| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| D-lactate measurement, urine | Is a | D-lactate measurement | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Has measured component | D-lactate | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Has intent | Diagnostic intent (qualifier value) | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Method | Investigation - action | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Component | D-lactate | true | Inferred relationship | Some | 2 |  | 
| D-lactate measurement, urine | Component | Metabolites and metabolic markers | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Method | Evaluation - action | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Is a | Fluid sample lactate measurement (procedure) | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Has specimen | Urine specimen | true | Inferred relationship | Some | 1 |  | 
| D-lactate measurement, urine | Is a | D-lactate measurement (procedure) | true | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Method | Measurement - action | true | Inferred relationship | Some | 3 |  | 
| D-lactate measurement, urine | Component | Lactic acid | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Is a | Evaluation of urine specimen | false | Inferred relationship | Some |  |  | 
| D-lactate measurement, urine | Is a | Urine substance measurement (procedure) | true | Inferred relationship | Some |  |  |