| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Open fracture distal radius, intra-articular, die-punch | Is a | Fracture of distal end of radius | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture distal radius, intra-articular, die-punch | Associated morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture distal radius, intra-articular, die-punch | Finding site | Bone structure of distal radius | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture distal radius, intra-articular, die-punch | Communication with wound | Open injury | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture distal radius, intra-articular, die-punch | Is a | Open fracture of distal end of radius | true | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture distal radius, intra-articular, die-punch | Associated morphology | Fracture, open | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture distal radius, intra-articular, die-punch | Associated morphology | Fracture, open, intra-articular | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture distal radius, intra-articular, die-punch | Finding site | Bone structure of distal radius | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture distal radius, intra-articular, die-punch | Associated morphology | Fracture, open, intra-articular | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture distal radius, intra-articular, die-punch | Due to | Traumatic event | true | Inferred relationship | Existential restriction modifier | 2 |  |