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Source concepts which map to ICD-10 chapters with dagger and asterisk conventions will be mapped to two target classification codes. The asterisk classification will be the second target record (mapGroup=2). The asterisk code will have applied advice of THIS CODE MAY BE USED IN THE PRIMARY POSITION WHEN THE MANIFESTATION IS THE PRIMARY FOCUS OF CARE.

111900000 | Pneumonia in aspergillosis (disorder) | maps to B44.1 Other pulmonary aspergillosis (dagger) and J17.2 Pneumonia in mycoses (asterisk):

...

(Exemplar: Dagger & Asterisk: #1)

20735004 | Syphilitic aortitis (disorder) | maps to A52.0, Cardiovascular syphilis and I79.1, Aortitis in diseases classified elsewhere:

...

(Exemplar: Dagger and Asterisk: #2)

307726001 | Anemia in ovarian carcinoma (disorder) | maps to C56, Malignant neoplasm of ovary, and D63.0, Anemia in neoplastic disease:

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(Exemplar: Dagger & Asterisk: #4)

Dagger codes identified during tabular review which do not have a corresponding asterisk are called "virtual dagger" references. These do not require second target addition.