DSTU2 FHIR Release 3 (STU)

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Conceptmap-example-specimen-type.xml

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Specimen Type v2 -> SNOMED CT Mapping (id = "102")


  
  
    
    
      
      Mapping from 
         to 
        
      
      DRAFT. Published on 25/07/2013 by FHIR project team (original source: LabMCoP) (
        ; , 
        http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
        649725%3AUploadedFile%3A145786; ). 
      
      
      
        
          
            
          
          
            
          
          
            
          
          
            
          
        
        
          
            
          
          
          
            
          
          
            
          
          
            
          
          
            
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          This really is not a specimen per se - it is the state of the subject from whom the specimen

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="102"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Specimen mapping from v2 table 0487 to SNOMED CT (http://hl7.org/fhir/ConceptMap/102)</h2> 
      <p> Mapping from 
        <a href="v2/0487/index.html">http://hl7.org/fhir/ValueSet/v2-0487</a>  to http://snomed.info/id?fhir_vs
      </p> 
      <p> DRAFT. Published on 25/07/2013 by FHIR project team (original source: LabMCoP) (
        <a href="http://hl7.org/fhir">http://hl7.org/fhir</a> , 
        <a href="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
        649725%3AUploadedFile%3A145786">http://www.phconnect.org/group...</a> ). 
      </p> 
      <br/>  
      <table class="grid">
        <tr> 
          <td colspan="1">
            <b> Source Concept</b> 
          </td> 
          <td> 
            <b> Equivalence</b> 
          </td> 
          <td colspan="4">
            <b> Destination Concept</b> 
          </td> 
          <td> 
            <b> Comment</b> 
          </td> 
        </tr> 
        <tr> 
          <td> 
            <b> Code [http://hl7.org/fhir/v2/0487]</b> 
          </td> 
          <td/>  
          <td> 
            <b> Code [http://snomed.info/sct]</b> 
          </td> 
          <td> 
            <b> http://snomed.info/id/246380002 [http://snomed.info/sct]</b> 
          </td> 
          <td> 
            <b> http://snomed.info/id/3006873018 [http://snomed.info/sct]</b> 
          </td> 
          <td> 
            <b> TypeModifier [http://snomed.info/sct]</b> 
          </td> 
          <td/>  
        </tr> 
        <tr> 
          <td> ACNE (Tissue, Acne)</td> 
          <td> :(equivalent)</td> 
          <td> 309068002 (Skin lesion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ACNFLD (Fluid, Acne)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td> 47002008 (Pustule)</td> 
          <td> HL7 term is a historical term. mapped to Pus</td> 
        </tr> 
        <tr> 
          <td> AIRS (Air Sample)</td> 
          <td> :(equivalent)</td> 
          <td> 446302006 (Air sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ALL (Allograft)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 7970006 (Allograft)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> AMP (Amputation)</td> 
          <td> :(equivalent)</td> 
          <td> 408654003 (Specimen obtained by amputation)</td> 
          <td> 81723002 (Amputation)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ANGI (Catheter Tip, Angio)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> ARTC (Catheter Tip, Arterial)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> ASERU (Serum, Acute)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> pending</td> 
        </tr> 
        <tr> 
          <td> ASP (Aspirate)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ATTE (Environment, Attest)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> AUTOC (Environmental, Autoclave Capsule)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> AUTP (Autopsy)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> This really is not a specimen per se - it is the state of the subject from whom the specimen
             is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated
             with a special medical record number or other notation on the patient. needs to have specimen
             type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with
             specimen source topography 32361000^Popliteal fossa structure (body structure)
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Don't use this term for human samples - use Stool instead. animal would use small intestinal
             contents, large intestinal contents
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is

             type (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)</td> 
        </tr> 
        <tr> 
          <td> BBL (Blood bag)</td> 
          <td> :(equivalent)</td> 
          <td> 119304001 (Blood bag specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BCYST (Cyst, Baker's)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td> 32361000 (Popliteal fossa)</td> 
          <td/>  
          <td> submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with

             specimen source topography 32361000^Popliteal fossa structure (body structure)</td> 
        </tr> 
        <tr> 
          <td> BITE (Bite)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Submit for new term with parent 119365002</td> 
        </tr> 
        <tr> 
          <td> BLEB (Bleb)</td> 
          <td> :(equivalent)</td> 
          <td> 309049000 (Lesion sample)</td> 
          <td/>  
          <td/>  
          <td> 339008 (Blister)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BLIST (Blister)</td> 
          <td> :(equivalent)</td> 
          <td> 309049000 (Lesion sample)</td> 
          <td/>  
          <td/>  
          <td> 339008 (Blister)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BOIL (Boil)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td> 59843005 (Furuncle)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BON (Bone)</td> 
          <td> :(equivalent)</td> 
          <td> 430268003 (Specimen from bone)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BOWL (Bowel contents)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Don't use this term for human samples - use Stool instead. animal would use small intestinal

             contents, large intestinal contents</td> 
        </tr> 
        <tr> 
          <td> BPU (Blood product unit)</td> 
          <td> :(equivalent)</td> 
          <td> 119300005 (Specimen from blood product)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRN (Burn)</td> 
          <td> :(equivalent)</td> 
          <td> 119367005 (Specimen from burn injury)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRSH (Brush)</td> 
          <td> :(equivalent)</td> 
          <td> 258415003 (Biopsy sample)</td> 
          <td> 439336003 (Brush biopsy)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRTH (Breath (use EXHLD))</td> 
          <td> :(equivalent)</td> 
          <td> 119336008 (Exhaled air specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRUS (Brushing)</td> 
          <td> :(equivalent)</td> 
          <td> 309176002 (Bronchial brushings sample)</td> 
          <td> 80657008 (Bronchoscopy with brush biopsy)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BUB (Bubo)</td> 
          <td> :(equivalent)</td> 
          <td> 302795002 (Lymph node aspirate)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td> 11585000 (Bubo)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BULLA (Bulla/Bullae)</td> 
          <td> :(equivalent)</td> 
          <td> 258482009 (Vesicle fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 339008 (Blister)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BX (Biopsy)</td> 
          <td> :(equivalent)</td> 
          <td> 258415003 (Biopsy sample)</td> 
          <td> 86273004 (Biopsy)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CALC (Calculus (=Stone))</td> 
          <td> :(equivalent)</td> 
          <td> 119350003 (Calculus specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CARBU (Carbuncle)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 41570003 (Carbuncle)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> CAT (Catheter)</td> 
          <td> :(equivalent)</td> 
          <td> 119311002 (Catheter specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CBITE (Bite, Cat)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Submit for new term with parent 119365002</td> 
        </tr> 
        <tr> 
          <td> CLIPP (Clippings)</td> 
          <td> :(equivalent)</td> 
          <td> 119327009 (Nail specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> Be more specific use either: 119326000^hair specimen or 119327009^nail specimen</td> 
        </tr> 
        <tr> 
          <td> CNJT (Conjunctiva)</td> 
          <td> :(equivalent)</td> 
          <td> 119401005 (Specimen from conjunctiva)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CNJT (Conjunctiva)</td> 
          <td> :(equivalent)</td> 
          <td> 128160006 (Tissue specimen from conjunctiva)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CNJT (Conjunctiva)</td> 
          <td> :(equivalent)</td> 
          <td> 258498002 (Conjunctival swab)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> COL (Colostrum)</td> 
          <td> :(equivalent)</td> 
          <td> 119329007 (Colostrum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CONE (Biospy, Cone)</td> 
          <td> :(equivalent)</td> 
          <td> 399713008 (Specimen from uterine cervix obtained by cone biopsy)</td> 
          <td> 54535009 (Cone biopsy of cervix)</td> 
          <td> 71252005 (Uterine cervix)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CSCR (Scratch, Cat)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> submit for new term with parent 119365002^Specimen from wound (specimen)</td> 
        </tr> 
        <tr> 
          <td> CSERU (Serum, Convalescent)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> pending</td> 
        </tr> 
        <tr> 
          <td> CSITE (Catheter Insertion Site)</td> 
          <td> :(equivalent)</td> 
          <td> 258507003 (Swab of line insertion site)</td> 
          <td> 285570007 (Taking of swab)</td> 
          <td/>  
          <td> 386144009 (Line insertion site)</td> 
          <td> Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
             all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
             specimen and a falsely identified infected central line. Do not just swab the reddened
             area - that will just collect skin flora       
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Historical term - consider what is being drained and indicate that in SPM-4 instead: not
             an acceptable specimen for micro - not specific enough term
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          this term is not specific enough, choose from terms that more accurately describe the
             specimen
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Further describe the sample as tissue or pus. or by the collection method. The term boil

             area - that will just collect skin flora       </td> 
        </tr> 
        <tr> 
          <td> CSMY (Fluid,  Cystostomy Tube)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CST (Fluid, Cyst)</td> 
          <td> :(equivalent)</td> 
          <td> 258453008 (Cyst fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CSVR (Blood, Cell Saver)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD - may use blood and SPM-6</td> 
        </tr> 
        <tr> 
          <td> CTP (Catheter tip)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> CVPS (Site, CVP)</td> 
          <td> :(equivalent)</td> 
          <td> 258507003 (Swab of line insertion site)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CVPT (Catheter Tip, CVP)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td> 445085009 (Tunneled central venous catheter)</td> 
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> CYN (Nodule, Cystic)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td> 27925004 (Nodule)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> CYST (Cyst)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DBITE (Bite, Dog)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Submit for new term with parent 119365002</td> 
        </tr> 
        <tr> 
          <td> DCS (Sputum, Deep Cough)</td> 
          <td> :(equivalent)</td> 
          <td> 119335007 (Coughed sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DEC (Ulcer, Decubitus)</td> 
          <td> :(equivalent)</td> 
          <td> 258505006 (Skin ulcer swab)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DEION (Environmental, Water  (Deionized))</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> DIA (Dialysate)</td> 
          <td> :(equivalent)</td> 
          <td> 119360007 (Dialysis fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DISCHG (Discharge)</td> 
          <td> :(equivalent)</td> 
          <td> 258439008 (Discharge)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DIV (Diverticulum)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 31113003 (Diverticulum)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> DRN (Drain)</td> 
          <td> :(equivalent)</td> 
          <td> 119306004 (Drain device specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DRNG (Drainage, Tube)</td> 
          <td> :(equivalent)</td> 
          <td> 258455001 (Drainage fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead: not

             an acceptable specimen for micro - not specific enough term</td> 
        </tr> 
        <tr> 
          <td> DRNGP (Drainage, Penrose)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> EARW (Ear wax (cerumen))</td> 
          <td> :(equivalent)</td> 
          <td> 122580007 (Cerumen specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EBRUSH (Brush, Esophageal)</td> 
          <td> :(equivalent)</td> 
          <td> 309210009 (Oesophageal brushings sample)</td> 
          <td> 36213007 (Endoscopy and brush biopsy)</td> 
          <td> 32849002 (Esophagus)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EEYE (Environmental, Eye Wash)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> EFF (Environmental, Effluent)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> EFFUS (Effusion)</td> 
          <td> :(equivalent)</td> 
          <td> 258440005 (Effusion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EFOD (Environmental, Food)</td> 
          <td> :(equivalent)</td> 
          <td> 119320006 (Food specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EISO (Environmental, Isolette)</td> 
          <td> :(equivalent)</td> 
          <td> 258536003 (Incubator swab)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ELT (Electrode)</td> 
          <td> :(equivalent)</td> 
          <td> 119314005 (Electrode specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ENVIR (Environmental, Unidentified Substance)</td> 
          <td> :(equivalent)</td> 
          <td> 119324002 (Specimen of unknown material)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EOTH (Environmental, Other Substance)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> ESOI (Environmental, Soil)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> ESOS (Environmental, Solution (Sterile))</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> ETA (Aspirate,  Endotrach)</td> 
          <td> :(equivalent)</td> 
          <td> 119307008 (Endotracheal tube specimen)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 321667001 (Respiratory tract structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ETTP (Catheter Tip, Endotracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> ETTUB (Tube, Endotracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 119307008 (Endotracheal tube specimen)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 321667001 (Respiratory tract structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EWHI (Environmental, Whirlpool)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> EXG (Gas, exhaled (=breath))</td> 
          <td> :(equivalent)</td> 
          <td> 119336008 (Exhaled air specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EXS (Shunt, External)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> EXUDTE (Exudate)</td> 
          <td> :(equivalent)</td> 
          <td> 258441009 (Exudate sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FAW (Environmental, Water  (Well))</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> FBLOOD (Blood, Fetal)</td> 
          <td> :(equivalent)</td> 
          <td> 119297000 (Blood specimen)</td> 
          <td/>  
          <td/>  
          <td> 303112003 (Fetal period)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> FGA (Fluid,  Abdomen)</td> 
          <td> :(equivalent)</td> 
          <td> 168139001 (Peritoneal fluid sample)</td> 
          <td/>  
          <td> 83670000 (Peritoneal cavity)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FIST (Fistula)</td> 
          <td> :(equivalent)</td> 
          <td> 119370009 (Specimen from fistula)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FLD (Fluid, Other)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FLT (Filter)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> FLU (Fluid, Body unsp)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FLUID (Fluid)</td> 
          <td> :(equivalent)</td> 
          <td> 258442002 (Fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FOLEY (Catheter Tip, Foley)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> FRS (Fluid, Respiratory)</td> 
          <td> :(equivalent)</td> 
          <td> 258442002 (Fluid sample)</td> 
          <td/>  
          <td> 272626006 (Respiratory organ)</td> 
          <td/>  
          <td> this term is not specific enough, choose from terms that more accurately describe the

             specimen</td> 
        </tr> 
        <tr> 
          <td> FSCLP (Scalp, Fetal)</td> 
          <td> :(equivalent)</td> 
          <td> 309502007 (Fetus specimen)</td> 
          <td/>  
          <td> 41695006 (Scalp)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FUR (Furuncle)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td/>  
          <td/>  
          <td> 59843005 (Furuncle)</td> 
          <td> Further describe the sample as tissue or pus. or by the collection method. The term boil
             is not specifc to a body site - need to indicate source site (spm.8). preferred term is
             Aspirate_Boil
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
             is what is expected, should use stool sample
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
             is what is expected, should use stool sample
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          should be more specific what kind of lesion is observed - be more specific is it a wound,
             abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,

             Aspirate_Boil</td> 
        </tr> 
        <tr> 
          <td> GAS (Gas)</td> 
          <td> :(equivalent)</td> 
          <td> 119317003 (Gaseous material specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASA (Aspirate, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 168137004 (Gastric aspirate sample)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASAN (Antrum, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 119379005 (Specimen from stomach)</td> 
          <td/>  
          <td> 66051006 (Pyloric antrum)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASBR (Brushing, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 309213006 (Gastric brushings sample)</td> 
          <td> 235157009 (Endoscopic brushings of GIT)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASD (Drainage, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 258459007 (Gastric fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> GAST (Fluid/contents, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 258459007 (Gastric fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GENV (Genital vaginal)</td> 
          <td> :(equivalent)</td> 
          <td> 119394009 (Specimen from vagina)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GRAFT (Graft)</td> 
          <td> :(equivalent)</td> 
          <td> 440493002 (Graft sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GRANU (Granuloma)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 45647009 (Granuloma)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> GROSH (Catheter, Groshong)</td> 
          <td> :(equivalent)</td> 
          <td> 119311002 (Catheter specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> GSOL (Solution, Gastrostomy)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> GSPEC (Biopsy, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 309211008 (Gastric biopsy sample)</td> 
          <td> 79121003 (Biopsy of stomach)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GT (Tube, Gastric)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> GTUBE (Drainage Tube, Drainage (Gastrostomy))</td> 
          <td> :(equivalent)</td> 
          <td> 258459007 (Gastric fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 69695003 (Stomach)</td> 
          <td> 127490009 (Gastrostomy route)</td> 
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> HBITE (Bite, Human)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Submit for new term with parent 119365002</td> 
        </tr> 
        <tr> 
          <td> HBLUD (Blood, Autopsy)</td> 
          <td> :(equivalent)</td> 
          <td> 119297000 (Blood specimen)</td> 
          <td/>  
          <td/>  
          <td> 303113008 (Postmortem period)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> HEMAQ (Catheter Tip, Hemaquit)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> HEMO (Catheter Tip, Hemovac)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> HERNI (Tissue, Herniated)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> HEV (Drain, Hemovac)</td> 
          <td> :(equivalent)</td> 
          <td> 119306004 (Drain device specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> HIC (Catheter, Hickman)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td> 445085009 (Tunneled central venous catheter)</td> 
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> HYDC (Fluid, Hydrocele)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 55434001 (Hydrocele)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> IBITE (Bite, Insect)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Submit for new term with parent 119365002</td> 
        </tr> 
        <tr> 
          <td> ICYST (Cyst, Inclusion)</td> 
          <td> :(equivalent)</td> 
          <td> 309075001 (Skin cyst sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> IDC (Catheter Tip, Indwelling)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> IHG (Gas, Inhaled)</td> 
          <td> :(equivalent)</td> 
          <td> 119337004 (Inhaled gas specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ILEO (Drainage, Ileostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 258455001 (Drainage fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 419954003 (Ileostomy route)</td> 
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead: stool

             is what is expected, should use stool sample</td> 
        </tr> 
        <tr> 
          <td> ILLEG (Source of Specimen Is Illigible)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> IMP (Implant)</td> 
          <td> :(equivalent)</td> 
          <td> 439961009 (Implant submitted as specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> INCI (Site, Incision/Surgical)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> INFIL (Infiltrate)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> This describes a morphologic abnormality, not a sample</td> 
        </tr> 
        <tr> 
          <td> INS (Insect)</td> 
          <td> :(equivalent)</td> 
          <td> 258614005 (Insect sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> INTRD (Catheter Tip, Introducer)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> IT (Intubation tube)</td> 
          <td> :(equivalent)</td> 
          <td> 119307008 (Endotracheal tube specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> IUD (Intrauterine Device)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> pending</td> 
        </tr> 
        <tr> 
          <td> IVCAT (Catheter Tip, IV)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td> 255560000 (Intravenous)</td> 
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> IVFLD (Fluid, IV)</td> 
          <td> :(equivalent)</td> 
          <td> 258649003 (Intravenous infusion fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> IVTIP (Tubing Tip, IV)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> JEJU (Drainage, Jejunal)</td> 
          <td> :(equivalent)</td> 
          <td> 258463000 (Jejunal fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 21306003 (Jejunum)</td> 
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead: stool

             is what is expected, should use stool sample</td> 
        </tr> 
        <tr> 
          <td> JNTFLD (Fluid, Joint)</td> 
          <td> :(equivalent)</td> 
          <td> 119332005 (Synovial fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> JP (Drainage, Jackson Pratt)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> KELOI (Lavage)</td> 
          <td> :(equivalent)</td> 
          <td> 440674008 (Wash out specimen)</td> 
          <td> 67889009 (Irrigation)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> KIDFLD (Fluid, Kidney)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVG (Lavage, Bronhial)</td> 
          <td> :(equivalent)</td> 
          <td> 258607008 (Bronchoalveolar lavage fluid sample)</td> 
          <td> 397394009 (Bronchoalveolar lavage)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVGG (Lavage, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 168138009 (Gastric lavage aspirate sample)</td> 
          <td> 173830003 (Irrigation of stomach)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVGP (Lavage, Peritoneal)</td> 
          <td> :(equivalent)</td> 
          <td> 440137008 (Specimen obtained by peritoneal lavage)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVPG (Lavage, Pre-Bronch)</td> 
          <td> :(equivalent)</td> 
          <td> 440674008 (Wash out specimen)</td> 
          <td> 67889009 (Irrigation)</td> 
          <td> 44567001 (Trachea)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LENS1 (Contact Lens)</td> 
          <td> :(equivalent)</td> 
          <td> 440473005 (Contact lens submitted as specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LENS2 (Contact Lens Case)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> LESN (Lesion)</td> 
          <td> :(equivalent)</td> 
          <td> 309049000 (Lesion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> should be more specific what kind of lesion is observed - be more specific is it a wound,

             abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)</td> 
        </tr> 
        <tr> 
          <td> LIQ (Liquid, Unspecified)</td> 
          <td> :(equivalent)</td> 
          <td> 258442002 (Fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LIQO (Liquid, Other)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> LSAC (Fluid, Lumbar Sac)</td> 
          <td> :(equivalent)</td> 
          <td> 258450006 (Cerebrospinal fluid sample)</td> 
          <td/>  
          <td> 303949008 (Lumbar spinal cerebrospinal fluid pathway)</td> 
          <td/>  
          <td> The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture</td> 
        </tr> 
        <tr> 
          <td> MAHUR (Catheter Tip, Makurkour)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> MASS (Mass)</td> 
          <td> :(equivalent)</td> 
          <td> 420548004 (Specimen from mass)</td> 
          <td/>  
          <td/>  
          <td> 4147007 (Mass)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> MBLD (Blood, Menstrual)</td> 
          <td> :(equivalent)</td> 
          <td> 119345009 (Menstrual blood specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> MUCOS (Mucosa)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td> 414781009 (Mucous membrane structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> MUCUS (Mucus)</td> 
          <td> :(equivalent)</td> 
          <td> 258483004 (Mucus sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NASDR (Drainage, Nasal)</td> 
          <td> :(equivalent)</td> 
          <td> 258474009 (Sinus fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 2095001 (Accessory sinus)</td> 
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> NEDL (Needle)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> NEPH (Site, Nephrostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NGASP (Aspirate, Nasogastric)</td> 
          <td> :(equivalent)</td> 
          <td> 302794003 (Nasogastric aspirate)</td> 
          <td> 6853008 (Nasogastric tube aspiration)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NGAST (Drainage, Nasogastric)</td> 
          <td> :(equivalent)</td> 
          <td> 258459007 (Gastric fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 69695003 (Stomach)</td> 
          <td> 127492001 (Nasogastric route)</td> 
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> NGS (Site, Naso/Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NODUL (Nodule(s))</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> pending</td> 
        </tr> 
        <tr> 
          <td> NSECR (Secretion, Nasal)</td> 
          <td> :(equivalent)</td> 
          <td> 168141000 (Nasal fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ORH (Other)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ORL (Lesion, Oral)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td> 74262004 (Oral cavity)</td> 
          <td/>  
          <td> be more precise use ulcer, tumor, vesicle</td> 
        </tr> 
        <tr> 
          <td> OTH (Source, Other)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PACEM (Pacemaker)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> PCFL (Fluid, Pericardial)</td> 
          <td> :(equivalent)</td> 
          <td> 122571007 (Pericardial fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PDSIT (Site, Peritoneal Dialysis)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PDTS (Site, Peritoneal Dialysis Tunnel)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> submitted for code</td> 
        </tr> 
        <tr> 
          <td> PELVA (Abscess, Pelvic)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 12921003 (Pelvis)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PENIL (Lesion, Penile)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td> 18911002 (Penis)</td> 
          <td/>  
          <td> need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,
             Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything
             else?
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
             is what is expected, should use stool sample
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Preferred is aspiration with sterile syringe from inflamed area. Specify body location
             of shunt site
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is

             else?</td> 
        </tr> 
        <tr> 
          <td> PERIA (Abscess, Perianal)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 397158004 (Perianal region structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PILOC (Cyst, Pilonidal)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PINS (Site, Pin)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PIS (Site, Pacemaker Insetion)</td> 
          <td> :(equivalent)</td> 
          <td> 258507003 (Swab of line insertion site)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLAN (Plant Material)</td> 
          <td> :(equivalent)</td> 
          <td> 119301009 (Plant specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLAS (Plasma)</td> 
          <td> :(equivalent)</td> 
          <td> 119361006 (Plasma specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLB (Plasma bag)</td> 
          <td> :(equivalent)</td> 
          <td> 119305000 (Plasma bag specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLEVS (Serum, Peak Level)</td> 
          <td> :(equivalent)</td> 
          <td> 119364003 (Serum specimen)</td> 
          <td/>  
          <td/>  
          <td> 255587001 (Peak)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> PND (Drainage, Penile)</td> 
          <td> :(equivalent)</td> 
          <td> 258439008 (Discharge)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 13648007 (Urethra)</td> 
          <td/>  
          <td> Historical term -though in this case more often used for discharge</td> 
        </tr> 
        <tr> 
          <td> POL (Polyps)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 41329004 (Polyp)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> POPGS (Graft Site, Popliteal)</td> 
          <td> :(equivalent)</td> 
          <td> 440493002 (Graft sample)</td> 
          <td/>  
          <td> 6902008 (Popliteal region)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> POPLG (Graft, Popliteal)</td> 
          <td> :(equivalent)</td> 
          <td> 440493002 (Graft sample)</td> 
          <td/>  
          <td> 6902008 (Popliteal region)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> POPLV (Site, Popliteal Vein)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> PORTA (Catheter, Porta)</td> 
          <td> :(equivalent)</td> 
          <td> 119311002 (Catheter specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> PPP (Plasma, Platelet poor)</td> 
          <td> :(equivalent)</td> 
          <td> 119362004 (Platelet poor plasma specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PROST (Prosthetic Device)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PRP (Plasma, Platelet rich)</td> 
          <td> :(equivalent)</td> 
          <td> 119363009 (Platelet rich plasma specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PSC (Pseudocyst)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PUNCT (Wound, Puncture)</td> 
          <td> :(equivalent)</td> 
          <td> 119365002 (Specimen from wound)</td> 
          <td/>  
          <td/>  
          <td> 129300006 (Puncture - action)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> PUS (Pus)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PUSFR (Pustule)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td> 47002008 (Pustule)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> PUST (Pus)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td> 47002008 (Pustule)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> QC3 (Quality Control)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> RANDU (Urine, Random)</td> 
          <td> :(equivalent)</td> 
          <td> 278020009 (Spot urine sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RBITE (Bite, Reptile)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Submit for new term with parent: 119365002</td> 
        </tr> 
        <tr> 
          <td> RECT (Drainage, Rectal)</td> 
          <td> :(equivalent)</td> 
          <td> 119339001 (Stool specimen)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 34402009 (Rectum)</td> 
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead: stool

             is what is expected, should use stool sample</td> 
        </tr> 
        <tr> 
          <td> RECTA (Abscess, Rectal)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 34402009 (Rectum)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RENALC (Cyst, Renal)</td> 
          <td> :(equivalent)</td> 
          <td> 258420003 (Cyst tissue)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RENC (Fluid, Renal Cyst)</td> 
          <td> :(equivalent)</td> 
          <td> 258453008 (Cyst fluid sample)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RES (Respiratory)</td> 
          <td> :(equivalent)</td> 
          <td> 258603007 (Respiratory sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SAL (Saliva)</td> 
          <td> :(equivalent)</td> 
          <td> 119342007 (Saliva specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SCAR (Tissue, Keloid (Scar))</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SCLV (Catheter Tip, Subclavian)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td> 9454009 (Subclavian vein)</td> 
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> SCROA (Abscess, Scrotal)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 20233005 (Scrotum)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SECRE (Secretion(s))</td> 
          <td> :(equivalent)</td> 
          <td> 432825001 (Body secretion specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SER (Serum)</td> 
          <td> :(equivalent)</td> 
          <td> 119364003 (Serum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SHU (Site, Shunt)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td> 257351008 (Shunt)</td> 
          <td> Preferred is aspiration with sterile syringe from inflamed area. Specify body location

             of shunt site</td> 
        </tr> 
        <tr> 
          <td> SHUNF (Fluid, Shunt)</td> 
          <td> :(equivalent)</td> 
          <td> 446861007 (Cerebrospinal fluid specimen obtained via ventriculoperitoneal shunt)</td> 
          <td> 446860008 (Collection of cerebrospinal fluid via ventriculoperitoneal shunt)</td> 
          <td> 279107003 (Central nervous system space)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SHUNT (Shunt)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> SITE (Site)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> SKBP (Biopsy, Skin)</td> 
          <td> :(equivalent)</td> 
          <td> 309066003 (Skin biopsy sample)</td> 
          <td> 240977001 (Biopsy of skin)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SKN (Skin)</td> 
          <td> :(equivalent)</td> 
          <td> 119325001 (Skin specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SMM (Mass, Sub-Mandibular)</td> 
          <td> :(equivalent)</td> 
          <td> 420548004 (Specimen from mass)</td> 
          <td/>  
          <td/>  
          <td> 4147007 (Mass)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> SNV (Fluid, synovial (Joint fluid))</td> 
          <td> :(equivalent)</td> 
          <td> 119332005 (Synovial fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPRM (Spermatozoa)</td> 
          <td> :(equivalent)</td> 
          <td> 119349003 (Spermatozoa specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPRP (Catheter Tip, Suprapubic)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> SPRPB (Cathether Tip, Suprapubic)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> SPS (Environmental, Spore Strip)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> SPT (Sputum)</td> 
          <td> :(equivalent)</td> 
          <td> 119334006 (Sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPTC (Sputum - coughed)</td> 
          <td> :(equivalent)</td> 
          <td> 119335007 (Coughed sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPTT (Sputum - tracheal aspirate)</td> 
          <td> :(equivalent)</td> 
          <td> 258609006 (Sputum specimen obtained by aspiration from trachea)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPUT1 (Sputum, Simulated)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> SPUTIN (Sputum, Inducted)</td> 
          <td> :(equivalent)</td> 
          <td> 258610001 (Sputum specimen obtained by sputum induction)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPUTSP (Sputum, Spontaneous)</td> 
          <td> :(equivalent)</td> 
          <td> 119335007 (Coughed sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> STER (Environmental, Sterrad)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> STL (Stool = Fecal)</td> 
          <td> :(equivalent)</td> 
          <td> 119339001 (Stool specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> STONE (Stone, Kidney)</td> 
          <td> :(equivalent)</td> 
          <td> 119350003 (Calculus specimen)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUBMA (Abscess, Submandibular)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 5713008 (Submandibular triangle)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUBMX (Abscess, Submaxillary)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 4335006 (Upper jaw)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUMP (Drainage, Sump)</td> 
          <td> :(equivalent)</td> 
          <td> 446562005 (Body fluid specimen obtained via sump drain)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead</td> 
        </tr> 
        <tr> 
          <td> SUP (Suprapubic Tap)</td> 
          <td> :(equivalent)</td> 
          <td> 122575003 (Urine specimen)</td> 
          <td> 58088002 (Urine specimen collection, suprapubic)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUTUR (Suture)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> SWGZ (Catheter Tip, Swan Gantz)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> TASP (Aspirate, Tracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 122877000 (Upper respiratory fluid specimen obtained by tracheal aspiration)</td> 
          <td> 129112001 (Aspiration from trachea)</td> 
          <td> 44567001 (Trachea)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TISS (Tissue)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TISU (Tissue ulcer)</td> 
          <td> :(equivalent)</td> 
          <td> 122593002 (Tissue specimen obtained from ulcer)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TLC (Cathether Tip, Triple Lumen)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> TRAC (Site, Tracheostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TRANS (Transudate)</td> 
          <td> :(equivalent)</td> 
          <td> 258538002 (Transudate sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TSERU (Serum, Trough)</td> 
          <td> :(equivalent)</td> 
          <td> 119364003 (Serum specimen)</td> 
          <td/>  
          <td/>  
          <td> 255588006 (Trough)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> TSTES (Abscess, Testicular)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 279572002 (Testicular structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TTRA (Aspirate, Transtracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 258480001 (Transtracheal aspirate sample)</td> 
          <td> 129112001 (Aspiration from trachea)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TUBES (Tubes)</td> 
          <td> :(equivalent)</td> 
          <td> 119310001 (Tube specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TUMOR (Tumor)</td> 
          <td> :(equivalent)</td> 
          <td> 258435002 (Tumour tissue)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TZANC (Smear, Tzanck)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> This is the name of a lab test. A skin sample is examined for viral inclusions.</td> 
        </tr> 
        <tr> 
          <td> UDENT (Source, Unidentified)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> UR (Urine)</td> 
          <td> :(equivalent)</td> 
          <td> 122575003 (Urine specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URC (Urine clean catch)</td> 
          <td> :(equivalent)</td> 
          <td> 122880004 (Urine specimen obtained by clean catch procedure)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINB (Urine, Bladder Washings)</td> 
          <td> :(equivalent)</td> 
          <td> 122575003 (Urine specimen)</td> 
          <td> 78533007 (Irrigation of urinary bladder)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINC (Urine, Catheterized)</td> 
          <td> :(equivalent)</td> 
          <td> 446846006 (Urine specimen obtained via indwelling urinary catheter)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINM (Urine, Midstream)</td> 
          <td> :(equivalent)</td> 
          <td> 258574006 (Mid-stream urine sample)</td> 
          <td> 225271002 (Collection of mid-stream specimen of urine)</td> 
          <td> 431938005 (Structure of urinary tract proper)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINN (Urine, Nephrostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 446277003 (Urine specimen obtained from nephrostomy tube after percutaneous insertion)</td> 
          <td> 225109005 (Collection of nephrostomy urine specimen)</td> 
          <td> 25990002 (Renal pelvis)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINP (Urine, Pedibag)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> URT (Urine catheter)</td> 
          <td> :(equivalent)</td> 
          <td> 122565001 (Urinary catheter specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> USCOP (Urine, Cystoscopy)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td> 176178006 (Diagnostic cystoscopy)</td> 
          <td> 89837001 (Urinary bladder)</td> 
          <td/>  
          <td> NEW specimenTERM 7</td> 
        </tr> 
        <tr> 
          <td> USPEC (Source, Unspecified)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> VASTIP (Catheter Tip, Vas)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> VENT (Catheter Tip, Ventricular)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> VITF (Vitreous Fluid)</td> 
          <td> :(equivalent)</td> 
          <td> 258438000 (Vitreous humor sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> VOM (Vomitus)</td> 
          <td> :(equivalent)</td> 
          <td> 122572000 (Vomitus specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WASH (Wash)</td> 
          <td> :(equivalent)</td> 
          <td> 440674008 (Wash out specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WASI (Washing, e.g. bronchial washing)</td> 
          <td> :(equivalent)</td> 
          <td> 122609004 (Specimen from lung obtained by bronchial washing procedure)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WAT (Water)</td> 
          <td> :(equivalent)</td> 
          <td> 119318008 (Water specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WB (Blood, Whole)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> Bloodbanking term ONLY now map to blood and the respective preservative</td> 
        </tr> 
        <tr> 
          <td> WEN (Wen)</td> 
          <td> :(equivalent)</td> 
          <td> 309075001 (Skin cyst sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WICK (Wick)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> WND (Wound)</td> 
          <td> :(equivalent)</td> 
          <td> 119365002 (Specimen from wound)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WNDA (Wound abscess)</td> 
          <td> :(equivalent)</td> 
          <td> 119366001 (Specimen from wound abscess)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WNDD (Wound drainage)</td> 
          <td> :(equivalent)</td> 
          <td> 122566000 (Fluid specimen from wound)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WNDE (Wound exudate)</td> 
          <td> :(equivalent)</td> 
          <td> 122568004 (Exudate specimen from wound)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WORM (Worm)</td> 
          <td> :(equivalent)</td> 
          <td> 258618008 (Helminth sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WRT (Wart)</td> 
          <td> :(equivalent)</td> 
          <td> 309068002 (Skin lesion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WWA (Environmental, Water)</td> 
          <td> :(equivalent)</td> 
          <td> 119318008 (Water specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WWO (Environmental, Water (Ocean))</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> WWT (Environmental, Water  (Tap))</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> CSITE (Catheter Insertion Site)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td> 386144009 (Line insertion site)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td> Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
             all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
             specimen and a falsely identified infected central line. Do not just swab the reddened
             area - that will just collect skin flora
        
        
          
          
          
          
          
          
          
        
        
          
          
          
          
          
          
          assume swab from shunt site for mapping here - clean surface of skin prior to expressing

             area - that will just collect skin flora</td> 
        </tr> 
        <tr> 
          <td> CLIPP (Clippings)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> 119326000 (Hair specimen)</td> 
          <td> Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen</td> 
        </tr> 
        <tr> 
          <td> SHU (Site, Shunt)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td> 257351008 (Shunt)</td> 
          <td/>  
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td> assume swab from shunt site for mapping here - clean surface of skin prior to expressing
             the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify
             body approximate match location of shunt site
        
      
    
  
  

  
  
  
  
  
  
    
      
      
    
  
  
    
      
      http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
      649725%3AUploadedFile%3A145786
    
  
  
  
    
  
  
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      This really is not a specimen per se - it is the state of the subject from whom the specimen
       is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated
       with a special medical record number or other notation on the patient. needs to have specimen
       type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with
       specimen source topography 32361000^Popliteal fossa structure (body structure)
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      Don't use this term for human samples - use Stool instead. animal would use small intestinal
       contents, large intestinal contents
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
       all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
       specimen and a falsely identified infected central line. Do not just swab the reddened
       area - that will just collect skin flora       
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      Historical term - consider what is being drained and indicate that in SPM-4 instead: not
       an acceptable specimen for micro - not specific enough term
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      this term is not specific enough, choose from terms that more accurately describe the
       specimen
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      Further describe the sample as tissue or pus. or by the collection method. The term boil
       is not specifc to a body site - need to indicate source site (spm.8). preferred term is
       Aspirate_Boil
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      should be more specific what kind of lesion is observed - be more specific is it a wound,
       abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,
       Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything
       else?
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      Preferred is aspiration with sterile syringe from inflamed area. Specify body location
       of shunt site
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      
    
  
  
    
    
    
      
      
      Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
       all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
       specimen and a falsely identified infected central line. Do not just swab the reddened
       area - that will just collect skin flora
      
        
        
        
      
      
        
        
        
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      
      
        
        
        
      
    
  
  
    
    
    
      
      
      assume swab from shunt site for mapping here - clean surface of skin prior to expressing
       the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify
       body approximate match location of shunt site
      
        
        
        
      
      
        
        
        
      
    
  

             body approximate match location of shunt site</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <url value="http://hl7.org/fhir/ConceptMap/102"/> 
  <version value="20130725"/> 
  <name value="Specimen mapping from v2 table 0487 to SNOMED CT"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2013-07-25"/> 
  <publisher value="FHIR project team (original source: LabMCoP)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3

      649725%3AUploadedFile%3A145786"/> 
    </telecom> 
  </contact> 
  <sourceReference> 
    <reference value="http://hl7.org/fhir/ValueSet/v2-0487"/> 
  </sourceReference> 
  <targetReference> 
    <reference value="http://snomed.info/id?fhir_vs"/> 
  </targetReference> 
  <group> 
    <source value="http://hl7.org/fhir/v2/0487"/> 
    <target value="http://snomed.info/sct"/> 
    <element> 
      <code value="ACNE"/> 
      <target> 
        <code value="309068002"/> 
      </target> 
    </element> 
    <element> 
      <code value="ACNFLD"/> 
      <target> 
        <code value="119323008"/> 
        <comment value="HL7 term is a historical term. mapped to Pus"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="AIRS"/> 
      <target> 
        <code value="446302006"/> 
      </target> 
    </element> 
    <element> 
      <code value="ALL"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="7970006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="AMP"/> 
      <target> 
        <code value="408654003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="81723002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ANGI"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ARTC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ASERU"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="ASP"/> 
      <target> 
        <code value="119295008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ATTE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="AUTOC"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="AUTP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="This really is not a specimen per se - it is the state of the subject from whom the specimen

         is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated
         with a special medical record number or other notation on the patient. needs to have specimen
         type (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)"/> 
      </target> 
    </element> 
    <element> 
      <code value="BBL"/> 
      <target> 
        <code value="119304001"/> 
      </target> 
    </element> 
    <element> 
      <code value="BCYST"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with

         specimen source topography 32361000^Popliteal fossa structure (body structure)"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="32361000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="BLEB"/> 
      <target> 
        <code value="309049000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BLIST"/> 
      <target> 
        <code value="309049000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BOIL"/> 
      <target> 
        <code value="119295008"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="59843005"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BON"/> 
      <target> 
        <code value="430268003"/> 
      </target> 
    </element> 
    <element> 
      <code value="BOWL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Don't use this term for human samples - use Stool instead. animal would use small intestinal

         contents, large intestinal contents"/> 
      </target> 
    </element> 
    <element> 
      <code value="BPU"/> 
      <target> 
        <code value="119300005"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRN"/> 
      <target> 
        <code value="119367005"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRSH"/> 
      <target> 
        <code value="258415003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="439336003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BRTH"/> 
      <target> 
        <code value="119336008"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRUS"/> 
      <target> 
        <code value="309176002"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="80657008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BUB"/> 
      <target> 
        <code value="302795002"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="11585000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BULLA"/> 
      <target> 
        <code value="258482009"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BX"/> 
      <target> 
        <code value="258415003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="86273004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CALC"/> 
      <target> 
        <code value="119350003"/> 
      </target> 
    </element> 
    <element> 
      <code value="CARBU"/> 
      <target> 
        <code value="309051001"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="41570003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CAT"/> 
      <target> 
        <code value="119311002"/> 
      </target> 
    </element> 
    <element> 
      <code value="CBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="CLIPP"/> 
      <target> 
        <code value="119327009"/> 
        <comment value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="119401005"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="128160006"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="258498002"/> 
      </target> 
    </element> 
    <element> 
      <code value="COL"/> 
      <target> 
        <code value="119329007"/> 
      </target> 
    </element> 
    <element> 
      <code value="CONE"/> 
      <target> 
        <code value="399713008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="54535009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="71252005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CSCR"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="submit for new term with parent 119365002^Specimen from wound (specimen)"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSERU"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSITE"/> 
      <target> 
        <code value="258507003"/> 
        <comment value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is

         all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
         specimen and a falsely identified infected central line. Do not just swab the reddened
         area - that will just collect skin flora       "/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="386144009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="285570007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CSMY"/> 
      <target> 
        <code value="309051001"/> 
      </target> 
    </element> 
    <element> 
      <code value="CST"/> 
      <target> 
        <code value="258453008"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSVR"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD - may use blood and SPM-6"/> 
      </target> 
    </element> 
    <element> 
      <code value="CTP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="CVPS"/> 
      <target> 
        <code value="258507003"/> 
      </target> 
    </element> 
    <element> 
      <code value="CVPT"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="445085009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CYN"/> 
      <target> 
        <code value="119368000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="27925004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CYST"/> 
      <target> 
        <code value="119368000"/> 
      </target> 
    </element> 
    <element> 
      <code value="DBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="DCS"/> 
      <target> 
        <code value="119335007"/> 
      </target> 
    </element> 
    <element> 
      <code value="DEC"/> 
      <target> 
        <code value="258505006"/> 
      </target> 
    </element> 
    <element> 
      <code value="DEION"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="DIA"/> 
      <target> 
        <code value="119360007"/> 
      </target> 
    </element> 
    <element> 
      <code value="DISCHG"/> 
      <target> 
        <code value="258439008"/> 
      </target> 
    </element> 
    <element> 
      <code value="DIV"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="31113003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="DRN"/> 
      <target> 
        <code value="119306004"/> 
      </target> 
    </element> 
    <element> 
      <code value="DRNG"/> 
      <target> 
        <code value="258455001"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: not

         an acceptable specimen for micro - not specific enough term"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="DRNGP"/> 
      <target> 
        <code value="309051001"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EARW"/> 
      <target> 
        <code value="122580007"/> 
      </target> 
    </element> 
    <element> 
      <code value="EBRUSH"/> 
      <target> 
        <code value="309210009"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="36213007"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="32849002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EEYE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFF"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFFUS"/> 
      <target> 
        <code value="258440005"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFOD"/> 
      <target> 
        <code value="119320006"/> 
      </target> 
    </element> 
    <element> 
      <code value="EISO"/> 
      <target> 
        <code value="258536003"/> 
      </target> 
    </element> 
    <element> 
      <code value="ELT"/> 
      <target> 
        <code value="119314005"/> 
      </target> 
    </element> 
    <element> 
      <code value="ENVIR"/> 
      <target> 
        <code value="119324002"/> 
      </target> 
    </element> 
    <element> 
      <code value="EOTH"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="ESOI"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="ESOS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="ETA"/> 
      <target> 
        <code value="119307008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="321667001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ETTP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ETTUB"/> 
      <target> 
        <code value="119307008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="321667001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EWHI"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXG"/> 
      <target> 
        <code value="119336008"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXUDTE"/> 
      <target> 
        <code value="258441009"/> 
      </target> 
    </element> 
    <element> 
      <code value="FAW"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="FBLOOD"/> 
      <target> 
        <code value="119297000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="303112003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FGA"/> 
      <target> 
        <code value="168139001"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="83670000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FIST"/> 
      <target> 
        <code value="119370009"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLD"/> 
      <target> 
        <code value="309051001"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLU"/> 
      <target> 
        <code value="309051001"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLUID"/> 
      <target> 
        <code value="258442002"/> 
      </target> 
    </element> 
    <element> 
      <code value="FOLEY"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="FRS"/> 
      <target> 
        <code value="258442002"/> 
        <comment value="this term is not specific enough, choose from terms that more accurately describe the

         specimen"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="272626006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FSCLP"/> 
      <target> 
        <code value="309502007"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="41695006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FUR"/> 
      <target> 
        <code value="119295008"/> 
        <comment value="Further describe the sample as tissue or pus. or by the collection method. The term boil

         is not specifc to a body site - need to indicate source site (spm.8). preferred term is
         Aspirate_Boil"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="59843005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GAS"/> 
      <target> 
        <code value="119317003"/> 
      </target> 
    </element> 
    <element> 
      <code value="GASA"/> 
      <target> 
        <code value="168137004"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASAN"/> 
      <target> 
        <code value="119379005"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="66051006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASBR"/> 
      <target> 
        <code value="309213006"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="235157009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASD"/> 
      <target> 
        <code value="258459007"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GAST"/> 
      <target> 
        <code value="258459007"/> 
      </target> 
    </element> 
    <element> 
      <code value="GENV"/> 
      <target> 
        <code value="119394009"/> 
      </target> 
    </element> 
    <element> 
      <code value="GRAFT"/> 
      <target> 
        <code value="440493002"/> 
      </target> 
    </element> 
    <element> 
      <code value="GRANU"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="45647009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GROSH"/> 
      <target> 
        <code value="119311002"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="GSOL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="GSPEC"/> 
      <target> 
        <code value="309211008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="79121003"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="GTUBE"/> 
      <target> 
        <code value="258459007"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="127490009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="HBLUD"/> 
      <target> 
        <code value="119297000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="303113008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HEMAQ"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="HEMO"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="HERNI"/> 
      <target> 
        <code value="119376003"/> 
      </target> 
    </element> 
    <element> 
      <code value="HEV"/> 
      <target> 
        <code value="119306004"/> 
      </target> 
    </element> 
    <element> 
      <code value="HIC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="445085009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HYDC"/> 
      <target> 
        <code value="309051001"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="55434001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="IBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="ICYST"/> 
      <target> 
        <code value="309075001"/> 
      </target> 
    </element> 
    <element> 
      <code value="IDC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="IHG"/> 
      <target> 
        <code value="119337004"/> 
      </target> 
    </element> 
    <element> 
      <code value="ILEO"/> 
      <target> 
        <code value="258455001"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool

         is what is expected, should use stool sample"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="419954003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ILLEG"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="IMP"/> 
      <target> 
        <code value="439961009"/> 
      </target> 
    </element> 
    <element> 
      <code value="INCI"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="INFIL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="This describes a morphologic abnormality, not a sample"/> 
      </target> 
    </element> 
    <element> 
      <code value="INS"/> 
      <target> 
        <code value="258614005"/> 
      </target> 
    </element> 
    <element> 
      <code value="INTRD"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="IT"/> 
      <target> 
        <code value="119307008"/> 
      </target> 
    </element> 
    <element> 
      <code value="IUD"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="IVCAT"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="255560000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="IVFLD"/> 
      <target> 
        <code value="258649003"/> 
      </target> 
    </element> 
    <element> 
      <code value="IVTIP"/> 
      <target> 
        <code value="119312009"/> 
      </target> 
    </element> 
    <element> 
      <code value="JEJU"/> 
      <target> 
        <code value="258463000"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool

         is what is expected, should use stool sample"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="21306003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="JNTFLD"/> 
      <target> 
        <code value="119332005"/> 
      </target> 
    </element> 
    <element> 
      <code value="JP"/> 
      <target> 
        <code value="309051001"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="KELOI"/> 
      <target> 
        <code value="440674008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="67889009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="KIDFLD"/> 
      <target> 
        <code value="309051001"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVG"/> 
      <target> 
        <code value="258607008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="397394009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVGG"/> 
      <target> 
        <code value="168138009"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="173830003"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVGP"/> 
      <target> 
        <code value="440137008"/> 
      </target> 
    </element> 
    <element> 
      <code value="LAVPG"/> 
      <target> 
        <code value="440674008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="67889009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="44567001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LENS1"/> 
      <target> 
        <code value="440473005"/> 
      </target> 
    </element> 
    <element> 
      <code value="LENS2"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="LESN"/> 
      <target> 
        <code value="309049000"/> 
        <comment value="should be more specific what kind of lesion is observed - be more specific is it a wound,

         abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)"/> 
      </target> 
    </element> 
    <element> 
      <code value="LIQ"/> 
      <target> 
        <code value="258442002"/> 
      </target> 
    </element> 
    <element> 
      <code value="LIQO"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="LSAC"/> 
      <target> 
        <code value="258450006"/> 
        <comment value="The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="303949008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MAHUR"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="MASS"/> 
      <target> 
        <code value="420548004"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="4147007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MBLD"/> 
      <target> 
        <code value="119345009"/> 
      </target> 
    </element> 
    <element> 
      <code value="MUCOS"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="414781009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MUCUS"/> 
      <target> 
        <code value="258483004"/> 
      </target> 
    </element> 
    <element> 
      <code value="NASDR"/> 
      <target> 
        <code value="258474009"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="2095001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NEDL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="NEPH"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="NGASP"/> 
      <target> 
        <code value="302794003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="6853008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NGAST"/> 
      <target> 
        <code value="258459007"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="127492001"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NGS"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="NODUL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="NSECR"/> 
      <target> 
        <code value="168141000"/> 
      </target> 
    </element> 
    <element> 
      <code value="ORH"/> 
      <target> 
        <code value="123038009"/> 
      </target> 
    </element> 
    <element> 
      <code value="ORL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="be more precise use ulcer, tumor, vesicle"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="74262004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="OTH"/> 
      <target> 
        <code value="123038009"/> 
      </target> 
    </element> 
    <element> 
      <code value="PACEM"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="PCFL"/> 
      <target> 
        <code value="122571007"/> 
      </target> 
    </element> 
    <element> 
      <code value="PDSIT"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="PDTS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="submitted for code"/> 
      </target> 
    </element> 
    <element> 
      <code value="PELVA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="12921003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PENIL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,

         Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything
         else?"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="18911002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PERIA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="397158004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PILOC"/> 
      <target> 
        <code value="119368000"/> 
      </target> 
    </element> 
    <element> 
      <code value="PINS"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="PIS"/> 
      <target> 
        <code value="258507003"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLAN"/> 
      <target> 
        <code value="119301009"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLAS"/> 
      <target> 
        <code value="119361006"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLB"/> 
      <target> 
        <code value="119305000"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLEVS"/> 
      <target> 
        <code value="119364003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="255587001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PND"/> 
      <target> 
        <code value="258439008"/> 
        <comment value="Historical term -though in this case more often used for discharge"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="13648007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POL"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="41329004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPGS"/> 
      <target> 
        <code value="440493002"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="6902008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPLG"/> 
      <target> 
        <code value="440493002"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="6902008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPLV"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="PORTA"/> 
      <target> 
        <code value="119311002"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="PPP"/> 
      <target> 
        <code value="119362004"/> 
      </target> 
    </element> 
    <element> 
      <code value="PROST"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="PRP"/> 
      <target> 
        <code value="119363009"/> 
      </target> 
    </element> 
    <element> 
      <code value="PSC"/> 
      <target> 
        <code value="119368000"/> 
      </target> 
    </element> 
    <element> 
      <code value="PUNCT"/> 
      <target> 
        <code value="119365002"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="129300006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PUS"/> 
      <target> 
        <code value="119323008"/> 
      </target> 
    </element> 
    <element> 
      <code value="PUSFR"/> 
      <target> 
        <code value="119323008"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PUST"/> 
      <target> 
        <code value="119323008"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="QC3"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="RANDU"/> 
      <target> 
        <code value="278020009"/> 
      </target> 
    </element> 
    <element> 
      <code value="RBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent: 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="RECT"/> 
      <target> 
        <code value="119339001"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool

         is what is expected, should use stool sample"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="34402009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RECTA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="34402009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RENALC"/> 
      <target> 
        <code value="258420003"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RENC"/> 
      <target> 
        <code value="258453008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RES"/> 
      <target> 
        <code value="258603007"/> 
      </target> 
    </element> 
    <element> 
      <code value="SAL"/> 
      <target> 
        <code value="119342007"/> 
      </target> 
    </element> 
    <element> 
      <code value="SCAR"/> 
      <target> 
        <code value="119376003"/> 
      </target> 
    </element> 
    <element> 
      <code value="SCLV"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="9454009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SCROA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="20233005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SECRE"/> 
      <target> 
        <code value="432825001"/> 
      </target> 
    </element> 
    <element> 
      <code value="SER"/> 
      <target> 
        <code value="119364003"/> 
      </target> 
    </element> 
    <element> 
      <code value="SHU"/> 
      <target> 
        <code value="119295008"/> 
        <comment value="Preferred is aspiration with sterile syringe from inflamed area. Specify body location

         of shunt site"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="257351008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHUNF"/> 
      <target> 
        <code value="446861007"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="446860008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="279107003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHUNT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SKBP"/> 
      <target> 
        <code value="309066003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="240977001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SKN"/> 
      <target> 
        <code value="119325001"/> 
      </target> 
    </element> 
    <element> 
      <code value="SMM"/> 
      <target> 
        <code value="420548004"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="4147007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SNV"/> 
      <target> 
        <code value="119332005"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRM"/> 
      <target> 
        <code value="119349003"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRPB"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPT"/> 
      <target> 
        <code value="119334006"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPTC"/> 
      <target> 
        <code value="119335007"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPTT"/> 
      <target> 
        <code value="258609006"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUT1"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUTIN"/> 
      <target> 
        <code value="258610001"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUTSP"/> 
      <target> 
        <code value="119335007"/> 
      </target> 
    </element> 
    <element> 
      <code value="STER"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="STL"/> 
      <target> 
        <code value="119339001"/> 
      </target> 
    </element> 
    <element> 
      <code value="STONE"/> 
      <target> 
        <code value="119350003"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUBMA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="5713008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUBMX"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="4335006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUMP"/> 
      <target> 
        <code value="446562005"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUP"/> 
      <target> 
        <code value="122575003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="58088002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUTUR"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SWGZ"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="TASP"/> 
      <target> 
        <code value="122877000"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="129112001"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="44567001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TISS"/> 
      <target> 
        <code value="119376003"/> 
      </target> 
    </element> 
    <element> 
      <code value="TISU"/> 
      <target> 
        <code value="122593002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TLC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="TRAC"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TRANS"/> 
      <target> 
        <code value="258538002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TSERU"/> 
      <target> 
        <code value="119364003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="255588006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TSTES"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="279572002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TTRA"/> 
      <target> 
        <code value="258480001"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="129112001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TUBES"/> 
      <target> 
        <code value="119310001"/> 
      </target> 
    </element> 
    <element> 
      <code value="TUMOR"/> 
      <target> 
        <code value="258435002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TZANC"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="This is the name of a lab test. A skin sample is examined for viral inclusions."/> 
      </target> 
    </element> 
    <element> 
      <code value="UDENT"/> 
      <target> 
        <code value="123038009"/> 
      </target> 
    </element> 
    <element> 
      <code value="UR"/> 
      <target> 
        <code value="122575003"/> 
      </target> 
    </element> 
    <element> 
      <code value="URC"/> 
      <target> 
        <code value="122880004"/> 
      </target> 
    </element> 
    <element> 
      <code value="URINB"/> 
      <target> 
        <code value="122575003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="78533007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINC"/> 
      <target> 
        <code value="446846006"/> 
      </target> 
    </element> 
    <element> 
      <code value="URINM"/> 
      <target> 
        <code value="258574006"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="225271002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="431938005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINN"/> 
      <target> 
        <code value="446277003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="225109005"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="25990002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="URT"/> 
      <target> 
        <code value="122565001"/> 
      </target> 
    </element> 
    <element> 
      <code value="USCOP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="NEW specimenTERM 7"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="176178006"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="89837001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="USPEC"/> 
      <target> 
        <code value="123038009"/> 
      </target> 
    </element> 
    <element> 
      <code value="VASTIP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="VENT"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="VITF"/> 
      <target> 
        <code value="258438000"/> 
      </target> 
    </element> 
    <element> 
      <code value="VOM"/> 
      <target> 
        <code value="122572000"/> 
      </target> 
    </element> 
    <element> 
      <code value="WASH"/> 
      <target> 
        <code value="440674008"/> 
      </target> 
    </element> 
    <element> 
      <code value="WASI"/> 
      <target> 
        <code value="122609004"/> 
      </target> 
    </element> 
    <element> 
      <code value="WAT"/> 
      <target> 
        <code value="119318008"/> 
      </target> 
    </element> 
    <element> 
      <code value="WB"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Bloodbanking term ONLY now map to blood and the respective preservative"/> 
      </target> 
    </element> 
    <element> 
      <code value="WEN"/> 
      <target> 
        <code value="309075001"/> 
      </target> 
    </element> 
    <element> 
      <code value="WICK"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="WND"/> 
      <target> 
        <code value="119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="WNDA"/> 
      <target> 
        <code value="119366001"/> 
      </target> 
    </element> 
    <element> 
      <code value="WNDD"/> 
      <target> 
        <code value="122566000"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="WNDE"/> 
      <target> 
        <code value="122568004"/> 
      </target> 
    </element> 
    <element> 
      <code value="WORM"/> 
      <target> 
        <code value="258618008"/> 
      </target> 
    </element> 
    <element> 
      <code value="WRT"/> 
      <target> 
        <code value="309068002"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWA"/> 
      <target> 
        <code value="119318008"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWO"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is

         all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
         specimen and a falsely identified infected central line. Do not just swab the reddened
         area - that will just collect skin flora"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="119295008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="386144009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CLIPP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="119326000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHU"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="assume swab from shunt site for mapping here - clean surface of skin prior to expressing

         the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify
         body approximate match location of shunt site"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="438660002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="257351008"/> 
        </product> 
      </target> 
    </element> 
  </group> 


</

ConceptMap

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.