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This could for example be, if a group of orthopedic surgeons are developing a subset of SNOMED CT procedure concepts to be included in a certain pick list of their local electronic health record. The group already know what options should be available in the pick list, so they choose to create their own reference set and add the required component references to this reference set, see figure below.

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Depending on the scope of content for the reference set there are different development methods that can be applied for selecting, or defining, reference set members.  

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