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When one non-standard concept id is mapped to four stanard id,which one do I have to choose?

As shown in the title,for example,non-standard concept id is 42617505 . its relates to four standard id,which are 4164267,195906,138841,4346965.how should I choose?

@Vines:

This ICD10 code is a pre-coordination of a bunch of attributes: lumbar spine, sacrum, atlantoaxial subluxation, and recurrent subluxation. There is no Concept like that in SNOMED, which we usually use for Standard Concepts. So, the vocab team mapped to four individual Concepts to capture the full meaning. You need to write four CONDITION_OCCURRENCE records, one for each.

thank you

t