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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 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. 


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

If this disorder had the same finding site of |Structure of rotator cuff of left shoulder (body structure)| with two different morphologic abnormalities of |Nontraumatic rupture| and |Complete rupture|, then those two morphologic abnormality concepts can be combined to create a single, primitive, morphologic abnormality concept of |Nontraumatic complete rupture (morphologic abnormality)|.  This will prevent modeling with two relationship groups. 

Instead of modeling as in this stated view:                                                                                                                               

 
















Model as shown in this stated view:


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