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It is also possible to nest

Gloss
PreSpacefalse
texpressions
, one inside the other. Any valid
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SpacePreSpacetruefalse
texpression
may be enclosed in a pair of brackets, and included as the value of an attribute in another
Gloss
PreSpacefalse
texpression
. For example, the following
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SpacePreSpacetruefalse
texpression
describes a medication product that has a single dose form, which is both a spray and a suspension:

...

In the example above, note the use of round brackets (i.e. "( )") to identify a nested

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PreSpacefalse
texpression
, as opposed to braces (i.e. "{ }"), which is used to identify attribute groups.

The following examples show how complex

Gloss
SpacePreSpacetruefalse
texpressions
may be build up from simple ones, a layer at a time. This first
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SpacePreSpacetruefalse
texpression
describes a left hip structure:

...

This next expression uses the "left hip"

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SpacePreSpacetruefalse
texpression
above to describe a procedure to replace it:

...

Applying a further grouped

Gloss
SpacePreSpacetruefalse
trefinement
to the above describes a procedure to replace a left hip by inserting a prosthesis. Note that this example mixes an ungrouped qualification and a grouped qualification. Where this is done, the canonical representation of the expression includes all ungrouped attributes before the grouped ones (see  Terminology Services Guide for more details). Please also note that in the previous version of this standard a comma was not permitted between the last ungrouped attribute and the first attribute group – however this comma is now optional to avoid unexpected syntax errors.

Scg expression
Borderridge
ShowFormatblock
   397956004|Prosthetic arthroplasty of the hip|: 
      405814001|Procedure site - indirect| = (24136001|Hip joint structure|: 272741003|Laterality| = 7771000|Left|), 
      { 363699004|Direct device| = 304120007|Total hip replacement prosthesis|, 
        260686004|Method| = 425362007|Surgical insertion - action|}

Finally, the above

Gloss
SpacePreSpacetruefalse
texpression
may be included within a contextual wrapper, to describe a procedure that has been performed on a patient to replace a left hip by inserting a prosthesis.

...