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• The Finding site (attribute) and Associated morphology (attribute) are always grouped when both are present and related. 
  • When there is more than one Finding site (attribute) or Associated morphology (attribute), then more than one relationship group is required. 
  • When the attributes Occurrence and/or Causative agent are stated and related to the Finding site and Associated morphology attributes, include them within that relationship group. 
    • As in the following diagram, when the Causative agent (attribute) is an organism, the Pathological process (attribute) is also included in that relationship group, with the target value of either 

      Concept
      t 441862004 |Infectious process (qualifier value)|

       or

      Concept
      t 442614005 |Parasitic process (qualifier value)|

      .

• If a concept has values for a Causative agent (attribute) and Finding site (attribute), but does not have a value for an Associated morphology (attribute) or Pathological process (attribute), combine the Causative agent (attribute) and Finding site (attribute) as usual. Concepts that only have Causative agent (attribute) and Finding site (attribute) in a role group are higher in the hierarchy and subsume those concepts that have a role group of Causative agent (attribute), Finding site (attribute), Associated morphology (attribute) and Pathological process (attribute).

• The Interprets and Has interpretation attributes are always grouped together where both are present and related to each other. These two attributes and their values are often used in defining a Clinical finding concept by delineating the observation results or describing the analysis used to determine the observation. Interprets and Has interpretation attributes are not grouped with any other attributes.

• The Finding method and Finding informer attributes are also grouped together where both are present and related to each other.

Stated view of a disorder hierarchy concept with Causative agent and Pathological process attributes in the same relationship group

Situation with Explicit Context hierarchy

For

• Concept
  t 408729009 |Finding context (attribute)|

• Concept
  t 246090004 |Associated finding (attribute)|

• Concept
  t 408731000 |Temporal context (attribute)|

• Concept
  t 408732007 |Subject relationship context (attribute)|

For example, 

• • Concept
    t 408729009 |Finding context (attribute)|

    , 

    Concept
    t 410516002 |Known absent (qualifier value)|

  • Concept
    t 246090004 |Associated finding (attribute)|

    , 

    Concept
    t 195967001 |Asthma (disorder)|

  • Concept
    t 408731000 |Temporal context (attribute)|

    , 

    Concept
    t 410511007 |Current or past (actual) (qualifier value)|

  • Concept
    t 408732007 |Subject relationship context (attribute)|

    , 

    Concept
    t 444148008 |Person in family of subject (person)|

For

• Concept
  t 408730004 |Procedure context (attribute)|

• Concept
  t 363589002 |Associated procedure (attribute)|

• Concept
  t 408731000 |Temporal context (attribute)|

• Concept
  t 408732007 |Subject relationship context (attribute)|

For example,

• • Concept
    t 408730004 |Procedure context (attribute)|

    , 

    Concept
    t 385658003 |Done (qualifier value)|

  • Concept
    t 363589002 |Associated procedure (attribute)|

    , 

    Concept
    t 420227002 |Recommendation to (procedure)|

  • Concept
    t 408731000 |Temporal context (attribute)|

    , 

    Concept
    t 410512000 |Current or specified time (qualifier value)|

  • Concept
    t 408732007 |Subject relationship context (attribute)|

    , 

    Concept
    t 125676002 |Person (person)|