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
Access	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).
After	Event	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).
After	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).
All or 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.
Associated finding	Finding 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).
Associated morphology	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).
Associated procedure	Procedure 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).
Associated with	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).
Associated with	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).
Before	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).
Before	Event	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).
Causative agent (attribute)	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).
Causative agent (attribute)	Event	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 process which the property describes, and on which the property (of this observable) depends. The process can be very general.	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).
Clinical course	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).
Component	Determination of a value, conclusion, or inference by evaluating evidence	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).
Component	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).
Constitutional 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.
Attribute used to assign the clinical drug that is contained in the packaged product.	The abstract representation of a quantified medicinal product as produced by the supplier.	1	1..*	1..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 represents the number of active ingredients or precise active ingredients in a medicinal product. It is simply a count of attribute 'has active ingredient' or 'has precise active ingredient' in a concept definition.	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 number of different base and modification pairs in a medicinal product. If both bases and their modifications are the same, it is counted as 1 pair. The count is increased when the bases are the same but their modifications are different, for two or more pairs. Any further modification should not be counted as part of the pair.	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 number of different non-modified base of active ingredients in a medicinal product.	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 number of different types of clinical drugs in a medicinal product package.	The abstract representation of a quantified medicinal product as produced by the supplier.	0	1..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).
Direct device	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).
Direct morphology	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 represents the specific entity on which the observation is directly made, and is used when the observation is indirect, such as when a direct observation is not possible to be done on the entity in which the observable inheres.	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).
Direct substance	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).
Due to	Event	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).
Due to	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).
During (attribute)	Event	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).
During (attribute)	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).
Episodicity	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).
Finding context (attribute)	Finding 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).
Finding informer (attribute)	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).
Finding method (attribute)	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).
Finding site	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).
This attribute represents the absorbability aspect of an object.	Physical object	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).
The clinically relevant part or whole of the substance that is intended to have a therapeutic action on or within the body. It excludes esters, salts or other non-covalent derivatives (such as a complex, chelate etc.), but may include secondary modifications.	Pharmaceutical / biologic product (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).
Has basic dose form (attribute)	Pharmaceutical dose form (dose form)	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 an ingredient that is the part of the active ingredient that the strength of a given product is based upon.	Pharmaceutical / biologic product (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).
This attribute represents the material with which an object is coated.	Physical object	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 material or substance of which an object is composed.	Physical object	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 SNOMED CT content (including both precoordinated and postcoordinated).
This attribute specifies the denominator unit for the concentration strength of a product.	Pharmaceutical / biologic product (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).
This attribute specifies the denominator value for the concentration strength of a product.	Pharmaceutical / biologic product (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).
This attribute specifies the numerator unit for the concentration strength of a product.	Pharmaceutical / biologic product (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).
This attribute specifies the numerator value for the concentration strength of a product.	Pharmaceutical / biologic product (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).
This attribute represents the site where the device is intended to reside in or on the body.	Physical object	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 SNOMED CT content (including both precoordinated and postcoordinated).
This attribute specifies the behavior that a substance will exhibit or participate in, given the appropriate context.	Substance	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 SNOMED CT content (including both precoordinated and postcoordinated).
Has dose form administration method (attribute)	Pharmaceutical dose form (dose form)	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 SNOMED CT content (including both precoordinated and postcoordinated).
Dose form intended site describes the general anatomic location that the dose form has been formulated for administration to or at. The intended site is not intended to describe a precise site or route of administration. For example, eye drops (prepared for ocular intended site) are subject to pharmacopoeial standards for pH, and sterility.	Pharmaceutical dose form (dose form)	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 SNOMED CT content (including both precoordinated and postcoordinated).
Has dose form release characteristic (attribute)	Pharmaceutical dose form (dose form)	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).
Has dose form transformation (attribute)	Pharmaceutical dose form (dose form)	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 SNOMED CT content (including both precoordinated and postcoordinated).
This attribute represents the material or substance that fills an object.	Physical object	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 SNOMED CT content (including both precoordinated and postcoordinated).
Has focus	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).
Has ingredient (attribute)	Pharmaceutical / biologic product (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 postcoordinated SNOMED CT content.
This attribute represents a characteristic that is applicable to a particular ingredient contained in a product.	Pharmaceutical / biologic product (product)	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 a proxy to a quantitative strength for a particular ingredient contained in a product.	Pharmaceutical / biologic product (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).
Has intent	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).
Has interpretation	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).
Has manufactured dose form	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).
Attribute used to specify the amount or quantity of clinical drug present in the package.	The abstract representation of a quantified medicinal product as produced by the supplier.	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).
Attribute used to specify the units for the amount or quantity of clinical drug present in the package.	The abstract representation of a quantified medicinal product as produced by the supplier.	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 most specific description of a substance present in the manufactured dose form, before any dilution or transformation. It includes modifiers, such as salts, esters, polymers (e.g. pegylation), and/or solvates (including waters of hydration).	Pharmaceutical / biologic product (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).
This attribute specifies the denominator unit for the presentation strength of a product.	Pharmaceutical / biologic product (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).
This attribute specifies the denominator value for the presentation strength of a product.	Pharmaceutical / biologic product (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).
This attribute specifies the numerator unit for the presentation strength of a product.	Pharmaceutical / biologic product (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).
This attribute specifies the numerator value for the presentation strength of a product.	Pharmaceutical / biologic product (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).
This attribute represents a characteristic that is applicable to a product.	Pharmaceutical / biologic product (product)	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 SNOMED CT content (including both precoordinated and postcoordinated).
Attribute used to assign the authorized product name.	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 specifies the realization of a function	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).
This attribute specifies the realization of a function	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).
Has specimen	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).
Has state of matter (attribute)	Basic dose form (basic dose form)	0	1..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).
Attribute used to assign the holder of the marketing authorization or authorization for supply.	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 tactile characteristic or appearance of the surface of an object.	Physical object	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 SNOMED CT content (including both precoordinated and postcoordinated).
This attribute represents the target population in which a product is intended to be used.	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).
Has unit of presentation	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).
Indirect device	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).
Indirect morphology (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 the location of the entity specified by the attribute "Inheres in".	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 independent continuant which bears the quality, and on which the dependent quality (of this observable) 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).
Interprets	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).
This attribute indicates that the concept is a structural modification of another concept, and that the substance's intrinsic physicochemical properties remain unchanged.	Substance	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 SNOMED CT content (including both precoordinated and postcoordinated).
This attribute represents the sterility quality (e.g. sterile or non-sterile) of an object.	Physical object	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).
Is vasculature 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.
Lateral half 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.
Laterality	Anatomical structure	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).
Laterality	Lateralizable body structure reference set (foundation metadata concept)	0	0..1	0..0	MRCM reference set attribute value which indicates that the given rule is optional and that not obeying this rule should result only in a warning.	MRCM reference set attribute value which indicates that the given rule applies to all SNOMED CT content (including both precoordinated and postcoordinated).
Measurement method (attribute)	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).
Method	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).
Occurrence	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).
Occurrence	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).
Occurrence	Event	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).
Pathological process (attribute)	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).
Plays role	Pharmaceutical / biologic product (product)	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 SNOMED CT content (including both precoordinated and postcoordinated).
This attribute is used to specify body state, timing, challenges, and other situations that must be true of the entity to be observed.	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).
Priority	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 approach	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 context (attribute)	Procedure 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).
Procedure 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).
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).

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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)