| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Replacement of electronic heart device, pulse generator | Is a | Removal of heart assist system with replacement | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Removal of electronic heart device pulse generator | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Maintenance procedure for cardiac pacemaker system | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Method | Removal - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site | Cardiac structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Method | Implantation - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site | Heart structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Method | Maintenance - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site | Body structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Prosthesis, device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Method | Replacement - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Cardiac pacemaker replaced | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Implantation of heart pacemaker | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Method | Management - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Method | Insertion - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Method | Maintenance - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Is a | Maintenance procedure for cardiac pacemaker system | true | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Pacemaker pulse generator, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Device | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure device | Device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Procedure device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Cardiothoracic device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Method | Replacement - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Cardiac assist implant | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Method | Replacement - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Method | Replacement - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Method | Surgical removal - action | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Cardiac implant | false | Inferred relationship | Existential restriction modifier | 3 |  | 
| Replacement of electronic heart device, pulse generator | Is a | Cardiac pacemaker replaced | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Replacement of cardiac pacemaker | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Replacement of device | true | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Is a | Removal of cardiac pacemaker | true | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of electronic heart device, pulse generator | Method | Replacement - action | true | Inferred relationship | Existential restriction modifier | 4 |  | 
| Replacement of electronic heart device, pulse generator | Direct device | Pacemaker pulse generator, device | true | Inferred relationship | Existential restriction modifier | 4 |  |