Machine Readable Concept Model

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Purpose

An

Concept
t723589008|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 

Concept
t723589008|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 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 

Concept
t723589008|MRCM domain reference set|
 is structured as shown in the following table.

Refset spec table
Sizefs7
RefsetTypeMRCM Domain Reference Set
Metadata
The following metadata hierarchy supports this reference set:
  •  Concept
    t900000000000454005|Foundation metadata concept|
    •  Concept
      t900000000000455006|Reference set|
      •  Concept
        t723564002|MRCM reference set|
        •  Concept
          t723589008|MRCM domain reference set|
          •  Concept
            t723560006|MRCM domain international reference set|
    •  Concept
      t900000000000457003|Reference set attribute|
      •  Concept
        t723565001|Domain constraint|
      •  Concept
        t723570008|Guide URL|
      •  Concept
        t723566000|Parent domain|
      •  Concept
        t723567009|Proximal primitive constraint|
      •  Concept
        t723568004|Proximal primitive refinement|
      •  Concept
        t723569007|Template|
        •  Concept
          t723599003|Domain template|
          •  Concept
            t723600000|Domain template for precoordination|
          •  Concept
            t723601001|Domain template for postcoordination|
 Excerpt Include
REUSE:Notes on Reference Set Example Tables
REUSE:Notes on Reference Set Example Tables
nopaneltrue
Descriptor Template
The table below shows the reference set descriptor for a reference set that follows the  
 Concept
t723589008|MRCM domain reference set|
 pattern.
 Table width manager
Col1*,1*,1*,1*,80

refsetId
referencedComponentId
attributeDescription
attributeType
attribute Order
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t449608002|Referenced component|
 Concept
t900000000000461009|Concept type component|
0
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723565001|Domain constraint|
 Concept
t707000009|SNOMED CT parsable string|
1
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723566000|Parent domain|
 Concept
t707000009|SNOMED CT parsable string|
2
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723567009|Proximal primitive constraint|
 Concept
t707000009|SNOMED CT parsable string|
3
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723568004|Proximal primitive refinement|
 Concept
t707000009|SNOMED CT parsable string|
4
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723600000|Domain template for precoordination|
 Concept
t707000009|SNOMED CT parsable string|
5
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723601001|Domain template for postcoordination|
 Concept
t707000009|SNOMED CT parsable string|
6
 Concept
t900000000000456007|Reference set descriptor|
 Concept
t723589008|MRCM domain reference set|
 Concept
t723570008|Guide URL|
 Concept
t707000009|SNOMED CT parsable string|
7

Example Data
The table below shows some example rows from a reference set that uses the format of the 
 Concept
t723589008|MRCM domain reference set|
 .
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  
 Concept
t723589008|MRCM domain reference set|
  may be designed to support a proximal parent authoring approach if required.
 PDF: Landscape

 Table width manager
Col140,140,140,140,140,140,1*,1*,140
Widertrue

refsetId
referenced Component Id
domain  Constraint
parent Domain
proximal Primitive Constraint
proximal Primitive Refinement
domainTemplateForPrecoordination
domainTemplateForPostcoordination
guideURL
 Concept
t723560006|MRCM domain international reference set|
 Concept
t71388002|Procedure (procedure)|
 Concept
t<< 71388002|Procedure (procedure)|
 
 
 Concept
t<< 71388002|Procedure (procedure)|
 

 Scg expression
[[+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 expression
[[+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
 Concept
t723560006|MRCM domain international reference set|
 Concept
t386053000|Evaluation procedure (procedure)|
 Concept
t<< 386053000|Evaluation procedure (procedure)|
 Concept
t71388002|Procedure (procedure)|
 Concept
t<< 71388002|Procedure (procedure)|

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


 Scg expression
[[+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 expression
[[+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