***** HAD TO IMPORT THIS MANUALLY FROM ExternallyMaintainedRefset REPO FOR THIS CYCLE ONLY, IN ORDER TO GET DESCRIPTOR RECORDS INTO THE RELEASE FOR THE BRAND NEW ANNOTATIONS REFSETS *****

7 records added as expected AS I ADDED MANUAL DELTA (with new Annotations Refset Descriptors in it) TO S3 -

So there are 5x new records for the Member Annotation String Value Simple Refset (1292995002), as per the new spec: Member Annotations String Value Reference Set:

• > e159d0e9-801d-4d76-a76b-b2bb9cd50c39    20231201    1    900000000000012004    900000000000456007    1292995002    900000000000518009    900000000000461009    0
• > 86f38dd6-7a18-492b-87da-ed449c5f738b    20231201    1    900000000000012004    900000000000456007    1292995002    1296891007    900000000000464001    1
• > ad37af7b-c4ce-4b37-ae68-556a11213657    20231201    1    900000000000012004    900000000000456007    1292995002    1296895003    900000000000465000    2
• > 248e656c-919f-48a6-826f-1a4c506b1254    20231201    1    900000000000012004    900000000000456007    1292995002    1296892000    900000000000461009    3
• > 24b17070-52dc-4bb5-817c-09a1728300f8    20231201    1    900000000000012004    900000000000456007    1292995002    900000000000519001    900000000000459000    4

Plus 4x new records for the Component Annotation String Value Simple Refset (1292992004), as per the new spec: Component Annotations String Value Reference Set:

• > d6398add-8811-4c71-830a-8052d7c85abe    20231201    1    900000000000012004    900000000000456007    1292992004    900000000000518009    900000000000461009    0
• > 74bb7ada-50ed-4c86-bc5d-2fb23dd313c4    20231201    1    900000000000012004    900000000000456007    1292992004    1296895003    900000000000465000    1
• > 29689de3-1778-45a4-a1bf-922b784a5e78    20231201    1    900000000000012004    900000000000456007    1292992004    1296892000    900000000000461009    2
• > 773fe363-e8dc-44de-9109-39a3671a78f4    20231201    1    900000000000012004    900000000000456007    1292992004    900000000000519001    900000000000459000    3

NOTHING YET AS MARIA STILL HASN'T PROMOTED MAP BRANCHES!!  WILL REBUILD ONCE SHE HAS COMPLETED VALIDATION AND PROMOTED...

852 records added/updated, plus

795 records inactivated

Which matches exactly with the new detailed Map Reports WCI sent off the back of Maria's Map tasks, sent in an email from noreply@snomed.org entitled "Upload Successful", at 10:34 on 10 Nov 2023 :

• "added/updated" counts from diff report matches to total of WCI report lines:
  • Total Changed mapped entries (new) this release     564          +
  • Total New mapped entries this release     288
    
  • Total Changed mapped entries (modified) this release    0
• "inactivated" counts from diff report matches to total of WCI report lines:
  • Total Changed mapped entries (retired) this release     565        +
  • Total Retired mapped entries this release     230

663 records added/updated, plus

1 records inactivated

Confirmed as matches with:

• firstly the number of CTV3 records (900000000000497000) - which in this release is 659 (as per the number of 900000000000497000 records in the SimpleMap diff files, + it's exactly the same number as new concepts this cycle - see "Concepts" tab in the Summary Component Stats report above) PLUS
• the manual counts of ICD-0 records (446608001) - here 4 new + 1 inactivations, in the SimpleMap diff file, which also matches exactly with the new detailed Map Reports WCI sent off the back of Maria's Map tasks, sent in an email from noreply@snomed.org entitled "Upload Successful", at 10:02 on 10 Nov 2023 :
  • "added/updated" counts from diff report matches to total of WCI report lines:
    • Total Changed mapped entries (new) this release     0            +
    • Total New mapped entries this release     4
      
  • "inactivated" counts from diff report matches to total of WCI report lines:
    • Total Changed mapped entries (retired) this release     0        +
    • Total Retired mapped entries this release     1

NOTE:  THERE ARE 1322 RECORDS IN THE SIMPLE MAP DIFF FILE, BUT ONLY 659 NEW RECORDS EXPECTED FROM CTV3 + 4 FROM ICD-0

LOOKING OKAY FOR ICD-0 AS EXACTLY EXPECTED NUMBER OF CHANGES:

1x Inactivation:

• < 20170131    1    900000000000207008    446608001    421980000    8050/3
  
• > 20231201    0    900000000000207008    446608001    421980000    8050/3

4x additions:

• > 20231201    1    900000000000207008    446608001    1295213006    8830/0
• > 20231201    1    900000000000207008    446608001    1295233005    8770/3
  
• > 20231201    1    900000000000207008    446608001    1295375009    8720/0
  
• > 20231201    1    900000000000207008    446608001    1295490007    8260/3
  

GOOD NEWS IS THAT ON FURTHER INVESTIGATION THE REMAINING 659 ODD ARE UUID CHANGES ONLY (eg)

• < 851a1462-9949-48cf-aafd-895aa30c6110    20231201    1    900000000000207008    900000000000497000    1296930007    XVMEp
  
• > 00729e37-c774-4fb8-973d-032eb9055099    20231201    1    900000000000207008    900000000000497000    1296930007    XVMEp
  

THEREFORE THIS IS SIMPLY A FUNCTION OF THE FACT THAT I'M RUNNING THESE RELEASE PRE-VERSIONING STILL, AND THEREFORE ALL 659 BRAND NEW MAPS WILL HAVE THEIR UUID'S REFRESHED EACH BUILD UNTIL WE VERSION

***** HAD TO IMPORT THIS MANUALLY FROM ExternallyMaintainedRefset REPO FOR THIS CYCLE ONLY, IN ORDER TO GET NEW RF2 FILES INTO THE RELEASE FOR THE BRAND NEW ANNOTATIONS REFSETS *****

As per the Content team plan (SNOMED CT Annotations) we are introducing 2x new Refset files (and potentially another 2x refsets in future releases) in the December 2023 Release, in order to contain the future Annotations content.

• > ./der2_scsRefset_ComponentAnnotationStringValueSnapshot_INT_20231201.txt

• > ./der2_scsRefset_ComponentAnnotationStringValueFull_INT_20231201.txt

The first content is planned for inclusion in the January 2024 International Edition release, so these files are empty for this Release.

Structure looks good as compared to the new spec in Component Annotations String Value Reference Set

***** HAD TO IMPORT THIS MANUALLY FROM ExternallyMaintainedRefset REPO FOR THIS CYCLE ONLY, IN ORDER TO GET NEW RF2 FILES INTO THE RELEASE FOR THE BRAND NEW ANNOTATIONS REFSETS *****

As per the Content team plan (SNOMED CT Annotations) we are introducing 2x new Refset files (and potentially another 2x refsets in future releases) in the December 2023 Release, in order to contain the future Annotations content.

• > ./der2_sscsRefset_MemberAnnotationStringValueSnapshot_INT_20231201.txt

• > ./der2_sscsRefset_MemberAnnotationStringValueFull_INT_20231201.txt

The first content is planned for inclusion in the January 2024 International Edition release, so these files are empty for this Release.

Structure looks good as compared to the new spec in Member Annotations String Value Reference Set

1028 records added/updated, plus

549 records inactivated

...as expected as the totals ALMOST match exactly with Summary Component Stats report, but you also need to incorporate SEP changes:

In order to get an accurate comparison, we have to ALSO INCLUDE the SEP refset (734138000 + 734139008) totals from the RF2 files (manually tallied from the new Association Snapshot files) and add them to the "Hist Assoc" tab in the Summary Component Report:

SEP (from RF2 diff files) = 70 changes:

• Refset: 734138000
• 69 new/updated records + 1 inactivated records
• Refset: 734139008
• 0 new/updated records + 0 inactivated records

• Confirmed as matches exactly with data in Lateralizable Report sent to me by Maria (in Section 1 of Content Handover page) - see report above

  • Report shows 70 changes - 69 new records + 1 inactivations + 0 updates

This then, adds to the "Association" totals in the final refsets tab, in the Summary report stats:

• 959 new/updated records +
• 548 inactivations 

Makes a total of:

• 1028 new/updated records +
• 549 inactivations 

Which matches exactly with the counts I got above from the RF2 files!!  

2787 records added/updated, plus

89 inactivated

...as expected as the totals match exactly with Summary Component Stats report

5128 records added/updated, plus

1051 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report)

127 records added/updated, plus

11 records inactivated

• Confirmed as matches exactly with Lateralizable refset (723264001) data in Lateralizable Report sent to me by Maria (in Section 1 of Content Handover page) - see report above

1047 records added/updated, plus

418 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report)

2488 records added/updated, plus

542 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report) 

NOTE:  Updated total DOES NOT ALWAYS MATCH EXACTLY (like the others) - the report states 1255 inactivations instead of 1256.  This is explained by the inclusion of the "<" character (which I use to search the Diff files to separate out the different change types) in many actual Terms.  So searching for "< " instead (including the tab after <) finds instead 334 records updated, which is much closer.

10579 records added/updated, plus

8382 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report)  

45 records added/updated, plus

2 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report)  

4102 records added/updated, plus

420 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report)

0 records updated, plus 0 records inactivated - As expected due to full migration to OWLExpression file in the July 2019 International Edition

53 records added/updated, plus

7 records inactivated

Confirmed as matches exactly with data in Summary Component Stats report - see Report linked above - ("added/updated" counts above match against total of "New" + "Changed DefnStatus" + "Reactivated" columns in report) 

NOTE:  Updated total DOES NOT ALWAYS MATCH EXACTLY (like the others) - the report states 1255 inactivations instead of 1256.  This is explained by the inclusion of the "<" character (which I use to search the Diff files to separate out the different change types) in many actual Terms.  So searching for "< " instead (including the tab after <) finds instead 334 records updated, which is much closer.

0 records added/updated as expected

Yong confirmed changes are exactly as expected in Email trail at 11:19 on 13 Nov 2023 

1 records updated as expected

< e815b571-999f-4c81-bd17-d27a17d12fb7    20200731    1    900000000000012004    723562003    370132008    << 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|    (<< 363787002 |Observable entity (observable entity)| OR << 386053000 |Evaluation procedure (procedure)|): [0..1] { [0..1] 370132008 |Scale type| = (<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|) }    723597001    723596005
---
> e815b571-999f-4c81-bd17-d27a17d12fb7    20231201    1    900000000000012004    723562003    370132008    << 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|    (<< 363787002 |Observable entity (observable entity)| OR << 386053000 |Evaluation procedure (procedure)|): [0..1] { [0..1] 370132008 |Scale type| = (<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|) }    723597001    723596005

SENT TO YONG + MARIA FOR VERIFICATION...

Yong confirmed changes are exactly as expected in Email trail at 11:19 on 13 Nov 2023 

2 records updated as expected

< 3afa8ba9-6196-4792-afd0-224450e79166    20230228    1    900000000000012004    723560006    363787002    << 363787002 |Observable entity (observable entity)|        << 363787002 |Observable entity (observable entity)|        [[+id(<< 363787002 |Observable entity (observable entity)|)]]: [[0..*]] { [[0..1]] 1003703000 |Process extends to| = [[+id(<< 123037004 |Body structure (body structure)|)]], [[0..1]] 1003735000 |Process acts on| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 246093002 |Component| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246501002 |Technique| = [[+id(<< 254291000 |Staging and scales (staging scale)| OR << 272394005 |Technique (qualifier value)|)]], [[0..1]] 246514001 |Units| = [[+id(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 704319004 |Inheres in| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 125676002 |Person (person)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704320005 |Towards| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704321009 |Characterizes| = [[+id(<< 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704322002 |Process agent| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)|)]], [[0..1]] 704323007 |Process duration| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 704324001 |Process output| = [[+id(<< 105590001 |Substance (substance)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704325000 |Relative to| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704326004 |Precondition| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 703763000 |Precondition value (qualifier value)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 704327008 |Direct site| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 718497002 |Inherent location| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719715003 |Relative to part of| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719722006 |Has realization| = [[+id(<< 272379006 |Event (event)| OR << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]] }    [[+scg(<< 363787002 |Observable entity (observable entity)|)]]: [[0..*]] { [[0..1]] 1003703000 |Process extends to| = [[+scg(<< 123037004 |Body structure (body structure)|)]], [[0..1]] 1003735000 |Process acts on| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246501002 |Technique| = [[+scg(<< 254291000 |Staging and scales (staging scale)| OR << 272394005 |Technique (qualifier value)|)]], [[0..1]] 246514001 |Units| = [[+scg(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 704319004 |Inheres in| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 125676002 |Person (person)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704320005 |Towards| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704321009 |Characterizes| = [[+scg(<< 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704322002 |Process agent| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)|)]], [[0..1]] 704323007 |Process duration| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 704324001 |Process output| = [[+scg(<< 105590001 |Substance (substance)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704325000 |Relative to| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704326004 |Precondition| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 703763000 |Precondition value (qualifier value)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 704327008 |Direct site| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 718497002 |Inherent location| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719715003 |Relative to part of| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719722006 |Has realization| = [[+scg(<< 272379006 |Event (event)| OR << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]] }    http://snomed.org/dom363787002
---
> 3afa8ba9-6196-4792-afd0-224450e79166    20231201    1    900000000000012004    723560006    363787002    << 363787002 |Observable entity (observable entity)|        << 363787002 |Observable entity (observable entity)|        [[+id(<< 363787002 |Observable entity (observable entity)|)]]: [[0..*]] { [[0..1]] 1003703000 |Process extends to| = [[+id(<< 123037004 |Body structure (body structure)|)]], [[0..1]] 1003735000 |Process acts on| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 246093002 |Component| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246501002 |Technique| = [[+id(<< 254291000 |Staging and scales (staging scale)| OR << 272394005 |Technique (qualifier value)|)]], [[0..1]] 246514001 |Units| = [[+id(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 704319004 |Inheres in| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 125676002 |Person (person)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704320005 |Towards| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704321009 |Characterizes| = [[+id(<< 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704322002 |Process agent| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)|)]], [[0..1]] 704323007 |Process duration| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 704324001 |Process output| = [[+id(<< 105590001 |Substance (substance)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704325000 |Relative to| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704326004 |Precondition| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 703763000 |Precondition value (qualifier value)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 704327008 |Direct site| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 718497002 |Inherent location| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719715003 |Relative to part of| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719722006 |Has realization| = [[+id(<< 272379006 |Event (event)| OR << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]] }    [[+scg(<< 363787002 |Observable entity (observable entity)|)]]: [[0..*]] { [[0..1]] 1003703000 |Process extends to| = [[+scg(<< 123037004 |Body structure (body structure)|)]], [[0..1]] 1003735000 |Process acts on| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246501002 |Technique| = [[+scg(<< 254291000 |Staging and scales (staging scale)| OR << 272394005 |Technique (qualifier value)|)]], [[0..1]] 246514001 |Units| = [[+scg(< 767524001 |Unit of measure (qualifier value)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 704319004 |Inheres in| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 125676002 |Person (person)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704320005 |Towards| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704321009 |Characterizes| = [[+scg(<< 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704322002 |Process agent| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)|)]], [[0..1]] 704323007 |Process duration| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 704324001 |Process output| = [[+scg(<< 105590001 |Substance (substance)| OR << 719982003 |Process (qualifier value)|)]], [[0..1]] 704325000 |Relative to| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 704326004 |Precondition| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 703763000 |Precondition value (qualifier value)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 704327008 |Direct site| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 718497002 |Inherent location| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719715003 |Relative to part of| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 719722006 |Has realization| = [[+scg(<< 272379006 |Event (event)| OR << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 719982003 |Process (qualifier value)|)]] }    http://snomed.org/dom363787002
20c20
< dcc4c43d-0ff3-448a-b200-fc9c6c3e7a56    20231001    1    900000000000012004    723560006    386053000    << 386053000 |Evaluation procedure (procedure)|    71388002 |Procedure (procedure)|    << 71388002 |Procedure (procedure)|    [[1..*]] 260686004 |Method| = [[+id(<< 129265001 |Evaluation - action|)]]    [[+id(<< 71388002 |Procedure (procedure)|)]]: [[1..*]] { [[0..1]] 116686009 |Has specimen| = [[+id(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+id(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+id(<< 309795001 |Surgical access values (qualifier value)|)]], [[1..1]] 260686004 |Method| = [[+id(<< 129265001 |Evaluation - action|)]], [[0..1]] 260870009 |Priority| = [[+id(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+id(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+id(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+id(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+id(<< 49062001 |Device (physical object)|)]] }, [[0..*]] { [[0..1]] 116686009 |Has specimen| = [[+id(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+id(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+id(<< 309795001 |Surgical access values (qualifier value)|)]], [[0..1]] 260686004 |Method| = [[+id(<< 129264002 |Action (qualifier value)|)]], [[0..1]] 260870009 |Priority| = [[+id(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+id(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+id(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+id(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+id(<< 49062001 |Device (physical object)|)]] }    [[+scg(<< 71388002 |Procedure (procedure)|)]]: [[1..*]] { [[0..1]] 116686009 |Has specimen| = [[+scg(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+scg(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+scg(<< 309795001 |Surgical access values (qualifier value)|)]], [[1..1]] 260686004 |Method| = [[+scg(<< 129265001 |Evaluation - action|)]], [[0..1]] 260870009 |Priority| = [[+scg(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+scg(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+scg(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+scg(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+scg(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]] }, [[0..*]] { [[0..1]] 116686009 |Has specimen| = [[+scg(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+scg(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+scg(<< 309795001 |Surgical access values (qualifier value)|)]], [[0..1]] 260686004 |Method| = [[+scg(<< 129264002 |Action (qualifier value)|)]], [[0..1]] 260870009 |Priority| = [[+scg(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+scg(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+scg(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+scg(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+scg(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 117362005 |Nominal value (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 30766002 |Quantitative (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]] }    http://snomed.org/dom386053000
---
> dcc4c43d-0ff3-448a-b200-fc9c6c3e7a56    20231201    1    900000000000012004    723560006    386053000    << 386053000 |Evaluation procedure (procedure)|    71388002 |Procedure (procedure)|    << 71388002 |Procedure (procedure)|    [[1..*]] 260686004 |Method| = [[+id(<< 129265001 |Evaluation - action|)]]    [[+id(<< 71388002 |Procedure (procedure)|)]]: [[1..*]] { [[0..1]] 116686009 |Has specimen| = [[+id(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+id(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+id(<< 309795001 |Surgical access values (qualifier value)|)]], [[1..1]] 260686004 |Method| = [[+id(<< 129265001 |Evaluation - action|)]], [[0..1]] 260870009 |Priority| = [[+id(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+id(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+id(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+id(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+id(<< 49062001 |Device (physical object)|)]] }, [[0..*]] { [[0..1]] 116686009 |Has specimen| = [[+id(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+id(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+id(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+id(<< 309795001 |Surgical access values (qualifier value)|)]], [[0..1]] 260686004 |Method| = [[+id(<< 129264002 |Action (qualifier value)|)]], [[0..1]] 260870009 |Priority| = [[+id(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+id(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+id(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+id(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+id(<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+id(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+id(<< 49062001 |Device (physical object)|)]] }    [[+scg(<< 71388002 |Procedure (procedure)|)]]: [[1..*]] { [[0..1]] 116686009 |Has specimen| = [[+scg(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+scg(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+scg(<< 309795001 |Surgical access values (qualifier value)|)]], [[1..1]] 260686004 |Method| = [[+scg(<< 129265001 |Evaluation - action|)]], [[0..1]] 260870009 |Priority| = [[+scg(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+scg(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+scg(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+scg(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+scg(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]] }, [[0..*]] { [[0..1]] 116686009 |Has specimen| = [[+scg(<< 123038009 |Specimen (specimen)|)]], [[0..1]] 246093002 |Component| = [[+scg(<< 105590001 |Substance (substance)| OR << 123037004 |Body structure (body structure)| OR << 123038009 |Specimen (specimen)| OR << 260787004 |Physical object (physical object)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR << 410607006 |Organism (organism)| OR << 419891008 |Record artifact (record artifact)|)]], [[0..1]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..1]] 246513007 |Revision status| = [[+scg(<< 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)| OR << 261424001 |Primary operation (qualifier value)|)]], [[0..1]] 260507000 |Access| = [[+scg(<< 309795001 |Surgical access values (qualifier value)|)]], [[0..1]] 260686004 |Method| = [[+scg(<< 129264002 |Action (qualifier value)|)]], [[0..1]] 260870009 |Priority| = [[+scg(<< 272125009 |Priorities (qualifier value)|)]], [[0..1]] 363699004 |Direct device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 363700003 |Direct morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363701004 |Direct substance| = [[+scg(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..1]] 363702006 |Has focus| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..1]] 363703001 |Has intent| = [[+scg(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007 |Procedure site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 363709002 |Indirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..1]] 363710007 |Indirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 370129005 |Measurement method| = [[+scg(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..1]] 370130000 |Property| = [[+scg(<< 118598001 |Property (qualifier value)|)]], [[0..1]] 370131001 |Recipient category| = [[+scg(<< 125676002 |Person (person)| OR << 133928008 |Community (social concept)| OR << 35359004 |Family (social concept)| OR << 389109008 |Group (social concept)|)]], [[0..1]] 370132008 |Scale type| = [[+scg(<< 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR < 398195001 |Measurement scales (qualifier value)|)]], [[0..1]] 370134009 |Time aspect| = [[+scg(<< 7389001 |Time frame (qualifier value)|)]], [[0..1]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..1]] 405814001 |Procedure site - Indirect| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..1]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..1]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]], [[0..1]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]] }    http://snomed.org/dom386053000

0 records added/updated as expected

Yong confirmed changes are exactly as expected in Email trail at 11:19 on 13 Nov 2023