Multiple system malformation syndrome   82354003

SNOMED CT code


SNOMED code82354003
nameMultiple system malformation syndrome
statusactive
date introduced2002-01-31
fully specified name(s)Multiple system malformation syndrome (disorder)
synonymsMultiple system malformation syndrome
attributes - group1
Pathological processPathological developmental process   308490002
Associated morphologyMorphologically abnormal structure   49755003
OccurrenceCongenital   255399007
parentsCongenital malformation syndrome   400038003
children
  • 11p15 deletion syndrome   880078001
  • 12q15 deletion syndrome   880081006
  • 12q24.31-q24.32 deletion syndrome   880086001
  • 14q partial distal trisomy syndrome   20348002
  • 14q partial proximal trisomy syndrome   83585001
  • 14q11.2 microduplication syndrome   771341006
  • 14q12 microdeletion syndrome   719574007
  • 15q14 microdeletion syndrome   719575008
  • 15q24 microdeletion   699308002
  • 16p12.2 microdeletion syndrome   768471006
  • 16p13.11 microdeletion syndrome   719577000
  • 16p13.3 microduplication syndrome   733473000
  • 17q12 microdeletion syndrome   733519008
  • 17q23.1q23.2 microdeletion syndrome   719584008
  • 17q24.2 microdeletion syndrome   1229873009
  • 19p13.3 microduplication syndrome   1229883008
  • 1p31p32 microdeletion syndrome   766766005
  • 1q21.1 microduplication syndrome   771337007
  • 1q41q42 microdeletion syndrome   716515000
  • 1q44 microdeletion syndrome   719649004
  • 20p partial trisomy syndrome   111311004
  • 20p12.3 microdeletion syndrome   719650004
  • 20p13 microdeletion syndrome   773346008
  • 20q11.2 microduplication syndrome   763061004
  • 20q13.33 microdeletion syndrome   733520002
  • 22q11.2 deletion syndrome   767263007
  • 22q11.2 duplication syndrome   699311001
  • 2p21 microdeletion syndrome   719652007
  • 2p21 microdeletion syndrome without cystinuria   770754006
  • 2q23.1 microdeletion syndrome   719657001
  • 2q31.1 microdeletion syndrome   716387004
  • 2q32q33 microdeletion syndrome   719659003
  • 2q33.1 microdeletion syndrome   763062006
  • 3q13 microdeletion syndrome   726705007
  • 3q26q27 microdeletion syndrome   778000002
  • 3q29 microdeletion syndrome   716456000
  • 46,XX disorder of sex development with anorectal anomalies syndrome   733622000
  • 46,XX disorder of sex development with skeletal anomalies syndrome   733621007
  • 48,XYYY syndrome   733625003
  • 49,XXXYY syndrome   770908007
  • 49,XYYYY syndrome   734028007
  • 5p partial monosomy syndrome   70173007
  • 5q14.3 microdeletion syndrome   719661007
  • 5q22.2 deletion syndrome   890124000
  • 5q31.3 microdeletion syndrome   768555009
  • 5q35 microduplication syndrome   719665003
  • 6p22 microdeletion syndrome   719662000
  • 7p22.1 microduplication syndrome   764703002
  • 9q33.3q34.11 microdeletion syndrome   1228886008
  • Abruzzo Erickson syndrome   718574003
  • Ackerman syndrome   722280000
  • Acrodysplasia scoliosis   773773006
  • Agammaglobulinemia, microcephaly, craniosynostosis, severe dermatitis syndrome   722281001
  • Agenesis of corpus callosum and abnormal genitalia syndrome   763797003
  • Aglossia-adactyly syndrome   205817005
  • Alstrom syndrome   63702009
  • Aniridia, ptosis, intellectual disability, familial obesity syndrome   720987001
  • Aniridia, renal agenesis, psychomotor retardation syndrome   733116005
  • Ankyloblepharon filiforme adnatum with imperforate anus syndrome   773770009
  • Anonychia with microcephaly syndrome   720494009
  • Anophthalmia and megalocornea with cardiopathy and skeletal anomalies syndrome   720495005
  • Anterior maxillary protrusion, strabismus, intellectual disability syndrome   1222706005
  • Aplasia cutis with myopia syndrome   720499004
  • Arteriohepatic dysplasia   31742004
  • Arthrogryposis with renal dysfunction and cholestasis syndrome   720513002
  • Ataxia, photosensitivity, short stature syndrome   773769008
  • Atypical Norrie disease due to monosomy Xp11.3   733626002
  • Auricular abnormality, cleft lip, ocular abnormality syndrome   725149008
  • Autosomal dominant deafness with onychodystrophy syndrome   1208614008
  • Axial mesodermal dysplasia spectrum   765755006
  • Bamforth Lazarus syndrome   722375007
  • Bardet-Biedl syndrome   5619004
  • Biemond syndrome type 2   717887003
  • Biemond's syndrome   205828009
  • Bilateral microtia with deafness and cleft palate syndrome   717909004
  • Boder syndrome   716180009
  • Borjeson-Forssman-Lehmann syndrome   21634003
  • Bosley Salih Alorainy syndrome   720567008
  • Braddock syndrome   720575002
  • Brain calcification Rajab type   720576001
  • Branchial dysplasia, intellectual disability, inguinal hernia syndrome   732961003
  • Branchiogenic deafness syndrome   717944002
  • Branchiootic syndrome   764810000
  • BRESEK syndrome   717945001
  • C syndrome   715409005
  • Cardiocranial syndrome Pfeiffer type   720606005
  • Cardiospondylocarpofacial syndrome   720612000
  • Cerebellar ataxia, areflexia, pes cavus, optic atrophy, sensorineural hearing loss syndrome   720634003
  • Cerebellar ataxia, intellectual disability, oculomotor apraxia, cerebellar cysts syndrome   763344007
  • Cerebro-costo-mandibular syndrome   51780007
  • Cervical hypertrichosis and peripheral neuropathy syndrome   720852000
  • CHARGE association   47535005
  • Choanal atresia, athelia, hypothyroidism, delayed puberty, short stature syndrome   1281843005
  • Cholestasis with pigmentary retinopathy and cleft palate syndrome   720636001
  • Chondrodysplasia with disorder of sex development syndrome   720851007
  • Choroideremia with deafness and obesity syndrome   717761005
  • Christianson syndrome   702354007
  • Chromosome Xp22.3 microdeletion syndrome   726733007
  • Chromosome Xq27.3q28 duplication syndrome   718881004
  • CK syndrome   773329005
  • Cleft palate with stapes fixation and oligodontia syndrome   719468005
  • Cleft palate, large ears, small head syndrome   763130006
  • Coffin-Siris syndrome   10007009
  • Cognitive impairment, coarse facies, heart defects, obesity, pulmonary involvement, short stature, skeletal dysplasia syndrome   764455002
  • Colobomatous microphthalmia, obesity, hypogenitalism, intellectual disability syndrome   776204008
  • Colobomatous microphthalmia, rhizomelic dysplasia syndrome   764942005
  • Conductive deafness, ptosis, skeletal anomalies syndrome   763213001
  • Congenital cataract with deafness and hypogonadism syndrome   722378009
  • Congenital cataract with hypertrichosis and intellectual disability syndrome   722379001
  • Congenital deafness with labyrinthine aplasia, microtia and microdontia   702360007
  • Congenital generalized hypercontractile muscle stiffness syndrome   1174000008
  • Congenital intrauterine infection-like syndrome   722390006
  • Congenital progressive bone marrow failure, B-cell immunodeficiency, skeletal dysplasia syndrome   1177173001
  • Congenital vertebral, cardiac, renal anomalies syndrome   1260142000
  • Cooper Jabs syndrome   720748007
  • Coxoauricular syndrome   732248005
  • Craniofacial ulnar renal syndrome   720756005
  • Craniolenticulosutural dysplasia   725100001
  • Craniosynostosis and dental anomalies syndrome   773332008
  • Craniosynostosis, anal anomaly, porokeratosis syndrome   720812002
  • Crome syndrome   722381004
  • Cross syndrome   17827007
  • Deaf blind hypopigmentation syndrome Yemenite type   721084001
  • Deafness, vitiligo, achalasia syndrome   733069009
  • Developmental malformation, deafness, dystonia syndrome   721092005
  • Diaphanospondylodysostosis   721094006
  • Diaphragmatic defect, limb deficiency, skull defect syndrome   721095007
  • Diastrophic dysplasia   58561002
  • Didymosis aplasticosebacea   774209001
  • Diffuse cerebral and cerebellar atrophy, intractable seizures, progressive microcephaly syndrome   782737003
  • Disorder of sex development with intellectual disability syndrome   719450007
  • Distal 22q11.2 microdeletion syndrome   734029004
  • Distal 22q11.2 microduplication syndrome   764524005
  • Distal monosomy 10q syndrome   718687003
  • Distal monosomy 13q syndrome   763527007
  • Distal monosomy 14q syndrome   770410004
  • Distal monosomy 15q   766050000
  • Distal monosomy 1q syndrome   717633007
  • Distal monosomy 20q   783164002  removed: 2022-06-30
  • Distal monosomy 7q36 syndrome   763529005
  • Distal trisomy 16q   764459008
  • Distal trisomy 1p36   766053003
  • Distal trisomy 22q syndrome   764512003
  • Distal trisomy 5q syndrome   763274002
  • Dobrow syndrome   782940006
  • DOORS syndrome   719800009
  • Double uterus, hemivagina, renal agenesis syndrome   722431007
  • Double Y syndrome   50749006
  • Duane anomaly, myopathy, scoliosis syndrome   722432000
  • Duhamel's syndrome   49096008
  • Dyschondrosteosis and nephritis syndrome   722433005
  • Ectodermal dysplasia, intellectual disability, central nervous system malformation syndrome   734017008
  • Encephalopathy, intracerebral calcification, retinal degeneration syndrome   733049004
  • Epibulbar lipodermoid, preauricular appendage, polythelia syndrome   1208480004
  • Extrasystoles, short stature, hyperpigmentation, microcephaly syndrome   771179007
  • Fallot complex with intellectual disability and growth delay syndrome   723336008
  • Familial caudal dysgenesis   722493007
  • Fatty acyl-CoA reductase 1 deficiency   1237619001
  • FLOTCH syndrome   774065001
  • Focal dermal hypoplasia   205573006
  • Focal epilepsy, intellectual disability, cerebro-cerebellar malformation syndrome   765089003
  • Galloway Mowat syndrome   721297008
  • GEMSS syndrome   722450007
  • Genitopalatocardiac syndrome   773749003
  • Genitopatellar syndrome   702367005
  • Gillespie syndrome   253176002
  • Goldblatt syndrome   717823001
  • Goldenhar syndrome   205418005
  • Gomez Lopez Hernandez syndrome   722451006
  • Haim Munk syndrome   719973009
  • Hair defect with photosensitivity and intellectual disability syndrome   721007005
  • Hanhart's syndrome   35031005
  • Hirschsprung disease with nail hypoplasia and dysmorphism   721223002
  • HIVEP2-related intellectual disability   765434008
  • Holzgreve syndrome   783159001
  • Hydrocephalus with obesity and hypogonadism syndrome   721231007
  • Hydrocephalus, blue sclera, nephropathy syndrome   773280009
  • Hydrocephalus, costovertebral dysplasia, Sprengel anomaly syndrome   721229003
  • Hydrocephalus, tall stature, joint laxity syndrome   732926009
  • Hydrops, lactic acidosis, sideroblastic anemia, multisystemic failure syndrome   1237349008
  • Hypertelorism, preauricular sinus, punctual pits, deafness syndrome   773667003
  • Hypogonadism with anosmia   93559003
  • Hypoplasia of pancreas, intestinal atresia, hypoplasia of gallbladder syndrome   773673002
  • Ichthyosis, intellectual disability, dwarfism, renal impairment syndrome   733097003
  • Imperforate oropharynx, costovertebral anomalies syndrome   771185000
  • Intellectual disability Birk-Barel type   764861005
  • Intellectual disability, hypoplastic corpus callosum, preauricular tag syndrome   722455002
  • Intellectual disability, myopathy, short stature, endocrine defect syndrome   764959000
  • Johanson-Blizzard syndrome   75979009
  • Johnson neuroectodermal syndrome   721584005
  • Joint contracture, webbed neck, micrognathia, hypoplastic nipple syndrome   773626008
  • Keratosis follicularis, dwarfism, cerebral atrophy syndrome   723830005
  • Kousseff syndrome   726083008
  • Kundrat's syndrome   30278004
  • Laurence-Moon syndrome   232059000
  • Lethal hydranencephaly, diaphragmatic hernia syndrome   1172705006
  • Lethal occipital encephalocele, skeletal dysplasia syndrome   773672007
  • LIG4 syndrome   724177005
  • Lipodystrophy, intellectual disability, deafness syndrome   721973006
  • Lowe Kohn Cohen syndrome   766249007
  • Lowry MacLean syndrome   721974000
  • Lymphedema hypoparathyroidism syndrome   721083007
  • Macrostomia, preauricular tag, external ophthalmoplegia syndrome   723366001
  • MACS syndrome   723367005
  • Male emopamil-binding protein disorder with neurological defect   782739000
  • Male hypergonadotropic hypogonadism, intellectual disability, skeletal anomaly syndrome   722459008
  • Manitoba oculotrichoanal syndrome   703539006
  • MARCH syndrome   1169358003
  • Marfanoid syndrome De Silva type   732262003
  • Matthew Wood syndrome   722458000
  • McCune Albright syndrome   726029005
  • McKusick Kaufman syndrome   702407009
  • Meacham syndrome   722461004
  • Megacystis, microcolon, hypoperistalsis syndrome   253781004
  • Megalencephaly, polymicrogyria, postaxial polydactyly, hydrocephalus syndrome   722036008
  • Megalocornea with intellectual disability syndrome   733522005
  • MEHMO syndrome   722037004
  • Metaphyseal dysostosis, intellectual disability, conductive deafness syndrome   733419006
  • Microcephalic cortical malformations, short stature due to RTTN deficiency   1187195007
  • Microcephalic primordial dwarfism Toriello type   715482004
  • Microcephalus cardiomyopathy syndrome   719380003
  • Microcephalus with cardiac defect and lung malsegmentation syndrome   719379001
  • Microcephalus, brain defect, spasticity, hypernatremia syndrome   770655004
  • Microcephalus, glomerulonephritis, marfanoid habitus syndrome   733472005
  • Microcephalus, lymphedema, chorioretinopathy syndrome   733604003
  • Microcephaly, polymicrogyria, corpus callosum agenesis syndrome   773305003
  • Microcephaly, seizure, intellectual disability, heart disease syndrome   723304001
  • Microcephaly, thin corpus callosum, intellectual disability syndrome   770721009
  • Microduplication Xp11.22p11.23 syndrome   721881008
  • Microphthalmia, microtia, fetal akinesia syndrome   1230344000
  • Microtia, eye coloboma, imperforation of nasolacrimal duct syndrome   724139004
  • MIRAGE syndrome   1234831009
  • Monosomy 13q14 syndrome   770566002
  • Monosomy 13q34 syndrome   766716004
  • Monosomy 22 syndrome   787411009
  • Moore-Federman syndrome   72913007
  • Mosaic trisomy 1 syndrome   829974003
  • Mosaic trisomy 12 syndrome   764463001
  • Mosaic trisomy 14 syndrome   764466009
  • Mosaic trisomy 15 syndrome   764619001
  • Mosaic trisomy 16 syndrome   764621006
  • Mosaic trisomy 17 syndrome   764622004
  • Mosaic trisomy 2 syndrome   764623009
  • Mosaic trisomy 20 syndrome   764624003
  • Mosaic trisomy 22 syndrome   764625002
  • Mosaic trisomy 3 syndrome   764627005
  • Mosaic trisomy 5 syndrome   764629008
  • Mosaic trisomy 8 syndrome   717335009
  • Mulibrey nanism syndrome   81604003
  • Multiple malformation syndrome due to non-infectious environmental agents   57544002
  • Multiple malformation syndrome with early overgrowth   48637007
  • Multiple malformation syndrome with facial defects as major feature   65094009
  • Multiple malformation syndrome with limb defect as major feature   41443008
  • Multiple malformation syndrome with senile-like appearance   12674005
  • Multiple malformation syndrome with unusual brain and/or neuromuscular findings   64162006
  • Multiple malformation syndrome, moderate short stature, facial   77701002
  • Multiple malformation syndrome, small stature, without skeletal dysplasia   41483000
  • Muscle eye brain disease with bilateral multicystic leukodystrophy   785298001
  • Muscular hypertrophy, hepatomegaly, polyhydramnios syndrome   773584001
  • Nasopalpebral lipoma coloboma syndrome   723411003
  • Native American myopathy   723439002
  • NEK9-related lethal skeletal dysplasia   1179299005
  • Nephrosis, deafness, urinary tract, digital malformation syndrome   724092009
  • Neuroectodermal melanolysosomal disease   724091002
  • Non-distal monosomy 12q   782694003
  • NPHP3-related Meckel-like syndrome   773737004
  • Ochoa syndrome   236533008
  • Oculoauricular syndrome Schorderet type   763815000
  • Oculofaciocardiodental syndrome   699300009
  • Oculopalatocerebral syndrome   722055008
  • Ophthalmoplegia, intellectual disability, lingua scrotalis syndrome   782945001
  • Osteochondrodysplasia syndrome   105985007
  • Pachygyria, intellectual disability, epilepsy syndrome   763861000
  • PAGOD syndrome   722132007
  • Pancreatic agenesis, holoprosencephaly syndrome   1222660008
  • Partial corpus callosum agenesis, cerebellar vermis hypoplasia with posterior fossa cysts syndrome   773497001
  • Paternal 20q13.2q13.3 microdeletion syndrome   724070005
  • Pectus excavatum, macrocephaly, dysplastic nails syndrome   763863002
  • PELVIS syndrome   725138002
  • Pentalogy of Cantrell   281587000
  • Pericardial and diaphragmatic defect syndrome   724068001
  • Phocomelia, ectrodactyly, deafness and sinus arrhythmia syndrome   715506001
  • Pili torti with developmental delay and neurological abnormality syndrome   716194005
  • Poikiloderma, alopecia, retrognathism, cleft palate syndrome   771186004
  • Polysyndactyly and cardiac malformation syndrome   724066002
  • Pontine tegmental cap dysplasia   782884005
  • Porencephaly, cerebellar hypoplasia, internal malformations syndrome   763821001
  • Porencephaly, microcephaly, bilateral congenital cataract syndrome   773627004
  • Port-wine nevi, mega cisterna magna, hydrocephalus syndrome   783701002
  • Postaxial polydactyly, anterior pituitary anomalies, facial dysmorphism syndrome   763866005
  • Posterior fusion of lumbosacral vertebrae and blepharoptosis syndrome   724064004
  • Potocki-Shaffer syndrome   702346005
  • Prader-Willi syndrome   89392001
  • Prune belly syndrome with pulmonic stenosis, intellectual disability and deafness   236529001
  • Pseudoleprechaunism syndrome Patterson type   771262009
  • RAB18 deficiency   772225005
  • Reardon Hall Slaney syndrome   715471007
  • Renal caliceal diverticuli and deafness syndrome   782942003
  • Renal hepatic pancreatic dysplasia   763891005
  • RERE-related neurodevelopmental syndrome   1172624000
  • RHYNS syndrome   723999009
  • Richieri Costa-da Silva syndrome   782941005
  • Ring chromosome 1 syndrome   47017007
  • Ring chromosome 10 syndrome   86997002
  • Ring chromosome 11 syndrome   111310003
  • Ring chromosome 12 syndrome   770595006
  • Ring chromosome 13 syndrome   726723004
  • Ring chromosome 14 syndrome   702345009
  • Ring chromosome 15 syndrome   763405000
  • Ring chromosome 16 syndrome   763406004
  • Ring chromosome 17 syndrome   778043005
  • Ring chromosome 18 syndrome   88154004
  • Ring chromosome 19 syndrome   765484001
  • Ring chromosome 2 syndrome   765485000
  • Ring chromosome 20 syndrome   23686004
  • Ring chromosome 21 syndrome   31325007
  • Ring chromosome 22 syndrome   13555004
  • Ring chromosome 3 syndrome   765486004
  • Ring chromosome 4 syndrome   81678004
  • Ring chromosome 5 syndrome   765487008
  • Ring chromosome 6 syndrome   765488003
  • Ring chromosome 7 syndrome   765489006
  • Ring chromosome 8 syndrome   715983001
  • Ring chromosome 9 syndrome   60650002
  • Ring chromosome Y syndrome   763407008
  • RNF13-related severe early-onset epileptic encephalopathy   1222659003
  • Sacral agenesis, abnormal ossification of vertebral bodies, persistent notochordal canal syndrome   774150004
  • Scalp defect postaxial polydactyly syndrome   726629006
  • SCALP syndrome   774208009
  • Schwartz-Jampel syndrome   29145002
  • Sclerosing dysplasia of bone, ichthyosis, premature ovarian failure syndrome   722114007
  • Seemanova Lesny syndrome   715464002
  • Septo-optic dysplasia sequence   7611002
  • SERKAL syndrome   723720008
  • Severe feeding difficulties, failure to thrive, microcephaly due to ASXL3 deficiency syndrome   773400009
  • Severe hypotonia, psychomotor developmental delay, strabismus, cardiac septal defect syndrome   1187212004
  • Severe myopia, generalized joint laxity, short stature syndrome   1217372003
  • Severe oculo-renal-cerebellar syndrome   1208341008
  • Short stature, advanced bone age, early-onset osteoarthritis syndrome   1197586007
  • Short stature, skeletal dysplasia, retinal degeneration, intellectual disability, sensorineural hearing loss syndrome   1284851009
  • Short stature, wormian bones, dextrocardia syndrome   763631006
  • Shprintzen syndrome   83092002  removed: 2018-07-31
  • Siegler Brewer Carey syndrome   721076000
  • Skeletal dysplasia, T-cell immunodeficiency, developmental delay syndrome   1177175008
  • Smith-Magenis syndrome   401315004
  • Spigelian hernia with cryptorchidism syndrome   773623000
  • Spina bifida and hypospadias syndrome   763889002
  • Spinal muscular atrophy, Dandy-Walker malformation, cataract syndrome   723612001
  • Spondylocostal dysostosis with anal atresia and genitourinary malformation syndrome   723610009
  • Steroid dehydrogenase deficiency and dental anomaly syndrome   723583009
  • Stickler syndrome   78675000
  • Stromme syndrome   1187120008
  • Subaortic stenosis and short stature syndrome   783096008
  • Symptomatic form of Coffin-Lowry syndrome in female carrier   1237577000
  • Syndromic X-linked intellectual disability due to JARID1C mutation   719161008
  • TARP syndrome   725911008
  • Taurodontia with absent teeth and sparse hair syndrome   719945007
  • TBCK-related intellectual disability syndrome   1172628002
  • TELO2-related intellectual disability, neurodevelopmental disorder   1172626003
  • Tetraamelia with multiple malformation syndrome   716249009
  • Tetrasomy 12p syndrome   9527009
  • Tetrasomy 21   764690001
  • Tetrasomy 5p syndrome   766755003
  • Thoraco-abdominal enteric duplication   733628001
  • Thymic, renal, anal, lung dysplasia syndrome   723555007
  • Timothy syndrome   1230096008
  • Torticollis, keloids, cryptorchidism, renal dysplasia syndrome   771266007
  • Trigonocephaly, short stature, developmental delay syndrome   733066002
  • Trisomy 1q syndrome   768927001
  • Uveal coloboma with cleft lip and palate and intellectual disability syndrome   719042007
  • VACTEL syndrome   6839008
  • VACTERL syndrome with hydrocephalus   719043002
  • Van den Bosch syndrome   733110004
  • VATER association   27742002
  • Vertebral abnormalities, anal atresia, cardiac abnormalities, tracheo-esophageal fistula, renal anomalies, limb defects syndrome   431395004
  • Vici syndrome   719824001
  • Waardenburg's syndrome   47434006
  • X-linked cerebral, cerebellar, coloboma syndrome   770604006
  • X-linked cleft palate and ankyloglossia   766761000
  • X-linked colobomatous microphthalmia, microcephaly, intellectual disability, short stature syndrome   771148008
  • X-linked intellectual disability Cabezas type   719811001
  • X-linked intellectual disability Stocco Dos Santos type   718910006
  • X-linked intellectual disability, craniofacioskeletal syndrome   773274001
  • X-linked intellectual disability, hypogonadism, ichthyosis, obesity, short stature syndrome   765471005
  • X-linked intellectual disability, short stature, overweight syndrome   1255335006
  • XK aprosencephaly syndrome   1162839003
  • Xq12-q13.3 duplication syndrome   764711007
  • XY type gonadal dysgenesis with associated anomalies syndrome   733605002
hierarchies
a selection of possible paths
SNOMED CT Concept   138875005
  Clinical finding   404684003
    Disease   64572001
      Developmental disorder   5294002
        Congenital malformation   276654001
          Congenital malformation syndrome   400038003
            Multiple system malformation syndrome   82354003

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