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 C06 Digestive System Diseases D004066 +
  C06.267 Digestive System Fistula D016154 +
   C06.267.550 Intestinal Fistula D007412 +
    C06.267.550.600 Rectal Fistula D012003 +
      C06.267.550.600.650 Rectovaginal Fistula D012006 
 C06 Digestive System Diseases D004066 +
  C06.405 Gastrointestinal Diseases D005767 +
   C06.405.469 Intestinal Diseases D007410 +
    C06.405.469.471 Intestinal Fistula D007412 +
     C06.405.469.471.600 Rectal Fistula D012003 +
       C06.405.469.471.600.650 Rectovaginal Fistula D012006 
 C06 Digestive System Diseases D004066 +
  C06.405 Gastrointestinal Diseases D005767 +
   C06.405.469 Intestinal Diseases D007410 +
    C06.405.469.860 Rectal Diseases D012002 +
     C06.405.469.860.752 Rectal Fistula D012003 +
       C06.405.469.860.752.650 Rectovaginal Fistula D012006 
 C23 Pathological Conditions, Signs and Symptoms D013568 +
  C23.300 Pathological Conditions, Anatomical D020763 +
   C23.300.575 Fistula D005402 +
    C23.300.575.185 Digestive System Fistula D016154 +
     C23.300.575.185.550 Intestinal Fistula D007412 +
      C23.300.575.185.550.600 Rectal Fistula D012003 +
        C23.300.575.185.550.600.650 Rectovaginal Fistula D012006