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 C23 Pathological Conditions, Signs and Symptoms D013568 +
  C23.550 Pathologic Processes D010335 +
   C23.550.414 Hemorrhage D006470 +
    C23.550.414.788 Gastrointestinal Hemorrhage D006471 +
     C23.550.414.788.400 Hematemesis D006396 
 C23 Pathological Conditions, Signs and Symptoms D013568 +
  C23.888 Signs and Symptoms D012816 +
   C23.888.821 Signs and Symptoms, Digestive D012817 +
    C23.888.821.937 Vomiting D014839 +
     C23.888.821.937.019 Hematemesis D006396