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Two or moremay more

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tconcepts
may be combined to form a new by new
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tconcept
 by joining them with the "+" symbol. This is particularly useful where both concepts are primitive. The resultantis theof each of thein the. The resultant below resultant
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texpression
is the
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tchild
of each of the
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tconcepts
in the
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texpression
. The resultant
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texpression
 below represents a drug dose form that is both a spray and a suspension.

Scg expression
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   421720008|Spray dose form| + 7946007|Drug suspension|

Although not stipulated by the syntax, the twojoined two

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tconcepts
joined in this way must (in nearly every case) come from the same top level
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thierarchy
. A rare exception to this rule is those expressions which refer to products that are both drugs and devices, and are therefore descendants of both 373873005 |pharmaceutical / biologic product| and 260787004 |physical object|.

The syntax does not mandate whichin theshould which

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tconcepts
in the
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texpression
should have associated terms and which should not, so it is valid (although not advisable) to mix and match. For example, the following syntax is valid: 421720008 |Spray dose form| +
Scg expression
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Concept
t 421720008 + 7946007|Drug
suspension|
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The syntax allows spaces, tabs and carriage returns in most places. The following example has an identical meaning to the one above: scg-expression
Concept
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421720008 |Spray dose form| + 7946007 |Drug
t 421720008 + 7946007 |Drug suspension|
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