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Description
If we look at https://data.bioontology.org/ontologies/MEDDRA/classes/http%3A%2F%2Fpurl.bioontology.org%2Fontology%2FMEDDRA%2F10042945/paths_to_root to see the paths_to_root from MEDDRA/10042945, we see that there are 3 paths to root, each with 3 ancestors.
When annotating the text "Systemic lupus erythematosus" with expand_class_hierarchy=true and focusing on MEDDRA (https://data.bioontology.org/annotator?text=Systemic%20lupus%20erythematosus&class_hierarchy_max_level=25&expand_class_hierarchy=true&ontologies=MEDDRA) the first item in the result is MEDDRA/10042945 mentioned above. It contains hierarchy items with distances [1, 1, 1, 2, 3], but I expected it to have more items with distances [1, 2, 3, 1, 2, 3, 1, 2, 3] to reflect all the ancestors seen in the first link above.