminal device of vein"
ENGLISH_RUBRIC "Procedure on intraluminal device of vein"
SOURCE "READ"
CODE "X017K"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION vein

RUBRIC "Excision of vein"
ENGLISH_RUBRIC "Excision of vein"
SOURCE "READ"
CODE "X018C"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON vein

RUBRIC "Percutaneous thrombectomy of iliofemoral vein zone"
ENGLISH_RUBRIC "Percutaneous thrombectomy of iliofemoral vein zone"
SOURCE "READ"
CODE "Xa0Gl"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:58 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Manual accept at 8:48:07 pm on August 20, 1998 by jon"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON unspecified thrombus
		HAS_LOCATION_2 femoral vein
		HAS_LOCATION_2 iliac vein

RUBRIC "Percutaneous transluminal electrophysiological studies on conducting system of heart"
ENGLISH_RUBRIC "Percutaneous transluminal electrophysiological studies on conducting system of heart"
SOURCE "READ"
CODE "79351"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN investigation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac conducting system structure

RUBRIC "External cardiac massage"
ENGLISH_RUBRIC "External cardiac massage"
SOURCE "READ"
CODE "853.."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN massage - action
	HAS_APPROACH closed approach
	ACTS_ON cardiac structure

RUBRIC "Operation on the atrial septum"
ENGLISH_RUBRIC "Operation on the atrial septum"
SOURCE "READ"
CODE "XaDsI"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Manual accept at 11:40:39 am on September 30, 1998 by jon"
MAIN creating
	ACTS_ON atrial septum

RUBRIC "Clipping of aneurysm of cerebral artery"
ENGLISH_RUBRIC "Clipping of aneurysm of cerebral artery"
SOURCE "READ"
CODE "7A232"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 8:48:40 pm on August 20, 1998 by jon"
MAIN applying
	ACTS_ON clip
		HAS_DESTINATION unspecified aneurysm
			HAS_LOCATION cerebral artery

RUBRIC "Allograft bypass of coronary artery"
ENGLISH_RUBRIC "Allograft bypass of coronary artery"
SOURCE "READ"
CODE "7922."
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF allograft vein
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Enlargement of restrictive ventricular septal defect"
ENGLISH_RUBRIC "Enlargement of restrictive ventricular septal defect"
SOURCE "READ"
CODE "X010N"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON restrictive ventricular septal defect
		HAS_LOCATION ventricular septum

RUBRIC "Prosthetic replacement of mitral chordae tendinae"
ENGLISH_RUBRIC "Prosthetic replacement of mitral chordae tendinae"
SOURCE "READ"
CODE "X00tt"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON prosthetic chorda tendinae
		HAS_DESTINATION mitral chordae tendinae

RUBRIC "Plastic repair of renal artery and end-to-end anastomosis of renal artery"
ENGLISH_RUBRIC "Plastic repair of renal artery and end-to-end anastomosis of renal artery"
SOURCE "READ"
CODE "7A300"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON direct anastomosis structure
		CONNECTS_1 renal artery
		CONNECTS_2 renal artery

RUBRIC "Excision of lesion from tricuspid leaflet"
ENGLISH_RUBRIC "Excision of lesion from tricuspid leaflet"
SOURCE "READ"
CODE "X00ul"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION tricuspid leaflet

RUBRIC "Take down of Glenn shunt"
ENGLISH_RUBRIC "Take down of Glenn shunt"
SOURCE "READ"
CODE "X0136"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN reversal - action
	ACTS_ON cardiovascular structure
	FOLLOWS constructing
		ACTS_ON null
		ACTS_ON anastomosis structure
			CONNECTS_1 vena cava
			CONNECTS_2 pulmonary artery structure

RUBRIC "Ligation of superior vena cava"
ENGLISH_RUBRIC "Ligation of superior vena cava"
SOURCE "READ"
CODE "X00yL"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON superior vena cava
	BY_MEANS_OF ligature

RUBRIC "Valvotomy of truncal valve"
ENGLISH_RUBRIC "Valvotomy of truncal valve"
SOURCE "READ"
CODE "X00xT"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON truncal valve structure

RUBRIC "Exploration of artery with arteriotomy"
ENGLISH_RUBRIC "Exploration of artery with arteriotomy"
SOURCE "READ"
CODE "X016x"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON arterial structure

RUBRIC "Bypass graft of arteriovenous fistula"
ENGLISH_RUBRIC "Bypass graft of arteriovenous fistula"
SOURCE "READ"
CODE "X018h"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES surgical arteriovenous fistula

RUBRIC "Anastomosis of confluence to left atrium via connecting vein"
ENGLISH_RUBRIC "Anastomosis of confluence to left atrium via connecting vein"
SOURCE "READ"
CODE "X90PB"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 pulmonary vein
		CONNECTS_2 left atrial structure

RUBRIC "Percutaneous endarterectomy of external carotid artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of external carotid artery"
SOURCE "READ"
CODE "Xa0G7"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION external carotid artery

RUBRIC "Percutaneous removal of foreign body from coronary artery"
ENGLISH_RUBRIC "Percutaneous removal of foreign body from coronary artery"
SOURCE "READ"
CODE "Xa0aP"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH percutaneous approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION coronary artery

RUBRIC "Embolectomy of vertebral artery"
ENGLISH_RUBRIC "Embolectomy of vertebral artery"
SOURCE "READ"
CODE "Xa7pu"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION vertebral artery

RUBRIC "Exploration of iliac artery"
ENGLISH_RUBRIC "Exploration of iliac artery"
SOURCE "READ"
CODE "XaBBX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:56 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON iliac artery

RUBRIC "Vascular cannula adjustment"
ENGLISH_RUBRIC "Vascular cannula adjustment"
SOURCE "READ"
CODE "Xa8Oz"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN adjustment - action
	ACTS_ON vascular cannula
		HAS_LOCATION cardiovascular structure

RUBRIC "Ligation of subclavian artery"
ENGLISH_RUBRIC "Ligation of subclavian artery"
SOURCE "READ"
CODE "XE0FB"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON subclavian artery
	BY_MEANS_OF ligature

RUBRIC "Ligation of maxillary artery using sublabial approach"
ENGLISH_RUBRIC "Ligation of maxillary artery using sublabial approach"
SOURCE "READ"
CODE "74100"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	HAS_APPROACH sublabial approach
	ACTS_ON maxillary artery
	BY_MEANS_OF ligature

RUBRIC "Open embolectomy of brachial artery"
ENGLISH_RUBRIC "Open embolectomy of brachial artery"
SOURCE "READ"
CODE "7A277"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION brachial artery

RUBRIC "Flushing of central line"
ENGLISH_RUBRIC "Flushing of central line"
SOURCE "READ"
CODE "7A6C3"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998
Manual accept at 10:49:45 am on September 30, 1998 by jon
Manual accept at 10:50:44 am on September 30, 1998 by jon"
MAIN irrigation - action
	ACTS_ON central line
		HAS_LOCATION cardiovascular structure

RUBRIC "Banding of vein"
ENGLISH_RUBRIC "Banding of vein"
SOURCE "READ"
CODE "Xa2HU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION vein

RUBRIC "Decalcification of mitral valve"
ENGLISH_RUBRIC "Decalcification of mitral valve"
SOURCE "READ"
CODE "X00u7"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified calcification
		HAS_LOCATION mitral valve structure

RUBRIC "Fontan type operation"
ENGLISH_RUBRIC "Fontan type operation"
SOURCE "READ"
CODE "X010s"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES right ventricular structure
		CONNECTS_1 right atrial structure
		CONNECTS_2 pulmonary artery structure

RUBRIC "Repair of pulmonary artery"
ENGLISH_RUBRIC "Repair of pulmonary artery"
SOURCE "READ"
CODE "7A08."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary artery structure

RUBRIC "Implantation of biventricular assist device"
ENGLISH_RUBRIC "Implantation of biventricular assist device"
SOURCE "READ"
CODE "X00xy"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:47 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON biventricular assist device
		HAS_DESTINATION right ventricular structure
		HAS_DESTINATION left ventricular structure

RUBRIC "Construction of conduit from right atrium to rudimentary ventricle"
ENGLISH_RUBRIC "Construction of conduit from right atrium to rudimentary ventricle"
SOURCE "READ"
CODE "X00yq"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right atrial structure
		CONNECTS_2 indeterminate ventricle

RUBRIC "Patch enlargement of right ventricular outflow tract"
ENGLISH_RUBRIC "Patch enlargement of right ventricular outflow tract"
SOURCE "READ"
CODE "X00zi"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION right ventricular outflow tract

RUBRIC "Ligation of acquired arteriovenous fistula"
ENGLISH_RUBRIC "Ligation of acquired arteriovenous fistula"
SOURCE "READ"
CODE "7A614"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON acquired arteriovenous fistula
		HAS_LOCATION vascular structure
	BY_MEANS_OF ligature

RUBRIC "Implantation of automatic cardiac defibrillator"
ENGLISH_RUBRIC "Implantation of automatic cardiac defibrillator"
SOURCE "READ"
CODE "X011k"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON automatic cardiac defibrillator
		HAS_DESTINATION cardiac structure

RUBRIC "Embolectomy of pulmonary artery"
ENGLISH_RUBRIC "Embolectomy of pulmonary artery"
SOURCE "READ"
CODE "X012c"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION pulmonary artery structure

RUBRIC "Anastomosis of ascending aorta to right pulmonary artery"
ENGLISH_RUBRIC "Anastomosis of ascending aorta to right pulmonary artery"
SOURCE "READ"
CODE "XM0C1"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 ascending aorta
		CONNECTS_2 right pulmonary artery

RUBRIC "Endarterectomy of common iliac artery"
ENGLISH_RUBRIC "Endarterectomy of common iliac artery"
SOURCE "READ"
CODE "X014S"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION common iliac artery

RUBRIC "Direct anastomosis of artery"
ENGLISH_RUBRIC "Direct anastomosis of artery"
SOURCE "READ"
CODE "X016C"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON arterial structure
	ACTS_ON direct anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 arterial structure

RUBRIC "Homograft pulmonary valve replacement"
ENGLISH_RUBRIC "Homograft pulmonary valve replacement"
SOURCE "READ"
CODE "79130"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON homograft cardiac valve
		HAS_DESTINATION pulmonary valve structure

RUBRIC "Stripping of vein"
ENGLISH_RUBRIC "Stripping of vein"
SOURCE "READ"
CODE "X0183"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN stripping - action
	ACTS_ON vein

RUBRIC "Open embolectomy of carotid artery"
ENGLISH_RUBRIC "Open embolectomy of carotid artery"
SOURCE "READ"
CODE "7A212"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION carotid artery

RUBRIC "Saphenous vein graft bypass of coronary artery"
ENGLISH_RUBRIC "Saphenous vein graft bypass of coronary artery"
SOURCE "READ"
CODE "7920."
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF saphenous vein graft
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Ligation of ductus arteriosus"
ENGLISH_RUBRIC "Ligation of ductus arteriosus"
SOURCE "READ"
CODE "7A011"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON ductus arteriosus
	BY_MEANS_OF ligature

RUBRIC "Reimplantation of coronary artery"
ENGLISH_RUBRIC "Reimplantation of coronary artery"
SOURCE "READ"
CODE "X00td"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON coronary artery
	ACTS_ON anastomosis structure
		CONNECTS_1 coronary artery
		CONNECTS_2 intrathoracic cardiovascular structure

RUBRIC "Cardiac conduit operation"
ENGLISH_RUBRIC "Cardiac conduit operation"
SOURCE "READ"
CODE "X0116"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON interposition anastomosis structure

RUBRIC "Transluminal laser aortic valvotomy"
ENGLISH_RUBRIC "Transluminal laser aortic valvotomy"
SOURCE "READ"
CODE "X00vT"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH transvascular approach
	ACTS_ON aortic valve structure
	BY_MEANS_OF laser

RUBRIC "Replacement of implanted atrioventricular valve"
ENGLISH_RUBRIC "Replacement of implanted atrioventricular valve"
SOURCE "READ"
CODE "X00xD"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Construction of conduit - left atrium to left ventricle"
ENGLISH_RUBRIC "Construction of conduit - left atrium to left ventricle"
SOURCE "READ"
CODE "X00z4"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 left atrial structure
		CONNECTS_2 left ventricular structure

RUBRIC "Medullary spinal embolisation"
ENGLISH_RUBRIC "Medullary spinal embolisation"
SOURCE "READ"
CODE "X014x"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON spinal artery

RUBRIC "Insertion of arterial intraluminal device"
ENGLISH_RUBRIC "Insertion of arterial intraluminal device"
SOURCE "READ"
CODE "X016h"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON device
		HAS_DESTINATION arterial structure

RUBRIC "Embolisation of arteriovenous graft"
ENGLISH_RUBRIC "Embolisation of arteriovenous graft"
SOURCE "READ"
CODE "X018X"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON arteriovenous graft

RUBRIC "Central venous cannula insertion via subclavian vein"
ENGLISH_RUBRIC "Central venous cannula insertion via subclavian vein"
SOURCE "READ"
CODE "X019P"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via subclavian vein
	ACTS_ON vascular cannula
		HAS_DESTINATION superior vena cava

RUBRIC "Excision of intracranial venous malformation"
ENGLISH_RUBRIC "Excision of intracranial venous malformation"
SOURCE "READ"
CODE "X00HL"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON vascular malformation of the nervous system
		HAS_LOCATION intracranial vein

RUBRIC "Coronary interposition technique"
ENGLISH_RUBRIC "Coronary interposition technique"
SOURCE "READ"
CODE "X90WT"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON coronary artery
	ACTS_ON anastomosis structure
		CONNECTS_1 coronary artery
		CONNECTS_2 thoracic aorta structure

RUBRIC "Repair of partial anomalous pulmonary venous connection"
ENGLISH_RUBRIC "Repair of partial anomalous pulmonary venous connection"
SOURCE "READ"
CODE "790F1"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON partial anomalous pulmonary venous connection
		HAS_LOCATION pulmonary vein

RUBRIC "Freeing of pericardial adhesions"
ENGLISH_RUBRIC "Freeing of pericardial adhesions"
SOURCE "READ"
CODE "793C0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN freeing - action
	ACTS_ON unspecified adhesions
		HAS_LOCATION pericardial structure

RUBRIC "Unifocalisation operation to an artery"
ENGLISH_RUBRIC "Unifocalisation operation to an artery"
SOURCE "READ"
CODE "X010c"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:46 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS intrathoracic cardiovascular structure
		CONNECTS_2 intrathoracic vascular structure

RUBRIC "Open embolectomy of femoral artery"
ENGLISH_RUBRIC "Open embolectomy of femoral artery"
SOURCE "READ"
CODE "7A4A2"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION femoral artery

RUBRIC "Repair of pulmonary valve cusp"
ENGLISH_RUBRIC "Repair of pulmonary valve cusp"
SOURCE "READ"
CODE "X00vy"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary valve cusp

RUBRIC "Removal of thrombus from atrioventricular valve"
ENGLISH_RUBRIC "Removal of thrombus from atrioventricular valve"
SOURCE "READ"
CODE "X00wq"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION atrioventricular valve structure

RUBRIC "Coronary sinus operation"
ENGLISH_RUBRIC "Coronary sinus operation"
SOURCE "READ"
CODE "X00ya"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON coronary sinus structure

RUBRIC "Open resection of right ventricular muscle bands"
ENGLISH_RUBRIC "Open resection of right ventricular muscle bands"
SOURCE "READ"
CODE "X00zY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH open approach
	ACTS_ON right ventricular structure

RUBRIC "Pulmonary trunk and artery banding operation"
ENGLISH_RUBRIC "Pulmonary trunk and artery banding operation"
SOURCE "READ"
CODE "X012S"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON surgical band
		HAS_LOCATION pulmonary artery structure

RUBRIC "Endarterectomy of carotid artery"
ENGLISH_RUBRIC "Endarterectomy of carotid artery"
SOURCE "READ"
CODE "X014C"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION carotid artery

RUBRIC "Iliofemoral crossover graft"
ENGLISH_RUBRIC "Iliofemoral crossover graft"
SOURCE "READ"
CODE "X0163"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES artery of lower limb
		CONNECTS_1 iliac artery
		CONNECTS_2 femoral artery

RUBRIC "Percutaneous thrombolysis of intracranial artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of intracranial artery"
SOURCE "READ"
CODE "X00Hq"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION intracranial artery

RUBRIC "Venesection"
ENGLISH_RUBRIC "Venesection"
SOURCE "READ"
CODE "7L171"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vein

RUBRIC "Percutaneous transluminal embolisation of pulmonary artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of pulmonary artery"
SOURCE "READ"
CODE "7A0A0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON pulmonary artery structure

RUBRIC "Homograft aortic valve replacement"
ENGLISH_RUBRIC "Homograft aortic valve replacement"
SOURCE "READ"
CODE "79110"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON homograft cardiac valve
		HAS_DESTINATION aortic valve structure

RUBRIC "Cardiac pacing"
ENGLISH_RUBRIC "Cardiac pacing"
SOURCE "READ"
CODE "XaDr1"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN pacing - action
	ACTS_ON cardiac structure

RUBRIC "Femorofemoral prosthetic crossover graft"
ENGLISH_RUBRIC "Femorofemoral prosthetic crossover graft"
SOURCE "READ"
CODE "7A48E"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES femoral artery
		CONNECTS_1 femoral artery
		CONNECTS_2 femoral artery

RUBRIC "Percutaneous transluminal embolectomy of axillary artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolectomy of axillary artery"
SOURCE "READ"
CODE "7A28D"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION axillary artery

RUBRIC "Biological tricuspid valve replacement"
ENGLISH_RUBRIC "Biological tricuspid valve replacement"
SOURCE "READ"
CODE "XaBXq"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve bio-prosthesis
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Patch enlargement of aortic valve annulus"
ENGLISH_RUBRIC "Patch enlargement of aortic valve annulus"
SOURCE "READ"
CODE "X00vD"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION aortic annulus

RUBRIC "Percutaneous thrombolysis of coronary artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of coronary artery"
SOURCE "READ"
CODE "X00tT"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION coronary artery

RUBRIC "Percutaneous transluminal laser coronary angioplasty"
ENGLISH_RUBRIC "Percutaneous transluminal laser coronary angioplasty"
SOURCE "READ"
CODE "79290"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	BY_MEANS_OF laser
	ACTS_ON unspecified atheroma
		HAS_LOCATION coronary artery

RUBRIC "Mechanical prosthetic atrioventricular valve replacement"
ENGLISH_RUBRIC "Mechanical prosthetic atrioventricular valve replacement"
SOURCE "READ"
CODE "X00x4"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON mechanical cardiac valve prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Percutaneous angioplasty of common femoral artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of common femoral artery"
SOURCE "READ"
CODE "X013p"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON common femoral artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolectomy of popliteal artery"
ENGLISH_RUBRIC "Embolectomy of popliteal artery"
SOURCE "READ"
CODE "X014h"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified embolus
		HAS_LOCATION popliteal artery

RUBRIC "Division of artery"
ENGLISH_RUBRIC "Division of artery"
SOURCE "READ"
CODE "X016X"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN division - action
	ACTS_ON arterial structure

RUBRIC "Bypass operation for priapism"
ENGLISH_RUBRIC "Bypass operation for priapism"
SOURCE "READ"
CODE "7A641"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 2:28:28 pm on November 3, 1998 by jon"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES erectile structure of penis
MOTIVATED_OVERALL_BY treating
	ACTS_ON priapism

RUBRIC "Exploration of vein with inspection only"
ENGLISH_RUBRIC "Exploration of vein with inspection only"
SOURCE "READ"
CODE "X018H"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN exploration - action
	ACTS_ON vein

RUBRIC "Replacement of arterial intraluminal device"
ENGLISH_RUBRIC "Replacement of arterial intraluminal device"
SOURCE "READ"
CODE "X70Y5"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON intraluminal vascular device
		HAS_DESTINATION arterial structure

RUBRIC "Cardiac valvotomy"
ENGLISH_RUBRIC "Cardiac valvotomy"
SOURCE "READ"
CODE "XaBEz"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON cardiac valve structure

RUBRIC "Ligation of aortopulmonary window"
ENGLISH_RUBRIC "Ligation of aortopulmonary window"
SOURCE "READ"
CODE "XaCGP"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON aortopulmonary window
		HAS_LOCATION intrathoracic cardiovascular structure
	BY_MEANS_OF ligature

RUBRIC "Excision of pericardial lesion"
ENGLISH_RUBRIC "Excision of pericardial lesion"
SOURCE "READ"
CODE "793A0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION pericardial structure

RUBRIC "Allograft replacement of four or more coronary arteries"
ENGLISH_RUBRIC "Allograft replacement of four or more coronary arteries"
SOURCE "READ"
CODE "79223"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF allograft vein
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Completion of ventricular septation operation"
ENGLISH_RUBRIC "Completion of ventricular septation operation"
SOURCE "READ"
CODE "X010S"
STATUS "a"
HISTORY "
Transformation - ANTECEDENT to FOLLOWS - applied at 12:02:05 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN septation - action
	ACTS_ON ventricular septum
	HAS_EXTENT complete
	FOLLOWS septation - action
		ACTS_ON ventricular septum
		HAS_EXTENT partial

RUBRIC "Repair of defect of mitral leaflet"
ENGLISH_RUBRIC "Repair of defect of mitral leaflet"
SOURCE "READ"
CODE "X00ty"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified defect
		HAS_LOCATION mitral leaflet

RUBRIC "Removal of thrombus from implanted tricuspid valve"
ENGLISH_RUBRIC "Removal of thrombus from implanted tricuspid valve"
SOURCE "READ"
CODE "X00uq"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION tricuspid valve structure

RUBRIC "Aortic valve replacement and replacement of ascending aorta"
ENGLISH_RUBRIC "Aortic valve replacement and replacement of ascending aorta"
SOURCE "READ"
CODE "X00vi"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION aortic valve structure
WITH constructing
	ACTS_ON thoracic aorta structure
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 ascending aorta
		CONNECTS_2 thoracic aorta structure

RUBRIC "Repair of rupture of atrioventricular valve chordae tendinae"
ENGLISH_RUBRIC "Repair of rupture of atrioventricular valve chordae tendinae"
SOURCE "READ"
CODE "X00wa"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified rupture
		HAS_LOCATION atrioventricular valve chordae tendinae

RUBRIC "Replacement of truncal valve"
ENGLISH_RUBRIC "Replacement of truncal valve"
SOURCE "READ"
CODE "X00xY"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON device
		HAS_DESTINATION truncal valve structure

RUBRIC "Repair of inferior vena cava"
ENGLISH_RUBRIC "Repair of inferior vena cava"
SOURCE "READ"
CODE "X00yQ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON inferior vena cava

RUBRIC "Blade atrial septostomy"
ENGLISH_RUBRIC "Blade atrial septostomy"
SOURCE "READ"
CODE "X00zI"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN incision - action
	ACTS_ON atrial septum
	BY_MEANS_OF septostomy blade

RUBRIC "Pericardiopleural shunt operation"
ENGLISH_RUBRIC "Pericardiopleural shunt operation"
SOURCE "READ"
CODE "X012C"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 pericardial structure
		CONNECTS_2 pleural structure

RUBRIC "Simple suture of arteriovenous fistula"
ENGLISH_RUBRIC "Simple suture of arteriovenous fistula"
SOURCE "READ"
CODE "X018m"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON surgical arteriovenous fistula

RUBRIC "Inferior mesenteric vein cannula insertion"
ENGLISH_RUBRIC "Inferior mesenteric vein cannula insertion"
SOURCE "READ"
CODE "X019e"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION inferior mesenteric vein

RUBRIC "Disc valve mitral valve replacement"
ENGLISH_RUBRIC "Disc valve mitral valve replacement"
SOURCE "READ"
CODE "XM1IV"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON tilting disc prosthesis
		HAS_DESTINATION mitral valve structure

RUBRIC "Percutaneous removal of foreign body from intracranial vein"
ENGLISH_RUBRIC "Percutaneous removal of foreign body from intracranial vein"
SOURCE "READ"
CODE "Xa0aU"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON unspecified foreign body
		HAS_LOCATION intracranial vein

RUBRIC "Resection of coarctation"
ENGLISH_RUBRIC "Resection of coarctation"
SOURCE "READ"
CODE "XaBY4"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON aortic coarctation
		HAS_LOCATION thoracic aorta structure

RUBRIC "Microsclerotherapy to spider veins of leg"
ENGLISH_RUBRIC "Microsclerotherapy to spider veins of leg"
SOURCE "READ"
CODE "XaCK0"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SUBSTANCE + SURGICAL_PATHOLOGY - applied at 12:01:13 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON sclerosant
		HAS_DESTINATION hyphenwebs
			HAS_LOCATION vein of lower limb

RUBRIC "Angioplasty of vertebral artery"
ENGLISH_RUBRIC "Angioplasty of vertebral artery"
SOURCE "READ"
CODE "Xa7y2"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON vertebral artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Percutaneous embolectomy of brachial artery"
ENGLISH_RUBRIC "Percutaneous embolectomy of brachial artery"
SOURCE "READ"
CODE "7A284"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified embolus
		HAS_LOCATION brachial artery

RUBRIC "Repair of arteriovenous fistula of coronary artery"
ENGLISH_RUBRIC "Repair of arteriovenous fistula of coronary artery"
SOURCE "READ"
CODE "79270"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery

RUBRIC "Damus-Stansel-Kaye operation"
ENGLISH_RUBRIC "Damus-Stansel-Kaye operation"
SOURCE "READ"
CODE "X010x"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Manual accept at 11:00:08 am on September 30, 1998 by jon
Manual accept at 11:00:14 am on September 30, 1998 by jon"
MAIN clinical action
	ACTS_ON cardiac structure
	HAS_METHOD Damus Stansel Kaye Method

RUBRIC "Cardiac pacemaker procedure"
ENGLISH_RUBRIC "Cardiac pacemaker procedure"
SOURCE "READ"
CODE "X011p"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure

RUBRIC "Operation on the sinuses of Valsalva"
ENGLISH_RUBRIC "Operation on the sinuses of Valsalva"
SOURCE "READ"
CODE "X012h"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON aortic sinus

RUBRIC "Excision of left atrial myxoma"
ENGLISH_RUBRIC "Excision of left atrial myxoma"
SOURCE "READ"
CODE "X00yv"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON atrial myxoma
		HAS_LOCATION left atrial structure

RUBRIC "Construction of conduit - right ventricle to both pulmonary arteries"
ENGLISH_RUBRIC "Construction of conduit - right ventricle to both pulmonary arteries"
SOURCE "READ"
CODE "X00zn"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:14 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 left pulmonary artery
		CONNECTS_2 right pulmonary artery

RUBRIC "Endarterectomy of profunda femoris"
ENGLISH_RUBRIC "Endarterectomy of profunda femoris"
SOURCE "READ"
CODE "X014X"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified atheroma
		HAS_LOCATION profunda femoris artery

RUBRIC "Mesocaval shunt"
ENGLISH_RUBRIC "Mesocaval shunt"
SOURCE "READ"
CODE "7A621"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 superior mesenteric vein
		CONNECTS_2 inferior vena cava

RUBRIC "Patch repair of arterial graft"
ENGLISH_RUBRIC "Patch repair of arterial graft"
SOURCE "READ"
CODE "X016H"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION arterial graft

RUBRIC "Excision of perforating vein"
ENGLISH_RUBRIC "Excision of perforating vein"
SOURCE "READ"
CODE "X0188"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON perforating vein

RUBRIC "Revascularisation of toe"
ENGLISH_RUBRIC "Revascularisation of toe"
SOURCE "READ"
CODE "X0190"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON digital artery of toe

RUBRIC "Ligation of internal carotid artery"
ENGLISH_RUBRIC "Ligation of internal carotid artery"
SOURCE "READ"
CODE "XaBCz"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON internal carotid artery
	BY_MEANS_OF ligature

RUBRIC "Thrombolysis of vascular graft"
ENGLISH_RUBRIC "Thrombolysis of vascular graft"
SOURCE "READ"
CODE "XaAsW"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998"
MAIN injection - action
	ACTS_ON thrombolytic
		HAS_DESTINATION vascular graft

RUBRIC "Drainage of pericardium"
ENGLISH_RUBRIC "Drainage of pericardium"
SOURCE "READ"
CODE "XE0Et"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN drainage - action
	ACTS_ON pericardial structure

RUBRIC "Palma operation"
ENGLISH_RUBRIC "Palma operation"
SOURCE "READ"
CODE "XE0Fl"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: indirect anastomosis - action - applied at 11:59:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF saphenous vein graft
	ACTS_ON vein
	ACTS_ON indirect anastomosis structure
		CONNECTS_1 femoral vein
		CONNECTS_2 femoral vein

RUBRIC "Saphenous vein graft replacement of four or more coronary arteries"
ENGLISH_RUBRIC "Saphenous vein graft replacement of four or more coronary arteries"
SOURCE "READ"
CODE "79203"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF saphenous vein graft
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Construction of conduit - left ventricle to pulmonary trunk"
ENGLISH_RUBRIC "Construction of conduit - left ventricle to pulmonary trunk"
SOURCE "READ"
CODE "X010C"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 left ventricular structure
		CONNECTS_2 pulmonary trunk

RUBRIC "Inspection of implanted mitral valve"
ENGLISH_RUBRIC "Inspection of implanted mitral valve"
SOURCE "READ"
CODE "X00ti"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION mitral valve structure

RUBRIC "Reimplantation of tricuspid papillary muscle"
ENGLISH_RUBRIC "Reimplantation of tricuspid papillary muscle"
SOURCE "READ"
CODE "X00ua"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN reimplantation - action
	ACTS_ON tricuspid papillary muscle

RUBRIC "Removal of implanted cardiac pacemaker system or components"
ENGLISH_RUBRIC "Removal of implanted cardiac pacemaker system or components"
SOURCE "READ"
CODE "X0123"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON cardiac pacemaker implant
		HAS_LOCATION cardiac structure

RUBRIC "Repair of atrioventricular valve"
ENGLISH_RUBRIC "Repair of atrioventricular valve"
SOURCE "READ"
CODE "X00wQ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Annuloplasty of truncal valve"
ENGLISH_RUBRIC "Annuloplasty of truncal valve"
SOURCE "READ"
CODE "X00xI"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON truncal valve annulus
	TO_ACHIEVE repairing

RUBRIC "Repair of pulmonary vein"
ENGLISH_RUBRIC "Repair of pulmonary vein"
SOURCE "READ"
CODE "X00yA"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN repair - action
	ACTS_ON pulmonary vein

RUBRIC "Transluminal prosthetic closure of patent foramen ovale"
ENGLISH_RUBRIC "Transluminal prosthetic closure of patent foramen ovale"
SOURCE "READ"
CODE "X00z9"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvascular approach
	ACTS_ON septal defect prosthesis
		HAS_DESTINATION atrial septum
MOTIVATED_OVERALL_BY patent foramen ovale

RUBRIC "Aortic bifurcation bypass graft"
ENGLISH_RUBRIC "Aortic bifurcation bypass graft"
SOURCE "READ"
CODE "X015u"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES aortic bifurcation

RUBRIC "Insertion abdominal aorta stent"
ENGLISH_RUBRIC "Insertion abdominal aorta stent"
SOURCE "READ"
CODE "X016m"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular stent
		HAS_DESTINATION abdominal aorta structure

RUBRIC "Creation of Eck side to side portocaval shunt"
ENGLISH_RUBRIC "Creation of Eck side to side portocaval shunt"
SOURCE "READ"
CODE "X017e"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: side-to-side anastomosis - applied at 11:59:15 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Manual accept at 1:06:20 am on June 26, 1998 by jeremy"
MAIN constructing
	ACTS_ON side-to-side anastomosis structure
		CONNECTS_1 portal vein
		CONNECTS_2 inferior vena cava

RUBRIC "Central venous cannula insertion via long saphenous vein"
ENGLISH_RUBRIC "Central venous cannula insertion via long saphenous vein"
SOURCE "READ"
CODE "X019U"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH via long saphenous vein
	ACTS_ON device
		HAS_DESTINATION superior vena cava

RUBRIC "Embolisation of subclavian artery"
ENGLISH_RUBRIC "Embolisation of subclavian artery"
SOURCE "READ"
CODE "Xa7pj"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON subclavian artery

RUBRIC "Ligation of varicose vein of leg"
ENGLISH_RUBRIC "Ligation of varicose vein of leg"
SOURCE "READ"
CODE "7A67."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified varix
		HAS_LOCATION vein of lower limb
	BY_MEANS_OF ligature

RUBRIC "Arterioplasty of pulmonary artery"
ENGLISH_RUBRIC "Arterioplasty of pulmonary artery"
SOURCE "READ"
CODE "X012X"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998"
MAIN constructing
	ACTS_ON pulmonary artery structure
	TO_ACHIEVE repairing

RUBRIC "Atrioventricular valvotomy"
ENGLISH_RUBRIC "Atrioventricular valvotomy"
SOURCE "READ"
CODE "X00wv"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Atrial operation"
ENGLISH_RUBRIC "Atrial operation"
SOURCE "READ"
CODE "X00yf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrial structure

RUBRIC "Popliteal-distal bypass"
ENGLISH_RUBRIC "Popliteal-distal bypass"
SOURCE "READ"
CODE "X0168"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES artery of lower limb
		CONNECTS_1 popliteal artery
		CONNECTS_2 distal lower limb artery

RUBRIC "Application of direct pressure to artery"
ENGLISH_RUBRIC "Application of direct pressure to artery"
SOURCE "READ"
CODE "X0170"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998
Manual accept at 11:51:47 am on September 28, 1998 by jon
Manual accept at 11:52:02 am on September 28, 1998 by jon"
MAIN clinical action
	ACTS_ON arterial structure
	HAS_APPROACH external
TO_ACHIEVE_OVERALL occluding
	ACTS_ON artery

RUBRIC "Percutaneous embolisation of external carotid artery"
ENGLISH_RUBRIC "Percutaneous embolisation of external carotid artery"
SOURCE "READ"
CODE "Xa0RS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON external carotid artery

RUBRIC "Patch repair of inferior mesenteric artery"
ENGLISH_RUBRIC "Patch repair of inferior mesenteric artery"
SOURCE "READ"
CODE "XaCDH"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION inferior mesenteric artery

RUBRIC "Ligation of varicocele"
ENGLISH_RUBRIC "Ligation of varicocele"
SOURCE "READ"
CODE "7C130"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified varix
		HAS_LOCATION vein of spermatic cord
	BY_MEANS_OF ligature

RUBRIC "Left ventricular aneurysm resection"
ENGLISH_RUBRIC "Left ventricular aneurysm resection"
SOURCE "READ"
CODE "X0103"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified aneurysm
		HAS_LOCATION left ventricular structure

RUBRIC "Patch repair of coronary artery"
ENGLISH_RUBRIC "Patch repair of coronary artery"
SOURCE "READ"
CODE "X00tY"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION coronary artery

RUBRIC "Tricuspid valve operation"
ENGLISH_RUBRIC "Tricuspid valve operation"
SOURCE "READ"
CODE "X00uQ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON tricuspid valve structure

RUBRIC "Pulmonary valvectomy"
ENGLISH_RUBRIC "Pulmonary valvectomy"
SOURCE "READ"
CODE "X00wA"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pulmonary valve structure

RUBRIC "Excision of lesion from aortic valve cusp"
ENGLISH_RUBRIC "Excision of lesion from aortic valve cusp"
SOURCE "READ"
CODE "X00vI"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION aortic valve cusp

RUBRIC "Heart and heart-lung transplant"
ENGLISH_RUBRIC "Heart and heart-lung transplant"
SOURCE "READ"
CODE "X00y1"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998
Manual accept at 11:57:14 am on September 30, 1998 by jon"
MAIN transplantation - action
	ACTS_ON cardiac structure
WITH transplantation - action
	ACTS_ON lung

RUBRIC "Angioplasty of popliteal artery"
ENGLISH_RUBRIC "Angioplasty of popliteal artery"
SOURCE "READ"
CODE "X013u"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON popliteal artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of anterior cerebral artery"
ENGLISH_RUBRIC "Embolisation of anterior cerebral artery"
SOURCE "READ"
CODE "X014m"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON anterior cerebral artery

RUBRIC "Removal of stent from vein"
ENGLISH_RUBRIC "Removal of stent from vein"
SOURCE "READ"
CODE "X017U"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular stent
		HAS_LOCATION vein

RUBRIC "Creation of Cimino fistula"
ENGLISH_RUBRIC "Creation of Cimino fistula"
SOURCE "READ"
CODE "X018M"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN constructing
	ACTS_ON vascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 radial artery
		CONNECTS_2 cephalic vein

RUBRIC "Peripheral venous cannula insertion"
ENGLISH_RUBRIC "Peripheral venous cannula insertion"
SOURCE "READ"
CODE "X019E"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION vein

RUBRIC "Direct anastomosis of confluence to left atrium"
ENGLISH_RUBRIC "Direct anastomosis of confluence to left atrium"
SOURCE "READ"
CODE "X90KO"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:57 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 pulmonary vein
		CONNECTS_2 left atrial structure

RUBRIC "Ball valve atrioventricular valve replacement"
ENGLISH_RUBRIC "Ball valve atrioventricular valve replacement"
SOURCE "READ"
CODE "XaBXv"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON ball and cage prosthesis
		HAS_DESTINATION atrioventricular valve structure

RUBRIC "Open tricuspid valvotomy"
ENGLISH_RUBRIC "Open tricuspid valvotomy"
SOURCE "READ"
CODE "79162"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN enlargement - action
	HAS_APPROACH open approach
	ACTS_ON tricuspid valve structure

RUBRIC "Patching of sinus of Valsalva fistula"
ENGLISH_RUBRIC "Patching of sinus of Valsalva fistula"
SOURCE "READ"
CODE "XaCGU"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:35 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:10 pm on May 29, 1998
Manual accept at 2:28:41 pm on November 3, 1998 by jon"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION aortic sinus
MOTIVATED_OVERALL_BY closing
	ACTS_ON unspecified fistula

RUBRIC "Open embolectomy of cerebral artery"
ENGLISH_RUBRIC "Open embolectomy of cerebral artery"
SOURCE "READ"
CODE "7A244"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH open approach
	ACTS_ON unspecified embolus
		HAS_LOCATION cerebral artery

RUBRIC "Removal of arteriovenous shunt"
ENGLISH_RUBRIC "Removal of arteriovenous shunt"
SOURCE "READ"
CODE "Xa0x1"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON vascular shunt
		HAS_LOCATION vascular structure

RUBRIC "Prosthetic replacement of one coronary artery"
ENGLISH_RUBRIC "Prosthetic replacement of one coronary artery"
SOURCE "READ"
CODE "79230"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - TYPE_OF_CONDUIT to BY_MEANS_OF - applied at 12:02:20 pm on May 29, 1998"
MAIN constructing
	BY_MEANS_OF vascular prosthesis
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Ligation of major aortopulmonary collateral artery"
ENGLISH_RUBRIC "Ligation of major aortopulmonary collateral artery"
SOURCE "READ"
CODE "X010X"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON tetralogy of Fallot
		HAS_LOCATION intrathoracic cardiovascular structure
	ACTS_ON major aortopulmonary collateral artery
	BY_MEANS_OF ligature

RUBRIC "Removal of conduit"
ENGLISH_RUBRIC "Removal of conduit"
SOURCE "READ"
CODE "X011P"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac conduit
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Balloon tricuspid valvotomy"
ENGLISH_RUBRIC "Balloon tricuspid valvotomy"
SOURCE "READ"
CODE "X00uv"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON tricuspid valve structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Konno aortoventriculoplasty"
ENGLISH_RUBRIC "Konno aortoventriculoplasty"
SOURCE "READ"
CODE "X00vn"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 8:04:39 pm on August 20, 1998
Manual accept at 8:18:05 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON_1 left ventricular outflow tract
	ACTS_ON_1 aortic valve structure
	TO_ACHIEVE repairing

RUBRIC "Open embolisation of renal artery"
ENGLISH_RUBRIC "Open embolisation of renal artery"
SOURCE "READ"
CODE "7A312"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH open approach
	ACTS_ON renal artery

RUBRIC "Operation on atrioventricular valve leaflet"
ENGLISH_RUBRIC "Operation on atrioventricular valve leaflet"
SOURCE "READ"
CODE "X00wf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrioventricular valve leaflet

RUBRIC "Insertion of valve into vena cava"
ENGLISH_RUBRIC "Insertion of valve into vena cava"
SOURCE "READ"
CODE "X00yV"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vena cava valve prosthesis
		HAS_DESTINATION vena caval structure

RUBRIC "Repair of atrioventricular septal defect with common valve orifice"
ENGLISH_RUBRIC "Repair of atrioventricular septal defect with common valve orifice"
SOURCE "READ"
CODE "X00zN"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 11:06:48 am on September 30, 1998 by jon
Manual accept at 11:06:53 am on September 30, 1998 by jon
Manual accept at 11:07:00 am on September 30, 1998 by jon
Manual accept at 11:13:19 am on September 30, 1998 by jon"
MAIN repair - action
	ACTS_ON unspecified defect
		HAS_LOCATION atrioventricular septum
WITH repair - action
	ACTS_ON atrioventricular valve structure

RUBRIC "Repair of common arterial trunk with right ventricle to pulmonary trunk direct anastomosis"
ENGLISH_RUBRIC "Repair of common arterial trunk with right ventricle to pulmonary trunk direct anastomosis"
SOURCE "READ"
CODE "X012H"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 12:01:44 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN constructing
	ACTS_ON direct anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_2 pulmonary trunk
MOTIVATED_OVERALL_BY persistent truncus arteriosus
	HAS_LOCATION null

RUBRIC "Removal of foreign body from arterial graft"
ENGLISH_RUBRIC "Removal of foreign body from arterial graft"
SOURCE "READ"
CODE "X0148"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION arterial graft

RUBRIC "Embolisation of renal artery"
ENGLISH_RUBRIC "Embolisation of renal artery"
SOURCE "READ"
CODE "X0150"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:58 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON renal artery

RUBRIC "Revascularisation of whole arm"
ENGLISH_RUBRIC "Revascularisation of whole arm"
SOURCE "READ"
CODE "X018r"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON artery of upper limb

RUBRIC "Angioscopy of intracranial vein"
ENGLISH_RUBRIC "Angioscopy of intracranial vein"
SOURCE "READ"
CODE "X00Hf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN examination - action
	HAS_APPROACH endoscopic approach
	ACTS_ON intracranial vein

RUBRIC "Cannulation of arterial graft"
ENGLISH_RUBRIC "Cannulation of arterial graft"
SOURCE "READ"
CODE "X019j"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION arterial graft

RUBRIC "Ligation of axillary artery"
ENGLISH_RUBRIC "Ligation of axillary artery"
SOURCE "READ"
CODE "7A27A"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON axillary artery
	BY_MEANS_OF ligature

RUBRIC "Suturing of vein"
ENGLISH_RUBRIC "Suturing of vein"
SOURCE "READ"
CODE "7A6D5"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON vein

RUBRIC "Open angioplasty of coronary artery"
ENGLISH_RUBRIC "Open angioplasty of coronary artery"
SOURCE "READ"
CODE "79275"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:16 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH open approach
	ACTS_ON coronary artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Removal of thrombus from implanted pulmonary valve"
ENGLISH_RUBRIC "Removal of thrombus from implanted pulmonary valve"
SOURCE "READ"
CODE "X00w1"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION pulmonary valve structure

RUBRIC "Inspection of aortic valve"
ENGLISH_RUBRIC "Inspection of aortic valve"
SOURCE "READ"
CODE "X00v9"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON aortic valve structure

RUBRIC "Mitral valvotomy"
ENGLISH_RUBRIC "Mitral valvotomy"
SOURCE "READ"
CODE "X00uA"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN enlargement - action
	ACTS_ON mitral valve structure

RUBRIC "Application of band to pulmonary artery"
ENGLISH_RUBRIC "Application of band to pulmonary artery"
SOURCE "READ"
CODE "7A090"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION pulmonary artery structure

RUBRIC "Excision of left ventricular lesion"
ENGLISH_RUBRIC "Excision of left ventricular lesion"
SOURCE "READ"
CODE "X00zs"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION left ventricular structure

RUBRIC "Coronary artery bypass grafts x 3"
ENGLISH_RUBRIC "Coronary artery bypass grafts x 3"
SOURCE "READ"
CODE "X00tI"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES coronary artery

RUBRIC "Disconnection of pulmonary trunk and reanastomosis of distal end to ascending aorta"
ENGLISH_RUBRIC "Disconnection of pulmonary trunk and reanastomosis of distal end to ascending aorta"
SOURCE "READ"
CODE "X012m"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: end-to-side anastomosis - applied at 11:59:21 am on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON end-to-side anastomosis structure
		CONNECTS_1 ascending aorta

RUBRIC "Percutaneous angioplasty of coeliac artery"
ENGLISH_RUBRIC "Percutaneous angioplasty of coeliac artery"
SOURCE "READ"
CODE "X013e"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON coeliac artery
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of vein of Galen"
ENGLISH_RUBRIC "Embolisation of vein of Galen"
SOURCE "READ"
CODE "X017E"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON great cerebral vein

RUBRIC "Axillary artery cannula insertion"
ENGLISH_RUBRIC "Axillary artery cannula insertion"
SOURCE "READ"
CODE "X0195"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION axillary artery

RUBRIC "Ligation of vertical vein"
ENGLISH_RUBRIC "Ligation of vertical vein"
SOURCE "READ"
CODE "X90Qi"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON persistent vertical vein
		HAS_LOCATION intrathoracic systemic vein
	BY_MEANS_OF ligature

RUBRIC "Percutaneous endarterectomy of superior mesenteric artery"
ENGLISH_RUBRIC "Percutaneous endarterectomy of superior mesenteric artery"
SOURCE "READ"
CODE "Xa0Fn"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON unspecified atheroma
		HAS_LOCATION superior mesenteric artery

RUBRIC "Avulsion of varicose vein of leg"
ENGLISH_RUBRIC "Avulsion of varicose vein of leg"
SOURCE "READ"
CODE "XE0Fq"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Manual accept at 12:11:25 pm on September 28, 1998 by jon"
MAIN avulsion - action
	ACTS_ON varicose vein
		HAS_LOCATION vein of lower limb

RUBRIC "Percutaneous embolisation of arterial graft"
ENGLISH_RUBRIC "Percutaneous embolisation of arterial graft"
SOURCE "READ"
CODE "Xa0Rh"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvascular approach
	ACTS_ON arterial graft

RUBRIC "Ligation of coronary arteriovenous fistula"
ENGLISH_RUBRIC "Ligation of coronary arteriovenous fistula"
SOURCE "READ"
CODE "Xa3kp"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON unspecified fistula
		HAS_LOCATION coronary artery
	BY_MEANS_OF ligature

RUBRIC "Reimplantation of cardiac pacemaker electrode"
ENGLISH_RUBRIC "Reimplantation of cardiac pacemaker electrode"
SOURCE "READ"
CODE "XaBbp"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:24 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:44 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:37 pm on May 29, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON cardiac pacemaker electrode
		HAS_DESTINATION cardiac structure

RUBRIC "Patching of defect of tricuspid valve leaflet"
ENGLISH_RUBRIC "Patching of defect of tricuspid valve leaflet"
SOURCE "READ"
CODE "XaCI5"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TARGET - applied at 12:01:34 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998
Transformation - MOTIVATED_BY to zero - applied at 12:03:09 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION tricuspid leaflet
MOTIVATED_OVERALL_BY unspecified defect

RUBRIC "Patch repair of popliteal artery"
ENGLISH_RUBRIC "Patch repair of popliteal artery"
SOURCE "READ"
CODE "XaCLR"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION popliteal artery

RUBRIC "Closure of ventricular septal defect by direct suture"
ENGLISH_RUBRIC "Closure of ventricular septal defect by direct suture"
SOURCE "READ"
CODE "X010H"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON unspecified defect
		HAS_LOCATION ventricular septum

RUBRIC "Operation on mitral papillary muscle"
ENGLISH_RUBRIC "Operation on mitral papillary muscle"
SOURCE "READ"
CODE "X00tn"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON mitral papillary muscle

RUBRIC "Fenestration operation on tricuspid chordae tendinae"
ENGLISH_RUBRIC "Fenestration operation on tricuspid chordae tendinae"
SOURCE "READ"
CODE "X00uf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN fenestration - action
	ACTS_ON tricuspid chordae tendinae

RUBRIC "Closed decompression of cardiac tamponade"
ENGLISH_RUBRIC "Closed decompression of cardiac tamponade"
SOURCE "READ"
CODE "X0128"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN decompression - action
	HAS_APPROACH closed approach
	ACTS_ON cardiac tamponade
		HAS_LOCATION pericardial structure

RUBRIC "Operation on atrioventricular papillary muscle"
ENGLISH_RUBRIC "Operation on atrioventricular papillary muscle"
SOURCE "READ"
CODE "X00wV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrioventricular valve papillary muscle

RUBRIC "Correction of scimitar syndrome"
ENGLISH_RUBRIC "Correction of scimitar syndrome"
SOURCE "READ"
CODE "X00yF"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON scimitar syndrome
		HAS_LOCATION pulmonary vein

RUBRIC "Excision of vegetations from truncal valve"
ENGLISH_RUBRIC "Excision of vegetations from truncal valve"
SOURCE "READ"
CODE "X00xN"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:54 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified vegetation(s)
		HAS_LOCATION truncal valve structure

RUBRIC "Removal of band from systemic to pulmonary artery shunt"
ENGLISH_RUBRIC "Removal of band from systemic to pulmonary artery shunt"
SOURCE "READ"
CODE "X0130"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON surgical band
		HAS_LOCATION systemic to pulmonary arterial shunt

RUBRIC "Extra-anatomical bypass graft"
ENGLISH_RUBRIC "Extra-anatomical bypass graft"
SOURCE "READ"
CODE "X015z"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 11:58:52 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:05 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:14 pm on May 29, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES arterial structure
		CONNECTS_1 arterial graft
		CONNECTS_1 arterial structure
		CONNECTS_2 arterial graft
		CONNECTS_2 arterial structure

RUBRIC "Removal of arterial intraluminal device"
ENGLISH_RUBRIC "Removal of arterial intraluminal device"
SOURCE "READ"
CODE "X016r"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON intraluminal vascular device
		HAS_LOCATION arterial structure

RUBRIC "Insertion of intraluminal device into arteriovenous fistula"
ENGLISH_RUBRIC "Insertion of intraluminal device into arteriovenous fistula"
SOURCE "READ"
CODE "X018b"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON intraluminal vascular device
		HAS_DESTINATION surgical arteriovenous fistula

RUBRIC "Portal venous system cannula insertion"
ENGLISH_RUBRIC "Portal venous system cannula insertion"
SOURCE "READ"
CODE "X019Z"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON vascular cannula
		HAS_DESTINATION portal system vein

RUBRIC "Percutaneous thrombolysis of brachial artery"
ENGLISH_RUBRIC "Percutaneous thrombolysis of brachial artery"
SOURCE "READ"
CODE "X70XW"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION brachial artery

RUBRIC "Percutaneous angioplasty of pulmonary venous pathway"
ENGLISH_RUBRIC "Percutaneous angioplasty of pulmonary venous pathway"
SOURCE "READ"
CODE "Xa0F9"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN dilatation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transvenous approach
	ACTS_ON pulmonary venous pathway
	BY_MEANS_OF angioplasty catheter

RUBRIC "Embolisation of coeliac artery"
ENGLISH_RUBRIC "Embolisation of coeliac artery"
SOURCE "READ"
CODE "Xa7po"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN embolisation - action
	ACTS_ON coeliac artery

RUBRIC "Ligation of abdominal aorta"
ENGLISH_RUBRIC "Ligation of abdominal aorta"
SOURCE "READ"
CODE "XaBDB"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON abdominal aorta structure
	BY_MEANS_OF ligature

RUBRIC "Direct anastomosis of right ventricle to pulmonary trunk"
ENGLISH_RUBRIC "Direct anastomosis of right ventricle to pulmonary trunk"
SOURCE "READ"
CODE "XaDqx"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: direct anastomosis - action - applied at 11:59:04 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN constructing
	ACTS_ON right ventricular outflow tract
	ACTS_ON direct anastomosis structure
		CONNECTS_1 right ventricular outflow tract
		CONNECTS_2 pulmonary trunk

RUBRIC "Arterial clamp procedures"
ENGLISH_RUBRIC "Arterial clamp procedures"
SOURCE "READ"
CODE "Xa87K"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON vascular clamp
		HAS_LOCATION arterial structure

RUBRIC "Injection of therapeutic substance into pericardium"
ENGLISH_RUBRIC "Injection of therapeutic substance into pericardium"
SOURCE "READ"
CODE "793D2"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Manual accept at 1:24:41 pm on June 30, 1998 by jon
Manual accept at 8:49:36 pm on August 20, 1998 by jon
Manual accept at 8:49:45 pm on August 20, 1998 by jon
Manual accept at 8:50:51 pm on August 20, 1998 by jon"
MAIN injection - action
	ACTS_ON Threapeutic substance
		HAS_DESTINATION pericardial structure
MOTIVATED_OVERALL_BY therapeutic

RUBRIC "Rastelli operation"
ENGLISH_RUBRIC "Rastelli operation"
SOURCE "READ"
CODE "X010m"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:10 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:43 pm on May 29, 1998
Manual accept at 8:51:38 pm on August 20, 1998 by jon"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	ACTS_ON anastomosis structure
		CONNECTS_1 left ventricular structure
		CONNECTS_2 thoracic aorta structure
WITH constructing
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 right ventricular structure
		CONNECTS_1 pulmonary trunk

RUBRIC "Closure of true mitral cleft"
ENGLISH_RUBRIC "Closure of true mitral cleft"
SOURCE "READ"
CODE "X00u1"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON true cleft of mitral leaflet
		HAS_LOCATION mitral leaflet

RUBRIC "Atrioventricular disconnection operation"
ENGLISH_RUBRIC "Atrioventricular disconnection operation"
SOURCE "READ"
CODE "X011e"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998"
MAIN division - action
	ACTS_ON atrioventricular junction

RUBRIC "Percutaneous transluminal embolisation of femoral artery"
ENGLISH_RUBRIC "Percutaneous transluminal embolisation of femoral artery"
SOURCE "READ"
CODE "7A4B4"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:05 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON femoral artery

RUBRIC "Anastomosis of vena cava to pulmonary artery"
ENGLISH_RUBRIC "Anastomosis of vena cava to pulmonary artery"
SOURCE "READ"
CODE "7A070"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 vena cava
		CONNECTS_2 pulmonary artery structure

RUBRIC "Removal of right atrial thrombus"
ENGLISH_RUBRIC "Removal of right atrial thrombus"
SOURCE "READ"
CODE "X00yk"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION right atrial structure

RUBRIC "Removal of right ventricular thrombus"
ENGLISH_RUBRIC "Removal of right ventricular thrombus"
SOURCE "READ"
CODE "X00zc"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION right ventricular structure

RUBRIC "Transluminal insertion of intraventricular pump"
ENGLISH_RUBRIC "Transluminal insertion of intraventricular pump"
SOURCE "READ"
CODE "X00xs"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:37 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	HAS_APPROACH transvascular approach
	ACTS_ON intraventricular pump
		HAS_DESTINATION cardiac ventricular structure

RUBRIC "Percutaneous thrombolysis of arterial graft"
ENGLISH_RUBRIC "Percutaneous thrombolysis of arterial graft"
SOURCE "READ"
CODE "X015E"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 12:01:03 pm on May 29, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 12:01:56 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN injection - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON thrombolytic
		HAS_DESTINATION arterial graft

RUBRIC "Insertion of interatrial baffle"
ENGLISH_RUBRIC "Insertion of interatrial baffle"
SOURCE "READ"
CODE "X90QY"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON interatrial baffle
		HAS_DESTINATION atrial structure

RUBRIC "Sleeve pulmonary artery resection"
ENGLISH_RUBRIC "Sleeve pulmonary artery resection"
SOURCE "READ"
CODE "X90RQ"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:48 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON pulmonary artery structure

RUBRIC "Mechanical prosthetic tricuspid valve replacement"
ENGLISH_RUBRIC "Mechanical prosthetic tricuspid valve replacement"
SOURCE "READ"
CODE "79122"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN inserting
	ACTS_ON mechanical cardiac valve prosthesis
		HAS_DESTINATION tricuspid valve structure

RUBRIC "Closure of aortopulmonary window"
ENGLISH_RUBRIC "Closure of aortopulmonary window"
SOURCE "READ"
CODE "7A003"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:50 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN closure - action
	ACTS_ON aortopulmonary window
		HAS_LOCATION intrathoracic cardiovascular structure

RUBRIC "Transluminal left ventricular outflow tract laser operation"
ENGLISH_RUBRIC "Transluminal left ventricular outflow tract laser operation"
SOURCE "READ"
CODE "X0108"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN excision - action
	HAS_APPROACH transvascular approach
	ACTS_ON left ventricular outflow tract
	BY_MEANS_OF laser

RUBRIC "Completion of total cavopulmonary connection"
ENGLISH_RUBRIC "Completion of total cavopulmonary connection"
SOURCE "READ"
CODE "X0110"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:27 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intrathoracic cardiovascular structure
	HAS_EXTENT total
	ACTS_ON anastomosis structure
		CONNECTS_1 vena cava
		CONNECTS_2 pulmonary artery structure

RUBRIC "Plication annuloplasty of tricuspid valve"
ENGLISH_RUBRIC "Plication annuloplasty of tricuspid valve"
SOURCE "READ"
CODE "X00uV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN plication - action
	ACTS_ON tricuspid annulus

RUBRIC "Removal of thrombus from implanted aortic valve"
ENGLISH_RUBRIC "Removal of thrombus from implanted aortic valve"
SOURCE "READ"
CODE "X00vN"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY + TYPE_OF_DEVICE - applied at 12:01:29 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION cardiac valve prosthesis
			HAS_LOCATION aortic valve structure

RUBRIC "Angioscopy of artery"
ENGLISH_RUBRIC "Angioscopy of artery"
SOURCE "READ"
CODE "X013z"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN examination - action
	HAS_APPROACH endoscopic approach
	HAS_APPROACH transarterial approach
	ACTS_ON arterial structure

RUBRIC "Anastomosis of intracranial vasculature"
ENGLISH_RUBRIC "Anastomosis of intracranial vasculature"
SOURCE "READ"
CODE "X015j"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 11:58:26 am on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:11 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN constructing
	ACTS_ON intracranial artery
	ACTS_ON anastomosis structure
		CONNECTS_1 intracranial artery
		CONNECTS_2 intracranial artery

RUBRIC "Resection of thoracic aorta"
ENGLISH_RUBRIC "Resection of thoracic aorta"
SOURCE "READ"
CODE "X016b"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998"
MAIN excision - action
	ACTS_ON thoracic aorta structure

RUBRIC "Removal of intravenous foreign body"
ENGLISH_RUBRIC "Removal of intravenous foreign body"
SOURCE "READ"
CODE "X017Z"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION vein

RUBRIC "Insertion of graft for vascular access"
ENGLISH_RUBRIC "Insertion of graft for vascular access"
SOURCE "READ"
CODE "X018R"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: interposition anastomosis - action - applied at 11:59:09 am on May 29, 1998
Transformation - fixing PROXIMAL_SITE - applied at 12:00:03 pm on May 29, 1998
Transformation - fixing DISTAL_SITE - applied at 12:00:12 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN constructing
	ACTS_ON vascular structure
	ACTS_ON interposition anastomosis structure
		CONNECTS_1 arterial structure
		CONNECTS_2 vein

RUBRIC "Peripheral venous cannula insertion - saphenous vein"
ENGLISH_RUBRIC "Peripheral venous cannula insertion - saphenous vein"
SOURCE "READ"
CODE "X019J"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:43 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON device
		HAS_DESTINATION saphenous vein

RUBRIC "Removal of foreign body from pulmonary artery"
ENGLISH_RUBRIC "Removal of foreign body from pulmonary artery"
SOURCE "READ"
CODE "X70Z7"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:52 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION pulmonary artery structure

RUBRIC "Ligation of intracranial artery"
ENGLISH_RUBRIC "Ligation of intracranial artery"
SOURCE "READ"
CODE "X00HF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:46 pm on May 29, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON intracranial artery
	BY_MEANS_OF ligature

RUBRIC "Release of vascular ring of aorta"
ENGLISH_RUBRIC "Release of vascular ring of aorta"
SOURCE "READ"
CODE "7A183"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN release - action
	ACTS_ON vascular ring, aorta
		HAS_LOCATION thoracic aorta structure

RUBRIC "Suture repair of systemic venous pathway"
ENGLISH_RUBRIC "Suture repair of systemic venous pathway"
SOURCE "READ"
CODE "XaCCz"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:49 pm on May 29, 1998"
MAIN suturing - action
	ACTS_ON systemic venous pathway

RUBRIC "Patch repair of superior mesenteric artery"
ENGLISH_RUBRIC "Patch repair of superior mesenteric artery"
SOURCE "READ"
CODE "Xa9Iz"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION superior mesenteric artery

RUBRIC "Diagnostic pericardiocentesis"
ENGLISH_RUBRIC "Diagnostic pericardiocentesis"
SOURCE "READ"
CODE "793B2"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998
Manual accept at 1:31:36 pm on June 30, 1998 by jon
Manual accept at 8:51:50 pm on August 20, 1998 by jon"
MAIN aspiration - action
	ACTS_ON pericardial structure
MOTIVATED_OVERALL_BY diagnostic

RUBRIC "Direct current cardiac shock"
ENGLISH_RUBRIC "Direct current cardiac shock"
SOURCE "READ"
CODE "Xa1nl"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998"
MAIN electrical discharge - action
	ACTS_ON cardiac structure

RUBRIC "Procedure for arrhythmia"
ENGLISH_RUBRIC "Procedure for arrhythmia"
SOURCE "READ"
CODE "X011U"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:53 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON disorder of heart rhythm
		HAS_LOCATION cardiac structure

RUBRIC "Operation on chordae tendineae"
ENGLISH_RUBRIC "Operation on chordae tendineae"
SOURCE "READ"
CODE "791B1"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:59 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON chordae tendinae

RUBRIC "Inspection of implanted pulmonary valve"
ENGLISH_RUBRIC "Inspection of implanted pulmonary valve"
SOURCE "READ"
CODE "X00vs"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:05 pm on May 29, 1998"
MAIN examination - action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION pulmonary valve structure

RUBRIC "Operation to atrioventricular valve bridging leaflet"
ENGLISH_RUBRIC "Operation to atrioventricular valve bridging leaflet"
SOURCE "READ"
CODE "X00wk"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON atrioventricular valve leaflet

RUBRIC "Operation on implanted truncal valve"
ENGLISH_RUBRIC "Operation on implanted truncal valve"
SOURCE "READ"
CODE "X00xc"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:35 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN clinical action
	ACTS_ON cardiac valve prosthesis
		HAS_LOCATION truncal valve structure

RUBRIC "Transluminal right ventricular biopsy"
ENGLISH_RUBRIC "Transluminal right ventricular biopsy"
SOURCE "READ"
CODE "X00zS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:51 pm on May 29, 1998"
MAIN biopsy - action
	HAS_APPROACH transvascular approach
	ACTS_ON right ventricular structure

RUBRIC "Open division of accessory pathway within heart"
ENGLISH_RUBRIC "Open division of accessory pathway within heart"
SOURCE "READ"
CODE "79303"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:42 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:02 pm on May 29, 1998"
MAIN division - action
	HAS_APPROACH open approach
	ACTS_ON accessory pathway

RUBRIC "Internal electrode cardioversion"
ENGLISH_RUBRIC "Internal electrode cardioversion"
SOURCE "READ"
CODE "7L1H2"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:52 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:03 pm on May 29, 1998"
MAIN electrical discharge - action
	HAS_APPROACH open approach
	ACTS_ON cardiac structure

RUBRIC "Balloon dilatation of ductus arteriosus"
ENGLISH_RUBRIC "Balloon dilatation of ductus arteriosus"
SOURCE "READ"
CODE "X012M"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 12:02:15 pm on May 29, 1998
Transformation - SITE to ACTS_ON - applied at 12:02:44 pm on May 29, 1998"
MAIN dilatation - action
	ACTS_ON ductus arteriosus
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Removal of foreign body from intracranial vein"
ENGLISH_RUBRIC "Removal of foreign body from intracranial vein"
SOURCE "READ"
CODE "X00Hk"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:23 pm on May 29, 1998"
MAIN extraction - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION intracranial vein

RUBRIC "Revascularisation of multiple fingers"
ENGLISH_RUBRIC "Revascularisation of multiple fingers"
SOURCE "READ"
CODE "X018w"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:47 pm on May 29, 1998"
MAIN revascularisation - action
	ACTS_ON digital artery of hand

RUBRIC "Removal of Hickman line"
ENGLISH_RUBRIC "Removal of Hickman line"
SOURCE "READ"
CODE "X019o"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 12:00:34 pm on May 29, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 12:03:04 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON hickman line
		HAS_LOCATION cardiovascular structure

RUBRIC "Percutaneous embolisation of anterior cerebral artery"
ENGLISH_RUBRIC "Percutaneous embolisation of anterior cerebral artery"
SOURCE "READ"
CODE "Xa0RH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:53 pm on May 29, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 12:04:04 pm on May 29, 1998"
MAIN embolisation - action
	HAS_APPROACH percutaneous approach
	HAS_APPROACH transarterial approach
	ACTS_ON anterior cerebral artery

RUBRIC "Atrial inversion operation"
ENGLISH_RUBRIC "Atrial inversion operation"
SOURCE "READ"
CODE "XE0EY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 12:02:45 pm on May 29, 1998"
MAIN inversion - action
	ACTS_ON atrial structure

RUBRIC "Patch repair of iliac artery"
ENGLISH_RUBRIC "Patch repair of iliac artery"
SOURCE "READ"
CODE "XaCLW"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: patching - action - applied at 11:59:31 am on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:40 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:35 pm on May 29, 1998"
MAIN applying
	ACTS_ON patch
		HAS_DESTINATION iliac artery

RUBRIC "Declotting of thigh vein loop"
ENGLISH_RUBRIC "Declotting of thigh vein loop"
SOURCE "READ"
CODE "7A6E2"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 12:00:51 pm on May 29, 1998
Transformation - SURGICAL_PATHOLOGY to ACTS_ON - applied at 2:12:22 pm on May 29, 1998"
MAIN removal - action
	ACTS_ON unspecified thrombus
		HAS_LOCATION vein loop

RUBRIC "Mitral valve replacement"
ENGLISH_RUBRIC "Mitral valve replacement"
SOURCE "READ"
CODE "X00uF"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 11:59:38 am on May 29, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 12:00:23 pm on May 29, 1998
Transformation - SITE + TARGET - applied at 12:00:41 pm on May 29, 1998
Transformation - TARGET to ACTS_ON - applied at 12:02:36 pm on May 29, 1998"
MAIN inserting
	ACTS_ON cardiac valve prosthesis
		HAS_DESTINATION mitral valve structure

