| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Primary open reduction of fragment of bone and fixation using screw | Is a | Primary open reduction of fracture and internal fixation with screw(s) | true | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 6 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 6 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Skeletal system structure | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Revision status | Principal | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Reduction - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Surgical repair - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Access | Open approach - access | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Revision status | Primary operation | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site | Bone structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Indirect | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct device | Bone screw, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Orthopedic internal fixation system, device | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Bone screw, device | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Bone screw, device | false | Inferred relationship | Existential restriction modifier | 5 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 5 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Reduction - action | false | Inferred relationship | Existential restriction modifier | 4 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Reduction - action | false | Inferred relationship | Existential restriction modifier | 5 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Reduction - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Access | Open approach - access | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Access | Open approach - access | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Indirect | Bone structure | false | Inferred relationship | Existential restriction modifier | 5 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Indirect | Bone structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Fixation - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Fixation - action | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Revision status | Primary operation | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Reduction - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Open reduction - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Revision status | Primary operation | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Revision status | Primary operation | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Bone screw, device | true | Inferred relationship | Existential restriction modifier | 2 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Bone screw, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Method | Open reduction - action | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Direct morphology | Fracture | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Revision status | Primary operation | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Procedure site - Direct | Bone structure | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Primary open reduction of fragment of bone and fixation using screw | Using device | Bone screw, device | true | Inferred relationship | Existential restriction modifier | 1 |  |