;;            Exported from Tigger version 4.8, at 1:07:30 am on September 27, 1998
;;           Exported from Tigger version 4.8, at 1:53:32 am on September 27, 1998
;;          Exported from Tigger version 4.8, at 1:59:46 pm on September 27, 1998
;;         Exported from Tigger version 4.8, at 9:29:13 am on September 29, 1998
;;        Exported from Tigger version 4.8, at 10:53:12 am on October 1, 1998
;;       Exported from Tigger version 4.9, at 11:30:44 am on October 8, 1998
;;      Exported from Tigger version 4.9, at 11:15:30 am on October 12, 1998
;;     Exported from Tigger version 4.9, at 12:33:51 pm on October 16, 1998
;;    Exported from Tigger version 4.9, at 10:44:34 am on November 4, 1998
;;   Exported from Tigger version 4.9, at 11:55:42 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 12:40:56 pm on April 13, 2000

RUBRIC "Ear procedure"
ENGLISH_RUBRIC "Ear procedure"
SOURCE "READ"
CODE "73..."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON ear structure

RUBRIC "Excision of external ear"
ENGLISH_RUBRIC "Excision of external ear"
SOURCE "READ"
CODE "7300."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON external ear structure

RUBRIC "Total excision of pinna"
ENGLISH_RUBRIC "Total excision of pinna"
SOURCE "READ"
CODE "73000"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON pinna structure
	HAS_EXTENT total

RUBRIC "Partial excision of pinna"
ENGLISH_RUBRIC "Partial excision of pinna"
SOURCE "READ"
CODE "73001"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON pinna structure
	HAS_EXTENT partial

RUBRIC "Excision of preauricular abnormality"
ENGLISH_RUBRIC "Excision of preauricular abnormality"
SOURCE "READ"
CODE "73002"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 1:21:09 pm on September 29, 1998 by jon
Manual accept at 1:21:17 pm on September 29, 1998 by jon"
MAIN excision - action
	ACTS_ON unspecified surgical disorder
		HAS_LOCATION external ear structure
			HAS_POSITION anterior

RUBRIC "Wedge resection of pinna"
ENGLISH_RUBRIC "Wedge resection of pinna"
SOURCE "READ"
CODE "73003"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 3:45:47 pm on October 8, 1998 by jon
Manual accept at 3:46:10 pm on October 8, 1998 by jon
Manual accept at 2:29:43 pm on November 3, 1998 by jon"
MAIN excision - action
	ACTS_ON pinna structure
	HAS_EXTENT cuneate

RUBRIC "Excision of lesion of pinna"
ENGLISH_RUBRIC "Excision of lesion of pinna"
SOURCE "READ"
CODE "73010"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure

RUBRIC "Destruction of lesion of pinna"
ENGLISH_RUBRIC "Destruction of lesion of pinna"
SOURCE "READ"
CODE "73011"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN destruction - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure

RUBRIC "Removal of granulation tissue from external ear"
ENGLISH_RUBRIC "Removal of granulation tissue from external ear"
SOURCE "READ"
CODE "73012"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN removal - action
	ACTS_ON unspecified granulations
		HAS_LOCATION external ear structure

RUBRIC "Cryosurgical destruction of lesion of pinna"
ENGLISH_RUBRIC "Cryosurgical destruction of lesion of pinna"
SOURCE "READ"
CODE "73013"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN destruction - action
	BY_MEANS_OF cryoprobe
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure

RUBRIC "Cauterisation of lesion of pinna"
ENGLISH_RUBRIC "Cauterisation of lesion of pinna"
SOURCE "READ"
CODE "73014"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 8:40:10 am on October 9, 1998 by jon
Manual accept at 8:40:14 am on October 9, 1998 by jon
Manual accept at 8:40:23 am on October 9, 1998 by jon"
MAIN destruction - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure
	BY_MEANS_OF cauterisation - action

RUBRIC "Shave excision of lesion of external ear"
ENGLISH_RUBRIC "Shave excision of lesion of external ear"
SOURCE "READ"
CODE "73015"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 1:20:28 pm on September 29, 1998 by jon"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure
	BY_MEANS_OF shaving

RUBRIC "Plastic operation on pinna"
ENGLISH_RUBRIC "Plastic operation on pinna"
SOURCE "READ"
CODE "7302."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	TO_ACHIEVE repairing

RUBRIC "Meatoplasty of external ear"
ENGLISH_RUBRIC "Meatoplasty of external ear"
SOURCE "READ"
CODE "73023"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON external acoustic meatus
	TO_ACHIEVE repairing

RUBRIC "Reconstruction of external ear with rim advancement flap"
ENGLISH_RUBRIC "Reconstruction of external ear with rim advancement flap"
SOURCE "READ"
CODE "73024"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: flap reconstruction - action - applied at 1:05:02 am on September 27, 1998
Transformation - TYPE_OF_FLAP merge BY_MEANS_OF - applied at 1:05:08 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:09 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	BY_MEANS_OF helical rim advancement flap
	TO_ACHIEVE repairing

RUBRIC "Reconstruction of external ear with postauricular skin flap"
ENGLISH_RUBRIC "Reconstruction of external ear with postauricular skin flap"
SOURCE "READ"
CODE "73025"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: flap reconstruction - action - applied at 1:05:02 am on September 27, 1998
Transformation - TYPE_OF_FLAP merge BY_MEANS_OF - applied at 1:05:08 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:18 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	BY_MEANS_OF postauricular flap
	TO_ACHIEVE repairing

RUBRIC "Drainage of pinna"
ENGLISH_RUBRIC "Drainage of pinna"
SOURCE "READ"
CODE "7303."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON external ear structure

RUBRIC "Drainage of haematoma of pinna"
ENGLISH_RUBRIC "Drainage of haematoma of pinna"
SOURCE "READ"
CODE "73030"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified haematoma
		HAS_LOCATION external ear structure

RUBRIC "Drainage of abscess of pinna"
ENGLISH_RUBRIC "Drainage of abscess of pinna"
SOURCE "READ"
CODE "73031"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified abscess
		HAS_LOCATION external ear structure

RUBRIC "Drainage of haematoma of pinna and insertion of bolster sutures"
ENGLISH_RUBRIC "Drainage of haematoma of pinna and insertion of bolster sutures"
SOURCE "READ"
CODE "73032"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified haematoma
		HAS_LOCATION external ear structure
WITH suturing - action
	ACTS_ON external ear structure

RUBRIC "Biopsy of lesion of pinna"
ENGLISH_RUBRIC "Biopsy of lesion of pinna"
SOURCE "READ"
CODE "73040"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN biopsy - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure

RUBRIC "Repair of ear lobe"
ENGLISH_RUBRIC "Repair of ear lobe"
SOURCE "READ"
CODE "73041"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN repair - action
	ACTS_ON ear lobe

RUBRIC "Suture of external ear"
ENGLISH_RUBRIC "Suture of external ear"
SOURCE "READ"
CODE "73043"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 10:40:53 am on October 12, 1998 by jon"
MAIN repair - action
	ACTS_ON external ear structure
	BY_MEANS_OF suturing

RUBRIC "Clearance of external auditory canal"
ENGLISH_RUBRIC "Clearance of external auditory canal"
SOURCE "READ"
CODE "7305."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN evacuation - action
	ACTS_ON external auditory canal structure

RUBRIC "Syringing ear to remove wax"
ENGLISH_RUBRIC "Syringing ear to remove wax"
SOURCE "READ"
CODE "73050"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - MATERIAL to BY_MEANS_OF - applied at 1:05:36 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 10:38:26 am on October 12, 1998 by jon
Manual accept at 12:22:53 pm on October 16, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
	BY_MEANS_OF syringe for ear
TO_ACHIEVE_OVERALL removal - action
	ACTS_ON earwax
	BY_MEANS_OF syringe for ear

RUBRIC "Manual removal of wax from external auditory canal"
ENGLISH_RUBRIC "Manual removal of wax from external auditory canal"
SOURCE "READ"
CODE "73051"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - MATERIAL to BY_MEANS_OF - applied at 1:05:36 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 8:36:10 am on October 9, 1998 by jon
Manual accept at 8:36:19 am on October 9, 1998 by jon
Manual accept at 12:22:44 pm on October 16, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
TO_ACHIEVE_OVERALL removal - action
	ACTS_ON earwax
	BY_MEANS_OF manual method

RUBRIC "Drainage of external auditory canal"
ENGLISH_RUBRIC "Drainage of external auditory canal"
SOURCE "READ"
CODE "73062"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON external auditory canal structure

RUBRIC "Incision of external auditory canal"
ENGLISH_RUBRIC "Incision of external auditory canal"
SOURCE "READ"
CODE "73063"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN incision - action
	ACTS_ON external auditory canal structure

RUBRIC "Removal of foreign body from external auditory canal"
ENGLISH_RUBRIC "Removal of foreign body from external auditory canal"
SOURCE "READ"
CODE "73065"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 8:36:53 am on October 9, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
TO_ACHIEVE_OVERALL removal - action
	ACTS_ON unspecified foreign body
		HAS_LOCATION external auditory canal structure

RUBRIC "Biopsy of external auditory canal"
ENGLISH_RUBRIC "Biopsy of external auditory canal"
SOURCE "READ"
CODE "73066"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN biopsy - action
	ACTS_ON external auditory canal structure

RUBRIC "Modified radical mastoidectomy"
ENGLISH_RUBRIC "Modified radical mastoidectomy"
SOURCE "READ"
CODE "73101"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON mastoid structure
	HAS_EXTENT modified radical

RUBRIC "Simple mastoidectomy"
ENGLISH_RUBRIC "Simple mastoidectomy"
SOURCE "READ"
CODE "73103"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON mastoid structure

RUBRIC "Atticoantrostomy"
ENGLISH_RUBRIC "Atticoantrostomy"
SOURCE "READ"
CODE "73106"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:46 am on September 27, 1998"
MAIN incision  ostomy
	ACTS_ON attic of mastoid

RUBRIC "Excision of lesion of mastoid"
ENGLISH_RUBRIC "Excision of lesion of mastoid"
SOURCE "READ"
CODE "73107"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION mastoid structure

RUBRIC "Other operations on mastoid"
ENGLISH_RUBRIC "Other operations on mastoid"
SOURCE "READ"
CODE "7311."
STATUS "a"
CODING_METACOMMENT "Other - Intervention"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON mastoid structure

RUBRIC "Obliteration of mastoid cavity"
ENGLISH_RUBRIC "Obliteration of mastoid cavity"
SOURCE "READ"
CODE "73110"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN obliteration - action
	ACTS_ON mastoid structure

RUBRIC "Atticotomy"
ENGLISH_RUBRIC "Atticotomy"
SOURCE "READ"
CODE "73111"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN incision - action
	ACTS_ON attic of mastoid

RUBRIC "Removal or change of mastoid pack"
ENGLISH_RUBRIC "Removal or change of mastoid pack"
SOURCE "READ"
CODE "73112"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998
Manual accept at 10:45:14 am on October 12, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON pack
		HAS_DESTINATION mastoid structure
OR_MAIN removing
	ACTS_ON pack
		HAS_LOCATION mastoid structure

RUBRIC "Closure of postaural fistula"
ENGLISH_RUBRIC "Closure of postaural fistula"
SOURCE "READ"
CODE "73114"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN closure - action
	ACTS_ON unspecified fistula
		HAS_LOCATION mastoid structure

RUBRIC "Biopsy of mastoid"
ENGLISH_RUBRIC "Biopsy of mastoid"
SOURCE "READ"
CODE "73115"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN biopsy - action
	ACTS_ON mastoid structure

RUBRIC "Exploration of mastoid"
ENGLISH_RUBRIC "Exploration of mastoid"
SOURCE "READ"
CODE "73116"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN exploration - action
	ACTS_ON mastoid structure

RUBRIC "Total petrosectomy"
ENGLISH_RUBRIC "Total petrosectomy"
SOURCE "READ"
CODE "73118"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON petrous bone
	HAS_EXTENT total

RUBRIC "Partial petrosectomy"
ENGLISH_RUBRIC "Partial petrosectomy"
SOURCE "READ"
CODE "73119"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON petrous bone
	HAS_EXTENT partial

RUBRIC "Plug myringoplasty"
ENGLISH_RUBRIC "Plug myringoplasty"
SOURCE "READ"
CODE "73120"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998
Manual accept at 1:35:09 pm on September 29, 1998 by jon
Manual accept at 1:35:18 pm on September 29, 1998 by jon
Manual accept at 1:35:23 pm on September 29, 1998 by jon
Manual accept at 1:35:46 pm on September 29, 1998 by jon"
MAIN constructing
	ACTS_ON tympanic membrane structure
	TO_ACHIEVE repairing
	BY_MEANS_OF plug

RUBRIC "Excision of retraction pocket of tympanic membrane"
ENGLISH_RUBRIC "Excision of retraction pocket of tympanic membrane"
SOURCE "READ"
CODE "73123"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON retracted tympanic membrane
		HAS_LOCATION mastoid structure

RUBRIC "Myringotomy and insertion of short-term grommet"
ENGLISH_RUBRIC "Myringotomy and insertion of short-term grommet"
SOURCE "READ"
CODE "73130"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 11:09:40 am on October 12, 1998 by jon"
MAIN inserting
	ACTS_ON grommet
		HAS_DESTINATION tympanic membrane structure
		HAS_TEMPORAL_MARKER temporary
WITH incision - action
	ACTS_ON tympanic membrane structure

RUBRIC "Myringotomy"
ENGLISH_RUBRIC "Myringotomy"
SOURCE "READ"
CODE "73131"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN incision - action
	ACTS_ON tympanic membrane structure

RUBRIC "Myringotomy and insertion of T tube"
ENGLISH_RUBRIC "Myringotomy and insertion of T tube"
SOURCE "READ"
CODE "73133"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN inserting
	ACTS_ON tube
		HAS_DESTINATION tympanic membrane structure
WITH incision - action
	ACTS_ON tympanic membrane structure

RUBRIC "Reconstruction of ossicular chain"
ENGLISH_RUBRIC "Reconstruction of ossicular chain"
SOURCE "READ"
CODE "7314."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON ear ossicle structure
	TO_ACHIEVE repairing

RUBRIC "Ossiculoplasty using artificial prosthesis"
ENGLISH_RUBRIC "Ossiculoplasty using artificial prosthesis"
SOURCE "READ"
CODE "73140"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:41 am on September 27, 1998
Manual accept at 10:14:01 am on October 12, 1998 by jon"
MAIN constructing
	ACTS_ON ear ossicle structure
	TO_ACHIEVE repairing
	BY_MEANS_OF inserting
		ACTS_ON ossicular prosthesis
			HAS_DESTINATION ear ossicle structure

RUBRIC "Ossiculoplasty using biological graft"
ENGLISH_RUBRIC "Ossiculoplasty using biological graft"
SOURCE "READ"
CODE "73141"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: grafting - action - applied at 1:05:03 am on September 27, 1998
Transformation - TYPE_OF_GRAFT merge BY_MEANS_OF - applied at 1:05:11 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:05 am on September 29, 1998"
MAIN constructing
	ACTS_ON ear ossicle structure
	BY_MEANS_OF biological surgical material
	TO_ACHIEVE repairing

RUBRIC "Myringostapediopexy"
ENGLISH_RUBRIC "Myringostapediopexy"
SOURCE "READ"
CODE "73143"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 8:01:01 am on September 29, 1998 by jon"
MAIN fixation - action
	ACTS_ON_1 tympanic membrane structure
	ACTS_ON_1 stapes structure

RUBRIC "Division of adhesions of ossicle of ear"
ENGLISH_RUBRIC "Division of adhesions of ossicle of ear"
SOURCE "READ"
CODE "73152"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN freeing - action
	ACTS_ON unspecified adhesions
		HAS_LOCATION ear ossicle structure

RUBRIC "Tympanoplasty using biological graft"
ENGLISH_RUBRIC "Tympanoplasty using biological graft"
SOURCE "READ"
CODE "73160"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: grafting - action - applied at 1:05:03 am on September 27, 1998
Transformation - TYPE_OF_GRAFT merge BY_MEANS_OF - applied at 1:05:11 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:08 am on September 29, 1998"
MAIN constructing
	ACTS_ON middle ear structure
	BY_MEANS_OF biological surgical material
	TO_ACHIEVE repairing

RUBRIC "Tympanoplasty using artificial prosthesis"
ENGLISH_RUBRIC "Tympanoplasty using artificial prosthesis"
SOURCE "READ"
CODE "73161"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Manual accept at 10:39:03 am on October 12, 1998 by jon"
MAIN constructing
	ACTS_ON middle ear structure
	TO_ACHIEVE repairing
	BY_MEANS_OF inserting
		ACTS_ON ossicular prosthesis
			HAS_DESTINATION middle ear structure

RUBRIC "Excision of lesion of middle ear"
ENGLISH_RUBRIC "Excision of lesion of middle ear"
SOURCE "READ"
CODE "73170"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION middle ear structure

RUBRIC "Destruction of lesion of middle ear"
ENGLISH_RUBRIC "Destruction of lesion of middle ear"
SOURCE "READ"
CODE "73171"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN destruction - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION middle ear structure

RUBRIC "Biopsy of lesion of middle ear"
ENGLISH_RUBRIC "Biopsy of lesion of middle ear"
SOURCE "READ"
CODE "73172"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN biopsy - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION middle ear structure

RUBRIC "Suction clearance of middle ear"
ENGLISH_RUBRIC "Suction clearance of middle ear"
SOURCE "READ"
CODE "73174"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN evacuation - action
	ACTS_ON middle ear structure
	BY_MEANS_OF suction catheter

RUBRIC "Unblocking of ventilation tube through tympanic membrane"
ENGLISH_RUBRIC "Unblocking of ventilation tube through tympanic membrane"
SOURCE "READ"
CODE "73178"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998
Manual accept at 11:08:26 am on October 12, 1998 by jon"
MAIN evacuation - action
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Tympanotomy and exploration of middle ear"
ENGLISH_RUBRIC "Tympanotomy and exploration of middle ear"
SOURCE "READ"
CODE "7318."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 1:05:50 am on September 27, 1998"
MAIN clinical action
	HAS_APPROACH open approach
	ACTS_ON middle ear structure

RUBRIC "Tympanotomy using mastoid approach"
ENGLISH_RUBRIC "Tympanotomy using mastoid approach"
SOURCE "READ"
CODE "73180"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 1:05:50 am on September 27, 1998"
MAIN clinical action
	HAS_APPROACH open approach
	HAS_APPROACH postaural approach
	ACTS_ON middle ear structure

RUBRIC "Tympanotomy using permeatal approach"
ENGLISH_RUBRIC "Tympanotomy using permeatal approach"
SOURCE "READ"
CODE "73181"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 1:05:50 am on September 27, 1998"
MAIN clinical action
	HAS_APPROACH open approach
	HAS_APPROACH permeatal approach
	ACTS_ON middle ear structure

RUBRIC "Tympanotomy using combined approach"
ENGLISH_RUBRIC "Tympanotomy using combined approach"
SOURCE "READ"
CODE "73182"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 1:05:50 am on September 27, 1998"
MAIN clinical action
	HAS_APPROACH open approach
	HAS_APPROACH endaural approach
	HAS_APPROACH postaural approach
	ACTS_ON middle ear structure

RUBRIC "Procedure on eustachian tube"
ENGLISH_RUBRIC "Procedure on eustachian tube"
SOURCE "READ"
CODE "7320."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON eustachian canal structure

RUBRIC "Graft to eustachian tube"
ENGLISH_RUBRIC "Graft to eustachian tube"
SOURCE "READ"
CODE "73200"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: grafting - action - applied at 1:05:03 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:14 am on September 29, 1998"
MAIN constructing
	ACTS_ON eustachian canal structure
	BY_MEANS_OF graft
	TO_ACHIEVE repairing

RUBRIC "Intubation of eustachian tube"
ENGLISH_RUBRIC "Intubation of eustachian tube"
SOURCE "READ"
CODE "73201"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	ACTS_ON tube
		HAS_DESTINATION eustachian canal structure

RUBRIC "Insufflation of eustachian tube"
ENGLISH_RUBRIC "Insufflation of eustachian tube"
SOURCE "READ"
CODE "73202"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN insufflation - action
	ACTS_ON eustachian canal structure

RUBRIC "Operation on cochlea"
ENGLISH_RUBRIC "Operation on cochlea"
SOURCE "READ"
CODE "7321."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON cochlear structure

RUBRIC "Implantation of intracochlear prosthesis"
ENGLISH_RUBRIC "Implantation of intracochlear prosthesis"
SOURCE "READ"
CODE "73210"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Manual accept at 1:51:10 am on September 27, 1998 by DrJeremy Rogers
Manual accept at 4:26:41 pm on October 8, 1998 by jon
Manual accept at 4:26:52 pm on October 8, 1998 by jon"
MAIN inserting
	ACTS_ON cochlear implant
		HAS_DESTINATION cochlear structure

RUBRIC "Implantation of extracochlear prosthesis"
ENGLISH_RUBRIC "Implantation of extracochlear prosthesis"
SOURCE "READ"
CODE "73211"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	ACTS_ON extracochlear prosthesis
		HAS_DESTINATION cochlear structure

RUBRIC "Cochlear neurectomy"
ENGLISH_RUBRIC "Cochlear neurectomy"
SOURCE "READ"
CODE "73213"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:52:44 am on September 27, 1998 by DrJeremy Rogers
Manual accept at 3:43:41 pm on October 8, 1998 by jon"
MAIN removal - action
	ACTS_ON cochlear nerve
	HAS_APPROACH intracranial

RUBRIC "Transtympanic electrocochleography"
ENGLISH_RUBRIC "Transtympanic electrocochleography"
SOURCE "READ"
CODE "73214"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 8:02:41 am on September 29, 1998 by jon"
MAIN investigation - action
	HAS_APPROACH transtympanic approach
	ACTS_ON cochlear structure

RUBRIC "Closure of fistula of round window"
ENGLISH_RUBRIC "Closure of fistula of round window"
SOURCE "READ"
CODE "73215"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN closure - action
	ACTS_ON unspecified fistula
		HAS_LOCATION round window

RUBRIC "Closure of fistula of oval window"
ENGLISH_RUBRIC "Closure of fistula of oval window"
SOURCE "READ"
CODE "73216"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN closure - action
	ACTS_ON unspecified fistula
		HAS_LOCATION oval window

RUBRIC "Cochleostomy"
ENGLISH_RUBRIC "Cochleostomy"
SOURCE "READ"
CODE "73217"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN incision  ostomy
	ACTS_ON cochlear structure

RUBRIC "Operation on vestibular apparatus"
ENGLISH_RUBRIC "Operation on vestibular apparatus"
SOURCE "READ"
CODE "7322."
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:46 am on September 27, 1998
Manual accept at 1:17:11 pm on September 29, 1998 by jon
Manual accept at 1:17:35 pm on September 29, 1998 by jon
Manual accept at 11:08:53 am on October 12, 1998 by jon"
MAIN clinical action
	ACTS_ON labyrinth structure

RUBRIC "Membranous labyrinthectomy"
ENGLISH_RUBRIC "Membranous labyrinthectomy"
SOURCE "READ"
CODE "73221"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON membranous labyrinth structure

RUBRIC "Osseous labyrinthectomy"
ENGLISH_RUBRIC "Osseous labyrinthectomy"
SOURCE "READ"
CODE "73222"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON bony labyrinth structure

RUBRIC "Vestibular neurectomy"
ENGLISH_RUBRIC "Vestibular neurectomy"
SOURCE "READ"
CODE "73223"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:52:14 am on September 27, 1998 by DrJeremy Rogers
Manual accept at 8:02:05 am on September 29, 1998 by jon"
MAIN removal - action
	HAS_APPROACH intracranial
	ACTS_ON vestibular nerve

RUBRIC "Examination of ear under anaesthetic"
ENGLISH_RUBRIC "Examination of ear under anaesthetic"
SOURCE "READ"
CODE "73231"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 8:02:34 am on September 29, 1998 by jon"
MAIN examination - action
	ACTS_ON ear structure
	BY_MEANS_OF unspecified anaesthetic

RUBRIC "Replantation of ear"
ENGLISH_RUBRIC "Replantation of ear"
SOURCE "READ"
CODE "7L0M0"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 10:40:09 am on October 12, 1998 by jon"
MAIN constructing
	ACTS_ON external ear structure
	TO_ACHIEVE repairing
	BY_MEANS_OF reimplantation - action
		ACTS_ON external ear structure

RUBRIC "Removal of ear plug"
ENGLISH_RUBRIC "Removal of ear plug"
SOURCE "READ"
CODE "Ua1rV"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 3:31:30 pm on October 8, 1998 by jon
Manual accept at 10:14:39 am on October 12, 1998 by jon
Manual accept at 2:30:05 pm on November 3, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
TO_ACHIEVE_OVERALL removal - action
	ACTS_ON plug
		HAS_LOCATION external auditory canal structure

RUBRIC "Reconstruction of external ear with free flap"
ENGLISH_RUBRIC "Reconstruction of external ear with free flap"
SOURCE "READ"
CODE "X00ga"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: flap reconstruction - action - applied at 1:05:02 am on September 27, 1998
Transformation - TYPE_OF_FLAP merge BY_MEANS_OF - applied at 1:05:08 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:08 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	BY_MEANS_OF microvascular transfer flap
	TO_ACHIEVE repairing

RUBRIC "Insertion of bone pins for aural prosthesis"
ENGLISH_RUBRIC "Insertion of bone pins for aural prosthesis"
SOURCE "READ"
CODE "X00gc"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:19 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Manual accept at 9:10:28 am on October 12, 1998 by jon"
MAIN inserting
	ACTS_ON prosthetic ear bone anchor pin
		HAS_DESTINATION external ear structure
		HAS_DESTINATION mastoid structure
TO_ACHIEVE_OVERALL constructing
	ACTS_ON external ear structure
	TO_ACHIEVE repairing

RUBRIC "Revision pinnaplasty"
ENGLISH_RUBRIC "Revision pinnaplasty"
SOURCE "READ"
CODE "X00gd"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:41 am on September 29, 1998"
MAIN constructing
	HAS_TEMPORAL_MARKER revision
	ACTS_ON external ear structure
	TO_ACHIEVE repairing

RUBRIC "Mustarde pinnaplasty"
ENGLISH_RUBRIC "Mustarde pinnaplasty"
SOURCE "READ"
CODE "X00ge"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998
Manual accept at 1:25:28 pm on September 29, 1998 by jon
Manual accept at 1:27:08 pm on September 29, 1998 by jon"
MAIN constructing
	ACTS_ON external ear structure
	TO_ACHIEVE repairing
	HAS_METHOD Mustarde Method

RUBRIC "Suction clearance of external auditory canal"
ENGLISH_RUBRIC "Suction clearance of external auditory canal"
SOURCE "READ"
CODE "X00gf"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
	BY_MEANS_OF suction catheter

RUBRIC "Removal of ventilation tube from external auditory canal"
ENGLISH_RUBRIC "Removal of ventilation tube from external auditory canal"
SOURCE "READ"
CODE "X00gg"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998
Manual accept at 10:25:20 am on October 12, 1998 by jon
Manual accept at 2:30:08 pm on November 3, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
TO_ACHIEVE_OVERALL removal - action
	ACTS_ON grommet
		HAS_LOCATION external auditory canal structure

RUBRIC "Excision of lesion of external auditory canal"
ENGLISH_RUBRIC "Excision of lesion of external auditory canal"
SOURCE "READ"
CODE "X00gi"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external auditory canal structure

RUBRIC "Excision of polyp from external auditory canal"
ENGLISH_RUBRIC "Excision of polyp from external auditory canal"
SOURCE "READ"
CODE "X00gj"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified polyp
		HAS_LOCATION external auditory canal structure

RUBRIC "Removal of osteoma from external auditory canal"
ENGLISH_RUBRIC "Removal of osteoma from external auditory canal"
SOURCE "READ"
CODE "X00gk"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON external auditory canal osteoma
		HAS_LOCATION external auditory canal structure

RUBRIC "Biopsy of lesion of external auditory canal"
ENGLISH_RUBRIC "Biopsy of lesion of external auditory canal"
SOURCE "READ"
CODE "X00gl"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN biopsy - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external auditory canal structure

RUBRIC "Reconstruction of posterior meatal wall of external auditory canal"
ENGLISH_RUBRIC "Reconstruction of posterior meatal wall of external auditory canal"
SOURCE "READ"
CODE "X00gm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON posterior meatal wall of external auditory canal
	TO_ACHIEVE repairing

RUBRIC "Insertion of dressing in external auditory canal"
ENGLISH_RUBRIC "Insertion of dressing in external auditory canal"
SOURCE "READ"
CODE "X00gn"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	ACTS_ON dressing - item
		HAS_DESTINATION external auditory canal structure

RUBRIC "Removal of dressing from external auditory canal"
ENGLISH_RUBRIC "Removal of dressing from external auditory canal"
SOURCE "READ"
CODE "X00go"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN removal - action
	ACTS_ON dressing - item
		HAS_LOCATION external auditory canal structure

RUBRIC "Change of dressing in external auditory canal"
ENGLISH_RUBRIC "Change of dressing in external auditory canal"
SOURCE "READ"
CODE "X00gp"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON dressing - item
		HAS_DESTINATION external auditory canal structure

RUBRIC "Instillation of ear drops or spray"
ENGLISH_RUBRIC "Instillation of ear drops or spray"
SOURCE "READ"
CODE "X00gq"
STATUS "r"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 1:05:25 am on September 27, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 1:05:28 am on September 27, 1998"
MAIN instillation - action
	ACTS_ON unspecified substance
		HAS_DESTINATION external auditory canal structure

RUBRIC "External auditory canal operations"
ENGLISH_RUBRIC "External auditory canal operations"
SOURCE "READ"
CODE "X00gR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON external auditory canal structure

RUBRIC "Mastoid operations"
ENGLISH_RUBRIC "Mastoid operations"
SOURCE "READ"
CODE "X00gr"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON mastoid structure

RUBRIC "Total excision of pinna and external auditory canal"
ENGLISH_RUBRIC "Total excision of pinna and external auditory canal"
SOURCE "READ"
CODE "X00gS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON external ear structure
	HAS_EXTENT total

RUBRIC "Middle ear operations"
ENGLISH_RUBRIC "Middle ear operations"
SOURCE "READ"
CODE "X00gs"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON middle ear structure

RUBRIC "Excision of accessory auricle"
ENGLISH_RUBRIC "Excision of accessory auricle"
SOURCE "READ"
CODE "X00gT"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 3:49:53 pm on October 14, 1998 by jon"
MAIN excision - action
	ACTS_ON polyotia
		HAS_LOCATION external ear structure
			HAS_POSITION anterior

RUBRIC "Mastoid marginectomy"
ENGLISH_RUBRIC "Mastoid marginectomy"
SOURCE "READ"
CODE "X00gt"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON mastoid structure

RUBRIC "Excision of preauricular sinus"
ENGLISH_RUBRIC "Excision of preauricular sinus"
SOURCE "READ"
CODE "X00gU"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 10:43:29 am on October 12, 1998 by jon"
MAIN excision - action
	ACTS_ON unspecified sinus
		HAS_LOCATION external ear structure
			HAS_POSITION anterior

RUBRIC "Primary obliteration of mastoid cavity"
ENGLISH_RUBRIC "Primary obliteration of mastoid cavity"
SOURCE "READ"
CODE "X00gu"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN obliteration - action
	HAS_TEMPORAL_MARKER primary
	ACTS_ON mastoid structure

RUBRIC "Excision of preauricular cyst"
ENGLISH_RUBRIC "Excision of preauricular cyst"
SOURCE "READ"
CODE "X00gV"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified cyst
		HAS_LOCATION external ear structure
			HAS_POSITION anterior

RUBRIC "Secondary obliteration of mastoid cavity"
ENGLISH_RUBRIC "Secondary obliteration of mastoid cavity"
SOURCE "READ"
CODE "X00gv"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN obliteration - action
	HAS_TEMPORAL_MARKER revision
	ACTS_ON mastoid structure

RUBRIC "Fowler anterior crurotomy of ear"
ENGLISH_RUBRIC "Fowler anterior crurotomy of ear"
SOURCE "READ"
CODE "X00gW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:38:47 pm on September 29, 1998 by jon
Manual accept at 1:39:31 pm on September 29, 1998 by jon"
MAIN division - action
	ACTS_ON stapes superstructure
	HAS_METHOD FowlerMethod

RUBRIC "Repair of pinna"
ENGLISH_RUBRIC "Repair of pinna"
SOURCE "READ"
CODE "X00gX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN repair - action
	ACTS_ON external ear structure

RUBRIC "Mastoid pack procedures"
ENGLISH_RUBRIC "Mastoid pack procedures"
SOURCE "READ"
CODE "X00gx"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN clinical action
	ACTS_ON pack
		HAS_LOCATION mastoid structure

RUBRIC "Reconstruction of external ear with local flap"
ENGLISH_RUBRIC "Reconstruction of external ear with local flap"
SOURCE "READ"
CODE "X00gY"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: flap reconstruction - action - applied at 1:05:02 am on September 27, 1998
Transformation - TYPE_OF_FLAP merge BY_MEANS_OF - applied at 1:05:08 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:15 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	BY_MEANS_OF local flap
	TO_ACHIEVE repairing

RUBRIC "Insertion of mastoid pack"
ENGLISH_RUBRIC "Insertion of mastoid pack"
SOURCE "READ"
CODE "X00gy"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:04:57 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Manual accept at 3:43:19 pm on October 8, 1998 by jon"
MAIN inserting
	ACTS_ON pack
		HAS_LOCATION mastoid structure

RUBRIC "Reconstruction of external ear with distant flap"
ENGLISH_RUBRIC "Reconstruction of external ear with distant flap"
SOURCE "READ"
CODE "X00gZ"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: flap reconstruction - action - applied at 1:05:02 am on September 27, 1998
Transformation - TYPE_OF_FLAP merge BY_MEANS_OF - applied at 1:05:08 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:15 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	BY_MEANS_OF distant flap
	TO_ACHIEVE repairing

RUBRIC "Removal of mastoid pack"
ENGLISH_RUBRIC "Removal of mastoid pack"
SOURCE "READ"
CODE "X00gz"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN removal - action
	ACTS_ON pack
		HAS_LOCATION mastoid structure

RUBRIC "Change of mastoid pack"
ENGLISH_RUBRIC "Change of mastoid pack"
SOURCE "READ"
CODE "X00h0"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON pack
		HAS_DESTINATION mastoid structure

RUBRIC "Insertion of osseointegrated bone anchors"
ENGLISH_RUBRIC "Insertion of osseointegrated bone anchors"
SOURCE "READ"
CODE "X00h1"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:41 am on September 27, 1998
Transformation - AID to BY_MEANS_OF - applied at 1:05:59 am on September 27, 1998
Manual accept at 3:30:02 pm on October 8, 1998 by jon"
MAIN inserting
	ACTS_ON osseointegrated bone anchor
		HAS_DESTINATION mastoid structure

RUBRIC "Insertion of bone anchors for subcutaneous bone anchored hearing aid"
ENGLISH_RUBRIC "Insertion of bone anchors for subcutaneous bone anchored hearing aid"
SOURCE "READ"
CODE "X00h2"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	ACTS_ON hearing aid bone anchor
		HAS_DESTINATION mastoid structure

RUBRIC "Insertion of bone anchors for percutaneous bone anchored hearing aid"
ENGLISH_RUBRIC "Insertion of bone anchors for percutaneous bone anchored hearing aid"
SOURCE "READ"
CODE "X00h3"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998"
MAIN inserting
	ACTS_ON hearing aid bone anchor
		HAS_DESTINATION mastoid structure

RUBRIC "Petrosectomy"
ENGLISH_RUBRIC "Petrosectomy"
SOURCE "READ"
CODE "X00h5"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON petrous bone

RUBRIC "Tympanoplasty with round window protection"
ENGLISH_RUBRIC "Tympanoplasty with round window protection"
SOURCE "READ"
CODE "X00h8"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998
Manual accept at 1:31:39 pm on September 29, 1998 by jon
Manual accept at 1:31:52 pm on September 29, 1998 by jon"
MAIN constructing
	ACTS_ON middle ear structure
	TO_ACHIEVE repairing
WITH protecting
	ACTS_ON round window

RUBRIC "Fenestration of middle ear"
ENGLISH_RUBRIC "Fenestration of middle ear"
SOURCE "READ"
CODE "X00h9"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN fenestration - action
	ACTS_ON middle ear structure

RUBRIC "Incus transposition"
ENGLISH_RUBRIC "Incus transposition"
SOURCE "READ"
CODE "X00hA"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN transposition - action
	ACTS_ON incus structure

RUBRIC "Obliteration of superior semicircular canal"
ENGLISH_RUBRIC "Obliteration of superior semicircular canal"
SOURCE "READ"
CODE "X00ha"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN obliteration - action
	ACTS_ON anterior semicircular canal

RUBRIC "Homograft replacement of tympanic membrane and ossicles"
ENGLISH_RUBRIC "Homograft replacement of tympanic membrane and ossicles"
SOURCE "READ"
CODE "X00hB"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: grafting - action - applied at 1:05:03 am on September 27, 1998
Transformation - TYPE_OF_GRAFT merge BY_MEANS_OF - applied at 1:05:11 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:06 am on September 29, 1998
Manual accept at 8:02:54 am on September 29, 1998 by jon"
MAIN constructing
	ACTS_ON_1 ear ossicle structure
	ACTS_ON_1 tympanic membrane structure
	BY_MEANS_OF homograft
	TO_ACHIEVE repairing

RUBRIC "Obliteration of posterior semicircular canal"
ENGLISH_RUBRIC "Obliteration of posterior semicircular canal"
SOURCE "READ"
CODE "X00hb"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN obliteration - action
	ACTS_ON posterior semicircular canal

RUBRIC "Combined approach tympanoplasty"
ENGLISH_RUBRIC "Combined approach tympanoplasty"
SOURCE "READ"
CODE "X00hC"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998
Manual accept at 1:32:42 pm on September 29, 1998 by jon
Manual accept at 1:33:19 pm on September 29, 1998 by jon
Manual accept at 1:33:36 pm on September 29, 1998 by jon"
MAIN constructing
	ACTS_ON middle ear structure
	TO_ACHIEVE repairing
	HAS_APPROACH intracranial
	HAS_APPROACH external

RUBRIC "Sacculotomy"
ENGLISH_RUBRIC "Sacculotomy"
SOURCE "READ"
CODE "X00hc"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 10:12:17 am on October 12, 1998 by jon"
MAIN incision - action
	ACTS_ON saccule structure
		HAS_LOCATION inner ear structure

RUBRIC "Tympanoplasty with mastoidectomy"
ENGLISH_RUBRIC "Tympanoplasty with mastoidectomy"
SOURCE "READ"
CODE "X00hD"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON middle ear structure
	TO_ACHIEVE repairing
WITH exenteration - action
	ACTS_ON mastoid structure

RUBRIC "Excision of lesion of internal auditory canal"
ENGLISH_RUBRIC "Excision of lesion of internal auditory canal"
SOURCE "READ"
CODE "X00hd"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION internal auditory meatus

RUBRIC "Examination of ear under microscope"
ENGLISH_RUBRIC "Examination of ear under microscope"
SOURCE "READ"
CODE "X00he"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - AID to BY_MEANS_OF - applied at 1:05:59 am on September 27, 1998"
MAIN examination - action
	BY_MEANS_OF operating microscope
	ACTS_ON ear structure

RUBRIC "Large fenestra stapedectomy"
ENGLISH_RUBRIC "Large fenestra stapedectomy"
SOURCE "READ"
CODE "X00hF"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:37:21 pm on September 29, 1998 by jon
Manual accept at 1:37:26 pm on September 29, 1998 by jon
Manual accept at 1:37:40 pm on September 29, 1998 by jon"
MAIN excision - action
	ACTS_ON stapes structure
	HAS_APPROACH oval window

RUBRIC "Small fenestra stapedectomy"
ENGLISH_RUBRIC "Small fenestra stapedectomy"
SOURCE "READ"
CODE "X00hG"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:37:53 pm on September 29, 1998 by jon"
MAIN excision - action
	ACTS_ON stapes structure
	HAS_APPROACH round window

RUBRIC "Platinectomy"
ENGLISH_RUBRIC "Platinectomy"
SOURCE "READ"
CODE "X00hH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON stapes footplate

RUBRIC "Stapes mobilisation"
ENGLISH_RUBRIC "Stapes mobilisation"
SOURCE "READ"
CODE "X00hI"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN mobilisation - action
	ACTS_ON stapes structure

RUBRIC "Attention to middle ear ventilation tube"
ENGLISH_RUBRIC "Attention to middle ear ventilation tube"
SOURCE "READ"
CODE "X00hJ"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN attention - action
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Removal of ventilation tube from middle ear"
ENGLISH_RUBRIC "Removal of ventilation tube from middle ear"
SOURCE "READ"
CODE "X00hK"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN removal - action
	ACTS_ON grommet
		HAS_LOCATION middle ear structure

RUBRIC "Replacement of ventilation tube through tympanic membrane"
ENGLISH_RUBRIC "Replacement of ventilation tube through tympanic membrane"
SOURCE "READ"
CODE "X00hM"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:41 am on September 27, 1998
Manual accept at 3:35:35 pm on October 8, 1998 by jon"
MAIN inserting
	HAS_TEMPORAL_MARKER revision
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Repositioning of ventilation tube through tympanic membrane"
ENGLISH_RUBRIC "Repositioning of ventilation tube through tympanic membrane"
SOURCE "READ"
CODE "X00hN"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN adjustment - action
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Operation for middle ear lesion"
ENGLISH_RUBRIC "Operation for middle ear lesion"
SOURCE "READ"
CODE "X00hO"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN clinical action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION middle ear structure

RUBRIC "Eustachian tube diathermy"
ENGLISH_RUBRIC "Eustachian tube diathermy"
SOURCE "READ"
CODE "X00hQ"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN destruction - action
	ACTS_ON eustachian canal structure
	BY_MEANS_OF diathermy device

RUBRIC "Inflation of Eustachian tube using Politzer technique"
ENGLISH_RUBRIC "Inflation of Eustachian tube using Politzer technique"
SOURCE "READ"
CODE "X00hS"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 9:03:42 am on October 12, 1998 by jon
Manual accept at 9:08:47 am on October 12, 1998 by jon"
MAIN inflation - action
	ACTS_ON eustachian canal structure
	HAS_METHOD Politzer Method

RUBRIC "Inflation of Eustachian tube using balloon"
ENGLISH_RUBRIC "Inflation of Eustachian tube using balloon"
SOURCE "READ"
CODE "X00hT"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN inflation - action
	ACTS_ON eustachian canal structure
	BY_MEANS_OF balloon dilatation catheter

RUBRIC "Inner ear procedure"
ENGLISH_RUBRIC "Inner ear procedure"
SOURCE "READ"
CODE "X00hU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON inner ear structure

RUBRIC "Removal of cochlear prosthesis"
ENGLISH_RUBRIC "Removal of cochlear prosthesis"
SOURCE "READ"
CODE "X00hV"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN removal - action
	ACTS_ON cochlear implant
		HAS_LOCATION cochlear structure

RUBRIC "Decompression of endolymphatic sac"
ENGLISH_RUBRIC "Decompression of endolymphatic sac"
SOURCE "READ"
CODE "X00hW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN decompression - action
	ACTS_ON endolymphatic sac

RUBRIC "Decompression of endolymphatic sac and insertion of shunt"
ENGLISH_RUBRIC "Decompression of endolymphatic sac and insertion of shunt"
SOURCE "READ"
CODE "X00hX"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:29:05 pm on September 29, 1998 by jon
Manual accept at 1:29:13 pm on September 29, 1998 by jon"
MAIN decompression - action
	ACTS_ON endolymphatic sac
WITH inserting
	ACTS_ON shunt

RUBRIC "Ultrasonic labyrinthectomy"
ENGLISH_RUBRIC "Ultrasonic labyrinthectomy"
SOURCE "READ"
CODE "X00hY"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:46 am on September 27, 1998"
MAIN excision - action
	ACTS_ON labyrinth structure
	BY_MEANS_OF thermal ultrasound probe

RUBRIC "Closure of fistula of semicircular canal"
ENGLISH_RUBRIC "Closure of fistula of semicircular canal"
SOURCE "READ"
CODE "X00hZ"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN closure - action
	ACTS_ON unspecified fistula
		HAS_LOCATION semicircular canal structure

RUBRIC "Transection of Jacobson's nerve"
ENGLISH_RUBRIC "Transection of Jacobson's nerve"
SOURCE "READ"
CODE "X00I8"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:51:58 am on September 27, 1998 by DrJeremy Rogers
Manual accept at 1:52:54 am on September 27, 1998 by DrJeremy Rogers
Manual accept at 8:03:07 am on September 29, 1998 by jon
Manual accept at 8:03:20 am on September 29, 1998 by jon
Manual accept at 8:03:32 am on September 29, 1998 by jon
Manual accept at 8:03:42 am on September 29, 1998 by jon
Manual accept at 8:07:33 am on September 29, 1998 by jon
Manual accept at 8:50:21 am on September 29, 1998 by jon
Manual accept at 8:50:35 am on September 29, 1998 by jon
Manual accept at 8:56:25 am on September 29, 1998 by jon
Manual accept at 9:01:51 am on September 29, 1998 by jon
Manual accept at 9:01:54 am on September 29, 1998 by jon
Manual accept at 9:15:36 am on September 29, 1998 by jon"
MAIN division - action
	ACTS_ON tympanic nerve

RUBRIC "Decompression of temporal section of facial nerve"
ENGLISH_RUBRIC "Decompression of temporal section of facial nerve"
SOURCE "READ"
CODE "X00Ie"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:52:34 am on September 27, 1998 by DrJeremy Rogers
Manual accept at 4:15:50 pm on September 28, 1998 by jon"
MAIN decompression - action
	HAS_APPROACH intracranial
	ACTS_ON temporal division of facial nerve

RUBRIC "Grafting of temporal section of facial nerve"
ENGLISH_RUBRIC "Grafting of temporal section of facial nerve"
SOURCE "READ"
CODE "X00IX"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: grafting - action - applied at 1:05:03 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 4:05:21 pm on September 28, 1998 by jon
Manual accept at 4:05:46 pm on September 28, 1998 by jon
Manual accept at 4:07:16 pm on September 28, 1998 by jon
Manual accept at 4:12:04 pm on September 28, 1998 by jon
Manual accept at 4:12:54 pm on September 28, 1998 by jon
Manual accept at 4:14:10 pm on September 28, 1998 by jon
Manual accept at 4:14:28 pm on September 28, 1998 by jon
Manual accept at 4:14:52 pm on September 28, 1998 by jon
Manual accept at 4:15:15 pm on September 28, 1998 by jon"
MAIN constructing
	ACTS_ON temporal division of facial nerve
	TO_ACHIEVE repairing
	BY_MEANS_OF graft

RUBRIC "Removal of exostosis from external auditory canal"
ENGLISH_RUBRIC "Removal of exostosis from external auditory canal"
SOURCE "READ"
CODE "Xa0MH"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON external auditory canal exostosis
		HAS_LOCATION external auditory canal structure

RUBRIC "Drainage of middle ear"
ENGLISH_RUBRIC "Drainage of middle ear"
SOURCE "READ"
CODE "Xa1nV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON middle ear structure

RUBRIC "Myringotomy and insertion of grommet"
ENGLISH_RUBRIC "Myringotomy and insertion of grommet"
SOURCE "READ"
CODE "Xa2kr"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 1:05:06 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:41 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN inserting
	ACTS_ON grommet
		HAS_DESTINATION tympanic membrane structure
WITH incision - action
	ACTS_ON tympanic membrane structure

RUBRIC "Operative examination of ear"
ENGLISH_RUBRIC "Operative examination of ear"
SOURCE "READ"
CODE "Xa3dX"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN examination - action
	ACTS_ON ear structure

RUBRIC "Curettage of lesion of pinna"
ENGLISH_RUBRIC "Curettage of lesion of pinna"
SOURCE "READ"
CODE "Xa3n3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 9:24:34 am on October 9, 1998 by jon"
MAIN destruction - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION external ear structure
	BY_MEANS_OF curette

RUBRIC "Removal of acoustic neuroma"
ENGLISH_RUBRIC "Removal of acoustic neuroma"
SOURCE "READ"
CODE "Xa7O9"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998
Manual accept at 1:51:26 pm on September 28, 1998 by jon
Manual accept at 10:47:50 am on October 12, 1998 by jon
Manual accept at 10:49:08 am on October 12, 1998 by jon
Manual accept at 10:49:11 am on October 12, 1998 by jon
Manual accept at 10:49:24 am on October 12, 1998 by jon
Manual accept at 10:49:57 am on October 12, 1998 by jon
Manual accept at 10:50:21 am on October 12, 1998 by jon"
MAIN excision - action
	ACTS_ON acoustic neuroma

RUBRIC "Syringing of ear"
ENGLISH_RUBRIC "Syringing of ear"
SOURCE "READ"
CODE "Xa8Od"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 8:07:40 am on September 29, 1998 by jon
Manual accept at 3:39:13 pm on October 8, 1998 by jon
Manual accept at 8:39:26 am on October 9, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
	BY_MEANS_OF syringe for ear

RUBRIC "Excision of middle ear polyp"
ENGLISH_RUBRIC "Excision of middle ear polyp"
SOURCE "READ"
CODE "Xa8Oe"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 1:05:22 am on September 27, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:07:11 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified polyp
		HAS_LOCATION middle ear structure

RUBRIC "Second stage bone anchored hearing aid procedure"
ENGLISH_RUBRIC "Second stage bone anchored hearing aid procedure"
SOURCE "READ"
CODE "XaAv6"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN clinical action
	HAS_TEMPORAL_MARKER second stage of multistaged procedure
	ACTS_ON bone anchored hearing aid
		HAS_LOCATION mastoid structure

RUBRIC "Microsuction clearance of external auditory canal"
ENGLISH_RUBRIC "Microsuction clearance of external auditory canal"
SOURCE "READ"
CODE "XaAyH"
STATUS "r"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 1:05:32 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 11:10:12 am on October 12, 1998 by jon"
MAIN evacuation - action
	ACTS_ON external auditory canal structure
	BY_MEANS_OF suction catheter
	BY_MEANS_OF microscope

RUBRIC "External ear operations"
ENGLISH_RUBRIC "External ear operations"
SOURCE "READ"
CODE "XaB1v"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON external ear structure

RUBRIC "Removal of ventilation tube from ear"
ENGLISH_RUBRIC "Removal of ventilation tube from ear"
SOURCE "READ"
CODE "XaB2L"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998
Manual accept at 10:26:17 am on October 12, 1998 by jon"
MAIN removal - action
	ACTS_ON grommet
		HAS_LOCATION ear structure

RUBRIC "Mastoidectomy"
ENGLISH_RUBRIC "Mastoidectomy"
SOURCE "READ"
CODE "XaB34"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON mastoid structure

RUBRIC "Reconstruction of external ear with flap"
ENGLISH_RUBRIC "Reconstruction of external ear with flap"
SOURCE "READ"
CODE "XaB9V"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: flap reconstruction - action - applied at 1:05:02 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:12 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	BY_MEANS_OF flap
	TO_ACHIEVE repairing

RUBRIC "Cochlear prosthesis procedure"
ENGLISH_RUBRIC "Cochlear prosthesis procedure"
SOURCE "READ"
CODE "XaB9W"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN clinical action
	ACTS_ON cochlear implant
		HAS_LOCATION cochlear structure

RUBRIC "Chemical labyrinthectomy"
ENGLISH_RUBRIC "Chemical labyrinthectomy"
SOURCE "READ"
CODE "XaBFW"
STATUS "a"
HISTORY "
Transformation - SUBSTANCE + SITE - applied at 1:05:25 am on September 27, 1998
Transformation - SUBSTANCE to ACTS_ON - applied at 1:05:28 am on September 27, 1998
Manual accept at 3:41:06 pm on October 8, 1998 by jon"
MAIN excision
	ACTS_ON labyrinth structure
	BY_MEANS_OF injection - action
		ACTS_ON unspecified destructive substance
			HAS_DESTINATION labyrinth structure

RUBRIC "Removal of bone anchored hearing aid"
ENGLISH_RUBRIC "Removal of bone anchored hearing aid"
SOURCE "READ"
CODE "XaBIi"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN removal - action
	ACTS_ON bone anchored hearing aid
		HAS_LOCATION mastoid structure

RUBRIC "Mastoid and middle ear procedure"
ENGLISH_RUBRIC "Mastoid and middle ear procedure"
SOURCE "READ"
CODE "XE0Ba"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 1:18:32 pm on September 29, 1998 by jon
Manual accept at 1:19:03 pm on September 29, 1998 by jon"
MAIN clinical action
	ACTS_ON middle ear structure
OR_MAIN clinical action
	ACTS_ON mastoid structure

RUBRIC "Exenteration of mastoid disease"
ENGLISH_RUBRIC "Exenteration of mastoid disease"
SOURCE "READ"
CODE "XE0Bb"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 12:12:59 pm on October 14, 1998 by jon
Manual accept at 12:13:46 pm on October 14, 1998 by jon"
MAIN exenteration - action
	ACTS_ON mastoid structure

RUBRIC "Radical mastoidectomy"
ENGLISH_RUBRIC "Radical mastoidectomy"
SOURCE "READ"
CODE "XE0Bc"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON mastoid structure
	HAS_EXTENT radical

RUBRIC "Cortical mastoidectomy"
ENGLISH_RUBRIC "Cortical mastoidectomy"
SOURCE "READ"
CODE "XE0Bd"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON mastoid structure

RUBRIC "Drainage of petrous apex of mastoid"
ENGLISH_RUBRIC "Drainage of petrous apex of mastoid"
SOURCE "READ"
CODE "XE0Be"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON petrous apex of mastoid

RUBRIC "Myringoplasty"
ENGLISH_RUBRIC "Myringoplasty"
SOURCE "READ"
CODE "XE0Bf"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:41 am on September 29, 1998"
MAIN constructing
	ACTS_ON tympanic membrane structure
	TO_ACHIEVE repairing

RUBRIC "Formal myringoplasty using biological graft"
ENGLISH_RUBRIC "Formal myringoplasty using biological graft"
SOURCE "READ"
CODE "XE0Bg"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: grafting - action - applied at 1:05:03 am on September 27, 1998
Transformation - TYPE_OF_GRAFT merge BY_MEANS_OF - applied at 1:05:11 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstructing - applied at 8:00:15 am on September 29, 1998"
MAIN constructing
	ACTS_ON tympanic membrane structure
	BY_MEANS_OF biological surgical material
	TO_ACHIEVE repairing

RUBRIC "Myringotomy and ventilation tube operation"
ENGLISH_RUBRIC "Myringotomy and ventilation tube operation"
SOURCE "READ"
CODE "XE0Bh"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 3:41:44 pm on October 8, 1998 by jon
Manual accept at 10:57:49 am on October 9, 1998 by jon
Manual accept at 10:09:58 am on October 12, 1998 by jon
Manual accept at 10:10:09 am on October 12, 1998 by jon
Manual accept at 10:10:28 am on October 12, 1998 by jon
Manual accept at 10:11:18 am on October 12, 1998 by jon
Manual accept at 2:30:57 pm on November 3, 1998 by jon"
MAIN incision - action
	ACTS_ON tympanic membrane structure
WITH clinical action
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Myringotomy and insertion of long-term grommet"
ENGLISH_RUBRIC "Myringotomy and insertion of long-term grommet"
SOURCE "READ"
CODE "XE0Bj"
STATUS "r"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 1:05:00 am on September 27, 1998
Transformation - SITE + TARGET - applied at 1:05:16 am on September 27, 1998
Transformation - TARGET to ACTS_ON - applied at 1:05:40 am on September 27, 1998
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Manual accept at 3:33:33 pm on October 8, 1998 by jon"
MAIN inserting
	ACTS_ON grommet
		HAS_DESTINATION tympanic membrane structure
	HAS_TEMPORAL_MARKER permanent
WITH incision - action
	ACTS_ON tympanic membrane structure

RUBRIC "Stapedectomy"
ENGLISH_RUBRIC "Stapedectomy"
SOURCE "READ"
CODE "XE0Bl"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON stapes structure

RUBRIC "Tympanoplasty"
ENGLISH_RUBRIC "Tympanoplasty"
SOURCE "READ"
CODE "XE0Bm"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON middle ear structure
	TO_ACHIEVE repairing

RUBRIC "Removal of ventilation tube from tympanic membrane"
ENGLISH_RUBRIC "Removal of ventilation tube from tympanic membrane"
SOURCE "READ"
CODE "XE0Bn"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN removal - action
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Maintenance of ventilation tube through tympanic membrane"
ENGLISH_RUBRIC "Maintenance of ventilation tube through tympanic membrane"
SOURCE "READ"
CODE "XE0Bo"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998"
MAIN maintenance - action
	ACTS_ON grommet
		HAS_LOCATION tympanic membrane structure

RUBRIC "Attention to cochlear prosthesis"
ENGLISH_RUBRIC "Attention to cochlear prosthesis"
SOURCE "READ"
CODE "XE0Bq"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_DEVICE + SITE - applied at 1:05:13 am on September 27, 1998
Transformation - TYPE_OF_DEVICE to ACTS_ON - applied at 1:05:54 am on September 27, 1998
Manual accept at 1:30:08 pm on September 29, 1998 by jon"
MAIN attention - action
	ACTS_ON cochlear implant
		HAS_LOCATION cochlear structure
	HAS_TEMPORAL_MARKER revision

RUBRIC "External ear and external auditory canal procedure"
ENGLISH_RUBRIC "External ear and external auditory canal procedure"
SOURCE "READ"
CODE "XE0BW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON external ear structure

RUBRIC "Pinnaplasty"
ENGLISH_RUBRIC "Pinnaplasty"
SOURCE "READ"
CODE "XE0BX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON external ear structure
	TO_ACHIEVE repairing

RUBRIC "Anterior crurotomy of ear"
ENGLISH_RUBRIC "Anterior crurotomy of ear"
SOURCE "READ"
CODE "XE0BY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN division - action
	ACTS_ON stapes superstructure

RUBRIC "Reconstruction of external auditory canal"
ENGLISH_RUBRIC "Reconstruction of external auditory canal"
SOURCE "READ"
CODE "XE0BZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998
Transformation - expanding descriptor: reconstruction - action - applied at 7:58:42 am on September 29, 1998"
MAIN constructing
	ACTS_ON external auditory canal structure
	TO_ACHIEVE repairing

RUBRIC "Ossicular chain operation"
ENGLISH_RUBRIC "Ossicular chain operation"
SOURCE "READ"
CODE "XM0nF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN clinical action
	ACTS_ON ear ossicle structure

RUBRIC "Labyrinthectomy"
ENGLISH_RUBRIC "Labyrinthectomy"
SOURCE "READ"
CODE "XM0nJ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 1:05:45 am on September 27, 1998"
MAIN excision - action
	ACTS_ON labyrinth structure

