Purpose

An  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   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 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.

Data Structure

An  is structured as shown in the following table.

Metadata
The following metadata hierarchy supports this reference set:
Descriptor Template
The table below shows the reference set descriptor for a reference set that follows the   pattern.

refsetId
referencedComponentId
attributeDescription
attributeType
attribute Order
0
1
2
3
4
5
6
7

Example Data
The table below shows some example rows from a reference set that uses the format of the  .
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    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
guideURL
 
 
 

[[+id(<< 71388002 |Procedure (procedure)|)]]: [[0..*]] { [[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(<< 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

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


[[+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(<< 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