I think I’m not 100% following here, but let me try to summarize.
We want to recommend that all family history get the OBSERVATION_CONCEPT_ID = 4210989 - Family history with explicit context and then if there is an associated condition it should get put into the VALUE_AS_CONCEPT_ID.
For example, if I get this ICD9 V17.5-Family history of asthma the Vocab would map it to 4210989 but there would also be a separate non-standard relationship to asthma? Any time I have a code mapped to 4210989 then I will do a separate query to get to its associated condition?
Or am I just missing what you guys are talking about? 