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Like every subset of SNOMED CT components, it is possible to define the subset for exclusion either intensionally or extensionally . This is illustrated in the figure below. When intensionally defined, a  query specification reference set can be  used for the intensional definition, and a simple reference set can be used for the expansion of the set.  

 

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CapIdsubsets-for-excluding-content-can-be-either-intensionally-or-extensionally-defined
CapTypeFigure
Subsets for excluding content can be either intensionally or extensionally defined