Machine Readable Concept Model

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Purpose

An |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.

Each concept domain is uniquely identified by a SNOMED CT concept. When the scope of a domain covers the concepts in a particular hierarchy (or subhierarchy), the supertype concept of this hierarchy (or subhierarchy) is used to identify the domain. When a domain is defined based on membership in a reference set, the associated reference set concept is used to identify the domain. In some situations, a query may be required to define a complex domain. In these cases, the query's expansion reference set (referred to by the 'referencedComponent' of the relevant Query reference set) is used to identify the domain.

For each domain in the SNOMED CT concept model, the |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 domain1 , 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 content2 , and a reference to the associated Editorial Guidance that provides additional human-readable text describing this domain.

Data Structure

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

Field

Data type

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 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 |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

parentDomainId

SCTID

The identifier of the immediate parent domain.

The immediate parent domain is the smallest domain that is a proper superset of the given 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.

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 for the Expression Template Language.

N

precoordinated Template

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.

N

postcoordinated Template

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.

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

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 |MRCM attribute rule reference set| pattern3 .

refsetId

referenced ComponentId

attribute Description

attributeType

attribute Order

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

449608002 |Referenced component|

900000000000461009|Concept type component|

0

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Domain constraint|

707000009 |SNOMED CT parsable string|

1

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Parent domain|

900000000000461009|Concept type component|

2

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Proximal primitive constraint|

707000009 |SNOMED CT parsable string|

3

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Proximal primitive refinement|

707000009 |SNOMED CT parsable string|

4

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Domain template for precoordination|

707000009 |SNOMED CT parsable string|

5

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Domain template for postcoordination|

707000009 |SNOMED CT parsable string|

6

900000000000456007 |Reference set descriptor|

111115 |MRCM domain reference set|

111115 |Editorial guide reference|

900000000000469006 |SNOMED CT parsable string|

7

Example

The table below shows some example rows from a reference set that uses the format of the |MRCM domain reference set| 4 .

 

refsetId

referenced Component Id

domain

Constraint

parent DomainId

proximal Primitive Constraint

proximal Primitive Refinement

domainTemplateForPrecoordination

 

domainTemplateForPostcoordination

editorialGuide Reference

111115 |MRCM domain (INT) reference set|

404684003 |Clinical finding (finding)|

<< 404684003 |Clinical finding (finding)|

138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|

<< 404684003 |Clinical finding (finding)|

 

[[<< 404684003 |Clinical finding (finding)|]]: [0..*] { 255234002 |After| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 116676008 |Associated morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 47429007 |Associated with| = [[ [0..*] << 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)|]], 246075003 |Causative agent| = [[ [0..*] << 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)|]], 263502005 |Clinical course| = [[ [0..*] << 288524001 |Courses (qualifier value)|]], 42752001 |Due to| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|]], 246456000 |Episodicity| = [[ [0..*] << 288526004 |Episodicities (qualifier value)|]], 419066007 |Finding informer| = [[ [0..*] << 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|]], 418775008 |Finding method| = [[ [0..*] << 71388002 |Procedure (procedure)|]], 363698007 |Finding site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 363713009 |Has interpretation| = [[ [0..*] << 260245000 |Findings values (qualifier value)|]], 363714003 |Interprets| = [[ [0..*] << 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|]], 246454002 |Occurrence| = [[ [0..*] << 282032007 |Periods of life (qualifier value)|]], 370135005 |Pathological process| = [[ [0..*] 263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |]], 246112005 |Severity| = [[ [0..*] << 272141005 |Severities (qualifier value)|]] }

[[<< 404684003 |Clinical finding (finding)|]]: [0..*] { 255234002 |After| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 116676008 |Associated morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 47429007 |Associated with| = [[ [0..*] << 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)|]], 246075003 |Causative agent| = [[ [0..*] << 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)|]], 263502005 |Clinical course| = [[ [0..*] << 288524001 |Courses (qualifier value)|]], 42752001 |Due to| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|]], 246456000 |Episodicity| = [[ [0..*] << 288526004 |Episodicities (qualifier value)|]], 419066007 |Finding informer| = [[ [0..*] << 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|]], 418775008 |Finding method| = [[ [0..*] << 71388002 |Procedure (procedure)|]], 363698007 |Finding site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 363713009 |Has interpretation| = [[ [0..*] << 260245000 |Findings values (qualifier value)|]], 363714003 |Interprets| = [[ [0..*] << 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|]], 246454002 |Occurrence| = [[ [0..*] << 282032007 |Periods of life (qualifier value)|]], 370135005 |Pathological process| = [[ [0..*] 263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |]], 246112005 |Severity| = [[ [0..*] << 272141005 |Severities (qualifier value)|]] }

http://snomed.org/dom404684003

111115 |MRCM domain (INT) reference set|

64572001 |Disease (disorder)|

<< 64572001 |Disease (disorder)|

404684003 |Clinical finding (finding)|

<< 64572001 |Disease (disorder)|

 

[[<< 64572001 |Disease (disorder)|]]: [0..*] { 363705008 |Has definitional manifestation| = [[ [0..*] << 404684003 |Clinical finding (finding)|]], 255234002 |After| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 116676008 |Associated morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 47429007 |Associated with| = [[ [0..*] << 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)|]], 246075003 |Causative agent| = [[ [0..*] << 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)|]], 263502005 |Clinical course| = [[ [0..*] << 288524001 |Courses (qualifier value)|]], 42752001 |Due to| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|]], 246456000 |Episodicity| = [[ [0..*] << 288526004 |Episodicities (qualifier value)|]], 419066007 |Finding informer| = [[ [0..*] << 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|]], 418775008 |Finding method| = [[ [0..*] << 71388002 |Procedure (procedure)|]], 363698007 |Finding site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 363713009 |Has interpretation| = [[ [0..*] << 260245000 |Findings values (qualifier value)|]], 363714003 |Interprets| = [[ [0..*] << 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|]], 246454002 |Occurrence| = [[ [0..*] << 282032007 |Periods of life (qualifier value)|]], 370135005 |Pathological process| = [[ [0..*] 263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |]], 246112005 |Severity| = [[ [0..*] << 272141005 |Severities (qualifier value)|]] }

[[<< 64572001 |Disease (disorder)|]]: [0..*] { 363705008 |Has definitional manifestation| = [[ [0..*] << 404684003 |Clinical finding (finding)|]], 255234002 |After| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 116676008 |Associated morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 47429007 |Associated with| = [[ [0..*] << 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)|]], 246075003 |Causative agent| = [[ [0..*] << 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)|]], 263502005 |Clinical course| = [[ [0..*] << 288524001 |Courses (qualifier value)|]], 42752001 |Due to| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 272379006 |Event (event)|]], 246456000 |Episodicity| = [[ [0..*] << 288526004 |Episodicities (qualifier value)|]], 419066007 |Finding informer| = [[ [0..*] << 420158005 |Performer of method (person)| OR << 419358007 |Subject of record or other provider of history (person)|]], 418775008 |Finding method| = [[ [0..*] << 71388002 |Procedure (procedure)|]], 363698007 |Finding site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 363713009 |Has interpretation| = [[ [0..*] << 260245000 |Findings values (qualifier value)|]], 363714003 |Interprets| = [[ [0..*] << 363787002 |Observable entity (observable entity)| OR << 108252007 |Laboratory procedure (procedure)| OR << 386053000 |Evaluation procedure (procedure)|]], 246454002 |Occurrence| = [[ [0..*] << 282032007 |Periods of life (qualifier value)|]], 370135005 |Pathological process| = [[ [0..*] 263680009 |Autoimmune | OR << 441862004 |Infectious process | OR 472963003 |Hypersensitivity process |]], 246112005 |Severity| = [[ [0..*] << 272141005 |Severities (qualifier value)|]] }

http://snomed.org/dom64572001

111115 |MRCM domain (INT) reference set|

71388002 |Procedure (procedure)|

<< 71388002 |Procedure (procedure)|

138875005 |SNOMED CT Concept (SNOMED RT+CTV3)|

<< 71388002 |Procedure (procedure)|

 

[[<< 71388002 |Procedure (procedure)|]]: [0..*] { 260507000 |Access| = [[ [0..*] << 309795001 |Surgical access values (qualifier value)|]], 363699004 |Direct device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363700003 |Direct morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363701004 |Direct substance| = [[ [0..*] << 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|]], 363702006 |Has focus| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 363703001 |Has intent| = [[ [0..*] << 363675004 |Intents (nature of procedure values) (qualifier value)|]], 363710007 |Indirect device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363709002 |Indirect morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 260686004 |Method| = [[ [0..*] << 129264002 |Action (qualifier value)|]], 260870009 |Priority| = [[ [0..*] << 272125009 |Priorities (qualifier value)|]], 405815000 |Procedure device| = [[ [0..*] << 49062001 |Device (physical object)|]], 405816004 |Procedure morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363704007 |Procedure site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405813007 |Procedure site - Direct| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405814001 |Procedure site - Indirect| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 370130000 |Property| = [[ [0..*] << 118598001 |Property of measurement (qualifier value)|]], 363706009 |Recipient category| = [[ [0..*] << 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)|]], 246513007 |Revision status| = [[ [0..*] << 261424001 |Primary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|]], 410675002 |Route of administration| = [[ [0..*] << 284009009 |Route of administration value (qualifier value)|]], 370132008 |Scale type| = [[ [0..*] << 30766002 |Quantitative (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)|]], 425391005 |Using access device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424226004 |Using device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424244007 |Using energy| = [[ [0..*] << 78621006 |Physical force (physical force)|]], 424361007 |Using substance| = [[ [0..*] << 105590001 |Substance (substance)|]] }

[[<< 71388002 |Procedure (procedure)|]]: [0..*] { 260507000 |Access| = [[ [0..*] << 309795001 |Surgical access values (qualifier value)|]], 363699004 |Direct device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363700003 |Direct morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363701004 |Direct substance| = [[ [0..*] << 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|]], 363702006 |Has focus| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 363703001 |Has intent| = [[ [0..*] << 363675004 |Intents (nature of procedure values) (qualifier value)|]], 363710007 |Indirect device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363709002 |Indirect morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 260686004 |Method| = [[ [0..*] << 129264002 |Action (qualifier value)|]], 260870009 |Priority| = [[ [0..*] << 272125009 |Priorities (qualifier value)|]], 405815000 |Procedure device| = [[ [0..*] << 49062001 |Device (physical object)|]], 405816004 |Procedure morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363704007 |Procedure site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405813007 |Procedure site - Direct| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405814001 |Procedure site - Indirect| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 370130000 |Property| = [[ [0..*] << 118598001 |Property of measurement (qualifier value)|]], 363706009 |Recipient category| = [[ [0..*] << 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)|]], 246513007 |Revision status| = [[ [0..*] << 261424001 |Primary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|]], 410675002 |Route of administration| = [[ [0..*] << 284009009 |Route of administration value (qualifier value)|]], 370132008 |Scale type| = [[ [0..*] << 30766002 |Quantitative (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)|]], 425391005 |Using access device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424226004 |Using device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424244007 |Using energy| = [[ [0..*] << 78621006 |Physical force (physical force)|]], 424361007 |Using substance| = [[ [0..*] << 105590001 |Substance (substance)|]] }

http://snomed.org/dom71388002

111115 |MRCM domain (INT) reference set|

386053000 |Evaluation procedure (procedure)|

<< 386053000 |Evaluation procedure (procedure)|

71388002 |Procedure (procedure)|

<< 71388002 |Procedure (procedure)|

260686004 |Method| = [[ [1..*] << 129265001 |Evaluation - action|]]

[[<< 71388002 |Procedure (procedure)|]]: [0..*] { 260686004 |Method| = [[ [1..*] << 129265001 |Evaluation - action|]], 246093002 |Component| = [[ [0..*] << 105590001 |Substance (substance)| OR << 363787002 |Observable entity (observable entity)| OR << 4421005 |Cell structure (cell structure)| OR << 410607006 |Organism (organism)|]], [0..*] 116686009 |Has specimen| = [[<< 123038009 |Specimen (specimen)|]], [0..*] 370129005 |Measurement method| = [[<< 127789004 |Laboratory procedure categorized by method (procedure)|]], [0..*] 370134009 |Time aspect| = [[<< 7389001 |Time frame (qualifier value)|]], 260507000 |Access| = [[ [0..*] << 309795001 |Surgical access values (qualifier value)|]], 363699004 |Direct device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363700003 |Direct morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363701004 |Direct substance| = [[ [0..*] << 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|]], 363702006 |Has focus| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 363703001 |Has intent| = [[ [0..*] << 363675004 |Intents (nature of procedure values) (qualifier value)|]], 363710007 |Indirect device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363709002 |Indirect morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 260686004 |Method| = [[ [0..*] << 129264002 |Action (qualifier value)|]], 260870009 |Priority| = [[ [0..*] << 272125009 |Priorities (qualifier value)|]], 405815000 |Procedure device| = [[ [0..*] << 49062001 |Device (physical object)|]], 405816004 |Procedure morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363704007 |Procedure site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405813007 |Procedure site - Direct| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405814001 |Procedure site - Indirect| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 370130000 |Property| = [[ [0..*] << 118598001 |Property of measurement (qualifier value)|]], 363706009 |Recipient category| = [[ [0..*] << 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)|]], 246513007 |Revision status| = [[ [0..*] << 261424001 |Primary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|]], 410675002 |Route of administration| = [[ [0..*] << 284009009 |Route of administration value (qualifier value)|]], 370132008 |Scale type| = [[ [0..*] << 30766002 |Quantitative (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)|]], 425391005 |Using access device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424226004 |Using device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424244007 |Using energy| = [[ [0..*] << 78621006 |Physical force (physical force)|]], 424361007 |Using substance| = [[ [0..*] << 105590001 |Substance (substance)|]] }

[[<< 71388002 |Procedure (procedure)|]]: [0..*] { 260686004 |Method| = [[ [1..*] << 129265001 |Evaluation - action|]], 246093002 |Component| = [[ [0..*] << 105590001 |Substance (substance)| OR << 363787002 |Observable entity (observable entity)| OR << 4421005 |Cell structure (cell structure)| OR << 410607006 |Organism (organism)|]], 116686009 |Has specimen| = [[ [0..*] << 123038009 |Specimen (specimen)|]], 370129005 |Measurement method| = [[ [0..*] << 127789004 |Laboratory procedure categorized by method (procedure)|]], 370134009 |Time aspect| = [[ [0..*] << 7389001 |Time frame (qualifier value)|]], 260507000 |Access| = [[ [0..*] << 309795001 |Surgical access values (qualifier value)|]], 363699004 |Direct device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363700003 |Direct morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363701004 |Direct substance| = [[ [0..*] << 105590001 |Substance (substance)| OR << 373873005 |Pharmaceutical / biologic product (product)|]], 363702006 |Has focus| = [[ [0..*] << 404684003 |Clinical finding (finding)| OR << 71388002 |Procedure (procedure)|]], 363703001 |Has intent| = [[ [0..*] << 363675004 |Intents (nature of procedure values) (qualifier value)|]], 363710007 |Indirect device| = [[ [0..*] << 49062001 |Device (physical object)|]], 363709002 |Indirect morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 260686004 |Method| = [[ [0..*] << 129264002 |Action (qualifier value)|]], 260870009 |Priority| = [[ [0..*] << 272125009 |Priorities (qualifier value)|]], 405815000 |Procedure device| = [[ [0..*] << 49062001 |Device (physical object)|]], 405816004 |Procedure morphology| = [[ [0..*] << 49755003 |Morphologically abnormal structure (morphologic abnormality)|]], 363704007 |Procedure site| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405813007 |Procedure site - Direct| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 405814001 |Procedure site - Indirect| = [[ [0..*] << 442083009 |Anatomical or acquired body structure (body structure)|]], 370130000 |Property| = [[ [0..*] << 118598001 |Property of measurement (qualifier value)|]], 363706009 |Recipient category| = [[ [0..*] << 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)|]], 246513007 |Revision status| = [[ [0..*] << 261424001 |Primary operation (qualifier value)| OR << 255231005 |Revision - value (qualifier value)| OR << 257958009 |Part of multistage procedure (qualifier value)|]], 410675002 |Route of administration| = [[ [0..*] << 284009009 |Route of administration value (qualifier value)|]], 370132008 |Scale type| = [[ [0..*] << 30766002 |Quantitative (qualifier value)| OR << 26716007 |Qualitative (qualifier value)| OR << 117363000 |Ordinal value (qualifier value)| OR << 117365007 |Ordinal OR quantitative value (qualifier value)| OR << 117362005 |Nominal value (qualifier value)| OR << 117364006 |Narrative value (qualifier value)| OR << 117444000 |Text value (qualifier value)|]], 425391005 |Using access device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424226004 |Using device| = [[ [0..*] << 49062001 |Device (physical object)|]], 424244007 |Using energy| = [[ [0..*] << 78621006 |Physical force (physical force)|]], 424361007 |Using substance| = [[ [0..*] << 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.

Footnotes
Ref Notes
1 Note: In cases in which two proximal parent domains exist, one will be selected as the primary one for use in this reference set.
2 Note: It is anticipated that the generic Domain Expression Templates will be specialized further for authoring of specific subdomains using specializations of the generic Domain Expression Template stored in a Template Library.
3 Concepts for which an identifier has not been assigned have been shown with an identifier of '111115'
4 Concepts for which an identifier has not been assigned have been shown with an identifier of '111115'.

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