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The between the records in the in the are depicted in the following diagram.

Figure 1. Relationships between files

Each is held as a single row in the Concept file.Each row represents a clinical .

Each has two or more associated with it (at least one and at least one ). Each is held as a single row in the Description file, and may only refer to a single .

Each , from a source to a destination , is held as a single row in the Relationship file. The type of each is defined by reference to a linkage , also held within the Concept file .

The most basic form of is the subsumption , identifying that one is a kind of another . For example, an |Outpatient procedure| |Is a| |Procedure|. All the in form an |Is a| , with a parent connected to each by an |Is a| . In this , a may have more than one parent . The root of the is the | |, which has 19 top level , each forming its own . There are no |Is a| that cross from one of these sub-hierarchies to another (e.g. from a in the Procedures to a in the Substances .

In addition to the |is a| , other are also held within the Relationship file, such as |Finding site| or |Laterality|. types are specified under the |Linkage| in the | Model | .


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