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 C21 Disorders of Environmental Origin D007280 +
  C21.866 Wounds and Injuries D014947 +
   C21.866.891 Thoracic Injuries D013898 +
     C21.866.891.315 Flail Chest D005409 
     C21.866.891.375 Heart Injuries D006335 
     C21.866.891.733 Rib Fractures D012253