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??? Notes about handling concepts having multiple codes and how scheme "code:internal Id" resolves issues.  Also, note code values are not guaranteed to be unique across the vocabularyModel ???  Also, notes about all codes being loaded regardless of their status (active vs. retired). 

Concepts having concept relationships with other concepts will be created by the loader such the association's name (or association predicate) will be the relationshipName attribute value of the conceptRelationship XML element in the load source file.  NOTE:  these associations between concepts are not depicted in the above image.  

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