| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Is a | Excisional biopsy of lesion of rectum by transanal approach | true | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Approach | Transsphincteric approach - anal | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Procedure site | Sigmoid colon structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Extent | Segmental | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Approach | Transanal approach | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Extent | Subtotal | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Extent | Partial | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Has intent | Diagnostic intent | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Method | Excision - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Procedure site | Rectum structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Procedure site | Rectum structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Direct morphology | Morphologically abnormal structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Method | Excision biopsy | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Method | Biopsy - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Is a | Peranal excision of lesion of rectum | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Is a | Surgical biopsy of rectum | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Is a | Transsphincteric biopsy of rectum | false | Inferred relationship | Existential restriction modifier |  |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Procedure site - Direct | Rectum structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Surgical approach | Transanal approach | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Method | Excision biopsy | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Direct morphology | Morphologically abnormal structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Procedure site - Direct | Rectum structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Direct morphology | Morphologically abnormal structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Procedure site - Direct | Rectum structure | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Surgical approach | Transanal approach | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Method | Excision biopsy | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Excisional biopsy of lesion of rectum, intact, by transanal approach | Direct morphology | Lesion | true | Inferred relationship | Existential restriction modifier | 2 |  |