Cardinality describes how many of one Class is allowed against an instance of another Class. In the NHS Data Model and Dictionary Cardinality is represented: In  Diagrams by numbers on either end of the relationship line connecting Classes; On Classes by words describing the  Relationship and Cardinality. 
 Cardinality represents the minimum and maximum number of instances of one Class against another. In the NHS Data Model and Dictionary: 0..* means that a Class “may be related to one or more Class” 0..1 means that a Class “may be related to one and only one Class” 1..* means that a Class “must be related to one or more Class” 1 means that a Class “must be related to one and only one Class” 
 The minimum number is usually a 0 or a 1: An example of Cardinality in diagrams is given below:  |