CIEL / CIEL / 5b28c4e873cc68000121c4d9 SAME-AS
To:      VHA / MED-RT-NUI / N0000175860 -    EXTERNAL
   CIEL / CIEL / 583f720265baaa000771fe50 NARROWER-THAN
To:      IHTSDO / SNOMED-NP / 410942007 -    EXTERNAL