| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Open fracture of femur, distal end | Is a | Open fracture of lower end of femur | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture of femur, distal end | Finding site | Bone structure of distal femur | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture of femur, distal end | Communication with wound | Open injury | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture of femur, distal end | Associated morphology | Fracture, open | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture of femur, distal end | Is a | Fracture of distal end of femur | true | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture of femur, distal end | Is a | Open fracture of femur | true | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture of femur, distal end | Associated morphology | Fracture, open | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture of femur, distal end | Finding site | Bone structure of distal femur | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Open fracture of femur, distal end | Is a | Wound finding | false | Inferred relationship | Existential restriction modifier |  |  | 
| Open fracture of femur, distal end | Due to | Traumatic event | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Inbound Relationships | Type | Active | Source | Characteristic | Refinability | Group | 
| Open fracture of femoral condyle of femur | Is a | True | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Multiple open fractures of lower end of femur | Is a | True | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open supracondylar fracture of femur | Is a | False | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture of lower epiphysis of femur | Is a | True | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture distal femur, comminuted/intra-articular | Is a | True | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture distal femur, unspecified | Is a | False | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture of distal femur not otherwise specified | Is a | False | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture of distal end of right femur | Is a | True | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture of distal end of left femur | Is a | True | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture distal femur, unspecified | Is a | False | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  | 
| Open fracture of distal femur not otherwise specified | Is a | False | Open fracture of femur, distal end | Inferred relationship | Existential restriction modifier |  |