;;               Exported from Tigger version 4.7, at 2:46:14 am on July 1, 1998
;;              Exported from Tigger version 4.7, at 4:34:31 pm on July 3, 1998
;;             Exported from Tigger version 4.7, at 1:58:53 pm on July 5, 1998
;;            Exported from Tigger version 4.8, at 4:42:08 pm on August 19, 1998
;;           Exported from Tigger version 4.8, at 2:24:30 pm on August 24, 1998
;;          Exported from Tigger version 4.8, at 9:44:53 am on September 10, 1998
;;         Exported from Tigger version 4.8, at 1:53:29 am on September 27, 1998
;;        Exported from Tigger version 4.8, at 1:54:30 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 9:29:11 am on September 29, 1998
;;     Exported from Tigger version 4.8, at 10:53:12 am on October 1, 1998
;;    Exported from Tigger version 4.9, at 10:44:37 am on November 4, 1998
;;   Exported from Tigger version 4.9, at 11:56:34 am on April 20, 1999
;;  Exported from Tigger version 4.9, at 11:13:34 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:07 pm on April 13, 2000

RUBRIC "Biopsy of pelvic lymph node"
ENGLISH_RUBRIC "Biopsy of pelvic lymph node"
SOURCE "READ"
CODE "X20AU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON pelvic lymph node

RUBRIC "Excision of lymphocyst"
ENGLISH_RUBRIC "Excision of lymphocyst"
SOURCE "READ"
CODE "X20B7"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified cyst
		HAS_LOCATION lymphatic tissue

RUBRIC "Fine needle aspiration of lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of lymph node"
SOURCE "READ"
CODE "X20AZ"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON lymph node
	BY_MEANS_OF fine needle

RUBRIC "Reconstruction of lymphatic duct"
ENGLISH_RUBRIC "Reconstruction of lymphatic duct"
SOURCE "READ"
CODE "7H640"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998
Manual accept at 4:28:58 pm on August 19, 1998 by jon"
MAIN constructing
	ACTS_ON lymphatic vessel
	TO_ACHIEVE repairing

RUBRIC "Multiple bone marrow aspiration"
ENGLISH_RUBRIC "Multiple bone marrow aspiration"
SOURCE "READ"
CODE "Ua1JC"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998
Manual accept at 4:30:18 pm on August 19, 1998 by jon"
MAIN aspiration - action
	ACTS_ON bone marrow
	HAS_NUMBER multiple

RUBRIC "Fine needle aspiration of mediastinal lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of mediastinal lymph node"
SOURCE "READ"
CODE "X20Ad"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON mediastinal lymph node
	BY_MEANS_OF fine needle

RUBRIC "Fine needle aspiration of popliteal lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of popliteal lymph node"
SOURCE "READ"
CODE "X20Ai"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON popliteal lymph node
	BY_MEANS_OF fine needle

RUBRIC "Block dissection of axillary lymph nodes"
ENGLISH_RUBRIC "Block dissection of axillary lymph nodes"
SOURCE "READ"
CODE "7H601"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON axillary lymph node group

RUBRIC "Splenectomy"
ENGLISH_RUBRIC "Splenectomy"
SOURCE "READ"
CODE "X20BK"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998"
MAIN excision - action
	ACTS_ON splenic structure

RUBRIC "Drainage of lesion of femoral lymph node"
ENGLISH_RUBRIC "Drainage of lesion of femoral lymph node"
SOURCE "READ"
CODE "X20An"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION femoral lymph node

RUBRIC "External drainage of splenic lesion"
ENGLISH_RUBRIC "External drainage of splenic lesion"
SOURCE "READ"
CODE "X20BP"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998
Manual accept at 10:32:33 am on September 30, 1998 by jon"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure
	HAS_APPROACH external

RUBRIC "Lymphatic drainage through pedicled skin flap"
ENGLISH_RUBRIC "Lymphatic drainage through pedicled skin flap"
SOURCE "READ"
CODE "X20As"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 2:36:43 pm on July 3, 1998 by jon"
MAIN drainage - action
	ACTS_ON lymphatic vessel
WITH creating
	ACTS_ON local subcutaneous pedicle skin flap

RUBRIC "Supraomohyoid lymph nodes neck dissection"
ENGLISH_RUBRIC "Supraomohyoid lymph nodes neck dissection"
SOURCE "READ"
CODE "7H606"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON supraomohyoid lymph node group

RUBRIC "Excision of lymphoedematous tissue of arm"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue of arm"
SOURCE "READ"
CODE "XE05S"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphoedema
		HAS_LOCATION lymphatic structure of upper limb

RUBRIC "Harvest of bone marrow"
ENGLISH_RUBRIC "Harvest of bone marrow"
SOURCE "READ"
CODE "7M2C6"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN harvesting - action
	ACTS_ON bone marrow

RUBRIC "Bone marrow procedure"
ENGLISH_RUBRIC "Bone marrow procedure"
SOURCE "READ"
CODE "X20BU"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN clinical action
	ACTS_ON bone marrow

RUBRIC "Excision of lymphatic vesicles"
ENGLISH_RUBRIC "Excision of lymphatic vesicles"
SOURCE "READ"
CODE "X20Ax"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphatic vesicle
		HAS_LOCATION lymphatic tissue

RUBRIC "Anterior compartment lymph nodes neck dissection"
ENGLISH_RUBRIC "Anterior compartment lymph nodes neck dissection"
SOURCE "READ"
CODE "X20A0"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON anterior triangle cervical lymph node group

RUBRIC "Bone marrow trephine"
ENGLISH_RUBRIC "Bone marrow trephine"
SOURCE "READ"
CODE "X20BZ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN trephine - action
	ACTS_ON bone marrow

RUBRIC "Reimplantation of splenic fragments"
ENGLISH_RUBRIC "Reimplantation of splenic fragments"
SOURCE "READ"
CODE "Xa3Xe"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN reimplantation - action
	ACTS_ON splenic structure

RUBRIC "Biopsy of para-aortic lymph nodes"
ENGLISH_RUBRIC "Biopsy of para-aortic lymph nodes"
SOURCE "READ"
CODE "XaB13"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON para-aortic node

RUBRIC "Excision of cervical lymph nodes group"
ENGLISH_RUBRIC "Excision of cervical lymph nodes group"
SOURCE "READ"
CODE "X20A5"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON cervical lymph node group

RUBRIC "Syngeneic bone marrow transplant"
ENGLISH_RUBRIC "Syngeneic bone marrow transplant"
SOURCE "READ"
CODE "X20Bd"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF syngeneic graft

RUBRIC "Drainage of lesion of lymph node"
ENGLISH_RUBRIC "Drainage of lesion of lymph node"
SOURCE "READ"
CODE "7H63."
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION lymph node

RUBRIC "Haemopoietic stem cell transplant"
ENGLISH_RUBRIC "Haemopoietic stem cell transplant"
SOURCE "READ"
CODE "X20Bi"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998
Manual accept at 10:16:44 am on September 30, 1998 by jon
Manual accept at 10:20:12 am on September 30, 1998 by jon"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF haemopoietic stem cell

RUBRIC "Lymphatic, spleen and bone marrow procedures"
ENGLISH_RUBRIC "Lymphatic, spleen and bone marrow procedures"
SOURCE "READ"
CODE "X209u"
STATUS "i"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN clinical action
	ACTS_ON lymphoreticular structure

RUBRIC "Sampling of mesenteric lymph nodes"
ENGLISH_RUBRIC "Sampling of mesenteric lymph nodes"
SOURCE "READ"
CODE "X20AD"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON mesenteric artery lymph node group

RUBRIC "Axillary lymph nodes sampling"
ENGLISH_RUBRIC "Axillary lymph nodes sampling"
SOURCE "READ"
CODE "7H611"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON axillary lymph node group

RUBRIC "Lateral lymph nodes neck dissection"
ENGLISH_RUBRIC "Lateral lymph nodes neck dissection"
SOURCE "READ"
CODE "X209z"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON lateral cervical lymph node group

RUBRIC "Excision of mediastinal lymph node"
ENGLISH_RUBRIC "Excision of mediastinal lymph node"
SOURCE "READ"
CODE "X20AI"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON mediastinal lymph node

RUBRIC "Drainage of splenic abscess"
ENGLISH_RUBRIC "Drainage of splenic abscess"
SOURCE "READ"
CODE "Xa3lh"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified abscess
		HAS_LOCATION splenic structure

RUBRIC "Inguinal lymph nodes sampling"
ENGLISH_RUBRIC "Inguinal lymph nodes sampling"
SOURCE "READ"
CODE "7H616"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON inguinal lymph node group

RUBRIC "Banding of spleen"
ENGLISH_RUBRIC "Banding of spleen"
SOURCE "READ"
CODE "78424"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 2:43:10 am on July 1, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 2:43:20 am on July 1, 1998
Transformation - SITE + TARGET - applied at 2:43:33 am on July 1, 1998
Transformation - TARGET to ACTS_ON - applied at 2:44:18 am on July 1, 1998"
MAIN inserting
	ACTS_ON surgical band
		HAS_DESTINATION splenic structure

RUBRIC "Excision of popliteal lymph node"
ENGLISH_RUBRIC "Excision of popliteal lymph node"
SOURCE "READ"
CODE "X20AN"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON popliteal lymph node

RUBRIC "Excision of accessory spleen"
ENGLISH_RUBRIC "Excision of accessory spleen"
SOURCE "READ"
CODE "78402"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON accessory spleen
		HAS_LOCATION splenic structure

RUBRIC "Enteromesenteric bridge operation"
ENGLISH_RUBRIC "Enteromesenteric bridge operation"
SOURCE "READ"
CODE "X20B0"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998
Manual accept at 12:38:16 pm on September 28, 1998 by jon
Manual accept at 12:38:48 pm on September 28, 1998 by jon"
MAIN clinical action
	ACTS_ON lymphatic tissue
		HAS_LOCATION mesentery

RUBRIC "Biopsy of mediastinal lymph node"
ENGLISH_RUBRIC "Biopsy of mediastinal lymph node"
SOURCE "READ"
CODE "X20AS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON mediastinal lymph node

RUBRIC "Operation on lymphocyst"
ENGLISH_RUBRIC "Operation on lymphocyst"
SOURCE "READ"
CODE "X20B5"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN clinical action
	ACTS_ON unspecified cyst
		HAS_LOCATION lymphatic tissue

RUBRIC "Biopsy of popliteal lymph node"
ENGLISH_RUBRIC "Biopsy of popliteal lymph node"
SOURCE "READ"
CODE "X20AX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON popliteal lymph node

RUBRIC "Excision of lymphocele"
ENGLISH_RUBRIC "Excision of lymphocele"
SOURCE "READ"
CODE "7H660"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphocele
		HAS_LOCATION lymphatic tissue

RUBRIC "Operation on lymphatic duct"
ENGLISH_RUBRIC "Operation on lymphatic duct"
SOURCE "READ"
CODE "7H64."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN clinical action
	ACTS_ON lymphatic vessel

RUBRIC "Excision of lymphoedematous tissue of leg"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue of leg"
SOURCE "READ"
CODE "Xa8RX"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphoedema
		HAS_LOCATION lymphatic structure of lower limb

RUBRIC "Fine needle aspiration of cervical lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of cervical lymph node"
SOURCE "READ"
CODE "X20Ab"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON cervical lymph node
	BY_MEANS_OF fine needle

RUBRIC "Cannulation of lymphatic duct"
ENGLISH_RUBRIC "Cannulation of lymphatic duct"
SOURCE "READ"
CODE "7H643"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: placement of device - applied at 2:43:10 am on July 1, 1998
Transformation - TYPE_OF_DEVICE merge TARGET - applied at 2:43:20 am on July 1, 1998
Transformation - SITE + TARGET - applied at 2:43:33 am on July 1, 1998
Transformation - TARGET to ACTS_ON - applied at 2:44:17 am on July 1, 1998"
MAIN inserting
	ACTS_ON cannula
		HAS_DESTINATION lymphatic vessel

RUBRIC "Fine needle aspiration of inguinal lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of inguinal lymph node"
SOURCE "READ"
CODE "X20Ag"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON inguinal lymph node
	BY_MEANS_OF fine needle

RUBRIC "Drainage of lesion of abdominal lymph node"
ENGLISH_RUBRIC "Drainage of lesion of abdominal lymph node"
SOURCE "READ"
CODE "X20Al"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION abdominal lymph node

RUBRIC "Autologous bone marrow transplant"
ENGLISH_RUBRIC "Autologous bone marrow transplant"
SOURCE "READ"
CODE "7K1Q0"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF autograft

RUBRIC "Splenic cystogastrostomy"
ENGLISH_RUBRIC "Splenic cystogastrostomy"
SOURCE "READ"
CODE "X20BN"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 2:43:07 am on July 1, 1998
Transformation - fixing DISTAL_SITE - applied at 2:43:17 am on July 1, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 2:43:48 am on July 1, 1998
Transformation - MOTIVATED_BY to zero - applied at 2:44:41 am on July 1, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 splenic structure
		CONNECTS_2 stomach structure
MOTIVATED_OVERALL_BY unspecified cyst
	HAS_LOCATION null

RUBRIC "Lymphatic drainage through buried fascia/tensor fascia lata"
ENGLISH_RUBRIC "Lymphatic drainage through buried fascia/tensor fascia lata"
SOURCE "READ"
CODE "X20Aq"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN drainage - action
	ACTS_ON lymphatic vessel

RUBRIC "Block dissection of inguinal lymph nodes"
ENGLISH_RUBRIC "Block dissection of inguinal lymph nodes"
SOURCE "READ"
CODE "7H604"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON inguinal lymph node group

RUBRIC "Excision of lesion of spleen"
ENGLISH_RUBRIC "Excision of lesion of spleen"
SOURCE "READ"
CODE "78412"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Sampling of supraclavicular lymph nodes"
ENGLISH_RUBRIC "Sampling of supraclavicular lymph nodes"
SOURCE "READ"
CODE "XE05Q"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON supraclavicular lymph node group

RUBRIC "Incision of spleen"
ENGLISH_RUBRIC "Incision of spleen"
SOURCE "READ"
CODE "X20BS"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN incision - action
	ACTS_ON splenic structure

RUBRIC "Transplantation of lymph collectors"
ENGLISH_RUBRIC "Transplantation of lymph collectors"
SOURCE "READ"
CODE "X20Av"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN transposition - action
	ACTS_ON lymphatic vessel

RUBRIC "Iliac crest aspiration"
ENGLISH_RUBRIC "Iliac crest aspiration"
SOURCE "READ"
CODE "X20BX"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON iliac crest marrow structure

RUBRIC "Inguinofemoral lymphadenectomy"
ENGLISH_RUBRIC "Inguinofemoral lymphadenectomy"
SOURCE "READ"
CODE "X20A3"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON inguinofemoral lymph node group

RUBRIC "Excision of abdominal lymph nodes group"
ENGLISH_RUBRIC "Excision of abdominal lymph nodes group"
SOURCE "READ"
CODE "X20A8"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON abdominal lymph node group

RUBRIC "Iliac crest trephine"
ENGLISH_RUBRIC "Iliac crest trephine"
SOURCE "READ"
CODE "X20Bb"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN trephine - action
	ACTS_ON iliac crest marrow structure

RUBRIC "Allogeneic related bone marrow transplant"
ENGLISH_RUBRIC "Allogeneic related bone marrow transplant"
SOURCE "READ"
CODE "X20Bg"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 9:59:16 am on September 30, 1998 by jon"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF homograft
		HAS_DONOR genetic relative

RUBRIC "Drainage of lesion of axillary lymph node"
ENGLISH_RUBRIC "Drainage of lesion of axillary lymph node"
SOURCE "READ"
CODE "7H631"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION axillary lymph node

RUBRIC "Excision of femoral lymph nodes group"
ENGLISH_RUBRIC "Excision of femoral lymph nodes group"
SOURCE "READ"
CODE "X20AB"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON femoral lymph node group

RUBRIC "Selective neck dissection of cervical lymph nodes"
ENGLISH_RUBRIC "Selective neck dissection of cervical lymph nodes"
SOURCE "READ"
CODE "X209x"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 10:25:03 am on September 30, 1998 by jon"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON cervical lymph node group
	HAS_EXTENT partial

RUBRIC "Excision of cervical lymph node"
ENGLISH_RUBRIC "Excision of cervical lymph node"
SOURCE "READ"
CODE "X20AG"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON cervical lymph node

RUBRIC "Mediastinal lymph nodes sampling"
ENGLISH_RUBRIC "Mediastinal lymph nodes sampling"
SOURCE "READ"
CODE "7H614"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON mediastinal lymph node group

RUBRIC "Biopsy of lesion of spleen"
ENGLISH_RUBRIC "Biopsy of lesion of spleen"
SOURCE "READ"
CODE "78422"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN biopsy - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Excision of inguinal lymph node"
ENGLISH_RUBRIC "Excision of inguinal lymph node"
SOURCE "READ"
CODE "X20AL"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON inguinal lymph node

RUBRIC "Total splenectomy and reimplantation of fragments"
ENGLISH_RUBRIC "Total splenectomy and reimplantation of fragments"
SOURCE "READ"
CODE "78400"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON splenic structure
	HAS_EXTENT total
WITH reimplantation - action
	ACTS_ON splenic structure

RUBRIC "Cord cell transfusion"
ENGLISH_RUBRIC "Cord cell transfusion"
SOURCE "READ"
CODE "Xa0fJ"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF stem cell

RUBRIC "Spleen operation"
ENGLISH_RUBRIC "Spleen operation"
SOURCE "READ"
CODE "784.."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN clinical action
	ACTS_ON splenic structure

RUBRIC "Biopsy of cervical lymph node"
ENGLISH_RUBRIC "Biopsy of cervical lymph node"
SOURCE "READ"
CODE "X20AQ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON cervical lymph node

RUBRIC "Excision of lymphoedematous tissue plus full thickness skin graft"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue plus full thickness skin graft"
SOURCE "READ"
CODE "X20B3"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Manual accept at 4:01:13 pm on August 19, 1998 by jon
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphoedema
		HAS_LOCATION lymphatic tissue
WITH constructing
	BY_MEANS_OF skin graft
	TO_ACHIEVE repairing

RUBRIC "Biopsy of inguinal lymph node"
ENGLISH_RUBRIC "Biopsy of inguinal lymph node"
SOURCE "READ"
CODE "X20AV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON inguinal lymph node

RUBRIC "Operation on cystic hygroma"
ENGLISH_RUBRIC "Operation on cystic hygroma"
SOURCE "READ"
CODE "X20B8"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN clinical action
	ACTS_ON cystic lymphangioma
		HAS_LOCATION lymphatic tissue

RUBRIC "Bypass of obstruction of lymphatic duct"
ENGLISH_RUBRIC "Bypass of obstruction of lymphatic duct"
SOURCE "READ"
CODE "7H641"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: bypass - action - applied at 2:43:08 am on July 1, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 2:43:48 am on July 1, 1998
Transformation - MOTIVATED_BY to zero - applied at 2:44:41 am on July 1, 1998"
MAIN constructing
	ACTS_ON bypass structure
		BYPASSES lymphatic vessel
MOTIVATED_OVERALL_BY unspecified obstruction

RUBRIC "Subtotal splenectomy"
ENGLISH_RUBRIC "Subtotal splenectomy"
SOURCE "READ"
CODE "Ua1JD"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON splenic structure
	HAS_EXTENT subtotal

RUBRIC "Injection of cystic hygroma"
ENGLISH_RUBRIC "Injection of cystic hygroma"
SOURCE "READ"
CODE "X20BB"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN injection - action
	ACTS_ON cystic lymphangioma
		HAS_LOCATION lymphatic tissue

RUBRIC "Fine needle aspiration of abdominal lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of abdominal lymph node"
SOURCE "READ"
CODE "X20Ae"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON abdominal lymph node
	BY_MEANS_OF fine needle

RUBRIC "Fine needle aspiration of epitrochlear lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of epitrochlear lymph node"
SOURCE "READ"
CODE "X20Aj"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON epitrochlear lymph node
	BY_MEANS_OF fine needle

RUBRIC "Bone marrow transplant"
ENGLISH_RUBRIC "Bone marrow transplant"
SOURCE "READ"
CODE "7K1Q."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow

RUBRIC "Block dissection of mediastinal lymph nodes"
ENGLISH_RUBRIC "Block dissection of mediastinal lymph nodes"
SOURCE "READ"
CODE "7H602"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON mediastinal lymph node group

RUBRIC "Drainage of lesion of popliteal lymph node"
ENGLISH_RUBRIC "Drainage of lesion of popliteal lymph node"
SOURCE "READ"
CODE "X20Ao"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION popliteal lymph node

RUBRIC "Partial splenectomy"
ENGLISH_RUBRIC "Partial splenectomy"
SOURCE "READ"
CODE "78410"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON splenic structure
	HAS_EXTENT partial

RUBRIC "Procedures for splenic lesions"
ENGLISH_RUBRIC "Procedures for splenic lesions"
SOURCE "READ"
CODE "X20BL"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN clinical action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Lymphatic tissue operation"
ENGLISH_RUBRIC "Lymphatic tissue operation"
SOURCE "READ"
CODE "XE05O"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN clinical action
	ACTS_ON lymphatic tissue

RUBRIC "Fine needle aspiration of lesion of spleen"
ENGLISH_RUBRIC "Fine needle aspiration of lesion of spleen"
SOURCE "READ"
CODE "X20BQ"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN aspiration - action
	BY_MEANS_OF fine needle
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Lymphonodovenous anastomosis"
ENGLISH_RUBRIC "Lymphonodovenous anastomosis"
SOURCE "READ"
CODE "X20At"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 2:43:07 am on July 1, 1998
Transformation - fixing DISTAL_SITE - applied at 2:43:17 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN constructing
	ACTS_ON null
	ACTS_ON anastomosis structure
		CONNECTS_1 lymph node structure
		CONNECTS_2 vein

RUBRIC "Bone marrow sampling"
ENGLISH_RUBRIC "Bone marrow sampling"
SOURCE "READ"
CODE "X20BV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON bone marrow

RUBRIC "Excision of lymphangioma"
ENGLISH_RUBRIC "Excision of lymphangioma"
SOURCE "READ"
CODE "X20Ay"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON simple lymphangioma
		HAS_LOCATION lymphatic tissue

RUBRIC "Drainage of lesion of spleen"
ENGLISH_RUBRIC "Drainage of lesion of spleen"
SOURCE "READ"
CODE "XM1G3"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Block dissection of pelvic lymph nodes"
ENGLISH_RUBRIC "Block dissection of pelvic lymph nodes"
SOURCE "READ"
CODE "X20A1"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON pelvic lymph node group

RUBRIC "Excision of axillary lymph nodes group"
ENGLISH_RUBRIC "Excision of axillary lymph nodes group"
SOURCE "READ"
CODE "X20A6"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON axillary lymph node group

RUBRIC "Allogeneic bone marrow transplant"
ENGLISH_RUBRIC "Allogeneic bone marrow transplant"
SOURCE "READ"
CODE "Xa8Ry"
STATUS "a"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF homograft

RUBRIC "T-cell depleted allogeneic bone marrow graft"
ENGLISH_RUBRIC "T-cell depleted allogeneic bone marrow graft"
SOURCE "READ"
CODE "X20Be"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 10:01:15 am on September 30, 1998 by jon
Manual accept at 10:05:19 am on September 30, 1998 by jon
Manual accept at 10:05:33 am on September 30, 1998 by jon
Manual accept at 10:06:29 am on September 30, 1998 by jon
Manual accept at 10:07:29 am on September 30, 1998 by jon
Manual accept at 10:09:58 am on September 30, 1998 by jon
Manual accept at 10:10:31 am on September 30, 1998 by jon
Manual accept at 10:11:29 am on September 30, 1998 by jon
Manual accept at 10:13:11 am on September 30, 1998 by jon"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF T-Cell depleted bone marrow
	BY_MEANS_OF homograft

RUBRIC "Extended radical neck dissection of cervical lymph nodes"
ENGLISH_RUBRIC "Extended radical neck dissection of cervical lymph nodes"
SOURCE "READ"
CODE "X209v"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON cervical lymph node group
	HAS_EXTENT extended radical

RUBRIC "Pelvic lymph nodes sampling"
ENGLISH_RUBRIC "Pelvic lymph nodes sampling"
SOURCE "READ"
CODE "X20AE"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON pelvic lymph node group

RUBRIC "Spleen transplant"
ENGLISH_RUBRIC "Spleen transplant"
SOURCE "READ"
CODE "78420"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON splenic structure

RUBRIC "Excision of abdominal lymph node"
ENGLISH_RUBRIC "Excision of abdominal lymph node"
SOURCE "READ"
CODE "X20AJ"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON abdominal lymph node

RUBRIC "Total splenectomy"
ENGLISH_RUBRIC "Total splenectomy"
SOURCE "READ"
CODE "7840."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON splenic structure
	HAS_EXTENT total

RUBRIC "Exploration of spleen"
ENGLISH_RUBRIC "Exploration of spleen"
SOURCE "READ"
CODE "78425"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN exploration - action
	ACTS_ON splenic structure

RUBRIC "Excision of epitrochlear lymph node"
ENGLISH_RUBRIC "Excision of epitrochlear lymph node"
SOURCE "READ"
CODE "X20AO"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON epitrochlear lymph node

RUBRIC "Sternal aspiration"
ENGLISH_RUBRIC "Sternal aspiration"
SOURCE "READ"
CODE "Xa0Gc"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON sternal bone marrow structure

RUBRIC "Biopsy of abdominal lymph node"
ENGLISH_RUBRIC "Biopsy of abdominal lymph node"
SOURCE "READ"
CODE "X20AT"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON abdominal lymph node

RUBRIC "Drainage of lymphocyst"
ENGLISH_RUBRIC "Drainage of lymphocyst"
SOURCE "READ"
CODE "X20B6"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified cyst
		HAS_LOCATION lymphatic tissue

RUBRIC "Biopsy of epitrochlear lymph node"
ENGLISH_RUBRIC "Biopsy of epitrochlear lymph node"
SOURCE "READ"
CODE "X20AY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON epitrochlear lymph node

RUBRIC "Excision of lymphoedematous tissue"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue"
SOURCE "READ"
CODE "Xa8RY"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphoedema
		HAS_LOCATION lymphatic tissue

RUBRIC "Fine needle aspiration of axillary lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of axillary lymph node"
SOURCE "READ"
CODE "X20Ac"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON axillary lymph node
	BY_MEANS_OF fine needle

RUBRIC "Exploration of chylous fistula"
ENGLISH_RUBRIC "Exploration of chylous fistula"
SOURCE "READ"
CODE "7H644"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN exploration - action
	ACTS_ON unspecified fistula
		HAS_LOCATION lymphatic vessel

RUBRIC "Fine needle aspiration of femoral lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of femoral lymph node"
SOURCE "READ"
CODE "X20Ah"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON femoral lymph node
	BY_MEANS_OF fine needle

RUBRIC "Block dissection of cervical lymph nodes"
ENGLISH_RUBRIC "Block dissection of cervical lymph nodes"
SOURCE "READ"
CODE "7H600"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON cervical lymph node group

RUBRIC "Drainage of lesion of pelvic lymph node"
ENGLISH_RUBRIC "Drainage of lesion of pelvic lymph node"
SOURCE "READ"
CODE "X20Am"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION pelvic lymph node

RUBRIC "Splenic cystojejunostomy"
ENGLISH_RUBRIC "Splenic cystojejunostomy"
SOURCE "READ"
CODE "X20BO"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 2:43:07 am on July 1, 1998
Transformation - fixing DISTAL_SITE - applied at 2:43:17 am on July 1, 1998
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 2:43:48 am on July 1, 1998
Transformation - MOTIVATED_BY to zero - applied at 2:44:41 am on July 1, 1998"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 splenic structure
		CONNECTS_2 jejunal structure
MOTIVATED_OVERALL_BY unspecified cyst
	HAS_LOCATION null

RUBRIC "Lymphatic drainage through omental transfer"
ENGLISH_RUBRIC "Lymphatic drainage through omental transfer"
SOURCE "READ"
CODE "X20Ar"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998
Manual accept at 12:24:35 pm on July 3, 1998 by jon
Manual accept at 12:24:51 pm on July 3, 1998 by jon"
MAIN drainage - action
	ACTS_ON lymphatic vessel
WITH transposing
	ACTS_ON omentum

RUBRIC "Modified radical neck dissection of cervical lymph nodes"
ENGLISH_RUBRIC "Modified radical neck dissection of cervical lymph nodes"
SOURCE "READ"
CODE "7H605"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON cervical lymph node group
	HAS_EXTENT modified radical

RUBRIC "Injection of spleen"
ENGLISH_RUBRIC "Injection of spleen"
SOURCE "READ"
CODE "X20BT"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN injection - action
	ACTS_ON splenic structure

RUBRIC "Ligation of thoracic lymph duct"
ENGLISH_RUBRIC "Ligation of thoracic lymph duct"
SOURCE "READ"
CODE "X20Aw"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON thoracic lymphatic duct
	BY_MEANS_OF ligature

RUBRIC "Excision of cystic hygroma"
ENGLISH_RUBRIC "Excision of cystic hygroma"
SOURCE "READ"
CODE "XE05W"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON cystic lymphangioma
		HAS_LOCATION lymphatic tissue

RUBRIC "Tibial tubercle aspiration"
ENGLISH_RUBRIC "Tibial tubercle aspiration"
SOURCE "READ"
CODE "X20BY"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON tibial tubercle bone marrow

RUBRIC "Excision of group of lymph nodes"
ENGLISH_RUBRIC "Excision of group of lymph nodes"
SOURCE "READ"
CODE "X20A4"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON lymph node group

RUBRIC "Excision of pelvic lymph nodes group"
ENGLISH_RUBRIC "Excision of pelvic lymph nodes group"
SOURCE "READ"
CODE "X20A9"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON pelvic lymph node group

RUBRIC "Marrow-treated bone marrow transplant"
ENGLISH_RUBRIC "Marrow-treated bone marrow transplant"
SOURCE "READ"
CODE "X20Bc"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF autograft

RUBRIC "Drainage of lesion of inguinal lymph node"
ENGLISH_RUBRIC "Drainage of lesion of inguinal lymph node"
SOURCE "READ"
CODE "7H632"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION inguinal lymph node

RUBRIC "Allogeneic unrelated bone marrow transplant"
ENGLISH_RUBRIC "Allogeneic unrelated bone marrow transplant"
SOURCE "READ"
CODE "X20Bh"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 10:00:10 am on September 30, 1998 by jon
Manual accept at 10:00:46 am on September 30, 1998 by jon"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF homograft
		HAS_DONOR Non genetic relative

RUBRIC "Abdominal lymph nodes sampling"
ENGLISH_RUBRIC "Abdominal lymph nodes sampling"
SOURCE "READ"
CODE "X20AC"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON abdominal lymph node group

RUBRIC "Posterolateral lymph nodes neck dissection"
ENGLISH_RUBRIC "Posterolateral lymph nodes neck dissection"
SOURCE "READ"
CODE "X209y"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON posterolateral cervical lymph node group

RUBRIC "Excision of axillary lymph node"
ENGLISH_RUBRIC "Excision of axillary lymph node"
SOURCE "READ"
CODE "X20AH"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON axillary lymph node

RUBRIC "Sampling of para-aortic lymph nodes"
ENGLISH_RUBRIC "Sampling of para-aortic lymph nodes"
SOURCE "READ"
CODE "7H615"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON para-aortic lymph node group

RUBRIC "Repair of spleen"
ENGLISH_RUBRIC "Repair of spleen"
SOURCE "READ"
CODE "78423"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN repair - action
	ACTS_ON splenic structure

RUBRIC "Excision of femoral lymph node"
ENGLISH_RUBRIC "Excision of femoral lymph node"
SOURCE "READ"
CODE "X20AM"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON femoral lymph node

RUBRIC "Peripheral blood stem cell graft"
ENGLISH_RUBRIC "Peripheral blood stem cell graft"
SOURCE "READ"
CODE "Xa0fK"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF stem cell

RUBRIC "Biopsy of axillary lymph node"
ENGLISH_RUBRIC "Biopsy of axillary lymph node"
SOURCE "READ"
CODE "X20AR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON axillary lymph node

RUBRIC "Excision of lymphoedematous tissue plus local skin graft"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue plus local skin graft"
SOURCE "READ"
CODE "X20B4"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Manual accept at 3:59:56 pm on August 19, 1998 by jon
Manual accept at 4:00:03 pm on August 19, 1998 by jon
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphoedema
		HAS_LOCATION lymphatic tissue
WITH constructing
	BY_MEANS_OF skin graft
	TO_ACHIEVE repairing

RUBRIC "Biopsy of femoral lymph node"
ENGLISH_RUBRIC "Biopsy of femoral lymph node"
SOURCE "READ"
CODE "X20AW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON femoral lymph node

RUBRIC "Aspiration of cystic hygroma"
ENGLISH_RUBRIC "Aspiration of cystic hygroma"
SOURCE "READ"
CODE "X20B9"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN aspiration - action
	ACTS_ON cystic lymphangioma
		HAS_LOCATION lymphatic tissue

RUBRIC "Excision of lymphoedematous tissue of scrotum"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue of scrotum"
SOURCE "READ"
CODE "7H664"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Manual accept at 4:40:02 pm on August 19, 1998 by jon
Manual accept at 4:40:15 pm on August 19, 1998 by jon
Transformation - SURGICAL_PATHOLOGY + ACTS_ON - applied at 1:54:12 am on September 27, 1998
Transformation - MOTIVATED_BY to zero - applied at 1:54:16 am on September 27, 1998"
MAIN excision - action
	ACTS_ON scrotal structure
MOTIVATED_OVERALL_BY lymphoedema
	HAS_LOCATION lymphatic tissue

RUBRIC "Fine needle aspiration of supraclavicular lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of supraclavicular lymph node"
SOURCE "READ"
CODE "X20Aa"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON supraclavicular lymph node
	BY_MEANS_OF fine needle

RUBRIC "Ligation of lymphatic duct"
ENGLISH_RUBRIC "Ligation of lymphatic duct"
SOURCE "READ"
CODE "7H642"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998
Transformation - expanding descriptor: ligation - action - applied at 12:34:00 pm on July 5, 1998"
MAIN occluding
	ACTS_ON lymphatic vessel
	BY_MEANS_OF ligature

RUBRIC "Incision and drainage of cystic hygroma"
ENGLISH_RUBRIC "Incision and drainage of cystic hygroma"
SOURCE "READ"
CODE "X20BC"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - ACCESS to HAS_APPROACH - applied at 2:44:30 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	HAS_APPROACH open approach
	ACTS_ON cystic lymphangioma
		HAS_LOCATION lymphatic tissue

RUBRIC "Fine needle aspiration of pelvic lymph node"
ENGLISH_RUBRIC "Fine needle aspiration of pelvic lymph node"
SOURCE "READ"
CODE "X20Af"
STATUS "a"
HISTORY "
Transformation - USING to BY_MEANS_OF - applied at 2:44:07 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON pelvic lymph node
	BY_MEANS_OF fine needle

RUBRIC "Block dissection of lymph nodes"
ENGLISH_RUBRIC "Block dissection of lymph nodes"
SOURCE "READ"
CODE "7H60."
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:25 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON lymph node group

RUBRIC "Drainage of lesion of mediastinal lymph node"
ENGLISH_RUBRIC "Drainage of lesion of mediastinal lymph node"
SOURCE "READ"
CODE "X20Ak"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION mediastinal lymph node

RUBRIC "Block dissection of para-aortic lymph nodes"
ENGLISH_RUBRIC "Block dissection of para-aortic lymph nodes"
SOURCE "READ"
CODE "7H603"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON para-aortic lymph node group

RUBRIC "Drainage of lesion of epitrochlear lymph node"
ENGLISH_RUBRIC "Drainage of lesion of epitrochlear lymph node"
SOURCE "READ"
CODE "X20Ap"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION epitrochlear lymph node

RUBRIC "Marsupialisation of splenic lesion"
ENGLISH_RUBRIC "Marsupialisation of splenic lesion"
SOURCE "READ"
CODE "78411"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN marsupialisation - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Destruction of lesion of spleen"
ENGLISH_RUBRIC "Destruction of lesion of spleen"
SOURCE "READ"
CODE "X20BM"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN destruction - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION splenic structure

RUBRIC "Cervical lymph nodes sampling"
ENGLISH_RUBRIC "Cervical lymph nodes sampling"
SOURCE "READ"
CODE "XE05P"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON cervical lymph node group

RUBRIC "Suturing of spleen"
ENGLISH_RUBRIC "Suturing of spleen"
SOURCE "READ"
CODE "X20BR"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN suturing - action
	ACTS_ON splenic structure

RUBRIC "Lymphovenous anastomosis"
ENGLISH_RUBRIC "Lymphovenous anastomosis"
SOURCE "READ"
CODE "X20Au"
STATUS "a"
HISTORY "
Transformation - expanding descriptor: anastomosis - action - applied at 2:43:06 am on July 1, 1998
Transformation - fixing DISTAL_SITE - applied at 2:43:17 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 4:40:40 pm on August 19, 1998 by jon"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 lymphatic vessel
		CONNECTS_2 vein

RUBRIC "Bone marrow aspiration"
ENGLISH_RUBRIC "Bone marrow aspiration"
SOURCE "READ"
CODE "X20BW"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN aspiration - action
	ACTS_ON bone marrow

RUBRIC "Drainage of lymphatics"
ENGLISH_RUBRIC "Drainage of lymphatics"
SOURCE "READ"
CODE "X20Az"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN drainage - action
	ACTS_ON lymphatic tissue

RUBRIC "Ilioinguinofemoral lymphadenectomy"
ENGLISH_RUBRIC "Ilioinguinofemoral lymphadenectomy"
SOURCE "READ"
CODE "X20A2"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON ilioinguinal lymph node group

RUBRIC "Excision of mediastinal lymph nodes group"
ENGLISH_RUBRIC "Excision of mediastinal lymph nodes group"
SOURCE "READ"
CODE "X20A7"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON mediastinal lymph node group

RUBRIC "Sternal trephine"
ENGLISH_RUBRIC "Sternal trephine"
SOURCE "READ"
CODE "X20Ba"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN trephine - action
	ACTS_ON sternal bone marrow structure

RUBRIC "Imperfect T-cell depleted allogeneic bone marrow graft"
ENGLISH_RUBRIC "Imperfect T-cell depleted allogeneic bone marrow graft"
SOURCE "READ"
CODE "X20Bf"
STATUS "r"
HISTORY "
Transformation - TYPE_OF_TISSUE to BY_MEANS_OF - applied at 2:44:02 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998
Manual accept at 10:01:47 am on September 30, 1998 by jon
Manual accept at 10:08:01 am on September 30, 1998 by jon
Manual accept at 10:08:19 am on September 30, 1998 by jon
Manual accept at 10:12:06 am on September 30, 1998 by jon"
MAIN transplantation - action
	ACTS_ON bone marrow
	BY_MEANS_OF imperfectly T-Cell depleted bone marrow
	BY_MEANS_OF homograft

RUBRIC "Drainage of lesion of cervical lymph node"
ENGLISH_RUBRIC "Drainage of lesion of cervical lymph node"
SOURCE "READ"
CODE "7H630"
STATUS "a"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN drainage - action
	ACTS_ON unspecified surgical lesion
		HAS_LOCATION cervical lymph node

RUBRIC "Excision of inguinal lymph nodes group"
ENGLISH_RUBRIC "Excision of inguinal lymph nodes group"
SOURCE "READ"
CODE "X20AA"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON inguinal lymph node group

RUBRIC "Sampling of lymph node"
ENGLISH_RUBRIC "Sampling of lymph node"
SOURCE "READ"
CODE "7H61."
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON lymph node group

RUBRIC "Radical neck dissection of cervical lymph nodes"
ENGLISH_RUBRIC "Radical neck dissection of cervical lymph nodes"
SOURCE "READ"
CODE "X209w"
STATUS "a"
HISTORY "
Transformation - TECHNIQUE to BY_MEANS_OF - applied at 2:43:53 am on July 1, 1998
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	BY_MEANS_OF block dissection
	ACTS_ON cervical lymph node group
	HAS_EXTENT radical

RUBRIC "Excision of lymph node"
ENGLISH_RUBRIC "Excision of lymph node"
SOURCE "READ"
CODE "X20AF"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN excision - action
	ACTS_ON lymph node

RUBRIC "Sampling of internal mammary lymph nodes"
ENGLISH_RUBRIC "Sampling of internal mammary lymph nodes"
SOURCE "READ"
CODE "7H613"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN sampling - action
	ACTS_ON internal mammary lymph node group

RUBRIC "Operation on pelvic lymph node draining prostate"
ENGLISH_RUBRIC "Operation on pelvic lymph node draining prostate"
SOURCE "READ"
CODE "X30FB"
STATUS "r"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN clinical action
	ACTS_ON pelvic lymph node

RUBRIC "Excision of pelvic lymph node"
ENGLISH_RUBRIC "Excision of pelvic lymph node"
SOURCE "READ"
CODE "X20AK"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN excision - action
	ACTS_ON pelvic lymph node

RUBRIC "Lymph node operation"
ENGLISH_RUBRIC "Lymph node operation"
SOURCE "READ"
CODE "Xa9IV"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:24 am on July 1, 1998"
MAIN clinical action
	ACTS_ON lymph node structure

RUBRIC "Lymph node biopsy"
ENGLISH_RUBRIC "Lymph node biopsy"
SOURCE "READ"
CODE "X20AP"
STATUS "a"
HISTORY "
Transformation - SITE to ACTS_ON - applied at 2:44:23 am on July 1, 1998"
MAIN biopsy - action
	ACTS_ON lymph node

RUBRIC "Excision of lymphoedematous tissue plus split skin graft"
ENGLISH_RUBRIC "Excision of lymphoedematous tissue plus split skin graft"
SOURCE "READ"
CODE "X20B2"
STATUS "r"
HISTORY "
Transformation - SURGICAL_PATHOLOGY - SITE - applied at 2:43:40 am on July 1, 1998
Manual accept at 4:01:04 pm on August 19, 1998 by jon
Transformation - Residual SURGICAL_PATHOLOGY to ACTS_ON - applied at 1:54:20 am on September 27, 1998"
MAIN excision - action
	ACTS_ON lymphoedema
		HAS_LOCATION lymphatic tissue
WITH constructing
	BY_MEANS_OF skin graft
	TO_ACHIEVE repairing

