723561005: MRCM attribute domain international reference set (foundation metadata concept)

SNOMED CT Concept\SNOMED CT Model Component\Foundation metadata concept (foundation metadata concept)\Reference set\A reference set used to specify SNOMED CT concept model rules and/or the way in which these rules should be applied.\MRCM reference set which associates attributes with the domains in which they may be applied. It also allows grouping and cardinality constraints to be specified for each attribute domain combination.\MRCM reference set which associates attributes with the domains in which they may be applied in the SNOMED CT international edition. It also allows grouping and cardinality constraints to be specified for each attribute domain combination in the SNOMED CT international edition.

Status: current, Not sufficiently defined by necessary conditions definition status (core metadata concept). Date: 31-Jul 2017. Module: SNOMED CT model component module (core metadata concept)

Descriptions:

Id Description Lang Type Status Case? Module

3449111013 MRCM reference set which associates attributes with the domains in which they may be applied in the SNOMED CT international edition. It also allows grouping and cardinality constraints to be specified for each attribute domain combination in the SNOMED CT international edition. en Definition Active Entire term case sensitive (core metadata concept) SNOMED CT model component module (core metadata concept)

3449109016 MRCM attribute domain international reference set (foundation metadata concept) en Fully specified name Active Entire term case sensitive (core metadata concept) SNOMED CT model component module (core metadata concept)

3449110014 MRCM attribute domain international reference set en Synonym (core metadata concept) Active Entire term case sensitive (core metadata concept) SNOMED CT model component module (core metadata concept)

Expanded Value Set

Outbound Relationships	Type	Target	Active	Characteristic	Refinability	Group	Values
MRCM reference set which associates attributes with the domains in which they may be applied in the SNOMED CT international edition. It also allows grouping and cardinality constraints to be specified for each attribute domain combination in the SNOMED CT international edition.	Is a	MRCM reference set which associates attributes with the domains in which they may be applied. It also allows grouping and cardinality constraints to be specified for each attribute domain combination.	true	Inferred relationship	Some

Members	domainId	grouped	attributeCardinality	attributeInGroupCardinality	ruleStrengthId	contentTypeId
Procedure device (attribute)	Procedure	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Procedure morphology (attribute)	Procedure	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Procedure site	Procedure	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Procedure site - Direct (attribute)	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Procedure site - Indirect (attribute)	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute specifies an entity that the process which the property characterizes specifically acts on.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute is used to specify the continuant (such as a body structure or organism) that is causally active in the process on which the property depends.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute specifies the duration of the process characterized by the observable property type.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute specifies that the process which the property characterizes has led to the inclusion of a previously not included structure.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute specifies the resulting output of the process characterized by the observed feature.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Proper part of (attribute)	Body structure (body structure)	0	0..*	0..0	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all precoordinated SNOMED CT content.
This attribute is used to specify the type of inherent quality, function, disposition or process characteristic that is being observed or measured. Its values are abstract types of quality (length, odor, concentration) or abstract types of process characteristic (rate, speed, duration), and do not include qualities that are located (length of arm, odor of urine), or given a value (elevated concentration).	Determination of a value, conclusion, or inference by evaluating evidence	1	0..1	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute is used to specify the type of inherent quality, function, disposition or process characteristic that is being observed or measured. Its values are abstract types of quality (length, odor, concentration) or abstract types of process characteristic (rate, speed, duration), and do not include qualities that are located (length of arm, odor of urine), or given a value (elevated concentration).	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Recipient category (attribute)	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Regional part of (attribute)	Body structure (body structure)	0	0..*	0..0	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all precoordinated SNOMED CT content.
This attribute is used to specify the denominator of a relational property type, such as a ratio or proportion.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute is used to specify the denominator of a relative relational property type, such as a ratio of ratios	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Revision status	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
The route of administration is the path by which the product is taken into or makes contact with the body, and is a property of the administration action. The route of administration of a medication is determined by the prescriber in their prescription dosage instructions for a particular patient.	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute refers to the scale of the result of an observation or a diagnostic test.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute refers to the scale of the result of an observation or a diagnostic test.	Determination of a value, conclusion, or inference by evaluating evidence	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Severity	Clinical finding (finding)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Specimen procedure	Material (structure, substance, device) removed from a source (patient, donor, physical location, product)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Specimen source identity	Material (structure, substance, device) removed from a source (patient, donor, physical location, product)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Specimen source morphology	Material (structure, substance, device) removed from a source (patient, donor, physical location, product)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Specimen source topography	Material (structure, substance, device) removed from a source (patient, donor, physical location, product)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Specimen substance (attribute)	Material (structure, substance, device) removed from a source (patient, donor, physical location, product)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Subject relationship context (attribute)	Situation with explicit context (situation)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Systemic part of (attribute)	Body structure (body structure)	0	0..*	0..0	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all precoordinated SNOMED CT content.
This attribute is used to specify the systematic method of a procedure used to accomplish a specific activity.	Observable entity (observable entity)	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Temporal context (attribute)	Situation with explicit context (situation)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
A period of time occurring before, during and or after a clinical entity	Event	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
A period of time occurring before, during and or after a clinical entity	Clinical finding (finding)	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Time aspect (attribute)	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Time aspect (attribute)	Determination of a value, conclusion, or inference by evaluating evidence	1	0..1	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute is used to specify the third element of a relational quality, the first two elements being the type of property and the entity in which the quality inheres. The type of property is typically a concentration, and the entity in which it inheres is typically a fluid such as plasma, serum or blood. The third element typically is the substance or molecule that is the thing being measured as a concentration. The concentration of sodium in blood would be "property type" concentration, "towards" sodium, "inheres in" blood.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute-value defines the quantity of a unit of presentation size.	Pharmaceutical / biologic product (product)	0	0..1	0..0	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute defines the unit of a unit of presentation size.	Pharmaceutical / biologic product (product)	0	0..1	0..0	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
This attribute represents the units used in assigning a value to an observation.	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Using access device (attribute)	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Using device (attribute)	Observable entity (observable entity)	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Using device (attribute)	Procedure	1	0..*	0..*	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Using energy (attribute)	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Using substance (attribute)	Procedure	1	0..*	0..1	MRCM reference set attribute value which indicates that the given rule is mandatory, and not obeying this rule should result in an error.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).

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Reference Sets

Reference set descriptor

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Id	Description	Lang	Type	Status	Case?	Module
3449111013	MRCM reference set which associates attributes with the domains in which they may be applied in the SNOMED CT international edition. It also allows grouping and cardinality constraints to be specified for each attribute domain combination in the SNOMED CT international edition.	en	Definition	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)
3449109016	MRCM attribute domain international reference set (foundation metadata concept)	en	Fully specified name	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)
3449110014	MRCM attribute domain international reference set	en	Synonym (core metadata concept)	Active	Entire term case sensitive (core metadata concept)	SNOMED CT model component module (core metadata concept)