2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Conceptmap-example-specimen-type.json

Raw JSON (canonical form)

Specimen Type v2 -> SNOMED-CT Mapping

{
  "resourceType": "ConceptMap",
  "id": "102",
  "text": {
    "status": "generated",
    "div": "<div>!-- Snipped for Brevity --></div>"
  },
  "url": "http://hl7.org/fhir/conceptmap-example-specimen-type.html",
  "version": "20130725",
  "name": "Specimen mapping from v2 table 0487 to SNOMED CT",
  "publisher": "FHIR project team (original source: LabMCoP)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786"
        }
      ]
    }
  ],
  "status": "draft",
  "experimental": false,
  "date": "2013-07-25",
  "sourceReference": {
    "reference": "http://hl7.org/fhir/v2/vs/0487"
  },
  "targetReference": {
    "reference": "http://snomed.info/id"
  },
  "element": [
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ACNE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309068002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ACNFLD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent",
          "comments": "HL7 term is a historical term. mapped to Pus",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "47002008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AIRS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446302006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ALL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "7970006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AMP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "408654003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "81723002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ANGI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ARTC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ASERU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ASP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ATTE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AUTOC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AUTP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "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)"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BBL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119304001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BCYST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "32361000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BLEB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309049000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "339008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BLIST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309049000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "339008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BOIL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "59843005"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BON",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "430268003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BOWL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BPU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119300005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119367005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRSH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258415003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "439336003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRTH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119336008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRUS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309176002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "80657008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BUB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "302795002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "11585000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BULLA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258482009",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "339008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BX",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258415003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "86273004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CALC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119350003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CARBU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "41570003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CAT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119311002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CBITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CLIPP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119327009",
          "equivalence": "equivalent",
          "comments": "Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CNJT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119401005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CNJT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "128160006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CNJT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258498002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "COL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119329007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CONE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "399713008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "54535009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "71252005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSCR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "submit for new term with parent 119365002^Specimen from wound (specimen)"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSERU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258507003",
          "equivalence": "equivalent",
          "comments": "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": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "386144009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "285570007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSMY",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258453008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSVR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD - may use blood and SPM-6"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CTP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CVPS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258507003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CVPT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "445085009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CYN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "27925004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CYST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DBITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DCS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119335007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DEC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258505006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DEION",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DIA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119360007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DISCHG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258439008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DIV",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "31113003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DRN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119306004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DRNG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258455001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptible specimen for micro - not specific enough term",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DRNGP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EARW",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122580007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EBRUSH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309210009",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "36213007"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "32849002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EEYE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EFF",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EFFUS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258440005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EFOD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119320006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EISO",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258536003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ELT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119314005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ENVIR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119324002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EOTH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ESOI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ESOS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ETA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119307008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "321667001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ETTP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ETTUB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119307008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "321667001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EWHI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EXG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119336008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EXS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EXUDTE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258441009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FAW",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FBLOOD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119297000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "303112003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FGA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168139001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "83670000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FIST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119370009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLUID",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258442002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FOLEY",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FRS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258442002",
          "equivalence": "equivalent",
          "comments": "this term is not specific enough, choose from terms that more accurately describe the specimen",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "272626006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FSCLP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309502007",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "41695006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FUR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "comments": "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": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "59843005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GAS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119317003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168137004",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASAN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119379005",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "66051006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASBR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309213006",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "235157009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GAST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GENV",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119394009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GRAFT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440493002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GRANU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "45647009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GROSH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119311002",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GSOL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GSPEC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309211008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "79121003"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GTUBE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "127490009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HBITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HBLUD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119297000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "303113008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HEMAQ",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HEMO",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HERNI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HEV",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119306004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HIC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "445085009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HYDC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "55434001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IBITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ICYST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309075001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IDC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IHG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119337004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ILEO",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258455001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "419954003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ILLEG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IMP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "439961009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INCI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INFIL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "This describes a morphologic abnormality, not a sample"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258614005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INTRD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119307008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IUD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IVCAT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "255560000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IVFLD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258649003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IVTIP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "JEJU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258463000",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "21306003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "JNTFLD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119332005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "JP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "KELOI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440674008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "67889009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "KIDFLD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258607008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "397394009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVGG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168138009",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "173830003"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVGP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440137008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVPG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440674008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "67889009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "44567001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LENS1",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440473005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LENS2",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LESN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309049000",
          "equivalence": "equivalent",
          "comments": "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)"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LIQ",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258442002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LIQO",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LSAC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258450006",
          "equivalence": "equivalent",
          "comments": "The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "303949008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MAHUR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MASS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "420548004",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "4147007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MBLD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119345009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MUCOS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "414781009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MUCUS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258483004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NASDR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258474009",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "2095001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NEDL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NEPH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NGASP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "302794003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "6853008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NGAST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "127492001"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NGS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NODUL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NSECR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168141000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ORH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ORL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "be more precise use ulcer, tumor, vesicle",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "74262004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "OTH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PACEM",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PCFL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122571007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PDSIT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PDTS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "submitted for code"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PELVA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "12921003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PENIL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "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": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "18911002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PERIA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "397158004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PILOC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PINS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PIS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258507003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLAN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119301009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLAS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119361006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119305000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLEVS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119364003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "255587001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PND",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258439008",
          "equivalence": "equivalent",
          "comments": "Historical term -though in this case more often used for discharge",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "13648007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "41329004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POPGS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440493002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "6902008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POPLG",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440493002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "6902008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POPLV",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PORTA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119311002",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PPP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119362004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PROST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PRP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119363009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PSC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUNCT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119365002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "129300006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUSFR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "47002008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUST",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "47002008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "QC3",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RANDU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "278020009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RBITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent: 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RECT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119339001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "34402009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RECTA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "34402009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RENALC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258420003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RENC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258453008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RES",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258603007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SAL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119342007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SCAR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SCLV",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "9454009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SCROA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "20233005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SECRE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "432825001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SER",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119364003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "comments": "Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "257351008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHUNF",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446861007",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "446860008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "279107003"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHUNT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SKBP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309066003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "240977001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SKN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119325001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SMM",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "420548004",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "4147007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SNV",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119332005",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPRM",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119349003",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPRP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPRPB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119334006",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPTC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119335007",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPTT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258609006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPUT1",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPUTIN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258610001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPUTSP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119335007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "STER",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "STL",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119339001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "STONE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119350003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUBMA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "5713008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUBMX",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "4335006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUMP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446562005",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122575003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "58088002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUTUR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SWGZ",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TASP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122877000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "129112001"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "44567001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TISS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TISU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122593002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TLC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TRAC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TRANS",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258538002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TSERU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119364003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "255588006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TSTES",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "279572002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TTRA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258480001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "129112001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TUBES",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119310001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TUMOR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258435002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TZANC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "This is the name of a lab test. A skin sample is examined for viral inclusions."
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "UDENT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "UR",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122575003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122880004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122575003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "78533007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446846006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINM",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258574006",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "225271002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "431938005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446277003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "225109005"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "25990002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122565001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "USCOP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "NEW specimenTERM 7",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "176178006"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "89837001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "USPEC",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VASTIP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VENT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VITF",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258438000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VOM",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122572000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WASH",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440674008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WASI",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122609004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WAT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119318008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WB",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Bloodbanking term ONLY now map to blood and the respective preservative"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WEN",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309075001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WICK",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WND",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119365002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WNDA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119366001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WNDD",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122566000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WNDE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122568004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WORM",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258618008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WRT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309068002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WWA",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119318008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WWO",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WWT",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSITE",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "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": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "119295008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "386144009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CLIPP",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "119326000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHU",
      "map": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "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": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "438660002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "257351008"
            }
          ]
        }
      ]
    }
  ]
}

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.