{
  "description": "This value set includes all Route codes from SNOMED CT - provided as an exemplar.",
  "compose": {
    "include": [ {
      "filter": [ {
        "op": "descendent-of",
        "value": "284009009",
        "property": "concept"
      } ],
      "system": "http://snomed.info/sct"
    } ]
  },
  "_filename": "ValueSet-route-codes.json",
  "package_name": "hl7.fhir.r6.expansions",
  "date": "2025-04-01T12:16:37+11:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/StructureDefinition/shareablevalueset" ],
    "lastUpdated": "2025-04-01T12:16:37.966+11:00"
  },
  "publisher": "HL7 International / FHIR Infrastructure",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "SNOMEDCTRouteCodes",
  "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002 International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.",
  "type": null,
  "experimental": "true",
  "resourceType": "ValueSet",
  "expansion": {
    "offset": 0,
    "contains": [ {
      "code": "6064005",
      "system": "http://snomed.info/sct",
      "display": "Topical route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Topical route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Topical use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins on the surface of the body.",
        "language": "en"
      } ]
    }, {
      "code": "10547007",
      "system": "http://snomed.info/sct",
      "display": "Otic route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Otic route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Auricular use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Otic use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Auricular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins on, in or by way of the ear.",
        "language": "en"
      } ]
    }, {
      "code": "12130007",
      "system": "http://snomed.info/sct",
      "display": "Intra-articular route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intra-articular route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intra-articular use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a joint.",
        "language": "en"
      } ]
    }, {
      "code": "16857009",
      "system": "http://snomed.info/sct",
      "display": "Per vagina",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Vaginal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Vaginal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Per vagina (route)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Vaginal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins in the vagina.",
        "language": "en"
      } ]
    }, {
      "code": "26643006",
      "system": "http://snomed.info/sct",
      "display": "Oral route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Per os",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oral route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Per oral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "PO - Per os",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "By mouth",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A digestive tract route that begins in the mouth.",
        "language": "en"
      } ]
    }, {
      "code": "34206005",
      "system": "http://snomed.info/sct",
      "display": "Subcutaneous route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subcutaneous route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "SC use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subcutaneous use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "SC route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subdermal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins in subcutaneous tissue.",
        "language": "en"
      } ]
    }, {
      "code": "37161004",
      "system": "http://snomed.info/sct",
      "display": "Per rectum",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Rectal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Per rectum (route)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Rectal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Rectal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracolonic route that begins in the rectum.",
        "language": "en"
      } ]
    }, {
      "code": "37737002",
      "system": "http://snomed.info/sct",
      "display": "Intraluminal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraluminal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraluminal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the channel of a tubular structure or tubular organ.",
        "language": "en"
      } ]
    }, {
      "code": "37839007",
      "system": "http://snomed.info/sct",
      "display": "Sublingual route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Sublingual route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Sublingual use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oromucosal route that begins beneath the tongue.",
        "language": "en"
      } ]
    }, {
      "code": "38239002",
      "system": "http://snomed.info/sct",
      "display": "Intraperitoneal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraperitoneal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraperitoneal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A body cavity route of administration by entry into the peritoneum.",
        "language": "en"
      } ]
    }, {
      "code": "45890007",
      "system": "http://snomed.info/sct",
      "display": "Transdermal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transdermal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transdermal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route of administration that is across the skin and into the systemic circulation.",
        "language": "en"
      } ]
    }, {
      "code": "46713006",
      "system": "http://snomed.info/sct",
      "display": "Nasal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A respiratory tract route that begins in the nasal cavity.",
        "language": "en"
      } ]
    }, {
      "code": "47625008",
      "system": "http://snomed.info/sct",
      "display": "Intravenous route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravenous route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravenous use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "IV use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "IV route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intravascular route that begins within a vein.",
        "language": "en"
      } ]
    }, {
      "code": "54471007",
      "system": "http://snomed.info/sct",
      "display": "Buccal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Buccal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Buccal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oromucosal route that begins on the moist tissue lining of the cheek within the oral cavity.",
        "language": "en"
      } ]
    }, {
      "code": "54485002",
      "system": "http://snomed.info/sct",
      "display": "Ophthalmic route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Ophthalmic route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Ophthalmic use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins in the eye region.",
        "language": "en"
      } ]
    }, {
      "code": "58100008",
      "system": "http://snomed.info/sct",
      "display": "Intra-arterial route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intra-arterial route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intra-arterial use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraarterial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intravascular route that begins within an artery.",
        "language": "en"
      } ]
    }, {
      "code": "60213007",
      "system": "http://snomed.info/sct",
      "display": "Intramedullary route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramedullary route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramedullary use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraosseous route that begins within the marrow cavity of a bone.",
        "language": "en"
      } ]
    }, {
      "code": "62226000",
      "system": "http://snomed.info/sct",
      "display": "Intrauterine route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrauterine route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrauterine use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A body cavity route that begins within the uterine cavity.",
        "language": "en"
      } ]
    }, {
      "code": "72607000",
      "system": "http://snomed.info/sct",
      "display": "Intrathecal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrathecal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrathecal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrameningeal route that begins within the subarachnoid space in the cerebrospinal fluid, at any level of the cerebrospinal axis, including within the cerebral ventricles.",
        "language": "en"
      } ]
    }, {
      "code": "78421000",
      "system": "http://snomed.info/sct",
      "display": "Intramuscular route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramuscular route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramuscular use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "IM route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "IM use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a muscle.",
        "language": "en"
      } ]
    }, {
      "code": "90028008",
      "system": "http://snomed.info/sct",
      "display": "Urethral route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Urethral route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Urethral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the urethra.",
        "language": "en"
      } ]
    }, {
      "code": "127490009",
      "system": "http://snomed.info/sct",
      "display": "Gastrostomy route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gastrostomy route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gastrostomy use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intragastric and gastrointestinal stoma route that begins through a surgically created opening into the stomach.",
        "language": "en"
      } ]
    }, {
      "code": "127491008",
      "system": "http://snomed.info/sct",
      "display": "Jejunostomy route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Jejunostomy route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Jejunostomy use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An enteral and gastro-intestinal stoma route that begins through a surgically created opening in the jejunum.",
        "language": "en"
      } ]
    }, {
      "code": "127492001",
      "system": "http://snomed.info/sct",
      "display": "Nasogastric route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "NG - Nasogastric route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasogastric route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasogastric use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "NG - Nasogastric use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intragastric route that begins through the nose and into the stomach by means of a tube.",
        "language": "en"
      } ]
    }, {
      "code": "372449004",
      "system": "http://snomed.info/sct",
      "display": "Dental use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Dental route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Dental route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oral route that begins on or around the teeth or in the teeth.",
        "language": "en"
      } ]
    }, {
      "code": "372450004",
      "system": "http://snomed.info/sct",
      "display": "Endocervical use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endocervical route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endocervical route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the canal of the cervix uteri.",
        "language": "en"
      } ]
    }, {
      "code": "372451000",
      "system": "http://snomed.info/sct",
      "display": "Endosinusial use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endosinusial route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endosinusial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrasinal route that begins within the nasal sinus.",
        "language": "en"
      } ]
    }, {
      "code": "372452007",
      "system": "http://snomed.info/sct",
      "display": "Endotracheopulmonary use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endotracheopulmonary route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endotracheopulmonary route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A respiratory tract route that begins within the trachea.",
        "language": "en"
      } ]
    }, {
      "code": "372453002",
      "system": "http://snomed.info/sct",
      "display": "Extra-amniotic use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Extra-amniotic route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Extra-amniotic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrauterine route that is introduced between the amnion and the chorion.",
        "language": "en"
      } ]
    }, {
      "code": "372454008",
      "system": "http://snomed.info/sct",
      "display": "Gastroenteral use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gastroenteral route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gastroenteral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A digestive tract route that begins in the gastrointestinal tract (from the upper esophagus through the rectum).",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A digestive tract route that begins in the gastrointestinal tract (from the upper oesophagus through the rectum).",
        "language": "en"
      } ]
    }, {
      "code": "372457001",
      "system": "http://snomed.info/sct",
      "display": "Gingival use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gingival route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gingival route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oral and topical route that begins on the gingivae.",
        "language": "en"
      } ]
    }, {
      "code": "372458006",
      "system": "http://snomed.info/sct",
      "display": "Intraamniotic use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraamniotic route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraamniotic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrauterine route that begins on the inside of the amniotic cavity.",
        "language": "en"
      } ]
    }, {
      "code": "372459003",
      "system": "http://snomed.info/sct",
      "display": "Intrabursal use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrabursal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrabursal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a bursa.",
        "language": "en"
      } ]
    }, {
      "code": "372460008",
      "system": "http://snomed.info/sct",
      "display": "Intracardiac use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracardiac route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracardiac route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracardial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the heart.",
        "language": "en"
      } ]
    }, {
      "code": "372461007",
      "system": "http://snomed.info/sct",
      "display": "Intracavernous use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracavernous route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracavernous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a pathologic cavity.",
        "language": "en"
      } ]
    }, {
      "code": "372462000",
      "system": "http://snomed.info/sct",
      "display": "Intracervical route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracervical route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins in the cervix uteri.",
        "language": "en"
      } ]
    }, {
      "code": "372463005",
      "system": "http://snomed.info/sct",
      "display": "Intracoronary use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracoronary route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracoronary route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intra-arterial route that begins within the coronary arteries.",
        "language": "en"
      } ]
    }, {
      "code": "372464004",
      "system": "http://snomed.info/sct",
      "display": "Intradermal use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intradermal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intradermal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracutaneous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracutaneous use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the dermis of the skin.",
        "language": "en"
      } ]
    }, {
      "code": "372465003",
      "system": "http://snomed.info/sct",
      "display": "Intradiscal use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intradiscal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intradiscal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraspinal route that begins within a fibrocartilaginous intervertebral disc.",
        "language": "en"
      } ]
    }, {
      "code": "372466002",
      "system": "http://snomed.info/sct",
      "display": "Intralesional use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intralesional route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intralesional route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a localized lesion.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a localised lesion.",
        "language": "en"
      } ]
    }, {
      "code": "372467006",
      "system": "http://snomed.info/sct",
      "display": "Intralymphatic use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intralymphatic route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intralymphatic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the lymphatic vessels or nodes.",
        "language": "en"
      } ]
    }, {
      "code": "372468001",
      "system": "http://snomed.info/sct",
      "display": "Intraocular use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraocular route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraocular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins within the eyeball.",
        "language": "en"
      } ]
    }, {
      "code": "372469009",
      "system": "http://snomed.info/sct",
      "display": "Intrapleural use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrapleural route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrapleural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the pleura or pleural space.",
        "language": "en"
      } ]
    }, {
      "code": "372470005",
      "system": "http://snomed.info/sct",
      "display": "Intrasternal use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrasternal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrasternal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraosseous route that begins within the bone marrow of the sternum.",
        "language": "en"
      } ]
    }, {
      "code": "372471009",
      "system": "http://snomed.info/sct",
      "display": "Intravesical use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravesical route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravesical route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A body cavity route that begins within the bladder cavity.",
        "language": "en"
      } ]
    }, {
      "code": "372472002",
      "system": "http://snomed.info/sct",
      "display": "Ocular route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Ocular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins on the eyeball or conjunctiva.",
        "language": "en"
      } ]
    }, {
      "code": "372473007",
      "system": "http://snomed.info/sct",
      "display": "Oromucosal use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oromucosal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oromucosal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oral route that begins on the moist tissue lining the oral cavity.",
        "language": "en"
      } ]
    }, {
      "code": "372474001",
      "system": "http://snomed.info/sct",
      "display": "Periarticular use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periarticular route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periarticular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the tissues surrounding a joint.",
        "language": "en"
      } ]
    }, {
      "code": "372475000",
      "system": "http://snomed.info/sct",
      "display": "Perineural use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Perineural route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Perineural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins around a nerve or nerves.",
        "language": "en"
      } ]
    }, {
      "code": "372476004",
      "system": "http://snomed.info/sct",
      "display": "Subconjunctival use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subconjunctival route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subconjunctival route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins beneath the conjunctiva.",
        "language": "en"
      } ]
    }, {
      "code": "404818005",
      "system": "http://snomed.info/sct",
      "display": "Intratracheal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratracheal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratracheal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratracheal",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route of administration that goes to the trachea.",
        "language": "en"
      } ]
    }, {
      "code": "404819002",
      "system": "http://snomed.info/sct",
      "display": "Intrabiliary route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrabiliary route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrabiliary use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the bile, bile ducts or gallbladder.",
        "language": "en"
      } ]
    }, {
      "code": "404820008",
      "system": "http://snomed.info/sct",
      "display": "Epidural route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Epidural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Epidural use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A meningeal route that begins within the space surrounding the dura mater within the epidural space.",
        "language": "en"
      } ]
    }, {
      "code": "416174007",
      "system": "http://snomed.info/sct",
      "display": "Suborbital route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Suborbital route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Suborbital use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins beneath the orbit of the eye.",
        "language": "en"
      } ]
    }, {
      "code": "417070009",
      "system": "http://snomed.info/sct",
      "display": "Caudal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Caudal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraspinal route that begins within the cauda equina.",
        "language": "en"
      } ]
    }, {
      "code": "417255000",
      "system": "http://snomed.info/sct",
      "display": "Intraosseous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraosseous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intra-osseous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the bone.",
        "language": "en"
      } ]
    }, {
      "code": "417950001",
      "system": "http://snomed.info/sct",
      "display": "Intrathoracic route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrathoracic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Endothoracic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrathoracic use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the thorax internal to the ribs.",
        "language": "en"
      } ]
    }, {
      "code": "417985001",
      "system": "http://snomed.info/sct",
      "display": "Enteral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Enteral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intestinal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A gastroenteral route that begins in the intestinal tract (within the small and large intestines).",
        "language": "en"
      } ]
    }, {
      "code": "417989007",
      "system": "http://snomed.info/sct",
      "display": "Intraductal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraductal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the duct of a gland.",
        "language": "en"
      } ]
    }, {
      "code": "418091004",
      "system": "http://snomed.info/sct",
      "display": "Intratympanic route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratympanic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratympanic use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An otic route that begins within the auris media.",
        "language": "en"
      } ]
    }, {
      "code": "418114005",
      "system": "http://snomed.info/sct",
      "display": "Intravenous central route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravenous central route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravenous central use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "IV central route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intravenous route that begins within the jugular, subclavian or femoral veins.",
        "language": "en"
      } ]
    }, {
      "code": "418133000",
      "system": "http://snomed.info/sct",
      "display": "Intramyometrial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramyometrial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the myometrium.",
        "language": "en"
      } ]
    }, {
      "code": "418136008",
      "system": "http://snomed.info/sct",
      "display": "Gastro-intestinal stoma route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Gastro-intestinal stoma route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A gastroenteral route that begins through a surgically created opening into the gastrointestinal tract.",
        "language": "en"
      } ]
    }, {
      "code": "418162004",
      "system": "http://snomed.info/sct",
      "display": "Colostomy route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Colostomy route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracolonic and gastro-intestinal stoma route that begins through a surgically created opening into the colon (part of the large intestine measured from the cecum to the rectum).",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracolonic and gastro-intestinal stoma route that begins through a surgically created opening into the colon (part of the large intestine measured from the caecum to the rectum).",
        "language": "en"
      } ]
    }, {
      "code": "418204005",
      "system": "http://snomed.info/sct",
      "display": "Periurethral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periurethral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periurethral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within or around the tissues surrounding the urethra.",
        "language": "en"
      } ]
    }, {
      "code": "418287000",
      "system": "http://snomed.info/sct",
      "display": "Intracoronal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracoronal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A dental route that begins within a portion of a tooth which is covered by enamel and which is separated from the roots by a slightly constricted region known as the neck.",
        "language": "en"
      } ]
    }, {
      "code": "418321004",
      "system": "http://snomed.info/sct",
      "display": "Retrobulbar route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Retrobulbar route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Retrobulbar use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins behind the eyeball or pons of the eye.",
        "language": "en"
      } ]
    }, {
      "code": "418331006",
      "system": "http://snomed.info/sct",
      "display": "Intracartilaginous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracartilaginous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A periarticular route that begins within the articular cartilage.",
        "language": "en"
      } ]
    }, {
      "code": "418401004",
      "system": "http://snomed.info/sct",
      "display": "Intravitreal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravitreal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravitreal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraocular route that begins within the vitreous humor of the eyeball.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraocular route that begins within the vitreous humour of the eyeball.",
        "language": "en"
      } ]
    }, {
      "code": "418418000",
      "system": "http://snomed.info/sct",
      "display": "Intraspinal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraspinal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraspinal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the vertebral column.",
        "language": "en"
      } ]
    }, {
      "code": "418441008",
      "system": "http://snomed.info/sct",
      "display": "Orogastric route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Orogastric route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Orogastric use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intragastric route that begins through the mouth and into the stomach by means of a tube.",
        "language": "en"
      } ]
    }, {
      "code": "418511008",
      "system": "http://snomed.info/sct",
      "display": "Transurethral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transurethral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transurethral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A urethral route that begins through the urethra.",
        "language": "en"
      } ]
    }, {
      "code": "418586008",
      "system": "http://snomed.info/sct",
      "display": "Intratendinous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratendinous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratendinous use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a tendon.",
        "language": "en"
      } ]
    }, {
      "code": "418608002",
      "system": "http://snomed.info/sct",
      "display": "Intracorneal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracorneal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracorneal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins within the cornea.",
        "language": "en"
      } ]
    }, {
      "code": "418664002",
      "system": "http://snomed.info/sct",
      "display": "Oropharyngeal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oropharyngeal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oropharyngeal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A respiratory tract route that begins with direct application to the oropharynx.",
        "language": "en"
      } ]
    }, {
      "code": "418722009",
      "system": "http://snomed.info/sct",
      "display": "Peribulbar route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peribulbar route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peribulbar use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins around the eyeball.",
        "language": "en"
      } ]
    }, {
      "code": "418730005",
      "system": "http://snomed.info/sct",
      "display": "Nasojejunal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasojejunal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasojejunal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrajejunal route that begins through the nose and into the jejunum by means of a tube.",
        "language": "en"
      } ]
    }, {
      "code": "418743005",
      "system": "http://snomed.info/sct",
      "display": "Fistula route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Fistula route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins through a fistula.",
        "language": "en"
      } ]
    }, {
      "code": "418813001",
      "system": "http://snomed.info/sct",
      "display": "Surgical drain route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Surgical drain route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Surgical drain use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins through a surgical drain.",
        "language": "en"
      } ]
    }, {
      "code": "418821007",
      "system": "http://snomed.info/sct",
      "display": "Intracameral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracameral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracameral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraocular route that begins in the anterior chamber of the eyeball.",
        "language": "en"
      } ]
    }, {
      "code": "418851001",
      "system": "http://snomed.info/sct",
      "display": "Paracervical route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Paracervical route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Paracervical use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins next to the uterine cervix.",
        "language": "en"
      } ]
    }, {
      "code": "418877009",
      "system": "http://snomed.info/sct",
      "display": "Intrasynovial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrasynovial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrasynovial use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intra-articular route that begins within the synovial cavity of a joint.",
        "language": "en"
      } ]
    }, {
      "code": "418887008",
      "system": "http://snomed.info/sct",
      "display": "Intraduodenal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraduodenal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An enteral route that begins within the duodenum.",
        "language": "en"
      } ]
    }, {
      "code": "418892005",
      "system": "http://snomed.info/sct",
      "display": "Intracisternal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracisternal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracisteral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracranial and intrathecal route that begins within the cisterna magna cerebellomedullaris.",
        "language": "en"
      } ]
    }, {
      "code": "418947002",
      "system": "http://snomed.info/sct",
      "display": "Intratesticular route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratesticular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratesticular use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the testicles (male reproductive glands).",
        "language": "en"
      } ]
    }, {
      "code": "418987007",
      "system": "http://snomed.info/sct",
      "display": "Intracranial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracranial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the skull.",
        "language": "en"
      } ]
    }, {
      "code": "419021003",
      "system": "http://snomed.info/sct",
      "display": "Tumour cavity route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Tumor cavity route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Tumor cavity route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intratumor route that begins within a tumor cavity.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intratumour route that begins within a tumour cavity.",
        "language": "en"
      } ]
    }, {
      "code": "419165009",
      "system": "http://snomed.info/sct",
      "display": "Paravertebral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Paravertebral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Paravertebral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins next to one or more vertebra.",
        "language": "en"
      } ]
    }, {
      "code": "419231003",
      "system": "http://snomed.info/sct",
      "display": "Intrasinal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrasinal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A respiratory tract route that begins within the nasal or periorbital sinuses.",
        "language": "en"
      } ]
    }, {
      "code": "419243002",
      "system": "http://snomed.info/sct",
      "display": "Transcervical route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transcervical route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transcervical use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins through the cervix.",
        "language": "en"
      } ]
    }, {
      "code": "419320008",
      "system": "http://snomed.info/sct",
      "display": "Subtendinous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subtendinous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subtendinous use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins beneath a tendon.",
        "language": "en"
      } ]
    }, {
      "code": "419396008",
      "system": "http://snomed.info/sct",
      "display": "Intraabdominal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraabdominal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the abdomen.",
        "language": "en"
      } ]
    }, {
      "code": "419601003",
      "system": "http://snomed.info/sct",
      "display": "Subgingival route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subgingival route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subgingival use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A gingival route that begins beneath the free margin of the gingivae.",
        "language": "en"
      } ]
    }, {
      "code": "419631009",
      "system": "http://snomed.info/sct",
      "display": "Intraovarian route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraovarian route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within an ovary or ovaries.",
        "language": "en"
      } ]
    }, {
      "code": "419684008",
      "system": "http://snomed.info/sct",
      "display": "Ureteral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Ureteral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Ureteral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a ureter.",
        "language": "en"
      } ]
    }, {
      "code": "419762003",
      "system": "http://snomed.info/sct",
      "display": "Peritendinous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peritendinous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peritendinous use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins around a tendon.",
        "language": "en"
      } ]
    }, {
      "code": "419778001",
      "system": "http://snomed.info/sct",
      "display": "Intrabronchial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrabronchial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrapulmonary tract route that begins within the bronchus.",
        "language": "en"
      } ]
    }, {
      "code": "419810008",
      "system": "http://snomed.info/sct",
      "display": "Intraprostatic route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraprostatic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the prostate gland.",
        "language": "en"
      } ]
    }, {
      "code": "419874009",
      "system": "http://snomed.info/sct",
      "display": "Submucosal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Submucosal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Submucosal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins beneath the mucous membrane.",
        "language": "en"
      } ]
    }, {
      "code": "419894000",
      "system": "http://snomed.info/sct",
      "display": "Surgical cavity route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Surgical cavity route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Surgical cavity use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a surgical cavity.",
        "language": "en"
      } ]
    }, {
      "code": "419954003",
      "system": "http://snomed.info/sct",
      "display": "Ileostomy route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Ileostomy route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraileal and gastro-intestinal stoma route that begins through a surgically created opening into the ileum.",
        "language": "en"
      } ]
    }, {
      "code": "419993007",
      "system": "http://snomed.info/sct",
      "display": "Intravenous peripheral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravenous peripheral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravenous peripheral use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "IV peripheral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intravenous route that begins in a peripheral vein.",
        "language": "en"
      } ]
    }, {
      "code": "420047004",
      "system": "http://snomed.info/sct",
      "display": "Periosteal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periosteal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periosteal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the periosteum.",
        "language": "en"
      } ]
    }, {
      "code": "420163009",
      "system": "http://snomed.info/sct",
      "display": "Esophagostomy route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Oesophagostomy route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Esophagostomy route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraesophageal and gastrointestinal stoma route that begins through a surgically created opening into the esophagus.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraoesophageal and gastrointestinal stoma route that begins through a surgically created opening into the oesophagus.",
        "language": "en"
      } ]
    }, {
      "code": "420168000",
      "system": "http://snomed.info/sct",
      "display": "Urostomy route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Urostomy route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Urostomy use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins through a surgically created opening into the urinary tract.",
        "language": "en"
      } ]
    }, {
      "code": "420185003",
      "system": "http://snomed.info/sct",
      "display": "Laryngeal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Laryngeal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Laryngeal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A respiratory tract route that begins on the larynx.",
        "language": "en"
      } ]
    }, {
      "code": "420201002",
      "system": "http://snomed.info/sct",
      "display": "Intrapulmonary route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrapulmonary route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A respiratory tract route that begins within the lungs or its bronchi.",
        "language": "en"
      } ]
    }, {
      "code": "420204005",
      "system": "http://snomed.info/sct",
      "display": "Mucous fistula route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Mucous fistula route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A fistula route that begins within a mucous fistula.",
        "language": "en"
      } ]
    }, {
      "code": "420218003",
      "system": "http://snomed.info/sct",
      "display": "Nasoduodenal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasoduodenal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Nasoduodenal use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraduodenal route that begins through the nose and into the duodenum, usually by means of a tube.",
        "language": "en"
      } ]
    }, {
      "code": "420254004",
      "system": "http://snomed.info/sct",
      "display": "Body cavity route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Body cavity route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Body cavity use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracavitary route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a non-pathologic hollow cavity, such as that of the abdominal cavity or uterus.",
        "language": "en"
      } ]
    }, {
      "code": "420287000",
      "system": "http://snomed.info/sct",
      "display": "Intraventricular route - cardiac (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraventricular route - cardiac",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraventricular use - cardiac",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracardiac route that begins within a cardiac ventricle.",
        "language": "en"
      } ]
    }, {
      "code": "420719007",
      "system": "http://snomed.info/sct",
      "display": "Intracerebroventricular route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracerebroventricular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracerebroventricular use",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracerebral and intrathecal route that begins within a cerebral ventricle.",
        "language": "en"
      } ]
    }, {
      "code": "428191002",
      "system": "http://snomed.info/sct",
      "display": "Percutaneous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Percutaneous route",
        "language": "en"
      } ]
    }, {
      "code": "429817007",
      "system": "http://snomed.info/sct",
      "display": "Interstitial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Interstitial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the interstices of a tissue.",
        "language": "en"
      } ]
    }, {
      "code": "445752009",
      "system": "http://snomed.info/sct",
      "display": "Intraesophageal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraesophageal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraoesophageal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A gastroenteral route that begins within the esophagus.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A gastroenteral route that begins within the oesophagus.",
        "language": "en"
      } ]
    }, {
      "code": "445754005",
      "system": "http://snomed.info/sct",
      "display": "Intragingival route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intragingival route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oral route that begins within the gingivae.",
        "language": "en"
      } ]
    }, {
      "code": "445755006",
      "system": "http://snomed.info/sct",
      "display": "Intravascular route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intravascular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins with the vascular system.",
        "language": "en"
      } ]
    }, {
      "code": "445756007",
      "system": "http://snomed.info/sct",
      "display": "Intradural route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intradural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A meningeal route that begins within the dura.",
        "language": "en"
      } ]
    }, {
      "code": "445767008",
      "system": "http://snomed.info/sct",
      "display": "Intrameningeal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrameningeal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the meninges.",
        "language": "en"
      } ]
    }, {
      "code": "445768003",
      "system": "http://snomed.info/sct",
      "display": "Intragastric route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intragastric route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A gastroenteral route that begins within the stomach.",
        "language": "en"
      } ]
    }, {
      "code": "445771006",
      "system": "http://snomed.info/sct",
      "display": "Intrapericardial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrapericardial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrathoracic route that begins within the pericardium.",
        "language": "en"
      } ]
    }, {
      "code": "445913005",
      "system": "http://snomed.info/sct",
      "display": "Intralingual route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intralingual route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oral route that begins in the tongue.",
        "language": "en"
      } ]
    }, {
      "code": "445941009",
      "system": "http://snomed.info/sct",
      "display": "Intrahepatic route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrahepatic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the liver.",
        "language": "en"
      } ]
    }, {
      "code": "446105004",
      "system": "http://snomed.info/sct",
      "display": "Conjunctival route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Conjunctival route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic and topical route that begins on the conjunctiva.",
        "language": "en"
      } ]
    }, {
      "code": "446407004",
      "system": "http://snomed.info/sct",
      "display": "Intraepicardial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraepicardial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrathoracic route that begins within the epicardium.",
        "language": "en"
      } ]
    }, {
      "code": "446435000",
      "system": "http://snomed.info/sct",
      "display": "Transendocardial route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transendocardial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracardiac route that begins in the endocardium.",
        "language": "en"
      } ]
    }, {
      "code": "446442000",
      "system": "http://snomed.info/sct",
      "display": "Transplacental route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transplacental route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intrauterine route for a substance that has the propensity for fetal absorption via the placenta.",
        "language": "en"
      } ]
    }, {
      "code": "446540005",
      "system": "http://snomed.info/sct",
      "display": "Intracerebral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracerebral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intracranial route that begins within the cerebrum.",
        "language": "en"
      } ]
    }, {
      "code": "447026006",
      "system": "http://snomed.info/sct",
      "display": "Intraileal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraileal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An enteral route that begins within the ileum.",
        "language": "en"
      } ]
    }, {
      "code": "447052000",
      "system": "http://snomed.info/sct",
      "display": "Periodontal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Periodontal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A dental route that begins around a tooth.",
        "language": "en"
      } ]
    }, {
      "code": "447080003",
      "system": "http://snomed.info/sct",
      "display": "Peridural route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peridural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A meningeal route that begins within the space surrounding the dura mater of the spinal cord.",
        "language": "en"
      } ]
    }, {
      "code": "447081004",
      "system": "http://snomed.info/sct",
      "display": "Lower respiratory tract route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Lower respiratory tract route",
        "language": "en"
      } ]
    }, {
      "code": "447121004",
      "system": "http://snomed.info/sct",
      "display": "Intramammary route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramammary route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the breast.",
        "language": "en"
      } ]
    }, {
      "code": "447122006",
      "system": "http://snomed.info/sct",
      "display": "Intratumor route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratumor route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intratumour route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a tumor.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a tumour.",
        "language": "en"
      } ]
    }, {
      "code": "447227007",
      "system": "http://snomed.info/sct",
      "display": "Transtympanic route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transtympanic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An otic route that begins across the tympanic cavity.",
        "language": "en"
      } ]
    }, {
      "code": "447229005",
      "system": "http://snomed.info/sct",
      "display": "Transtracheal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Transtracheal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An endotracheopulmonary route that begins through the wall of the trachea.",
        "language": "en"
      } ]
    }, {
      "code": "447694001",
      "system": "http://snomed.info/sct",
      "display": "Respiratory tract route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Respiratory tract route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Inhalation route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the respiratory tract, including the oropharynx and nasopharynx.",
        "language": "en"
      } ]
    }, {
      "code": "447964005",
      "system": "http://snomed.info/sct",
      "display": "Digestive tract route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Digestive tract route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins anywhere in the digestive tract extending from the mouth through the rectum.",
        "language": "en"
      } ]
    }, {
      "code": "448077001",
      "system": "http://snomed.info/sct",
      "display": "Intraepidermal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraepidermal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the epidermis of the skin.",
        "language": "en"
      } ]
    }, {
      "code": "448491004",
      "system": "http://snomed.info/sct",
      "display": "Intrajejunal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intrajejunal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An enteral route that begins within the jejunum.",
        "language": "en"
      } ]
    }, {
      "code": "448492006",
      "system": "http://snomed.info/sct",
      "display": "Intracolonic route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracolonic route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An enteral route that begins within the colon.",
        "language": "en"
      } ]
    }, {
      "code": "448598008",
      "system": "http://snomed.info/sct",
      "display": "Cutaneous route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Cutaneous route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A topical route that begins on the skin or cutaneous wounds and/or nails and/or hair.",
        "language": "en"
      } ]
    }, {
      "code": "697971008",
      "system": "http://snomed.info/sct",
      "display": "Arteriovenous fistula route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Arteriovenous fistula route",
        "language": "en"
      } ]
    }, {
      "code": "711360002",
      "system": "http://snomed.info/sct",
      "display": "Intraneural route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraneural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route of administration into a peripheral nerve.",
        "language": "en"
      } ]
    }, {
      "code": "711378007",
      "system": "http://snomed.info/sct",
      "display": "Intramural route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intramural route",
        "language": "en"
      } ]
    }, {
      "code": "714743009",
      "system": "http://snomed.info/sct",
      "display": "Extracorporeal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Extracorporeal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that occurs outside of the body.",
        "language": "en"
      } ]
    }, {
      "code": "718329006",
      "system": "http://snomed.info/sct",
      "display": "Infiltration route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Infiltration route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins with diffusion or accumulation in a tissue or cells.",
        "language": "en"
      } ]
    }, {
      "code": "764723001",
      "system": "http://snomed.info/sct",
      "display": "Epilesional route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Epilesional route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins on the surface of a localized lesion.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins on the surface of a localised lesion.",
        "language": "en"
      } ]
    }, {
      "code": "766790006",
      "system": "http://snomed.info/sct",
      "display": "Extracorporeal hemodialysis route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Extracorporeal haemodialysis route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Extracorporeal hemodialysis route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route used for extracorporeal haemodialysis where the product interacts with the patient blood through a semipermeable membrane.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route used for extracorporeal hemodialysis where the product interacts with the patient blood through a semipermeable membrane.",
        "language": "en"
      } ]
    }, {
      "code": "876824003",
      "system": "http://snomed.info/sct",
      "display": "Intradialytic route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intradialytic route (qualifier value)",
        "language": "en"
      } ]
    }, {
      "code": "1254769004",
      "system": "http://snomed.info/sct",
      "display": "Suprachoroidal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Suprachoroidal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins within the suprachoroidal space.",
        "language": "en"
      } ]
    }, {
      "code": "1259221004",
      "system": "http://snomed.info/sct",
      "display": "Intracorporus cavernosum route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracorporus cavernosum route",
        "language": "en"
      } ]
    }, {
      "code": "1611000175109",
      "system": "http://snomed.info/sct",
      "display": "Sublesional route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Sublesional route",
        "language": "en"
      } ]
    }, {
      "code": "58751000052109",
      "system": "http://snomed.info/sct",
      "display": "Intraglandular route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraglandular route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within a gland.",
        "language": "en"
      } ]
    }, {
      "code": "58761000052107",
      "system": "http://snomed.info/sct",
      "display": "Intracholangiopancreatic route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intracholangiopancreatic route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that begins within the bile duct and pancreatic duct.",
        "language": "en"
      } ]
    }, {
      "code": "58771000052103",
      "system": "http://snomed.info/sct",
      "display": "Intraportal route",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Intraportal route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intravascular route that begins within the hepatic portal vein.",
        "language": "en"
      } ]
    }, {
      "code": "58811000052103",
      "system": "http://snomed.info/sct",
      "display": "Peritumoral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peritumoural route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Peritumoral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that goes to the region surrounding a tumor.",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "A route that goes to the region surrounding a tumour.",
        "language": "en"
      } ]
    }, {
      "code": "58821000052106",
      "system": "http://snomed.info/sct",
      "display": "Posterior juxtascleral route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Posterior juxtascleral route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An ophthalmic route that begins in the episcleral space adjacent to the macula.",
        "language": "en"
      } ]
    }, {
      "code": "58831000052108",
      "system": "http://snomed.info/sct",
      "display": "Subretinal route (qualifier value)",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Subretinal route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An intraocular route that begins between the sensory retina and the retinal pigment epithelium of the eyeball.",
        "language": "en"
      } ]
    }, {
      "code": "66621000052103",
      "system": "http://snomed.info/sct",
      "display": "Sublabial use",
      "designation": [ {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Sublabial route (qualifier value)",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "Sublabial route",
        "language": "en"
      }, {
        "use": {
          "code": "display",
          "system": "http://terminology.hl7.org/CodeSystem/designation-usage"
        },
        "value": "An oromucosal route that begins on the moist tissue lining between the lip and gingiva within the oral cavity.",
        "language": "en"
      } ]
    } ],
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-unclosed",
      "valueBoolean": true
    } ],
    "parameter": [ {
      "name": "excludeNested",
      "valueBoolean": true
    }, {
      "name": "includeDesignations",
      "valueBoolean": true
    }, {
      "name": "count",
      "valueInteger": 1000
    }, {
      "name": "offset",
      "valueInteger": 0
    }, {
      "name": "used-valueset",
      "valueUri": "null"
    }, {
      "name": "used-codesystem",
      "valueUri": "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"
    }, {
      "name": "version",
      "valueUri": "http://snomed.info/sct|http://snomed.info/sct/900000000000207008/version/20250201"
    } ],
    "timestamp": "2025-04-01T12:21:09+11:00",
    "identifier": "urn:uuid:794560f0-9c5e-43af-8e3c-368ee9d11055"
  },
  "title": "SNOMED CT Route Codes",
  "package_version": "6.0.0-ballot3",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fhir"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "draft"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 1
  } ],
  "status": "draft",
  "id": "7435d9a2-e985-43fd-9392-39bb5073177d",
  "kind": null,
  "url": "http://hl7.org/fhir/ValueSet/route-codes",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.3.98",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "6.0.0-ballot3",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fiwg",
      "system": "url"
    } ]
  } ]
}