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      "lbl" : "acute meningoencephalitis",
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      "lbl" : "acute suppurative parotiditis",
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          "val" : "eye weakness"
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      "lbl" : "poor enunciation",
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        "synonyms" : [ {
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      "lbl" : "salivation",
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      "lbl" : "scrotal abscess",
      "type" : "CLASS",
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      "lbl" : "severe abdominal cramp",
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      "lbl" : "severe diarrhea",
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      "lbl" : "obsolete mastitis",
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          "val" : "mammitis"
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        "deprecated" : true
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000378",
      "lbl" : "obsolete severe mastitis",
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        "comments" : [ "reviewed 10/2022 & determined to be a disease" ],
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        "deprecated" : true
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000379",
      "lbl" : "severe myalgia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A muscle pain that is characterized by being severe in nature.  Myalgia may be acute in nature, stemming from overuse of a muscle group or viral infection.  It may also be chronic and caused by  metabolic myopathy, some nutritional deficiencies, and chronic fatigue syndrome.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000380",
      "lbl" : "obsolete severe pneumonia",
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        "deprecated" : true
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000381",
      "lbl" : "spleen abscess",
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      "lbl" : "staggering gait",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000383",
      "lbl" : "stiff neck",
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      "lbl" : "neck symptom",
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          "val" : "cervicalgia"
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        "basicPropertyValues" : [ {
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000385",
      "lbl" : "throat symptom",
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      "lbl" : "mouth symptom",
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      "lbl" : "head symptom",
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      "lbl" : "nose symptom",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000389",
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        "definition" : {
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        "basicPropertyValues" : [ {
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      "lbl" : "thyroid symptom",
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      "lbl" : "thyroid abscesses",
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      "lbl" : "ear symptom",
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      "lbl" : "tinnitus",
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        "basicPropertyValues" : [ {
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000394",
      "lbl" : "muscle twitching",
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      "lbl" : "facial muscle twitching",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000396",
      "lbl" : "mydriasis",
      "type" : "CLASS",
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        "synonyms" : [ {
          "pred" : "hasExactSynonym",
          "val" : "excessive pupil dilation"
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          "pred" : "hasExactSynonym",
          "val" : "prolonged pupil dilation"
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        "basicPropertyValues" : [ {
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      "lbl" : "unreactive mydriasis",
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      "lbl" : "vaginal discharge",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A reproductive system symptom that is characterized by fluid made by glands inside the vagina and cervix carrying away dead cells and bacteria. While it is normal for odor and color to vary, vaginal itching or burning may be indicative of an infection.",
          "xrefs" : [ "url:https://www.merckmanuals.com/professional/gynecology-and-obstetrics/symptoms-of-gynecologic-disorders/vaginal-bleeding", "url:https://www.webmd.com/women/guide/vaginal-discharge-whats-abnormal" ]
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        "comments" : [ "doid/symp duplicate" ],
        "basicPropertyValues" : [ {
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      "lbl" : "weak cry",
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          "pred" : "hasExactSynonym",
          "val" : "bruising"
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          "pred" : "hasExactSynonym",
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          "pred" : "hasExactSynonym",
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          "pred" : "hasExactSynonym",
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          "val" : "Cataplexy is a muscle symptom characterized by a sudden loss of muscle control with retention of clear consciousness that follows a strong emotional stimulus (as elation, surprise, or anger) and is a characteristic symptom of narcolepsy.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=cataplexy" ]
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          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=hyperthermia" ]
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          "val" : "A neurological and physiological symptom that is characterized by a marked psychomotor disturbance that may involve stupor or mutism, negativism, rigidity, purposeless excitement, echolalia, echopraxia, and inappropriate or bizarre posturing and is associated with various medical conditions (as schizophrenia and mood disorders).",
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          "val" : "A neurological and physiological symptom that is characterized by a difficulty in articulating words due to disease of the central nervous system.",
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      "lbl" : "pupil symptom",
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      "lbl" : "contracted pupil",
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      "lbl" : "bloating",
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      "lbl" : "claudication",
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      "lbl" : "obsolete impotence",
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          "val" : "erectile dysfunction"
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000428",
      "lbl" : "hypoventilation",
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          "val" : "Anasarca is a edema characterized as generalized edema with accumulation of serum in the connective tissue.",
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          "val" : "A reproductive system symptom that is characterized by bleeding from the uterus that is longer than usual or that occurs at an irregular time. Bleeding may be heavier or lighter than usual and occur often or randomly.",
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          "val" : "Junctional tachycardia is a tachycardia associated with the generation of impulses in a locus in the region of the atrioventricular node.",
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      "lbl" : "paroxysmal tachycardia",
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        "definition" : {
          "val" : "Paroxysmal tachycardia is a tachycardia that begins and ends abruptly and that is initiated by a premature supraventricular beat originating in the atrium or in the atrioventricular node or bundle of His or by a premature ventricular beat.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000826",
      "lbl" : "sinus tachycardia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Sinus tachycardia is a tachychardia characterized by an abnormally rapid sinus rhythm specifically a sinus rhythm at a rate greater than 100 beats per minute.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000827",
      "lbl" : "ventricular tachycardia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A tachycardia that is associated with the generation of improper electrical impulses within the ventricles, characterized by an electrocardiogram showing a rate of greater than 120 BPM and three or more wide QRS complexes in a row.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000828",
      "lbl" : "sore eyes",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Sore eyes is a eye symptom characterized by an inflammation of the thin covering of the eyeball and the inner eyelid brought about by a viral infection which may be highly contagious.",
          "xrefs" : [ "url:http://www.doh.gov.ph/faqs/sore_eyes" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000829",
      "lbl" : "neck pain",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by an unpleasant sensation localized in the neck that usually indicates the body is threatened or damaged. The sensation may be sharp or dull, short-lived or chronic, intermittent or continual.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000830",
      "lbl" : "phantom pain",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A pain that is characterized by a painful sensation that is perceived to originate in the amputated portion of the extremety. Patients may have localized pain that originates in the stump.",
          "xrefs" : [ "url:http://www.nationalpainfoundation.org/MyTreatment/articles/Cancer_PainDefinitions.asp" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000831",
      "lbl" : "nociceptive pain",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by originating from other than the peripheral and central nervous systems, and which is caused by activation of nociceptive fibers.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000832",
      "lbl" : "neuropathic pain",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by being experienced by cancer patients and which is caused by radiotherapy or chemotherapy damage to nerves, when cancer invades or compresses nerves, or when, during cancer treatment. This type of pain is typically described as burning, electrical, or strange feeling.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000833",
      "lbl" : "visceral pain",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A pain that is characterized by originating from organ tissues of the thorax, abdomen, or pelvis.  It characterizes as deep, vague, and difficult to locate pain, that radiates away from the affected organ.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000834",
      "lbl" : "hypoesthesia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A sensation perception that is characterized by a reduced sense of touch or sensation, or a partial loss of sensitivity to sensory stimuli.",
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        "synonyms" : [ {
          "pred" : "hasExactSynonym",
          "val" : "numbness"
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000835",
      "lbl" : "hypoalgesia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A sensation perception that is characterized by a diminished sensitivity to painful stimulation.",
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      "lbl" : "hyperalgesia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A sensation perception that is characterized by an increased response to a painful stimulus.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000837",
      "lbl" : "chronic pain",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by ranging from mild to severe and which continues beyond the expected healing phase.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000838",
      "lbl" : "breakthrough pain",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by occurring with movement and is not controlled by a scheduled pain medication regimen, such that the pain breaks through the current regimen. This is usually referred to in the context of a short and long acting opioid, the short acting opioid being used to treat the breakthrough pain.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000839",
      "lbl" : "acute pain",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by being severe but lasting a relatively short time.",
          "xrefs" : [ "url:http://www.nationalpainfoundation.org/MyTreatment/articles/Cancer_PainDefinitions.asp" ]
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        "synonyms" : [ {
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          "val" : "sudden pain"
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000840",
      "lbl" : "allodynia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A pain that is characterized by a painful sensation with a normal, non-painful stimulation.",
          "xrefs" : [ "url:http://www.nationalpainfoundation.org/MyTreatment/articles/Cancer_PainDefinitions.asp" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000841",
      "lbl" : "reactive hyperemia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Reactive hyperemia is a hyperemia occurring due to the dilation of arteriolar smooth muscle to increase blood flow in response to a profound increase in blood flow to an organ after being occluded. There will be a shortage of oxygen and a build-up of metabolic waste.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000842",
      "lbl" : "active hyperemia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Active hyperemia is a hyperemia occurring due to the dilation of arteriolar smooth muscle to increase blood flow in response to an increase in metabolism.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hyperemia" ]
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        "basicPropertyValues" : [ {
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000843",
      "lbl" : "functional hyperemia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Functional hyperemia is a hyperemia occurring due to an increase in blood flow to a tissue due to the presence of metabolites and a change in general conditions.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hyperemia" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000844",
      "lbl" : "face hyperemia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Hyperemia of the face is a head symptom consisting of an excess of blood in the tissues of the face as from an increased flow of blood due to vasodilation.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hyperemia" ]
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      "lbl" : "hyperemia of the neck",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Hyperemia of the neck is a neck symptom consisting of an excess of blood in the tissues of the neck as from an increased flow of blood due to vasodilation.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hyperemia" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000846",
      "lbl" : "chest hyperemia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Hyperemia of the chest is a cardiovascular system symptom consisting of an excess of blood in the tissues of the chest as from an increased flow of blood due to vasodilation.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hyperemia" ]
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        "basicPropertyValues" : [ {
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000847",
      "lbl" : "spastic paralysis",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A paralysis that is characterized by a tonic spasm of the affected muscles and with increased tendon reflexes.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=spastic%20paralysis" ]
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      "lbl" : "motor paralysis",
      "type" : "CLASS",
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          "val" : "A paralysis that is characterized by a complete or partial loss of function the voluntary muscles.",
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000849",
      "lbl" : "stillbirth",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A reproductive system symptom that is characterized by the birth of a dead fetus; in which  a fetus that has died in the uterus, or during labor, or delivery, exits a woman's body.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Still_birth", "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=stillbirth" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000850",
      "lbl" : "congested sclera",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Congested sclera is a hyperemia characterized as the congestion of the vessels of the outer layer of the eye containing collagen and elastic fibers.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Sclera" ]
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        "basicPropertyValues" : [ {
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000851",
      "lbl" : "gross hematuria",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A hematuria that is characterized by the production of a visible redness in the urine.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=gross%20hematuria" ]
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      "lbl" : "anuria",
      "type" : "CLASS",
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        "definition" : {
          "val" : "A urinary system symptom that is characterized by the absence of, or by defective, urine excretion.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=anuria" ]
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        "comments" : [ "doid/symp duplicate" ],
        "xrefs" : [ {
          "val" : "ICD9CM_2005:788.5"
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          "val" : "UMLS_CUI:C0028962"
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          "val" : "UMLS_ICD9CM_2005_AUI:A0243854"
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000853",
      "lbl" : "stress incontinence",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A urinary incontinence that is characterized by an involuntary leakage of urine from the bladder accompanying physical activity (as in laughing, coughing, sneezing, or physical exercise) which places increased pressure on the abdomen.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=stress%20incontinence", "url:https://www.health.harvard.edu/bladder-and-bowel/types-of-urinary-incontinence" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000854",
      "lbl" : "hypermenorrhea",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A menorrhagia that is characterized by an abnormally profuse or prolonged menstrual flow.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=hypermenorrhea" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000855",
      "lbl" : "metrorrhagia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A menorrhagia that is characterized by an irregular uterine bleeding, especially between menstrual periods.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=metrorrhagia" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000856",
      "lbl" : "subjective vertigo",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A vertigo that is characterized by a sensation that one's body is revolving in space.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=subjective+vertigo" ]
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        "basicPropertyValues" : [ {
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000857",
      "lbl" : "objective vertigo",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "A vertigo that is characterized by a sensation that the external world is revolving.",
          "xrefs" : [ "url:http://www2.merriam-webster.com/cgi-bin/mwmednlm?book=Medical&va=objective+vertigo" ]
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      "id" : "http://purl.obolibrary.org/obo/SYMP_0000858",
      "lbl" : "hypokinesia",
      "type" : "CLASS",
      "meta" : {
        "definition" : {
          "val" : "Hypokinesia is a musculoskeletal system  symptom characterized by the slow or diminished movement of body musculature. It may be associated with basal ganglia diseases; mental disorders; prolonged inactivity due to illness; experimental protocols used to evaluate the physiologic effects of immobility; and other conditions.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hypokinesia" ]
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      "lbl" : "rigidity hypokinesia",
      "type" : "CLASS",
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        "definition" : {
          "val" : "Rigidity hypokinesia a type of hypokinesia described as the increase in muscle tension when moved by an outside force.",
          "xrefs" : [ "url:http://en.wikipedia.org/wiki/Hypokinesia" ]
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      "lbl" : "postural instability hypokinesia",
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      "lbl" : "facial tremor",
      "type" : "CLASS",
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      "lbl" : "lesions in mouth",
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      "lbl" : "cervical edema",
      "type" : "CLASS",
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      "lbl" : "gastrointestinal bleeding",
      "type" : "CLASS",
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      "lbl" : "breathing problems",
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      "lbl" : "nasal congestion",
      "type" : "CLASS",
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      "lbl" : "icteric mucous membrane",
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      "lbl" : "icteric skin",
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      "lbl" : "otitis",
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      "lbl" : "decreased tongue tone",
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}