| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Implantation of cardiac dual-chamber device, replacement | Is a | Implantation of heart pacemaker | false | Inferred relationship | Existential restriction modifier |  |  | 
| Implantation of cardiac dual-chamber device, replacement | Method | Implantation - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Implantation of cardiac dual-chamber device, replacement | Procedure site | Heart structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Procedure site | Body structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Implantation of cardiac dual-chamber device, replacement | Method | Insertion - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Direct device | Cardiac pacemaker, device | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Method | Insertion - action | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Implantation of cardiac dual-chamber device, replacement | Is a | Implantation of cardiac pacemaker | false | Inferred relationship | Existential restriction modifier |  |  | 
| Implantation of cardiac dual-chamber device, replacement | Direct device | Cardiac pacemaker electrode | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Procedure site - Direct | Heart structure | false | Inferred relationship | Existential restriction modifier | 2 |  | 
| Implantation of cardiac dual-chamber device, replacement | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Direct device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Procedure site - Indirect | Heart structure | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Method | Insertion - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Method | Replacement - action | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Implantation of cardiac dual-chamber device, replacement | Is a | Replacement of cardiac pacemaker | true | Inferred relationship | Existential restriction modifier |  |  |