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One or more   may moremay be added to a   to ato qualify it. This is done by putting the   to theto be qualified before a colon and the qualifying   afterqualifyingafter. The qualifying   is qualifyingis of the form "attribute = value". The example below describes an operation to remove an ovary (i.e. an 'oophorectomy') using a laser.

Scg expression
Borderridge
ShowFormatblock
   83152002|
oophorectomy
Oophorectomy|:


   405815000|
procedure
Procedure device| = 122456005|
laser
Laser device|
The next example, shown below, describes the right hip joint.
Scg expression
Borderridge
ShowFormatblock
   182201002|
hip
Hip joint|:


   272741003|
laterality
Laterality| = 24028007|
right
Right|
Where more than one qualifying attribute is required, these can be separated using a comma. The example below describes the removal of an ovarian structure using a laser device.
Scg expression
Borderridge
ShowFormatblock
   71388002|
procedure
Procedure|:


   405815000|
procedure
Procedure device| = 122456005|
laser
Laser device|,


   260686004|
method
Method|
 
 =
129304002 |excision -
 129304002 |Excision - action|,


   405813007|
procedure
Procedure site - direct|
 
 =
 15497006 |ovarian
 15497006 |Ovarian structure|
A further example, below, describes the emergency removal of the appendix:
Scg expression
Borderridge
ShowFormatblock
   65801008|
excision
Excision|:


   405813007|
procedure
Procedure site - direct|
 
 =
 
 66754008|
appendix
Appendix structure|,


   260870009|
priority
Priority|
 
 =
 
 25876001|
emergency
Emergency|
Refinements  may may also be applied to a conjoined  conjoined. For example, the following two expressions are equivalent (because an 'ulna' is a bone in an 'upper limb'):
Scg expression
Borderridge
ShowFormatblock
   313056006|
epiphysis
Epiphysis of ulna|: 272741003|
laterality
Laterality|
 
 =
 
 7771000|
left|
Left|
   119189000|
ulna
Ulna part|
 
 +
 
 312845000|
epiphysis
Epiphysis of upper limb|:


   272741003|
laterality
Laterality|
 
 =
 
 7771000|
left
Left|
Note that there are no brackets round "
Scg expression
Borderridge
ShowFormatblock
   119189000|
ulna
Ulna part|
 
 + 312845000|
epiphysis
Epiphysis of upper limb|
" in the above example, as the refinement automatically applies to the conjoined concept.

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