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Two consecutive 'less than' signs (i.e. "<<") indicates that the expression constraint is satisfied by all descendants of the specified concept plus the specified concept itself. The expression constraint below evaluates to the set of descendants of

Scg expression
73211009 |Diabetes mellitus|
, plus the concept
Scg expression
73211009 |Diabetes mellitus|
 itself.
Scg expression
ShowFormatblock
   << 73211009 |Diabetes mellitus|
Using the long syntax, the above expression constraint may be represented as:
Scg expression
ShowFormatblock
   descendantOrSelfOf 73211009 |Diabetes mellitus|
The descendantOrSelfOf function is primarily used for attribute values, which refer to a specific clinical value (e.g.
Scg expression
73211009 |Diabetes mellitus|
,
Scg expression
73761001 |Colonoscopy|
,
Scg expression
385055001 |Tablet dose form|
), but any specialization of this value is also acceptable.

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