Yes. A valid Standard Concept will map to itself. So, when you ETL, you find a Concept from your source code. In order to know what Concept to write. You take all (fresh) relationships “Mpas to” and write the resulting Concepts into the concept_id field. If the Concept was already a Standard one, it will have mapped to itself, and you right that one. If not, it will map to something else, which you should write. Makes sense?
In the concept_relationship table “Enrollment by geography” (concept_id=44814718) maps to “Period while enrolled in the study” (concept_id=44814723). Is this correct?