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Concepts could use the same concept term.  For example, the ICD10 code "D64.9" is a concept term and is "mapped" to 19 multiple concepts in the CIEL dictionary – "anemia", "severe anemia", "chronic anemia", "anemia due to infection", etc.  In ICD10, the definition is "Anemia, unspecified".  For the concept of anemia, the concept mapping would use the same mapping of "D64.9", but with the mapping type of "SAME-AS".  For "severe anemia", the same term would be mapped with the type of "NARROWER-THAN". 

Code Block
SAME-AS / ICD 10 /  D64.9 / "Anemia"
NARROWER-THAN / ICD 10 /  D64.9 / "Severe Anemia"

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A concept map with the concept type (SAME-AS) is used when there is one and only one use of a mapping in the concept dictionary.  This is used for PIH and CIEL mappings which should always be assigned a type of "SAME-AS".  A single concept could have many SAME-AS mappings ("CIEL: 117703", "PIH: Sickle-Cell Anemia", and "PIH: 7814"). 


Code Block
SAME-AS / PIH / Sickle-Cell Anemia
SAME-AS / PIH /  7814
SAME-AS / CIEL / 117703

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