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 E04 Surgical Procedures, Operative D013514 +
  E04.210 Digestive System Surgical Procedures D013505 +
   E04.210.338 Enterostomy D004766 +
    E04.210.338.225 Colostomy D003125 
 E04 Surgical Procedures, Operative D013514 +
  E04.579 Ostomy D010030 +
   E04.579.338 Enterostomy D004766 +
    E04.579.338.225 Colostomy D003125