| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| On examination - hands - big, spade-like | Is a | On examination - hands | false | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Associated finding | Spade-like hand | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Is a | On examination - hysterical gait | false | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Temporal context | Current | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Subject relationship context | Subject of record | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Finding context | Known present | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Is a | On examination - specified examination finding | false | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Is a | Clinical finding present | false | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Is a | Spade-like hand | false | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Finding site | Hand structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Finding informer | Performer of method | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| On examination - hands - big, spade-like | Associated morphology | Flattening deformity | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Finding site | Structure of musculoskeletal system | false | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Finding method | Physical examination procedure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| On examination - hands - big, spade-like | Finding site | Hand structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Associated morphology | Flattening deformity | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| On examination - hands - big, spade-like | Is a | On examination - specified examination finding | true | Inferred relationship | Existential restriction modifier |  |  | 
| On examination - hands - big, spade-like | Finding method | Procedure | true | Inferred relationship | Existential restriction modifier | 1 |  |