Machine Readable Concept Model

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Purpose

An

scg-expression
Concept
ShowPartsterm
ShowFormatinline
111115
t723589008|MRCM
domain
reference
set|
 enumerates the concept domains to which SNOMED CT attributes may be applied, and provides additional information to support these concept domains.

...

For each domain in the SNOMED CT concept model, the 

scg-expression
Concept
ShowPartsterm
ShowFormatinline
t723589008
111115
|MRCM
domain
reference
set|
 will contain exactly one member. This reference set member will include an Expression Constraint that defines the concepts in the domain, the identifier of the immediate parent domain (or domains), the domain constraint defined in terms of its proximal primitive concepts and associated mandatory refinements, a generic Domain Expression Template for both precoordinated and postcoordinated content, and a reference to the associated Editorial Guidance guidance that provides additional human-readable text describing this domain. Please note that it is anticipated that the generic Domain Expression Templates will be specialized further for authoring of specific subdomains using specializations stored in a Template Library.

To ensure consistency with the rules defined in the 

Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM attribute domain reference set|
 and the 
Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM attribute range reference set|
, the generic Domain Expression Templates should never be edited directly. Instead, changes should be made by editing the associated rules in the 
Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM attribute range reference set|
 and the 
Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM attribute range reference set|
 and then updates to the generic Domain Expression Templates automatically made.

Data Structure

A 

Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM domain reference set|
 is structured as shown in the following table.

...

Field

...

Datatype

...

Purpose

...

Immutable

...

id

...

UUID

...

A 128 bit unsigned integer, uniquely identifying this reference set member.

Different versions of a reference set member share the same id but have different effectiveTimes. This allows a reference set member to be modified or made inactive (i.e. removed from the active set) at a specified time.

...

Y

...

effectiveTime

...

Time

...

The inclusive date or time at which this version of the identified reference set member became the current version.

The current version of this reference set member at time T is the version with the most recent effectiveTime prior to or equal to time T.

...

N

...

active

...

Boolean

...

The state of the identified reference set member as at the specified effectiveTime.

If active=1 (true) the reference set member is part of the current version of the set, if active=0 (false) the reference set member is not part of the current version of the set.

...

N

...

moduleId

...

SCTID

...

Identifies the SNOMED CT module that contains this reference set member as at the specified effectiveTime.

The value must be a subtype of

Scg expression
900000000000443000 |Module (core metadata concept)|
within the metadata hierarchy.

...

N

...

refsetId

...

SCTID

...

Identifies the reference set to which this reference set member belongs.

In this case, the refsetId is set to a subtype of

Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM domain reference set|

...

Y

...

referenced ComponentId

...

SCTID

...

A reference to the SNOMED CT concept that identifies the relevant concept domain.

...

Y

...

domainConstraint

...

String

...

An expression constraint, which defines the set of concepts included in the given concept domain.

This string can be parsed using the ABNF syntax defined for the Expression Constraint Language.

...

Y

...

parentDomain

...

String

...

An expression constraint, which represents the set of immediate parent domains.

An immediate parent domain is a domain that is a proper superset of the given domain, and which is not a proper superset of any other parent domain.

...

N

...

proximalPrimitive Constraint

...

String

...

The domain constraint, as it would be represented for proximal primitive modelling. If the domain concept is sufficiently defined, then its proximal primitive parent will be used instead, while if the domain concept is primitive, then the concept itself is used. Additional constraints on the proximal primitive parent are also included.

The expansion of the given constraint must be further filtered to find those concepts with a definitionStatusId =

Scg expression
ShowFormatinline
900000000000074008 |Primitive|
.

This string can be parsed using the ABNF syntax defined for the Expression Constraint Language.

...

N

...

proximalPrimitive Refinement

...

String

...

The template representation of any additional refinements that are required to model in the given domain using proximal primitive modelling. These mandatory refinements reflect the defining relationships of the domain concept, when it is sufficiently defined.

This string can be parsed using the 'refinement' rule in the ABNF syntax defined for the Expression Constraint Language.

...

N

...

domainTemplate ForPrecoordination

...

String

...

A general template that may be used to author precoordinated content. This template incorporates all of the mandatory attribute domain and range rules rules for precoordinated SNOMED CT content.

This string can be parsed using the Expression Template Language (currently under development).

...

N

...

domainTemplate ForPostcoordination

...

String

...

A general template that may be used to author postcoordinated content. This template incorporates all of the mandatory attribute domain and range rules rules for postcoordinated SNOMED CT content.

This string can be parsed using the Expression Template Language (currently under development).

...

N

...

editorialGuide Reference

...

Uniform Resource Locator

...

A URL that references a web resource in which the given domain is described in further detail.

This URL uses the following pattern: "http://snomed.org/dom<conceptId>"

...

N

Data Structure

An 

Concept
t723589008|MRCM domain reference set|
 is structured as shown in the following table.

Refset spec table
Sizefs7
RefsetTypeMRCM Domain Reference Set
Metadata
The following metadata hierarchy supports this reference set:
  •  Concept
    t900000000000454005|Foundation metadata concept|
    •  Concept
      t900000000000455006|Reference set|
      •  Concept
        t723564002|MRCM reference set|
        •  Concept
          t723589008|MRCM domain reference set|
          •  Concept
            t723560006|MRCM domain international reference set|
    •  Concept
      t900000000000457003|Reference set attribute|
      •  Concept
        t723565001|Domain constraint|
      •  Concept
        t723570008|Guide URL|
      •  Concept
        t723566000|Parent domain|
      •  Concept
        t723567009|Proximal primitive constraint|
      •  Concept
        t723568004|Proximal primitive refinement|
      •  Concept
        t723569007|Template|
        •  Concept
          t723599003|Domain template|
          •  Concept
            t723600000|Domain template for precoordination|
          •  Concept
            t723601001|Domain template for postcoordination|
 Excerpt Include
REUSE:Notes on Reference Set Example Tables
REUSE:Notes on Reference Set Example Tables
nopaneltrue
Descriptor Template
The table below shows the reference set descriptor for a reference set that follows the  
 Concept
t723589008|MRCM domain reference set|
 pattern.
 Table width manager
Col1*,1*,1*,1*,80

refsetId
referencedComponentId
attributeDescription
attributeType
attribute Order
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t449608002|Referenced component|
 Concept
t900000000000461009|Concept type component|
0
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723565001|Domain constraint|
 Concept
t707000009|SNOMED CT parsable string|
1
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723566000|Parent domain|
 Concept
t707000009|SNOMED CT parsable string|
2
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723567009|Proximal primitive constraint|
 Concept
t707000009|SNOMED CT parsable string|
3
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723568004|Proximal primitive refinement|
 Concept
t707000009|SNOMED CT parsable string|
4
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723600000|Domain template for precoordination|
 Concept
t707000009|SNOMED CT parsable string|
5
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723601001|Domain template for postcoordination|
 Concept
t707000009|SNOMED CT parsable string|
6
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723570008|Guide URL|
 Concept
t707000009|SNOMED CT parsable string|
7

Example Data
The table below shows some example rows from a reference set that uses the format of the 
 Concept
t723589008|MRCM domain reference set|
 .
Please note that the generic domain templates defined for the SNOMED CT International Edition are designed to support a proximal primitive parent authoring approach. However, domain templates included in an extension's  
 Concept
t723589008|MRCM domain reference set|
  may be designed to support a proximal parent authoring approach if required.
 PDF: Landscape

 Table width manager
Col140,140,140,140,140,140,1*,1*,140
Widertrue

refsetId
referenced Component Id
domain  Constraint
parent Domain
proximal Primitive Constraint
proximal Primitive Refinement
domainTemplateForPrecoordination
domainTemplateForPostcoordination
guideURL
 Concept
t723560006|MRCM domain international reference set|
 Concept
t71388002|Procedure (procedure)|
 Concept
t<< 71388002|Procedure (procedure)|
 
 
 Concept
t<< 71388002|Procedure (procedure)|
 

 Scg expression
[[+id(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[0..*]] 260507000 |Access
Metadata
The following metadata hierarchy supports this reference set:
  • Foundation metadata concept
    • Reference set
      • MRCM reference set
        • MRCM domain reference set
          • MRCM domain (INT) reference set
    • Reference set attribute
      • Domain constraint
      • Parent domain
      • Proximal primitive constraint
      • Proximal primitive refinement
      • Template
        • Domain template
          • Domain template for precoordination
          • Domain template for postcoordination
        • Template for precoordination
          • Domain template for precoordination
        • Template for postcoordination
          • Domain template for postcoordination
      • Editorial guide reference
Descriptor Template
The table below shows the reference set descriptor for a reference set that follows the 
 Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM domain reference set|
 pattern
 Footnote Macro
Concepts for which an identifier has not been assigned have been shown with an identifier of '111115'
.
...
refsetId
...
referencedComponentId
...
attributeDescription
...
attributeType
...
attributeOrder
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
449608002|Referenced component|
...
 Scg expression
900000000000461009|Concept type component|
...
0
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Domain constraint|
...
 Scg expression
707000009|SNOMED CT parsable string|
...
1
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Parent domain|
...
 Scg expression
707000009|SNOMED CT parsable string|
...
2
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Proximal primitive constraint|
...
 Scg expression
707000009|SNOMED CT parsable string|
...
3
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Proximal primitive refinement|
...
 Scg expression
707000009|SNOMED CT parsable string|
...
4
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Domain template for precoordination|
...
 Scg expression
707000009|SNOMED CT parsable string|
...
5
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Domain template for postcoordination|
...
 Scg expression
707000009|SNOMED CT parsable string|
...
6
...
 Scg expression
900000000000456007|Reference set descriptor|
...
 Scg expression
111115|MRCM domain reference set|
...
 Scg expression
111115|Editorial guide reference|
...
 Scg expression
900000000000469006|SNOMED CT parsable string|
...
7
Example
The table below shows some example rows from a reference set that uses the format of the
 Scg expression
|MRCM domain reference set|
. 
Please note that the generic domain templates defined for the SNOMED CT International Edition are designed to support a proximal primitive parent authoring approach. However, domain templates included in an extension's 
 Scg expression
ShowPartsterm
ShowFormatinline
111115|MRCM domain reference set|
 may be designed to support a proximal parent authoring approach if required.
 
...
refsetId
...
referenced Component Id
...
domain Constraint
...
parent Domain
...
proximal Primitive Constraint
...
proximal Primitive Refinement
...
domainTemplateForPrecoordination 
 
...
domainTemplateForPostcoordination 
...
editorialGuide Reference
...
 Scg expression
111115|MRCM domain (INT) reference set|
...
 Scg expression
404684003|Clinical finding (finding)|
...
 Scg expression
<< 404684003|Clinical finding (finding)|
...
 
 
...
 Scg expression
<< 404684003|Clinical finding (finding)|
...
 
...
 Scg expression
[[+id(<< 404684003 |Clinical finding (finding)|)]]: [[~0..*]] { [[~0..*]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[~0..*]] 116676008 |Associated morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[~0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 263502005 |Clinical course| = [[+id(<< 288524001 |Courses (qualifier value)|)]], [[~0..*]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[~0..*]] 246456000 |Episodicity| = [[+id(<< 288526004 |Episodicities (qualifier value)|)]], [[~0..*]] 419066007 |Finding informer| = [[+id(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[~0..*]] 418775008 |Finding method| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[~0..*]] 363698007 |Finding site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[~0..*]] 363713009 |Has interpretation| = [[+id(<< 260245000 |Findings values (qualifier value)|)]], [[~0..*]] 363714003 |Interprets| = [[+id(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[~0..*]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[~0..*]] 370135005 |Pathological process| = [[+id(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[~0..*]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]] }
...
 Scg expression
[[+(<< 404684003 |Clinical finding (finding)|)]]: [[~0..*]] { [[~0..*]] 255234002 |After| = [[+(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[~0..*]] 116676008 |Associated morphology| = [[+(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[~0..*]] 47429007 |Associated with| = [[+(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 246075003 |Causative agent| = [[+(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 263502005 |Clinical course| = [[+(<< 288524001 |Courses (qualifier value)|)]], [[~0..*]] 42752001 |Due to| = [[+(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[~0..*]] 246456000 |Episodicity| = [[+(<< 288526004 |Episodicities (qualifier value)|)]], [[~0..*]] 419066007 |Finding informer| = [[+(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[~0..*]] 418775008 |Finding method| = [[+(<< 71388002 |Procedure (procedure)|)]], [[~0..*]] 363698007 |Finding site| = [[+(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[~0..*]] 363713009 |Has interpretation| = [[+(<< 260245000 |Findings values (qualifier value)|)]], [[~0..*]] 363714003 |Interprets| = [[+(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[~0..*]] 246454002 |Occurrence| = [[+(<< 282032007 |Periods of life (qualifier value)|)]], [[~0..*]] 370135005 |Pathological process| = [[+(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[~0..*]] 246112005 |Severity| = [[+(<< 272141005 |Severities (qualifier value)|)]] }
...
 http://snomed.org/dom404684003
...
 Scg expression
111115|MRCM domain (INT) reference set|
...
 Scg expression
64572001|Disease (disorder)|
...
 Scg expression
<< 64572001|Disease (disorder)|
...
 Scg expression
404684003|Clinical finding (finding)|
...
 Scg expression
<< 64572001|Disease (disorder)|
...
 
...
 Scg expression
[[+id(<< 64572001 |Disease (disorder)|)]]: [[~0..*]] { [[~0..*]] 363705008 |Has definitional manifestation| = [[+id(<< 404684003 |Clinical finding (finding)|)]], [[~0..*]] 255234002 |After| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[~0..*]] 116676008 |Associated morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[~0..*]] 47429007 |Associated with| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 246075003 |Causative agent| = [[+id(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 263502005 |Clinical course| = [[+id(<< 288524001 |Courses (qualifier value)|)]], [[~0..*]] 42752001 |Due to| = [[+id(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[~0..*]] 246456000 |Episodicity| = [[+id(<< 288526004 |Episodicities (qualifier value)|)]], [[~0..*]] 419066007 |Finding informer| = [[+id(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[~0..*]] 418775008 |Finding method| = [[+id(<< 71388002 |Procedure (procedure)|)]], [[~0..*]] 363698007 |Finding site| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[~0..*]] 363713009 |Has interpretation| = [[+id(<< 260245000 |Findings values (qualifier value)|)]], [[~0..*]] 363714003 |Interprets| = [[+id(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[~0..*]] 246454002 |Occurrence| = [[+id(<< 282032007 |Periods of life (qualifier value)|)]], [[~0..*]] 370135005 |Pathological process| = [[+id(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[~0..*]] 246112005 |Severity| = [[+id(<< 272141005 |Severities (qualifier value)|)]] }
...
 Scg expression
[[+(<< 64572001 |Disease (disorder)|)]]: [[~0..*]] { [[~0..*]] 363705008 |Has definitional manifestation| = [[+(<< 404684003 |Clinical finding (finding)|)]], [[~0..*]] 255234002 |After| = [[+(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[~0..*]] 116676008 |Associated morphology| = [[+(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[~0..*]] 47429007 |Associated with| = [[+(<< 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)| OR << 272379006 |Event (event)| OR << 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 246075003 |Causative agent| = [[+(<< 410607006 |Organism (organism)| OR << 105590001 |Substance (substance)| OR << 260787004 |Physical object (physical object)| OR << 78621006 |Physical force (physical force)| OR << 373873005 |Pharmaceutical / biologic product (product)| OR 138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|)]], [[~0..*]] 263502005 |Clinical course| = [[+(<< 288524001 |Courses (qualifier value)|)]], [[~0..*]] 42752001 |Due to| = [[+(<< 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|)]], [[~0..*]] 246456000 |Episodicity| = [[+(<< 288526004 |Episodicities (qualifier value)|)]], [[~0..*]] 419066007 |Finding informer| = [[+(<< 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|)]], [[~0..*]] 418775008 |Finding method| = [[+(<< 71388002 |Procedure (procedure)|)]], [[~0..*]] 363698007 |Finding site| = [[+(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[~0..*]] 363713009 |Has interpretation| = [[+(<< 260245000 |Findings values (qualifier value)|)]], [[~0..*]] 363714003 |Interprets| = [[+(<< 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|)]], [[~0..*]] 246454002 |Occurrence| = [[+(<< 282032007 |Periods of life (qualifier value)|)]], [[~0..*]] 370135005 |Pathological process| = [[+(263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |)]], [[~0..*]] 246112005 |Severity| = [[+(<< 272141005 |Severities (qualifier value)|)]] }
...
http://snomed.org/dom64572001
...
 Scg expression
111115|MRCM domain (INT) reference set|
...
 Scg expression
71388002|Procedure (procedure)|
...
 Scg expression
<< 71388002|Procedure (procedure)|
...
 
 
...
 Scg expression
<< 71388002|Procedure (procedure)|
...
 
...
| = [[+id(<< 
...
309795001 |
...
Surgical 
...
access 
...
values 
...
(
...
qualifier 
...
value)|)]], [[
...
0..*]] 
...
363699004 |
...
Direct device| = [[+id(<< 
...
49062001 |
...
Device (
...
physical 
...
object)|)]], [[
...
0..*]] 
...
363700003 |
...
Direct morphology| = [[+id(<< 
...
49755003 |
...
Morphologically abnormal structure (
...
morphologic 
...
abnormality)|)]], [[
...
0..*]]
...
 363701004 |Direct substance| = [[+id(<< 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[
...
0..*]] 
...
363702006 |
...
Has 
...
focus| = [[+id(<< 
...
404684003 |
...
Clinical finding (
...
finding)| OR << 
...
71388002 |
...
Procedure (
...
procedure)|
...
)]], [[0..*]] 363703001 |Has intent| = [[+id(<< 363675004 |Intents (nature of procedure values) (qualifier value)|)]], [[
...
0..*]] 
...
363710007 |
...
Indirect 
...
device| = [[+id(<< 
...
49062001 |
...
Device (
...
physical 
...
object)|
...
)]], [[0..*]] 363709002 |Indirect morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[
...
0..*]] 
...
260686004 |
...
Method| = [[+id(<< 
...
129264002 |
...
Action (qualifier value)|)]], [[
...
0..*]] 
...
260870009 |
...
Priority| = [[+id(<< 
...
272125009 |
...
Priorities (qualifier value)|
...
)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[
...
0..*]] 
...
363704007 |
...
Procedure 
...
site| = [[+id(<< 
...
442083009 |
...
Anatomical or acquired body structure (
...
body 
...
structure)|)]], [[
...
0..*]] 
...
405813007 |
...
Procedure site - Direct| = [[+id(
...
<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[
...
0..*]] 
...
405814001 |
...
Procedure site - Indirect| = [[+id(<< 
...
442083009 |
...
Anatomical or acquired body structure (
...
body 
...
structure)|)]], [[
...
0..*]] 
...
370131001 |
...
Recipient 
...
category| = [[+id(<< 
...
125676002 |
...
Person (
...
person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 105455006 |Donor for medical or surgical procedure (person)| OR << 389109008 |Group (social concept)|)]], [[
...
0..*]] 
...
246513007 |
...
Revision 
...
status| = [[+id(<< 
...
261424001 |
...
Primary operation (
...
qualifier 
...
value)|
...
 OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|)]], [[
...
0..*]] 
...
425391005 |
...
Using access 
...
device| = [[+id(<< 
...
49062001 |
...
Device (
...
physical object)|)]], [[
...
0..*]] 
...
424226004 |
...
Using 
...
device| = [[+id(<< 
...
49062001 |
...
Device (
...
physical object)|)]], [[
...
0..*]] 
...
424244007 |
...
Using 
...
energy| = [[+id(<< 
...
78621006 |
...
Physical force (physical force)|)]], [[
...
0..*]] 
...
424361007 |
...
Using 
...
substance| = [[+id(<< 
...
105590001 |
...
Substance (substance)|)]] }


 Scg expression
[[+scg(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[0..*]] 
...
260507000 |
...
Access| = [[+scg(<< 
...
309795001 |
...
Surgical 
...
access 
...
values (
...
qualifier 
...
value)|)]], [[
...
0..*]] 
...
363699004 |
...
Direct device| = [[+scg(<< 
...
49062001 |
...
Device (
...
physical 
...
object)|)]], [[
...
0..*]] 
...
363700003 |
...
Direct morphology| = [[+scg(<< 
...
49755003 |
...
Morphologically abnormal structure (
...
morphologic 
...
abnormality)|)]], [[
...
0..*]] 
...
363701004 |
...
Direct 
...
substance| = [[+scg(<< 
...
105590001 |
...
Substance (
...
substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[
...
0..*]] 
...
363702006 |
...
Has 
...
focus| = [[+
...
scg(<< 404684003 |Clinical finding (finding)| OR << 
...
71388002 |
...
Procedure 
...
(procedure)|)]], [[
...
0..*]] 
...
363703001 |
...
Has 
...
intent| = [[+scg(<< 
...
363675004 |
...
Intents 
...
(nature 
...
of 
...
procedure 
...
values) (
...
qualifier 
...
value)|)]], [[
...
0..*]] 
...
363710007 |
...
Indirect device| = [[+scg(<< 
...
49062001 |
...
Device (
...
physical 
...
object)|)]], [[
...
0..*]] 
...
363709002 |
...
Indirect morphology| = [[+scg(<< 
...
49755003 |
...
Morphologically abnormal structure (
...
morphologic 
...
abnormality)|)]], [[
...
0..*]] 
...
260686004 |
...
Method| = [[+scg(<< 
...
129264002 |
...
Action 
...
(qualifier value)|)]], [[
...
0..*]] 
...
260870009 |
...
Priority| = [[+scg(<< 
...
272125009 |
...
Priorities (
...
qualifier value)|
...
)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[
...
0..*]] 
...
363704007 |
...
Procedure 
...
site| = [[+scg(<< 
...
442083009 |
...
Anatomical or acquired body structure (
...
body 
...
structure)|
...
)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[
...
0..*]] 
...
405814001 |
...
Procedure site 
...
- 
...
Indirect| = [[+scg(<< 
...
442083009 |
...
Anatomical or 
...
acquired 
...
body 
...
structure (
...
body 
...
structure)|)]], [[
...
0..*]] 
...
370131001 |
...
Recipient 
...
category| = [[+scg(<< 
...
125676002 |Person (person)| OR << 35359004 |Family (social concept)| OR << 133928008 |Community (social concept)| OR << 
...
105455006 |
...
Donor for medical or surgical procedure (
...
person)| OR << 
...
389109008 |
...
Group (
...
social 
...
concept)|
...
)]], [[0..*]] 246513007 |Revision status| = [[+scg(<< 261424001 |Primary operation (qualifier value)| OR << 
...
255231005 |
...
Revision - value (qualifier value)| OR << 
...
257958009 |
...
Part of multistage procedure (qualifier value)|)]], [[
...
0..*]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[
...
0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[
...
0..*]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[
...
0..*]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]] }

http://snomed.org/dom71388002
 Concept
...
t
...
723560006|MRCM 
...
 domain 
...
international reference 
...
 set|
...
 Concept
t386053000|Evaluation 
...
 procedure 
...
 (procedure)|
 Concept
...
t<< 
...
 386053000|Evaluation 
...
 procedure 
...
 (procedure)|
...
 Concept
t71388002|Procedure 
...
 (procedure)|
 Concept
...
t<< 
...
 71388002|Procedure 
...
 (procedure)|

 Scg expression
[[
...
1..*]] 260686004 |Method| = [[+(<< 129265001 |Evaluation - action|)]]


 Scg expression
[[+id(<< 71388002 |Procedure (procedure)|)]]: [[
...
0..*]] { [[
...
1..*]] 260686004 |Method| = [[+id(<< 129265001 |Evaluation - action|)]], [[
...
0..*]]
...
 246093002 |Component| = [[+id(<< 123037004 |Body structure| OR << 410607006 |Organism| OR << 105590001 |Substance| OR << 123038009 |Specimen| OR << 260787004 |Physical object| OR << 
...
373873005 |
...
Pharmaceutical 
...
/ 
...
biologic 
...
product| OR << 
...
419891008 |
...
Record artifact| OR << 
...
363787002 |
...
Observable 
...
entity|)]], [[
...
0..*]] 116686009 |Has specimen| = [[+id(<< 123038009 |Specimen (specimen)|)]], [[
...
0..*]] 370129005 |Measurement method| = [[+id(<< 127789004 |Laboratory procedure categorized by
...
 method (procedure)|)]], [[
...
0..*]] 
...
370130000 |
...
Property| = [[+id(<< 
...
118598001 |
...
Property 
...
of 
...
measurement (qualifier value)|)]], [[
...
0..*]] 
...
370132008 |
...
Scale 
...
type| = [[+id(<< 
...
30766002 
...
|Quantitative| OR << 26716007 |Qualitative| OR << 117363000 |Ordinal value| OR << 117365007 |Ordinal or quantitative value| OR << 117362005 |Nominal value| OR << 117364006 |Narrative value| OR << 
...
117444000 |
...
Text value|)]], [[
...
0..*]] 
...
370134009 |
...
Time 
...
aspect| = [[+id(<< 
...
7389001 |
...
Time 
...
frame (
...
qualifier value)|)]], [[
...
0..*]] 
...
260507000 |
...
Access| = [[+id(<< 
...
309795001 |
...
Surgical access values
...
 (qualifier value)|)]], [[
...
0..*]] 
...
363699004 |
...
Direct device| = [[+id(<< 49062001 |Device (physical object)|)]], [[
...
0..*]] 
...
363700003 |
...
Direct morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[
...
0..*]] 
...
363701004 |
...
Direct substance| = [[+id(<< 
...
105590001 |
...
Substance (
...
substance)|
...
 OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[
...
0..*]] 
...
363702006 |
...
Has 
...
focus| = [[+id(<< 
...
404684003 |
...
Clinical finding (
...
finding)| OR << 71388002 |Procedure (procedure)|)]], [[
...
0..*]] 
...
363703001 |
...
Has 
...
intent| = [[+id(<< 
...
363675004 |
...
Intents 
...
(nature 
...
of 
...
procedure 
...
values) (
...
qualifier 
...
value)|)]], [[
...
0..*]] 
...
363710007 |
...
Indirect device| = [[+id(<< 
...
49062001 |
...
Device (
...
physical 
...
object)|)]], [[
...
0..*]] 
...
363709002 |
...
Indirect morphology| = [[+id(<< 
...
49755003 |
...
Morphologically abnormal structure (
...
morphologic 
...
abnormality)|)]], [[
...
0..*]] 
...
260686004 |
...
Method| = [[+id(<< 
...
129264002 |
...
Action 
...
(qualifier value)|)]], [[
...
0..*]] 
...
260870009 |
...
Priority| = [[+id(<< 
...
272125009 |
...
Priorities (
...
qualifier value)|
...
)]], [[0..*]] 405815000 |Procedure device| = [[+id(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+id(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[
...
0..*]] 
...
363704007 |
...
Procedure 
...
site| = [[+id(<< 
...
442083009 |
...
Anatomical or acquired body structure (
...
body 
...
structure)|
...
)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+id(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[
...
0..*]] 
...
405814001 |
...
Procedure site 
...
- 
...
Indirect| = [[+id(<< 
...
442083009 |
...
Anatomical or 
...
acquired 
...
body 
...
structure (
...
body 
...
structure)|)]], [[
...
0..*]] 
...
370131001 |
...
Recipient 
...
category| = [[+id(<< 
...
125676002 |
...
Person (
...
person)| OR << 
...
35359004 |
...
Family (social concept)| OR << 
...
133928008 |
...
Community 
...
(
...
social 
...
concept)| OR << 
...
105455006 |
...
Donor for medical or surgical procedure (person)| OR << 
...
389109008 |
...
Group (
...
social 
...
concept)|)]], [[
...
0..*]] 
...
246513007 |
...
Revision 
...
status| = [[+id(<< 
...
261424001 |
...
Primary operation (
...
qualifier 
...
value)|
...
 OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|)]], [[
...
0..*]] 
...
425391005 |Using access 
...
device| = [[+id(<< 
...
49062001 |
...
Device (physical 
...
object)|)]], [[
...
0..*]] 
...
424226004 |Using 
...
device| = [[+id(<< 
...
49062001 |
...
Device (
...
physical object)|)]]
...
, [[
...
0..*]] 
...
424244007 |Using energy| = [[+id(<< 
...
78621006 |
...
Physical force (physical force)|)]], [[
...
0..*]] 
...
424361007 |
...
Using substance| = [[+id(<< 105590001 |Substance (substance)
...
|
...
)]] }


 Scg expression
[[+scg(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[1..*]] 
...
260686004 |
...
Method| = 
...
[+scg(<< 
...
129265001 |
...
Evaluation - action|)]], [[
...
0..*]] 
...
246093002 |
...
Component| = [[+scg(<< 
...
123037004 |
...
Body 
...
structure| 
...
OR 
...
<< 
...
410607006 |Organism| OR << 105590001 |Substance| OR << 123038009 |Specimen| OR << 260787004 |Physical object| OR << 373873005 |Pharmaceutical / biologic product| OR << 419891008 |Record artifact| OR << 363787002 |Observable entity|)]], [[
...
0..*]] 
...
116686009 |
...
Has 
...
specimen| = [[+scg(<< 
...
123038009 |
...
Specimen (
...
specimen)|)]], [[
...
0..*]] 
...
370129005 |
...
Measurement 
...
method| = [[+scg(<< 
...
127789004 |
...
Laboratory procedure categorized by method (procedure)|)]], [[
...
0..*]] 
...
370130000 |
...
Property| = [[+
...
scg(<< 
...
118598001 |
...
Property 
...
of 
...
measurement 
...
(qualifier 
...
value)|)]], [[
...
0..*]] 
...
370132008 |
...
Scale 
...
type| = [[+scg(<< 
...
30766002 |Quantitative| OR << 26716007 |Qualitative| OR << 117363000 |Ordinal value| OR << 
...
117365007 |
...
Ordinal or quantitative value| OR << 117362005 |Nominal value| OR << 117364006 |Narrative value| OR << 117444000 |Text value|)]], [[
...
0..*]] 
...
370134009 |
...
Time 
...
aspect| = [[+scg(<< 
...
7389001 |
...
Time frame (
...
qualifier 
...
value)|)]], [[
...
0..*]] 
...
260507000 |
...
Access| = [[+scg(<< 
...
309795001 |
...
Surgical 
...
access 
...
values (
...
qualifier 
...
value)|)]], [[
...
0..*]] 
...
363699004 |
...
Direct device| = [[+scg(<< 
...
49062001 |
...
Device (
...
physical 
...
object)|)]], [[
...
0..*]] 
...
363700003 |
...
Direct morphology| = [[+scg(<< 
...
49755003 |
...
Morphologically abnormal structure (
...
morphologic 
...
abnormality)|)]], [[
...
0..*]] 
...
363701004 |
...
Direct 
...
substance| = [[+scg(<< 
...
105590001 |
...
Substance (
...
substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|)]], [[
...
0..*]] 
...
363702006 |
...
Has 
...
focus| = [[+scg(<< 
...
404684003 |
...
Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|)]], [[
...
0..*]] 
...
363703001 |
...
Has 
...
intent| = [[+scg(<< 
...
363675004 |
...
Intents 
...
(nature 
...
of 
...
procedure 
...
values) (
...
qualifier 
...
value)|)]], [[
...
0..*]]
...
 
...
363710007 
...
|Indirect 
...
device| = [[+scg(<< 
...
49062001 |
...
Device (physical object)|)]], [[
...
0..*]] 
...
363709002 |
...
Indirect morphology| = [[+scg(<< 
...
49755003 |
...
Morphologically abnormal structure (
...
morphologic 
...
abnormality)|)]], [[
...
0..*]] 
...
260686004 |
...
Method| = [[+scg(<< 
...
129264002 |
...
Action (qualifier value)|)]], [[
...
0..*]] 
...
260870009 |
...
Priority| = [[+scg(<< 
...
272125009 |
...
Priorities (
...
qualifier value)|
...
)]], [[0..*]] 405815000 |Procedure device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[0..*]] 405816004 |Procedure morphology| = [[+scg(<< 49755003 |Morphologically abnormal structure (morphologic abnormality)|)]], [[
...
0..*]] 
...
363704007 |
...
Procedure 
...
site| = [[+scg(<<
...
 442083009 |Anatomical or acquired body structure (body structure)|)]], [[0..*]] 405813007 |Procedure site - Direct| = [[+scg(<< 442083009 |Anatomical or acquired body structure (body structure)|)]], [[
...
0..*]] 
...
405814001 |
...
Procedure site 
...
- 
...
Indirect| = [[+scg(<< 
...
442083009 |
...
Anatomical or 
...
acquired 
...
body 
...
structure (
...
body 
...
structure)|)]], [[
...
0..*]] 
...
370131001 |
...
Recipient 
...
category| = [[+scg(<< 
...
125676002 |
...
Person (
...
person)| OR << 
...
35359004 |
...
Family (
...
social 
...
concept)| OR << 
...
133928008 |
...
Community (
...
social 
...
concept)| OR <<
...
 105455006 |Donor for medical or surgical procedure (person)| OR 
...
<< 389109008 |Group (
...
social 
...
concept)|)]], [[0..*]] 246513007 |Revision status| = [[+scg(<< 261424001 |Primary operation (qualifier value)| OR << 
...
255231005 |
...
Revision - value (qualifier value)| OR << 
...
257958009 |
...
Part of multistage procedure (qualifier value)|)]], [[
...
0..*]] 425391005 |Using access device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[
...
0..*]] 424226004 |Using device| = [[+scg(<< 49062001 |Device (physical object)|)]], [[
...
0..*]] 424244007 |Using energy| = [[+scg(<< 78621006 |Physical force (physical force)|)]], [[
...
0..*]] 424361007 |Using substance| = [[+scg(<< 105590001 |Substance (substance)|)]] }

http://snomed.org/dom386053000
Note: The table above omits the initial four columns of data present in the release file. These follow the standard format for id, effectiveTime, active and moduleId. Additionally, to aid understanding, the table above also shows the term from one of the descriptions associated with each of the identified concepts. The release file only includes the identifier of these concepts.
...