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.xml

Raw XML (canonical form)

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

Raw XML

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="102"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/conceptmap-example-specimen-type.html"/><!--    version: the date of the source    -->
  <version value="20130725"/>
  <name value="Specimen mapping from v2 table 0487 to SNOMED CT"/>
  <publisher value="FHIR project team (original source: LabMCoP)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
      649725%3AUploadedFile%3A145786"/>
    </telecom>
  </contact>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2013-07-25"/>
  <sourceReference>
    <reference value="http://hl7.org/fhir/v2/vs/0487"/>
  </sourceReference>
  <targetReference><!--    standard SNOMED-CT value set for all of SNOMED-CT    -->
    <reference value="http://snomed.info/id"/>
  </targetReference>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ACNE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309068002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ACNFLD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
      <comments value="HL7 term is a historical term. mapped to Pus"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="47002008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AIRS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446302006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ALL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="7970006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AMP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="408654003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="81723002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ANGI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ARTC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ASERU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ASP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ATTE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AUTOC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AUTP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="This really is not a specimen per se - it is the state of the subject from whom the specimen
       is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated
       with a special medical record number or other notation on the patient. needs to have specimen
       type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BBL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119304001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BCYST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with
       specimen source topography 32361000^Popliteal fossa structure (body structure)"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="32361000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BLEB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309049000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="339008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BLIST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309049000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="339008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BOIL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="59843005"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BON"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="430268003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BOWL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Don't use this term for human samples - use Stool instead. animal would use small intestinal
       contents, large intestinal contents"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BPU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119300005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119367005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRSH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258415003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="439336003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRTH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119336008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRUS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309176002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="80657008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BUB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="302795002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="11585000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BULLA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258482009"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="339008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BX"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258415003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="86273004"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CALC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119350003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CARBU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="41570003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CAT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119311002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CBITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CLIPP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119327009"/>
      <equivalence value="equivalent"/>
      <comments value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CNJT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119401005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CNJT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="128160006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CNJT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258498002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="COL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119329007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CONE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="399713008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="54535009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="71252005"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSCR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="submit for new term with parent 119365002^Specimen from wound (specimen)"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSERU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258507003"/>
      <equivalence value="equivalent"/>
      <comments value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
       all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
       specimen and a falsely identified infected central line. Do not just swab the reddened
       area - that will just collect skin flora       "/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="386144009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="285570007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSMY"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258453008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSVR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD - may use blood and SPM-6"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CTP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CVPS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258507003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CVPT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="445085009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CYN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="27925004"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CYST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DBITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DCS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119335007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DEC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258505006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DEION"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DIA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119360007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DISCHG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258439008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DIV"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="31113003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DRN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119306004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DRNG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258455001"/>
      <equivalence value="equivalent"/>
      <comments value="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 value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DRNGP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EARW"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122580007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EBRUSH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309210009"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="36213007"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="32849002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EEYE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EFF"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EFFUS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258440005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EFOD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119320006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EISO"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258536003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ELT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119314005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ENVIR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119324002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EOTH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ESOI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ESOS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ETA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119307008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="321667001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ETTP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ETTUB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119307008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="321667001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EWHI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EXG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119336008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EXS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EXUDTE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258441009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FAW"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FBLOOD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119297000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="303112003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FGA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168139001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="83670000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FIST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119370009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLUID"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258442002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FOLEY"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FRS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258442002"/>
      <equivalence value="equivalent"/>
      <comments value="this term is not specific enough, choose from terms that more accurately describe the
       specimen"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="272626006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FSCLP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309502007"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="41695006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FUR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <comments value="Further describe the sample as tissue or pus. or by the collection method. The term boil
       is not specifc to a body site - need to indicate source site (spm.8). preferred term is
       Aspirate_Boil"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="59843005"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GAS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119317003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168137004"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASAN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119379005"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="66051006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASBR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309213006"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="235157009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GAST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GENV"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119394009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GRAFT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440493002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GRANU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="45647009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GROSH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119311002"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GSOL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GSPEC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309211008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="79121003"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GTUBE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="127490009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HBITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HBLUD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119297000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="303113008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HEMAQ"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HEMO"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HERNI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HEV"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119306004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HIC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="445085009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HYDC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="55434001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IBITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ICYST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309075001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IDC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IHG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119337004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ILEO"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258455001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="419954003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ILLEG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IMP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="439961009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INCI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INFIL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="This describes a morphologic abnormality, not a sample"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258614005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INTRD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119307008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IUD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IVCAT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="255560000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IVFLD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258649003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IVTIP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="JEJU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258463000"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="21306003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="JNTFLD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119332005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="JP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="KELOI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440674008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="67889009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="KIDFLD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258607008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="397394009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVGG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168138009"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="173830003"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVGP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440137008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVPG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440674008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="67889009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="44567001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LENS1"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440473005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LENS2"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LESN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309049000"/>
      <equivalence value="equivalent"/>
      <comments value="should be more specific what kind of lesion is observed - be more specific is it a wound,
       abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LIQ"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258442002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LIQO"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LSAC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258450006"/>
      <equivalence value="equivalent"/>
      <comments value="The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="303949008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MAHUR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MASS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="420548004"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="4147007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MBLD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119345009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MUCOS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="414781009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MUCUS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258483004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NASDR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258474009"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="2095001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NEDL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NEPH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NGASP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="302794003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="6853008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NGAST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="127492001"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NGS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NODUL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NSECR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168141000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ORH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ORL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="be more precise use ulcer, tumor, vesicle"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="74262004"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="OTH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PACEM"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PCFL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122571007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PDSIT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PDTS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="submitted for code"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PELVA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="12921003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PENIL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,
       Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything
       else?"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="18911002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PERIA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="397158004"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PILOC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PINS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PIS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258507003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLAN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119301009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLAS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119361006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119305000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLEVS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119364003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="255587001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PND"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258439008"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term -though in this case more often used for discharge"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="13648007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="41329004"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POPGS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440493002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="6902008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POPLG"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440493002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="6902008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POPLV"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PORTA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119311002"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PPP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119362004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PROST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PRP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119363009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PSC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUNCT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119365002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="129300006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUSFR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="47002008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUST"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="47002008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="QC3"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RANDU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="278020009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RBITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent: 119365002"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RECT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119339001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="34402009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RECTA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="34402009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RENALC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258420003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RENC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258453008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RES"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258603007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SAL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119342007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SCAR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SCLV"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="9454009"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SCROA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="20233005"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SECRE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="432825001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SER"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119364003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <comments value="Preferred is aspiration with sterile syringe from inflamed area. Specify body location
       of shunt site"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="257351008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHUNF"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446861007"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="446860008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="279107003"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHUNT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SKBP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309066003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="240977001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SKN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119325001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SMM"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="420548004"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="4147007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SNV"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119332005"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPRM"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119349003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPRP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPRPB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119334006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPTC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119335007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPTT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258609006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPUT1"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPUTIN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258610001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPUTSP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119335007"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="STER"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="STL"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119339001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="STONE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119350003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUBMA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="5713008"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUBMX"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="4335006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUMP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446562005"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122575003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="58088002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUTUR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SWGZ"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TASP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122877000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="129112001"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="44567001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TISS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TISU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122593002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TLC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TRAC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TRANS"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258538002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TSERU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119364003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="255588006"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TSTES"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="279572002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TTRA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258480001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="129112001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TUBES"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119310001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TUMOR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258435002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TZANC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="This is the name of a lab test. A skin sample is examined for viral inclusions."/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="UDENT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="UR"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122575003"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122880004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122575003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="78533007"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446846006"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINM"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258574006"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="225271002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="431938005"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446277003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="225109005"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="25990002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122565001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="USCOP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="NEW specimenTERM 7"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="176178006"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="89837001"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="USPEC"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VASTIP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VENT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VITF"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258438000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VOM"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122572000"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WASH"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440674008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WASI"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122609004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WAT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119318008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WB"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Bloodbanking term ONLY now map to blood and the respective preservative"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WEN"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309075001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WICK"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WND"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119365002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WNDA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119366001"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WNDD"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122566000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WNDE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122568004"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WORM"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258618008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WRT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309068002"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WWA"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119318008"/>
      <equivalence value="equivalent"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WWO"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WWT"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSITE"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
       all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
       specimen and a falsely identified infected central line. Do not just swab the reddened
       area - that will just collect skin flora"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="119295008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="386144009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CLIPP"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="119326000"/>
      </product>
    </map>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHU"/>
    <map>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="assume swab from shunt site for mapping here - clean surface of skin prior to expressing
       the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify
       body approximate match location of shunt site"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="438660002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="257351008"/>
      </product>
    </map>
  </element>
</ConceptMap>

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