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 C05 Musculoskeletal Diseases D009140 +
  C05.116 Bone Diseases D001847 +
   C05.116.198 Bone Diseases, Metabolic D001851 +
    C05.116.198.495 Osteomalacia D010018 
 C18 Nutritional and Metabolic Diseases D009750 +
  C18.452 Metabolic Diseases D008659 +
   C18.452.174 Calcium Metabolism Disorders D002128 +
    C18.452.174.662 Osteomalacia D010018 
 C18 Nutritional and Metabolic Diseases D009750 +
  C18.654 Nutrition Disorders D009748 +
   C18.654.521 Malnutrition D044342 +
    C18.654.521.500 Deficiency Diseases D003677 +
     C18.654.521.500.133 Avitaminosis D001361 +
      C18.654.521.500.133.770 Vitamin D Deficiency D014808 +
       C18.654.521.500.133.770.496 Osteomalacia D010018