{
  "id": 4073,
  "label": "rheumatic congestive heart failure",
  "model": {
    "label": "Mondo Disease Ontology (MONDO)",
    "source": 0
  },
  "type_id": 0,
  "reference_id": "MONDO:0001899",
  "properties": {
    "xrefs": [
      "DOID:14172",
      "ICD10CM:I09.81",
      "ICD9:398.91",
      "MEDGEN:510028",
      "SCTID:82523003",
      "UMLS:C0155582"
    ],
    "synonyms": [
      "rheumatic heart failure",
      "rheumatic heart failure (congestive)"
    ],
    "categories": [
      {
        "ref": "MONDO:0004995",
        "name": "cardiovascular disorder"
      }
    ]
  },
  "isLeaf": true,
  "isRoot": false,
  "child_count": 0,
  "parents": [
    {
      "id": 6747,
      "label": "congestive heart failure",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        6955
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:6000",
          "EFO:0000373",
          "HP:0001635",
          "ICD9:404.01",
          "ICD9:404.11",
          "ICD9:404.13",
          "ICD9:428",
          "ICD9:428.0",
          "MEDGEN:9169",
          "NCIT:C3080",
          "SCTID:42343007",
          "UMLS:C0018802",
          "icd11.foundation:2136808878"
        ],
        "synonyms": [
          "CHF",
          "cardiac failure, congestive",
          "congestive heart disease",
          "failure, congestive heart",
          "heart failure, congestive"
        ],
        "categories": [
          {
            "ref": "MONDO:0004995",
            "name": "cardiovascular disorder"
          }
        ],
        "definition": "Failure of the heart to pump a sufficient amount of blood to meet the needs of the body tissues, resulting in tissue congestion and edema. Signs and symptoms include shortness of breath, pitting edema, enlarged tender liver, engorged neck veins, and pulmonary rales."
      },
      "child_count": 5,
      "reference_id": "MONDO:0005009"
    },
    {
      "id": 8383,
      "label": "rheumatic heart disease",
      "isLeaf": false,
      "isRoot": false,
      "parents": [
        6967,
        20399
      ],
      "type_id": 0,
      "properties": {
        "xrefs": [
          "DOID:0050827",
          "EFO:1001161",
          "ICD9:398.90",
          "ICD9:398.99",
          "MEDGEN:20565",
          "MESH:D012214",
          "MedDRA:10062110",
          "NCIT:C34882",
          "SCTID:23685000",
          "UMLS:C0035439",
          "icd11.foundation:291726710"
        ],
        "synonyms": [
          "RHD",
          "disease, rheumatic heart",
          "heart disease, rheumatic",
          "rheumatic carditis"
        ],
        "categories": [
          {
            "ref": "MONDO:0004995",
            "name": "cardiovascular disorder"
          }
        ],
        "definition": "An autoinflammatory condition following an infection with Group A Beta Hemolytic Streptococcus (GABHS), in which the heart is attacked by antibodies formed in reaction to a recent GABHS infection. Chief anatomic changes of the valve include leaflet thickening, commissural fusion, and shortening and thickening of the tendinous cords, all of which can result in valvular dysfunction."
      },
      "child_count": 8,
      "reference_id": "MONDO:0006955"
    }
  ],
  "children": [],
  "roots": [
    {
      "id": 6747,
      "label": "congestive heart failure"
    },
    {
      "id": 8383,
      "label": "rheumatic heart disease"
    }
  ]
}