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When modeling a concept requiring two role groups with the same body structure but two different morphologies (because a combined morphology does not exist),  then then those morphologic abnormalities can be combined to create a single |( morphologic abnormality )| concept. Keep the newly-created morphologic abnormality concept primitive, as all morphologic abnormality concepts are primitive. 

For example,
Disorder concept
Example: ModelingConcept
Associated morphologyAssociated morphologyCombined Associated
(combined) Acantholytic epidermal nevus
morphology
400067002 |

Calcified hematoma of head (disorder)

|

Pathologic calcification, calcified structure

25201003 |Epidermal nevus

(morphologic abnormality)

|

43327007 |Acantholysis

Hematoma (morphologic abnormality)

|787085004 |

Calcified hematoma

Acantholytic epidermal nevus

(morphologic abnormality)

|


Another example is  is 1076491000119102 |Nontraumatic complete rupture of muscle or tendon structure of rotator cuff of left shoulder (disorder)|.

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