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This may sometimes be used to refer to Top level metadata concept.

Top level metadata concept

concept that is directly related to the  Root metadata concept ( 900000000000441003 |SNOMED CT Model Component (metadata)|) by a single  relationship of the  relationship type   116680003 |is a|


All Metadata  concepts are descended from at least one Top-Level Metadata concept via at least one series of  relationships with Relationship.typeId=  116680003 |Is a|.