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The figure below shows the way a navigation hierarchy is represented. The example reference set contains a set of concepts description components used to describe x-ray examinations of the upper and lower limbs. The resulting navigation hierarchy might usefully be extended to include other x-ray procedures but has been kept small for the purposes of the example.finger structures. 

The | All fingers | components is linked to the | Hand |, and the | Thumb | is linked to the | All fingers component | The | Thumb | is placed first because it has the order value 1. Similarly, the components for | Second finger |, | Third finger |, | Fourth finger | and | Fifth finger | are also linked to the | All finger | component in the order specified by the order value. As shown in the figure the direction of the associations goes from the referenceComponentId to the linkedToId, so the components referenced by the linkedToId are used to form the groups specified in the hierarchy

id

effective Time

active

moduleId

refsetId

refsetId_term

referencedComponentId

referencedComponentId_term

order

linkedToId

linkedToId_term

20160731

1

19999999103

159999999105

Associations as ordered reference set

70327001

All fingers

1

141819019

Hand

20160731

1

19999999103

159999999105

Associations as ordered reference set

127053016

Thumb

1

70327001

All fingers

20160731

1

19999999103

159999999105

Associations as ordered reference set

138873019

Second finger

2

70327001

All fingers

20160731

1

19999999103

159999999105

Associations as ordered reference set

108884010

Third finger

3

70327001

All fingers

20160731

1

19999999103

159999999105

Associations as ordered reference set

136021011

Fourth finger

4

70327001

All fingers

20160731

1

19999999103

159999999105

Associations as ordered reference set

21356012

Fifth finger

5

70327001

All fingers

 


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The usability of the ordered reference set for representing alternative hierarchy can be maximised maximized by:

  • Constraining the number of levels in the hierarchy and/or the number of concepts at each level.
    • Using many levels, each with a relatively small number of concepts, allows the most common options to be displayed with a higher priority.
    • Using fewer levels, each with a relatively large number of concepts can reduce the number of levels that needs to be navigated to find an appropriate concept.
    • Options that are never (or rarely) used can be excluded from a customized navigation hierarchy to limit the range of choices available.
  • Ordering each concept at the same hierarchical level, to match user preferences or to facilitate faster access to more frequently used options.
  • Ensuring that the navigation hierarchy is adapted to meet the requirements of a specific use case, without affecting the correctness of the subtype hierarchy (and associated logical inferences).