Machine Readable Concept Model

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An

Scg expression
ShowPartsterm
ShowFormatinline
111115723589008|MRCM domain reference set|
 enumerates the concept domains to which SNOMED CT attributes may be applied, and provides additional information to support these concept domains.

...

For each domain in the SNOMED CT concept model, the 

Scg expression
ShowPartsterm
ShowFormatinline
111115723589008|MRCM domain reference set|
 will contain exactly one member. This reference set member will include an Expression Constraint that defines the concepts in the domain, the identifier of the immediate parent domain (or domains), the domain constraint defined in terms of its proximal primitive concepts and associated mandatory refinements, a generic Domain Expression Template for both precoordinated and postcoordinated content, and a reference to the associated Editorial Guidance guidance that provides additional human-readable text describing this domain. Please note that it is anticipated that the generic Domain Expression Templates will be specialized further for authoring of specific subdomains using specializations stored in a Template Library.

To ensure consistency with the rules defined in the 

Scg expression
ShowPartsterm
ShowFormatinline
111115723604009|MRCM attribute domain reference set|
 and the 
Scg expression
ShowPartsterm
ShowFormatinline
111115723592007|MRCM attribute range reference set|
, the generic Domain Expression Templates should never be edited directly. Instead, changes should be made by editing the associated rules in the 
Scg expression
ShowPartsterm
ShowFormatinline
111115723604009|MRCM attribute rangedomain reference set|
 and the 
Scg expression
ShowPartsterm
ShowFormatinline
111115723592007|MRCM attribute range reference set|
 and then updates to the generic Domain Expression Templates should be made automatically made.

Data Structure

A 

Scg expression
ShowPartsterm
ShowFormatinline
111115723589008|MRCM domain reference set|
 is structured as shown in the following table.

Field

Datatype

Purpose

Immutable

id

UUID

A 128 bit unsigned integer, uniquely identifying this reference set member.

Different versions of a reference set member share the same id but have different effectiveTimes. This allows a reference set member to be modified or made inactive (i.e. removed from the active set) at a specified time.

Y

effectiveTime

Time

The inclusive date or time at which this version of the identified reference set member became the current version.

The current version of this reference set member at time T is the version with the most recent effectiveTime prior to or equal to time T.

N

active

Boolean

The state of the identified reference set member as at the specified effectiveTime.

If active=1 (true) the reference set member is part of the current version of the set, if active=0 (false) the reference set member is not part of the current version of the set.

N

moduleId

SCTID

Identifies the SNOMED CT module that contains this reference set member as at the specified effectiveTime.

The value must be a subtype of

Scg expression
ShowPartsterm
900000000000443000 |Module (core metadata concept)|
within the metadata hierarchy.

N

refsetId

SCTID

Identifies the reference set to which this reference set member belongs.

In this case, the refsetId is set to a subtype of

Scg expression
ShowPartsterm
ShowFormatinline
111115723589008|MRCM domain reference set|

Y

referenced ComponentId

SCTID

A reference to the SNOMED CT concept that identifies the relevant concept domain.

Y

domainConstraint

String

An expression constraint, which defines the set of concepts included in the given concept domain.

This string can be parsed using the ABNF syntax defined for the Expression Constraint Language.

Y

parentDomain

String

An expression constraint, which represents the set of immediate parent domains.

An immediate parent domain is a domain that is a proper superset of the given domain, and which is not a proper superset of any other parent domain.

N

proximalPrimitive Constraint

String

The domain constraint, as it would be represented for proximal primitive modelling. If the domain concept is sufficiently defined, then its proximal primitive parent will be used instead, while if the domain concept is primitive, then the concept itself is used. Additional constraints on the proximal primitive parent are also included.

The expansion of the given constraint must be further filtered to find those concepts with a definitionStatusId =

Scg expression
ShowPartsterm
ShowFormatinline
900000000000074008 |Primitive|
.

This string can be parsed using the ABNF syntax defined for the Expression Constraint Language.

N

proximalPrimitive Refinement

String

The template representation of any additional refinements that are required to model in the given domain using proximal primitive modelling. These mandatory refinements reflect the defining relationships of the domain concept, when it is sufficiently defined.

This string can be parsed using the 'refinement' rule in the ABNF syntax defined for the Expression Constraint Language.

N

domainTemplate ForPrecoordination

String

A general template that may be used to author precoordinated content. This template incorporates all of the mandatory attribute domain and range rules rules for precoordinated SNOMED CT content.

This string can be parsed using the Expression Template Language (currently under development).

N

domainTemplate ForPostcoordination

String

A general template that may be used to author postcoordinated content. This template incorporates all of the mandatory attribute domain and range rules rules for postcoordinated SNOMED CT content.

This string can be parsed using the Expression Template Language (currently under development).

N

editorialGuide ReferenceguideURL

Uniform Resource Locator

A URL that references a web resource in which the given domain is described in further detail.

This URL uses the following pattern: "http://snomed.org/dom<conceptId>"

N

Metadata

The following metadata hierarchy supports this reference set:

  • Scg expression
    ShowPartsterm
    900000000000454005|Foundation metadata concept|

    • Scg expression
      ShowPartsterm
      900000000000455006|Reference set|

      • Scg expression
        ShowPartsterm
        723564002|MRCM reference set

        • MRCM domain reference set
          • MRCM domain (INT) reference set
    • Reference set attribute
      • Domain constraint
      • Parent domain
      • Proximal primitive constraint
      • Proximal primitive refinement
      • Template
        • Domain template
          • Domain template for precoordination
          • Domain template for postcoordination
        • Template for precoordination
          • Domain template for precoordination
        • Template for postcoordination
          • Domain template for postcoordination
      • Editorial guide reference

Descriptor Template

...

      • |

        • Scg expression
          ShowPartsterm
          723589008|MRCM domain reference set|

          • Scg expression
            ShowPartsterm
            723560006|MRCM domain international reference set|

    • Scg expression
      ShowPartsterm
      900000000000457003|Reference set attribute|

      • Scg expression
        ShowPartsterm
        723565001|Domain constraint|

      • Scg expression
        ShowPartsterm

...

111115|MRCM domain reference set|

...

Footnote Macro

Concepts for which an identifier has not been assigned have been shown with an identifier of '111115'

...

refsetId

...

referencedComponentId

...

attributeDescription

...

attributeType

...

attributeOrder

      • 723570008|Guide URL|

      • Scg expression
        ShowPartsterm
        723566000|Parent domain|

      • Scg expression
        ShowPartsterm
        723567009|Proximal primitive constraint

...

      • |

      • Scg expression
        ShowPartsterm

...

      • 723568004|

...

      • Proximal

...

      • primitive

...

      • refinement|

      • Scg expression
        ShowPartsterm

...

      • 723569007|

...

      • Template|

        • Scg expression
          ShowPartsterm

...

        • 723599003|

...

        • Domain

...

        • template|

...

0

          • Scg expression

...

          • ShowPartsterm
            723600000|Domain template for precoordination|

          • Scg expression

...

          • ShowPartsterm
            723601001|Domain template for postcoordination|

Descriptor Template

The table below shows the reference set descriptor for a reference set that follows the 

Scg expression
ShowPartsterm
ShowFormatinline
723589008|MRCM domain reference set|
 pattern.

1

refsetId

referencedComponentId

attributeDescription

attributeType

attributeOrder

111115|Domain constraint|

Scg expression
707000009|SNOMED CT parsable string|

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
111115723589008|MRCM domain reference set|

Scg expression
111115449608002|ParentReferenced domaincomponent|

Scg expression
707000009900000000000461009|SNOMEDConcept CTtype parsable stringcomponent|

20

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
111115723589008|MRCM domain reference set|

Scg expression
111115723565001|ProximalDomain primitive constraint|

Scg expression
707000009|SNOMED CT parsable string|

31

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
111115723589008|MRCM domain reference set|

Scg expression
111115723566000|ProximalParent primitive refinementdomain|

Scg expression
707000009|SNOMED CT parsable string|

42

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
111115723589008|MRCM domain reference set|

Scg expression
111115723567009|DomainProximal templateprimitive for precoordinationconstraint|

Scg expression
707000009|SNOMED CT parsable string|

53

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
111115723589008|MRCM domain reference set|

Scg expression
111115723568004|DomainProximal templateprimitive for postcoordinationrefinement|

Scg expression
707000009|SNOMED CT parsable string|

64

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
111115723589008|MRCM domain reference set|

Scg expression
111115723600000|EditorialDomain template guidefor referenceprecoordination|

Scg expression
900000000000469006707000009|SNOMED CT parsable string|

75

Example

...

Scg expression
900000000000456007|Reference set descriptor|

Scg expression
723589008|MRCM domain reference set|

...

Scg expression
723601001|Domain template for postcoordination|

Scg expression
707000009|SNOMED CT parsable string|

6

Scg expression

...

ShowPartsterm
ShowFormatinline

...

900000000000456007|Reference set descriptor|

Scg expression
723589008|MRCM domain reference set|

...

 

...

refsetId

...

referenced Component Id

...

domain Constraint

...

parent Domain

...

proximal Primitive Constraint

...

proximal Primitive Refinement

...

domainTemplateForPrecoordination

 

...

domainTemplateForPostcoordination

Scg expression
723570008|Guide URL|

Scg expression
707000009|SNOMED CT parsable string|

7

Example

...

The table below shows some example rows from a reference set that uses the format of the

Scg expression

...

723589008|MRCM domain

...

reference set|
.

Please note that the generic domain templates defined for the SNOMED CT International Edition are designed to support a proximal primitive parent authoring approach. However, domain templates included in an extension's 

Scg expression
ShowPartsterm
ShowFormatinline
723589008|MRCM domain reference set|
 may be designed to support a proximal parent authoring approach if required.

 

refsetId

referenced Component Id

domain Constraint

parent Domain

proximal Primitive Constraint

proximal Primitive Refinement

domainTemplateForPrecoordination

 

domainTemplateForPostcoordination

guideURL

Scg expression
723560006|MRCM domain international reference set|

Scg expression
404684003|Clinical finding (finding)|

Scg expression
404684003|Clinical finding (finding)|
Scg expression
<< 404684003|Clinical finding (finding)|

 

 

Scg expression
<< 404684003|Clinical finding (finding)|

 

 

Scg expression
[[+id(<< 404684003 |Clinical finding (finding)|)]]: [[0..*]] { [[0..*]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 11667600847429007 |Associated morphologywith| = [[+id(<< 49755003404684003 |MorphologicallyClinical abnormal structurefinding (morphologic abnormalityfinding)|)]], [[0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR <<  OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 263502005 |Clinical course| = [[+id(<< 288524001 |Courses (qualifier value)|)]], [[0..*]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[0..*]] 246456000 |Episodicity| = [[+id(<< 288526004 |Episodicities (qualifier value)|)]], [[0..*]] 419066007 |Finding informer| = [[+id(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[0..*]] 418775008 |Finding method| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..*]] 363698007363713009 |FindingHas siteinterpretation| = [[+id(<< 442083009260245000 |Anatomical or acquired body structureFinding values (bodyqualifier structurevalue)|)]], [[0..*]] 363713009363714003 |Interprets|Has interpretation| = [[+id(<< 260245000 |Findings values (qualifier value)|)]], [[0..*]] 363714003 |Interprets| = [[+id(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..*]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..*]] 370135005 |Pathological process| = [[+id(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR << 472963003 |Hypersensitivity process |)]], [[0..*]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]] }

Scg expression
[[+scgid(<< 404684003 |Clinical finding (finding)|)]]: [[0..*]] { [[0..*]] 255234002 |After| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 116676008 |Associated morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 47429007 |Associated with| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 246075003 |Causative agent| = [[+scg(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 263502005 |Clinical course| = [[+scg(<< 288524001 |Courses (qualifier value)|)]], [[0..*]] 42752001 |Due to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[0..*]] 246456000 |Episodicity| = [[+scg(<< 288526004 |Episodicities (qualifier value)|)]], [[0..*]] 419066007 |Finding informer| = [[+scg(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[0..*]] 418775008 |Finding method| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..*]] 363698007 |Finding site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 363713009 |Has interpretation| = [[+scg(<< 260245000 |Findings values (qualifier value)|)]], [[0..*]] 363714003 |Interprets| = [[+scg(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..*]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..*]] 370135005 |Pathological process| = [[+scg(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[0..*]] 246112005 |Severity| = [[+scg(<< 272141005 |Severities (qualifier value)|)]] }

http://snomed.org/dom404684003

Scg expression
111115|MRCM domain (INT) reference set|

Scg expression
64572001|Disease (disorder)|

Scg expression
<< 64572001|Disease (disorder)|

Scg expression
404684003|Clinical finding (finding)|

Scg expression
<< 64572001|Disease (disorder)|

 

Scg expression
[[+id(<< 64572001 |Disease (disorder)|)]]: [[0..*]] { [[0..*]] 363705008 |Has definitional manifestation| = [[+id(<< 404684003 |Clinical finding (finding)|)]], [[0..*]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 116676008 |Associated morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 263502005 |Clinical course| = [[+id(<< 288524001 |Courses (qualifier value)|)]], [[0..*]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[0..*]] 246456000 |Episodicity| = [[+id(<< 288526004 |Episodicities (qualifier value)|)]], [[0..*]] 419066007 |Finding informer| = [[+id(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[0..*]] 418775008 |Finding method| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[0..*]] 363698007 |Finding site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 363713009 |Has interpretation| = [[+id(<< 260245000 |Findings values (qualifier value)|)]], [[0..*]] 363714003 |Interprets| = [[+id(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..*]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[0..*]] 370135005 |Pathological process| = [[+id(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[0..*]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]] }

Scg expression
[[+scg(<< 64572001 |Disease (disorder)|)]]: [[0..*]] { [[0..*]] 363705008 |Has definitional manifestation| = [[+scg(<< 404684003 |Clinical finding (finding)|)]], [[0..*]] 255234002 |After| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 116676008 |Associated morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 47429007 |Associated with| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 246075003 |Causative agent| = [[+scg(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[0..*]] 263502005 |Clinical course| = [[+scg(<< 288524001 |Courses (qualifier value)|)]], [[0..*]] 42752001 |Due to| = [[+scg(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[0..*]] 246456000 |Episodicity| = [[+scg(<< 288526004 |Episodicities (qualifier value)|)]], [[0..*]] 419066007 |Finding informer| = [[+scg(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[0..*]] 418775008 |Finding method| = [[+scg(<< 71388002 |Procedure (procedure)|)]], [[0..*]] 363698007 |Finding site| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 363713009 |Has interpretation| = [[+scg(<< 260245000 |Findings values (qualifier value)|)]], [[0..*]] 363714003 |Interprets| = [[+scg(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..*]] 246454002 |Occurrence| = [[+scg(<< 282032007 |Periods of life (qualifier value)|)]], [[0..*]] 370135005 |Pathological process| = [[+scg(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[0..*]] 246112005 |Severity| = [[+scg(<< 272141005 |Severities (qualifier value)|)]] }

http://snomed.org/dom64572001

Scg expression
111115|MRCM domain (INT) reference set|

Scg expression
71388002|Procedure (procedure)|

Scg expression
<< 71388002|Procedure (procedure)|

 

 

Scg expression
<< 71388002|Procedure (procedure)|

 

Scg expression
[[+id = [[+scg(<< 71388002 |Procedure (procedure)|)]]:, [[0..*]] { [[0..*]] 260507000 |Access|363698007 |Finding site| = [[+idscg(<< 309795001442083009 |Surgical access valuesAnatomical or acquired body structure (qualifierbody valuestructure)|)]], [[0..*]] 363699004363713009 |DirectHas deviceinterpretation| = [[+idscg(<< 49062001260245000 |DeviceFinding values (physicalqualifier objectvalue)|)]], [[0..*]] 363700003 |Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality 363714003 |Interprets| = [[+scg(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[0..*]] 363701004246454002 |Direct substanceOccurrence| = [[+idscg(<< 105590001282032007 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (productPeriods of life (qualifier value)|)]], [[0..*]] 363702006370135005 |HasPathological focusprocess| = [[+id(scg(263680009 |Autoimmune| OR << 404684003441862004 |Clinical finding (finding)Infectious process| OR << 71388002472963003 |ProcedureHypersensitivity (procedure)process|)]], [[0..*]] 363703001246112005 |Has intentSeverity| = [[+id(<< 363675004 |Intents (nature of procedure values) +scg(<< 272141005 |Severities (qualifier value)|)]], [[0..*]] 363710007363705008 |IndirectHas definitional devicemanifestation| = [[+idscg(<< 49062001404684003 |DeviceClinical finding (physical objectfinding)|)]] }

http://snomed.org/dom404684003

Scg expression
723560006|MRCM domain international reference set|

Scg expression
71388002|Procedure (procedure)|

Scg expression
<< 71388002|Procedure (procedure)|

 

 

Scg expression
<< 71388002|Procedure (procedure)|

 

Scg expression
[[, [[0..*]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 260686004 |Method| = [[+id(<< 12926400271388002 |ActionProcedure (qualifier valueprocedure)|)]],: [[0..*]] 260870009 |Priority| = [[+id(<< 272125009 |Priorities (qualifier value)|)]],{ [[0..*]] 405815000260507000 |Procedure deviceAccess| = [[+id(<< 49062001309795001 |DeviceSurgical access values (physicalqualifier objectvalue)|)]], [[0..*]] 405816004363699004 |ProcedureDirect morphologydevice| = [[+id(<< 4975500349062001 |Morphologically abnormal structureDevice (morphologicphysical abnormalityobject)|)]], [[0..*]] 363704007363700003 |ProcedureDirect sitemorphology| = [[+id(<< 44208300949755003 |AnatomicalMorphologically orabnormal acquired body structure (bodymorphologic structureabnormality)|)]], [[0..*]] 405813007363701004 |Procedure site - DirectDirect substance| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..*]] 405814001363702006 |Procedure site - IndirectHas focus| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 370130000363703001 |PropertyHas intent| = [[+id(<< 118598001363675004 |PropertyIntents (nature of measurementprocedure values) (qualifier value)|)]], [[0..*]] 363706009363710007 |RecipientIndirect categorydevice| = [[+id(<< 12567600249062001 |PersonDevice (personphysical object)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)]], [[0..*]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 246513007260686004 |Revision statusMethod| = [[+id(<< 261424001129264002 |Primary operationAction (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|)]], [[0..*]] 410675002260870009 |Route of administrationPriority| = [[+id(<< 284009009272125009 |Route of administration value Priorities (qualifier value)|)]], [[0..*]] 370132008405815000 |ScaleProcedure typedevice| = [[+id(<< 3076600249062001 |QuantitativeDevice (qualifierphysical valueobject)| OR << 26716007 |Qualitative (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 363704007 |Procedure site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 425391005405814001 |UsingProcedure site access- deviceIndirect| = [[+id(<< 49062001442083009 |DeviceAnatomical or acquired body structure (physicalbody objectstructure)|)]], [[0..*]] 424226004370131001 |UsingRecipient devicecategory| = [[+id(<< 125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 49062001133928008 |DeviceCommunity (physicalsocial object)|)]], [[0..*]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical forceconcept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)|)]], [[0..*]] 424361007246513007 |UsingRevision substancestatus| = [[+id(<< 105590001261424001 |Substance (substance)|)]] }
Scg expression
[[+scg(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[0..*]] 260507000 |Access| = [[+scg(<< 309795001 |Surgical access valuesPrimary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|)]], [[0..*]] 363699004425391005 |DirectUsing access device| = [[+scgid(<< 49062001 |Device (physical object)|)]], [[0..*]] 363700003424226004 |DirectUsing morphologydevice| = [[+scgid(<< 4975500349062001 |MorphologicallyDevice abnormal structure (morphologicphysical abnormalityobject)|)]], [[0..*]] 363701004424244007 |DirectUsing substanceenergy| = [[+scgid(<< 10559000178621006 |SubstancePhysical force (substance)| OR << 373873005 |Pharmaceutical / biologic product (productphysical force)|)]], [[0..*]] 363702006424361007 |HasUsing focussubstance| = [[+scgid(<< 404684003105590001 |ClinicalSubstance finding (findingsubstance)|)]] }

Scg expression
[[+id( OR << 71388002 |Procedure (procedure)|)]],: [[0..*]] { [[0..*]] 363703001260507000 |Has intentAccess| = [[+scg(<< 363675004309795001 |Intents (nature of procedure values)Surgical access values (qualifier value)|)]], [[0..*]] 363710007363699004 |IndirectDirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 363709002363700003 |IndirectDirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 260686004363701004 |MethodDirect substance| = [[+scg(<< 129264002105590001 |ActionSubstance (qualifier valuesubstance)|)]], [[0..*]] 260870009 |Priority| = [[+scg(<< 272125009 |Priorities (qualifier value OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..*]] 405815000363702006 |ProcedureHas devicefocus| = [[+scg(<< 49062001404684003 |DeviceClinical finding (physical objectfinding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 405816004363703001 |ProcedureHas morphologyintent| = [[+scg(<< 49755003363675004 |Morphologically abnormal structure (morphologic abnormalityIntents (nature of procedure values) (qualifier value)|)]], [[0..*]] 363704007363710007 |ProcedureIndirect sitedevice| = [[+scg(<< 44208300949062001 |Anatomical or acquired body structureDevice (bodyphysical structureobject)|)]], [[0..*]] 405813007363709002 |Procedure site - DirectIndirect morphology| = [[+scg(<< 44208300949755003 |Anatomical or acquired bodyMorphologically abnormal structure (bodymorphologic structureabnormality)|)]], [[0..*]] 405814001260686004 |Procedure site - IndirectMethod| = [[+scg(<< 442083009129264002 |Anatomical or acquired body structure (body structureAction (qualifier value)|)]], [[0..*]] 370130000260870009 |PropertyPriority| = [[+scg(<< 118598001272125009 |Property of measurementPriorities (qualifier value)|)]], [[0..*]] 363706009405815000 |RecipientProcedure categorydevice| = [[+scg(<< 12567600249062001 |PersonDevice (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social conceptphysical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 246513007363704007 |RevisionProcedure statussite| = [[+scg(<< 261424001442083009 |Primary operationAnatomical or acquired body structure (qualifierbody valuestructure)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 410675002405814001 |RouteProcedure site of- administrationIndirect| = [[+scg(<< 284009009442083009 |RouteAnatomical or ofacquired administrationbody valuestructure (qualifierbody valuestructure)|)]], [[0..*]] 370132008370131001 |ScaleRecipient typecategory| = [[+scg(<< 125676002 |Person (person)| OR << 3076600235359004 |QuantitativeFamily (qualifiersocial valueconcept)| OR << 26716007133928008 |QualitativeCommunity (qualifiersocial valueconcept)| OR << 117363000105455006 |Ordinal value (qualifier valueDonor for medical or surgical procedure (person)| OR << 117365007389109008 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal valueGroup (social concept)|)]], [[0..*]] 246513007 |Revision status| = [[+scg(<< 261424001 |Primary operation (qualifier value)| OR << 117364006255231005 |NarrativeRevision - value (qualifier value)| OR << 117444000257958009 |Text valuePart of multistage procedure (qualifier value)|)]], [[0..*]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..*]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]] }

http://snomed.org/dom71388002

Scg expression
111115723560006|MRCM domain (INT)international reference set|

Scg expression
386053000|Evaluation procedure (procedure)|

Scg expression
<< 386053000|Evaluation procedure (procedure)|

Scg expression
71388002|Procedure (procedure)|

Scg expression
<< 71388002|Procedure (procedure)|

Scg expression
[[1..*]] 260686004 |Method| = [+(<< 129265001 |Evaluation - action|)]]

Scg expression
[[+id(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[

Scg expression
[[1..*]] 260686004 |Method| = [+id(<< 129265001 |Evaluation - action|)]]

Scg expression
, [[0..*]] 246093002 |Component| = [[+id(<< 10559000171388002 |SubstanceProcedure (substanceprocedure)| OR << 363787002 |Observable entity (observable entity)| OR << 4421005 |Cell structure (cell structure)| OR << 410607006 |Organism (organism)|)]], [[0)]]: [[0..*]] { [[1..*]] 116686009260686004 |Has specimenMethod| = [[+id(<< 123038009129265001 |Specimen (specimen)Evaluation - action|)]], [[0..*]] 370129005246093002 |Measurement methodComponent| = [[+id(<< 127789004123037004 |LaboratoryBody procedurestructure| categorizedOR by<< method (procedure)|)]], [[0..*]] 370134009 |Time aspect| = [[+id(<< 7389001 |Time frame (qualifier value)|)]], [[0..*]] 260507000 |Access| = [[+id(<< 309795001 |Surgical access values (qualifier value)410607006 |Organism| OR << 105590001 |Substance| OR << 123038009 |Specimen| OR << 260787004 |Physical object| OR << 373873005 |Pharmaceutical / biologic product| OR << 419891008 |Record artifact| OR << 363787002 |Observable entity|)]], [[0..*]] 363699004116686009 |DirectHas devicespecimen| = [[+id(<< 49062001123038009 |DeviceSpecimen (physical objectspecimen)|)]], [[0..*]] 363700003370129005 |DirectMeasurement morphologymethod| = [[+id(<< 49755003127789004 |Morphologically abnormal structure (morphologic abnormalityLaboratory procedure categorized by method (procedure)|)]], [[0..*]] 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product370130000 |Property| = [[+id(<< 118598001 |Property of measurement (qualifier value)|)]], [[0..*]] 363702006370132008 |HasScale focustype| = [[+id(<< 404684003 |Clinical finding (finding) 30766002 |Quantitative| OR << 26716007 |Qualitative| OR << 117363000 |Ordinal value| OR << 71388002117365007 |Procedure (procedure)|)]], [[0..*]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)Ordinal or quantitative value| OR << 117362005 |Nominal value| OR << 117364006 |Narrative value| OR << 117444000 |Text value|)]], [[0..*]] 363710007370134009 |IndirectTime deviceaspect| = [[+id(<< 490620017389001 |DeviceTime frame (physicalqualifier objectvalue)|)]], [[0..*]] 363709002260507000 |Indirect morphologyAccess| = [[+id(<< 49755003309795001 |MorphologicallySurgical abnormalaccess structurevalues (morphologicqualifier abnormalityvalue)|)]], [[0..*]] 260686004363699004 |MethodDirect device| = [[+id(<< 12926400249062001 |ActionDevice (qualifierphysical valueobject)|)]], [[0..*]] 260870009363700003 |PriorityDirect morphology| = [[+id(<< 27212500949755003 |PrioritiesMorphologically abnormal structure (qualifiermorphologic valueabnormality)|)]], [[0..*]] 405815000363701004 |ProcedureDirect devicesubstance| = [[+id(<< 49062001 |Device (physical object<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..*]] 405816004363702006 |ProcedureHas morphologyfocus| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 363704007363703001 |ProcedureHas siteintent| = [[+id(<< 442083009363675004 |AnatomicalIntents or(nature acquiredof bodyprocedure structurevalues) (bodyqualifier structurevalue)|)]], [[0..*]] 405813007363710007 |Procedure site - DirectIndirect device| = [[+id(<< 44208300949062001 |Anatomical or acquired body structure (body structureDevice (physical object)|)]], [[0..*]] 405814001363709002 |Procedure site - IndirectIndirect morphology| = [[+id(<< 442083009 |Anatomical or49755003 acquired|Morphologically bodyabnormal structure (bodymorphologic structureabnormality)|)]], [[0..*]] 370130000260686004 |PropertyMethod| = [[+id(<< 118598001129264002 |PropertyAction of measurement (qualifier value)|)]], [[0..*]] 363706009260870009 |Recipient categoryPriority| = [[+id(<< 125676002272125009 |PersonPriorities (personqualifier value)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 246513007363704007 |RevisionProcedure statussite| = [[+id(<< 261424001442083009 |Primary operationAnatomical or acquired body structure (qualifierbody valuestructure)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 410675002405814001 |RouteProcedure site of- administrationIndirect| = [[+id(<< 284009009442083009 |RouteAnatomical or ofacquired administrationbody valuestructure (qualifierbody valuestructure)|)]], [[0..*]] 370132008370131001 |ScaleRecipient typecategory| = [[+id(<< 30766002125676002 |QuantitativePerson (qualifier valueperson)| OR << 2671600735359004 |QualitativeFamily (qualifiersocial valueconcept)| OR << 117363000133928008 |OrdinalCommunity value (qualifiersocial valueconcept)| OR << 117365007 |Ordinal105455006 |Donor for medical or surgical procedure (person)| OR quantitative value (qualifier value)| OR << 117362005 |Nominal value<< 389109008 |Group (social concept)|)]], [[0..*]] 246513007 |Revision status| = [[+id(<< 261424001 |Primary operation (qualifier value)| OR << 117364006255231005 |NarrativeRevision - value (qualifier value)| OR << 117444000257958009 |Text valuePart of multistage procedure (qualifier value)|)]], [[0..*]] 425391005 |Using access device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 424226004 |Using device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 424244007 |Using energy| = [[+id(<< 78621006 |Physical force (physical force)|)]], [[0..*]] 424361007 |Using substance| = [[+id(<< 105590001 |Substance (substance)|)]] }

Scg expression
[[+scgid(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[1..*]] 260686004 |Method| = [+scgid(<< 129265001 |Evaluation - action|)]], [[0..*]] 246093002 |Component| = [[+scg(<< 123037004 |Body structure| OR << 410607006 |Organism| OR << 105590001 |Substance (substance)| OR << 363787002123038009 |Observable entity (observable entity)|Specimen| OR << 260787004 |Physical object| OR << 4421005 |Cell structure (cell structure) 373873005 |Pharmaceutical / biologic product| OR << 419891008 |Record artifact| OR << 410607006363787002 |OrganismObservable (organism)entity|)]], [[0..*]] 116686009 |Has specimen| = [[+scg(<< 123038009 |Specimen (specimen)|)]], [[0..*]] 370129005 |Measurement method| = [[+scg(<< 127789004 |Laboratory procedure categorized by method (procedure)|)]], [[0..*]] 370134009370130000 |Time aspectProperty| = [[+scg(<< 7389001118598001 |TimeProperty of framemeasurement (qualifier value)|)]], [[0..*]] 260507000370132008 |AccessScale type| = [[+scg(<< 30979500130766002 |SurgicalQuantitative| accessOR values<< (qualifier26716007 value)|)]], [[0..*]] 363699004 |Direct device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 363700003 |Direct morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 363701004 |Direct substance| = [[+scg(<< 105590001 |Substance (substance)|Qualitative| OR << 117363000 |Ordinal value| OR << 117365007 |Ordinal or quantitative value| OR << 117362005 |Nominal value| OR << 117364006 |Narrative value| OR << 373873005117444000 |Pharmaceutical / biologic product (product)Text value|)]], [[0..*]] 363702006370134009 |HasTime focusaspect| = [[+scg(<< 4046840037389001 |ClinicalTime findingframe (finding)| OR << 71388002 |Procedure (procedurequalifier value)|)]], [[0..*]] 363703001260507000 |Has intentAccess| = [[+scg(<< 363675004 |Intents (nature of procedure values) 309795001 |Surgical access values (qualifier value)|)]], [[0..*]] 363710007363699004 |IndirectDirect device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 363709002363700003 |IndirectDirect morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 260686004363701004 |MethodDirect substance| = [[+scg(<< 129264002105590001 |ActionSubstance (qualifier valuesubstance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[0..*]] 260870009363702006 |PriorityHas focus| = [[+scg(<< 272125009404684003 |PrioritiesClinical finding (qualifier valuefinding)| OR << 71388002 |Procedure (procedure)|)]], [[0..*]] 405815000363703001 |ProcedureHas deviceintent| = [[+scg(<< 49062001363675004 |DeviceIntents (nature of procedure values) (physicalqualifier objectvalue)|)]], [[0..*]] 405816004363710007 |ProcedureIndirect morphologydevice| = [[+scg(<< 4975500349062001 |Morphologically abnormalDevice structure (morphologicphysical abnormalityobject)|)]], [[0..*]] 363704007363709002 |ProcedureIndirect sitemorphology| = [[+scg(<< 44208300949755003 |AnatomicalMorphologically or acquiredabnormal body structure (bodymorphologic structureabnormality)|)]], [[0..*]] 405813007260686004 |Procedure site - DirectMethod| = [[+scg(<< 442083009129264002 |Anatomical or acquired body structure (body structureAction (qualifier value)|)]], [[0..*]] 405814001260870009 |Procedure site - IndirectPriority| = [[+scg(<< 442083009272125009 |Anatomical or acquired body structure (body structurePriorities (qualifier value)|)]], [[0..*]] 370130000405815000 |PropertyProcedure device| = [[+scg(<< 11859800149062001 |PropertyDevice of measurement (qualifierphysical valueobject)|)]], [[0..*]] 363706009405816004 |RecipientProcedure categorymorphology| = [[+scg(<< 12567600249755003 |Person (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)|)Morphologically abnormal structure (morphologic abnormality)|)]], [[0..*]] 246513007363704007 |RevisionProcedure statussite| = [[+scg(<< 261424001442083009 |Primary operationAnatomical or acquired body structure (qualifierbody valuestructure)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 410675002405814001 |RouteProcedure site of- administrationIndirect| = [[+scg(<< 284009009442083009 |RouteAnatomical or ofacquired administrationbody valuestructure (qualifierbody valuestructure)|)]], [[0..*]] 370132008370131001 |ScaleRecipient typecategory| = [[+scg(<< 30766002 |Quantitative (qualifier value [[+scg(<< 125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 26716007133928008 |QualitativeCommunity (qualifiersocial valueconcept)| OR << 117363000105455006 |Ordinal value (qualifier valueDonor for medical or surgical procedure (person)| OR << 117365007389109008 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal valueGroup (social concept)|)]], [[0..*]] 246513007 |Revision status| = [[+scg(<< 261424001 |Primary operation (qualifier value)| OR << 117364006255231005 |NarrativeRevision - value (qualifier value)| OR << 117444000257958009 |Text valuePart of multistage procedure (qualifier value)|)]], [[0..*]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[0..*]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]] }

http://snomed.org/dom386053000

Note: The table above omits the initial four columns of data present in the release file. These follow the standard format for id, effectiveTime, active and moduleId. Additionally, to aid understanding, the table above also shows the term from one of the descriptions associated with each of the identified concepts. The release file only includes the identifier of these concepts.

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