| Outbound Relationships | Type | Target | Active | Characteristic | Refinability | Group | Values | 
| Replacement of automatic cardioverter/defibrillator, total system | Is a | Revision of automatic implantable cardioverter/defibrillator | true | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Is a | Replacement of device | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Maintenance - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Procedure site | Cardiac structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Procedure site | Heart structure | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Direct device | Implantable defibrillator, device | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Introduction - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Surgical action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Replacement - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Revision status | Revision - value | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Management - action | false | Inferred relationship | Existential restriction modifier |  |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Maintenance - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Direct device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Procedure device | Device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Procedure device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Procedure site - Indirect | Heart structure | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Direct device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Direct device | Cardiac implant | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Direct device | Cardiac pacemaker, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Maintenance - action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Revision status | Revision - value | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Surgical action | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Direct device | Implantable defibrillator, device | false | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Revision status | Revision - value | true | Inferred relationship | Existential restriction modifier | 1 |  | 
| Replacement of automatic cardioverter/defibrillator, total system | Method | Surgical action | true | Inferred relationship | Existential restriction modifier | 1 |  |