DSTU2 Ballot Source
This page is part of the FHIR Specification (v0.5.0: DSTU 2 Ballot 2). 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
This is the narrative for the resource. See also the XML or JSON format.
Mapping from http://hl7.org/fhir/v2/vs/0487 to SNOMED-CT
DRAFT. Published on Jul 25, 2013 by FHIR project team (original source: LabMCoP) (http://hl7.org/fhir; , http://www.phconnect.org/group...; ).
| Source Concept | Equivalence | Destination Concept | Comments | |||
| Code [http://hl7.org/fhir/v2/0487] | Code [http://snomed.info/sct] | v2 SPM-7 [http://snomed.info/sct] | v2 SPM-8 [http://snomed.info/sct] | v2 SPM-5 [http://snomed.info/sct] | ||
| ACNE (Tissue, Acne) | EQUIVALENT | 309068002 (Skin lesion sample) | ||||
| ACNFLD (Fluid, Acne) | EQUIVALENT | 119323008 (Pus sample) | 47002008 (Pustule) | HL7 term is a historical term. mapped to Pus | ||
| AIRS (Air Sample) | EQUIVALENT | 446302006 (Air sample) | ||||
| ALL (Allograft) | EQUIVALENT | 119376003 (Tissue specimen) | 7970006 (Allograft) | |||
| AMP (Amputation) | EQUIVALENT | 408654003 (Specimen obtained by amputation) | 81723002 (Amputation) | |||
| ANGI (Catheter Tip, Angio) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| ARTC (Catheter Tip, Arterial) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| ASERU (Serum, Acute) | UNMATCHED | pending | ||||
| ASP (Aspirate) | EQUIVALENT | 119295008 (Aspirate) | 14766002 (Aspiration (procedure)) | |||
| ATTE (Environment, Attest) | UNMATCHED | TBD | ||||
| AUTOC (Environmental, Autoclave Capsule) | UNMATCHED | TBD | ||||
| AUTP (Autopsy) | UNMATCHED | 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) | ||||
| BBL (Blood bag) | EQUIVALENT | 119304001 (Blood bag specimen (specimen)) | ||||
| BCYST (Cyst, Baker's) | UNMATCHED | 32361000 (Popliteal fossa structure (body structure)) | submitted (PLR155) with parent of 167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure) | |||
| BITE (Bite) | UNMATCHED | Submit for new term with parent 119365002 | ||||
| BLEB (Bleb) | EQUIVALENT | 309049000 (Lesion sample (specimen)) | 339008 (Blister (morphologic abnormality)) | |||
| BLIST (Blister) | EQUIVALENT | 309049000 (Lesion sample (specimen)) | 339008 (Blister (morphologic abnormality)) | |||
| BOIL (Boil) | EQUIVALENT | 119295008 (Aspirate) | 14766002 (Aspiration (procedure)) | 59843005 (Furuncle (morphologic abnormality)) | ||
| BON (Bone) | EQUIVALENT | 430268003 (Specimen from bone (specimen)) | ||||
| BOWL (Bowel contents) | UNMATCHED | Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents | ||||
| BPU (Blood product unit) | EQUIVALENT | 119300005 (Specimen from blood product (specimen)) | ||||
| BRN (Burn) | EQUIVALENT | 119367005 (Specimen from burn injury (specimen)) | ||||
| BRSH (Brush) | EQUIVALENT | 258415003 (Biopsy sample (specimen)) | 439336003 (Brush biopsy (procedure)) | |||
| BRTH (Breath (use EXHLD)) | EQUIVALENT | 119336008 (Exhaled air specimen (specimen)) | ||||
| BRUS (Brushing) | EQUIVALENT | 309176002 (Bronchial brushings sample (specimen)) | 80657008 (Bronchoscopy with brush biopsy (procedure)) | |||
| BUB (Bubo) | EQUIVALENT | 302795002 (Lymph node aspirate (specimen)) | 14766002 (Aspiration (procedure)) | 11585000 (Bubo (morphologic abnormality)) | ||
| BULLA (Bulla/Bullae) | EQUIVALENT | 258482009 (Vesicle fluid sample (specimen)) | 339008 (Blister (morphologic abnormality)) | |||
| BX (Biopsy) | EQUIVALENT | 258415003 (Biopsy sample (specimen)) | 86273004 (Biopsy (procedure)) | |||
| CALC (Calculus (=Stone)) | EQUIVALENT | 119350003 (Calculus specimen (specimen)) | ||||
| CARBU (Carbuncle) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | 41570003 (Carbuncle (morphologic abnormality)) | |||
| CAT (Catheter) | EQUIVALENT | 119311002 (Catheter specimen (specimen)) | ||||
| CBITE (Bite, Cat) | UNMATCHED | Submit for new term with parent 119365002 | ||||
| CLIPP (Clippings) | EQUIVALENT | 119327009 (Nail specimen (specimen)) | Be more specific use either: 119326000^hair specimen or 119327009^nail specimen | |||
| CNJT (Conjunctiva) | EQUIVALENT | 119401005 (Specimen from conjunctiva (specimen)) | ||||
| CNJT (Conjunctiva) | EQUIVALENT | 128160006 (Tissue specimen from conjunctiva (specimen)) | ||||
| CNJT (Conjunctiva) | EQUIVALENT | 258498002 (Conjunctival swab (specimen)) | ||||
| COL (Colostrum) | EQUIVALENT | 119329007 (Colostrum specimen (specimen)) | ||||
| CONE (Biospy, Cone) | EQUIVALENT | 399713008 (Specimen from uterine cervix obtained by cone biopsy (specimen)) | 54535009 (Cone biopsy of cervix (procedure)) | 71252005 (Cervix uteri structure (body structure)) | ||
| CSCR (Scratch, Cat) | UNMATCHED | submit for new term with parent 119365002^Specimen from wound (specimen) | ||||
| CSERU (Serum, Convalescent) | UNMATCHED | pending | ||||
| CSITE (Catheter Insertion Site) | EQUIVALENT | 258507003 (Swab of line insertion site (specimen)) | 285570007 (Taking of swab (procedure)) | 386144009 (Line insertion site (morphologic abnormality)) | 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 | |
| CSMY (Fluid, Cystostomy Tube) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | ||||
| CST (Fluid, Cyst) | EQUIVALENT | 258453008 (Cyst fluid sample (specimen)) | ||||
| CSVR (Blood, Cell Saver) | UNMATCHED | TBD - may use blood and SPM-6 | ||||
| CTP (Catheter tip) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| CVPS (Site, CVP) | EQUIVALENT | 258507003 (Swab of line insertion site (specimen)) | ||||
| CVPT (Catheter Tip, CVP) | EQUIVALENT | 119312009 (Catheter tip specimen) | 445085009 (Tunneled central venous catheter (physical object)) | TBD in detail | ||
| CYN (Nodule, Cystic) | EQUIVALENT | 119368000 (Specimen from cyst (specimen)) | 27925004 (Nodule (morphologic abnormality)) | |||
| CYST (Cyst) | EQUIVALENT | 119368000 (Specimen from cyst (specimen)) | ||||
| DBITE (Bite, Dog) | UNMATCHED | Submit for new term with parent 119365002 | ||||
| DCS (Sputum, Deep Cough) | EQUIVALENT | 119335007 (Coughed sputum specimen (specimen)) | ||||
| DEC (Ulcer, Decubitus) | EQUIVALENT | 258505006 (Skin ulcer swab (specimen)) | ||||
| DEION (Environmental, Water (Deionized)) | UNMATCHED | TBD | ||||
| DIA (Dialysate) | EQUIVALENT | 119360007 (Dialysis fluid specimen (specimen)) | ||||
| DISCHG (Discharge) | EQUIVALENT | 258439008 (Discharge specimen (specimen)) | ||||
| DIV (Diverticulum) | EQUIVALENT | 119376003 (Tissue specimen) | 31113003 (Diverticulum (morphologic abnormality)) | |||
| DRN (Drain) | EQUIVALENT | 119306004 (Drain device specimen (specimen)) | ||||
| DRNG (Drainage, Tube) | EQUIVALENT | 258455001 (Drainage fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptible specimen for micro - not specific enough term | ||
| DRNGP (Drainage, Penrose) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead | ||
| EARW (Ear wax (cerumen)) | EQUIVALENT | 122580007 (Cerumen specimen (specimen)) | ||||
| EBRUSH (Brush, Esophageal) | EQUIVALENT | 309210009 (Esophageal brushings sample (specimen)) | 36213007 (Endoscopy and brush biopsy (procedure)) | 32849002 (Esophageal structure (body structure)) | ||
| EEYE (Environmental, Eye Wash) | UNMATCHED | TBD | ||||
| EFF (Environmental, Effluent) | UNMATCHED | TBD | ||||
| EFFUS (Effusion) | EQUIVALENT | 258440005 (Effusion sample (specimen)) | ||||
| EFOD (Environmental, Food) | EQUIVALENT | 119320006 (Food specimen (specimen)) | ||||
| EISO (Environmental, Isolette) | EQUIVALENT | 258536003 (Incubator swab (specimen)) | ||||
| ELT (Electrode) | EQUIVALENT | 119314005 (Electrode specimen (specimen)) | ||||
| ENVIR (Environmental, Unidentified Substance) | EQUIVALENT | 119324002 (Specimen of unknown material (specimen)) | ||||
| EOTH (Environmental, Other Substance) | UNMATCHED | TBD | ||||
| ESOI (Environmental, Soil) | UNMATCHED | TBD | ||||
| ESOS (Environmental, Solution (Sterile)) | UNMATCHED | TBD | ||||
| ETA (Aspirate, Endotrach) | EQUIVALENT | 119307008 (Specimen from endotracheal tube (specimen)) | 14766002 (Aspiration (procedure)) | 321667001 (Respiratory tract) | ||
| ETTP (Catheter Tip, Endotracheal) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| ETTUB (Tube, Endotracheal) | EQUIVALENT | 119307008 (Specimen from endotracheal tube (specimen)) | 14766002 (Aspiration (procedure)) | 321667001 (Respiratory tract) | ||
| EWHI (Environmental, Whirlpool) | UNMATCHED | TBD | ||||
| EXG (Gas, exhaled (=breath)) | EQUIVALENT | 119336008 (Exhaled air specimen (specimen)) | ||||
| EXS (Shunt, External) | UNMATCHED | TBD | ||||
| EXUDTE (Exudate) | EQUIVALENT | 258441009 (Exudate sample (specimen)) | ||||
| FAW (Environmental, Water (Well)) | UNMATCHED | TBD | ||||
| FBLOOD (Blood, Fetal) | EQUIVALENT | 119297000 (Blood specimen (specimen)) | 303112003 (Fetal period (qualifier value)) | |||
| FGA (Fluid, Abdomen) | EQUIVALENT | 168139001 (Peritoneal fluid sample (specimen)) | 83670000 (Peritoneal cavity structure (body structure)) | |||
| FIST (Fistula) | EQUIVALENT | 119370009 (Specimen from fistula (specimen)) | ||||
| FLD (Fluid, Other) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | ||||
| FLT (Filter) | UNMATCHED | TBD | ||||
| FLU (Fluid, Body unsp) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | ||||
| FLUID (Fluid) | EQUIVALENT | 258442002 (Fluid sample (specimen)) | ||||
| FOLEY (Catheter Tip, Foley) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| FRS (Fluid, Respiratory) | EQUIVALENT | 258442002 (Fluid sample (specimen)) | 272626006 (Respiratory organ (body structure)) | this term is not specific enough, choose from terms that more accurately describe the specimen | ||
| FSCLP (Scalp, Fetal) | EQUIVALENT | 309502007 (Fetus specimen (specimen)) | 41695006 (Scalp structure (body structure)) | |||
| FUR (Furuncle) | EQUIVALENT | 119295008 (Aspirate) | 59843005 (Furuncle (morphologic abnormality)) | 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 | ||
| GAS (Gas) | EQUIVALENT | 119317003 (Gaseous material specimen (specimen)) | ||||
| GASA (Aspirate, Gastric) | EQUIVALENT | 168137004 (Gastric aspirate sample (specimen)) | 14766002 (Aspiration (procedure)) | 69695003 (Stomach structure (body structure)) | ||
| GASAN (Antrum, Gastric) | EQUIVALENT | 119379005 (Specimen from stomach (specimen)) | 66051006 (Pyloric antrum structure (body structure)) | |||
| GASBR (Brushing, Gastric) | EQUIVALENT | 309213006 (Gastric brushings sample (specimen)) | 235157009 (Endoscopic brushings of gastrointestinal tract (procedure)) | 69695003 (Stomach structure (body structure)) | ||
| GASD (Drainage, Gastric) | EQUIVALENT | 258459007 (Gastric fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | 69695003 (Stomach structure (body structure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead | |
| GAST (Fluid/contents, Gastric) | EQUIVALENT | 258459007 (Gastric fluid sample (specimen)) | ||||
| GENV (Genital vaginal) | EQUIVALENT | 119394009 (Specimen from vagina) | ||||
| GRAFT (Graft) | EQUIVALENT | 440493002 (Graft specimen from patient (specimen)) | ||||
| GRANU (Granuloma) | EQUIVALENT | 119376003 (Tissue specimen) | 45647009 (Granuloma (morphologic abnormality)) | |||
| GROSH (Catheter, Groshong) | EQUIVALENT | 119311002 (Catheter specimen (specimen)) | TBD in detail | |||
| GSOL (Solution, Gastrostomy) | UNMATCHED | TBD | ||||
| GSPEC (Biopsy, Gastric) | EQUIVALENT | 309211008 (Gastric biopsy sample (specimen)) | 79121003 (Biopsy of stomach (procedure)) | 69695003 (Stomach structure (body structure)) | ||
| GT (Tube, Gastric) | UNMATCHED | TBD | ||||
| GTUBE (Drainage Tube, Drainage (Gastrostomy)) | EQUIVALENT | 258459007 (Gastric fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | 69695003 (Stomach structure (body structure)) | 127490009 (Gastrostomy route (qualifier value)) | Historical term - consider what is being drained and indicate that in SPM-4 instead |
| HBITE (Bite, Human) | UNMATCHED | Submit for new term with parent 119365002 | ||||
| HBLUD (Blood, Autopsy) | EQUIVALENT | 119297000 (Blood specimen (specimen)) | 303113008 (Postmortem period (qualifier value)) | |||
| HEMAQ (Catheter Tip, Hemaquit) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| HEMO (Catheter Tip, Hemovac) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| HERNI (Tissue, Herniated) | EQUIVALENT | 119376003 (Tissue specimen) | ||||
| HEV (Drain, Hemovac) | EQUIVALENT | 119306004 (Drain device specimen (specimen)) | ||||
| HIC (Catheter, Hickman) | EQUIVALENT | 119312009 (Catheter tip specimen) | 445085009 (Tunneled central venous catheter (physical object)) | TBD in detail | ||
| HYDC (Fluid, Hydrocele) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | 55434001 (Hydrocele (disorder)) | |||
| IBITE (Bite, Insect) | UNMATCHED | Submit for new term with parent 119365002 | ||||
| ICYST (Cyst, Inclusion) | EQUIVALENT | 309075001 (Skin cyst sample (specimen)) | ||||
| IDC (Catheter Tip, Indwelling) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| IHG (Gas, Inhaled) | EQUIVALENT | 119337004 (Inhaled gas specimen (specimen)) | ||||
| ILEO (Drainage, Ileostomy) | EQUIVALENT | 258455001 (Drainage fluid sample (specimen)) | 419954003 (Ileostomy route (qualifier value)) | Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample | ||
| ILLEG (Source of Specimen Is Illegible) | UNMATCHED | TBD | ||||
| IMP (Implant) | EQUIVALENT | 439961009 (Implant submitted as specimen (specimen)) | ||||
| INCI (Site, Incision/Surgical) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| INFIL (Infiltrate) | UNMATCHED | This describes a morphologic abnormality, not a sample | ||||
| INS (Insect) | EQUIVALENT | 258614005 (Insect sample (specimen)) | ||||
| INTRD (Catheter Tip, Introducer) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| IT (Intubation tube) | EQUIVALENT | 119307008 (Specimen from endotracheal tube (specimen)) | ||||
| IUD (Intrauterine Device) | UNMATCHED | pending | ||||
| IVCAT (Catheter Tip, IV) | EQUIVALENT | 119312009 (Catheter tip specimen) | 255560000 (Intravenous (qualifier value)) | TBD in detail | ||
| IVFLD (Fluid, IV) | EQUIVALENT | 258649003 (Intravenous infusion fluid sample (specimen)) | ||||
| IVTIP (Tubing Tip, IV) | EQUIVALENT | 119312009 (Catheter tip specimen) | ||||
| JEJU (Drainage, Jejunal) | EQUIVALENT | 258463000 (Jejunal fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | 21306003 (Jejunal structure (body structure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample | |
| JNTFLD (Fluid, Joint) | EQUIVALENT | 119332005 (Synovial fluid specimen (specimen)) | ||||
| JP (Drainage, Jackson Pratt) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead | ||
| KELOI (Lavage) | EQUIVALENT | 440674008 (Specimen obtained by lavage (specimen)) | 67889009 (Lavage) | |||
| KIDFLD (Fluid, Kidney) | EQUIVALENT | 309051001 (Body fluid sample (specimen)) | 64033007 (Kidney structure (body structure)) | |||
| LAVG (Lavage, Bronhial) | EQUIVALENT | 258607008 (Bronchoalveolar lavage fluid sample (specimen)) | 397394009 (Bronchoalveolar lavage (procedure)) | |||
| LAVGG (Lavage, Gastric) | EQUIVALENT | 168138009 (Gastric lavage aspirate sample) | 173830003 (Gastric lavage (procedure)) | 69695003 (Stomach structure (body structure)) | ||
| LAVGP (Lavage, Peritoneal) | EQUIVALENT | 440137008 (Specimen obtained by peritoneal lavage (specimen)) | ||||
| LAVPG (Lavage, Pre-Bronch) | EQUIVALENT | 440674008 (Specimen obtained by lavage (specimen)) | 67889009 (Lavage) | 44567001 (Tracheal structure (body structure)) | ||
| LENS1 (Contact Lens) | EQUIVALENT | 440473005 (Contact lens submitted as specimen (specimen)) | ||||
| LENS2 (Contact Lens Case) | UNMATCHED | TBD | ||||
| LESN (Lesion) | EQUIVALENT | 309049000 (Lesion sample (specimen)) | 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) | |||
| LIQ (Liquid, Unspecified) | EQUIVALENT | 258442002 (Fluid sample (specimen)) | ||||
| LIQO (Liquid, Other) | UNMATCHED | TBD | ||||
| LSAC (Fluid, Lumbar Sac) | EQUIVALENT | 258450006 (Cerebrospinal fluid sample (specimen)) | 303949008 (Lumbar spinal cerebrospinal fluid pathway (body structure)) | The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture | ||
| MAHUR (Catheter Tip, Makurkour) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| MASS (Mass) | EQUIVALENT | 420548004 (Specimen from mass lesion (specimen)) | 4147007 (Mass (morphologic abnormality)) | |||
| MBLD (Blood, Menstrual) | EQUIVALENT | 119345009 (Menstrual blood specimen (specimen)) | ||||
| MUCOS (Mucosa) | EQUIVALENT | 119376003 (Tissue specimen) | 414781009 (Mucous membrane structure (body structure)) | |||
| MUCUS (Mucus) | EQUIVALENT | 258483004 (Mucus sample (specimen)) | ||||
| NASDR (Drainage, Nasal) | EQUIVALENT | 258474009 (Sinus fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | 2095001 (Nasal sinus structure (body structure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead | |
| NEDL (Needle) | UNMATCHED | TBD | ||||
| NEPH (Site, Nephrostomy) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| NGASP (Aspirate, Nasogastric) | EQUIVALENT | 302794003 (Nasogastric aspirate (specimen)) | 6853008 (Nasogastric tube aspiration (procedure)) | 69695003 (Stomach structure (body structure)) | ||
| NGAST (Drainage, Nasogastric) | EQUIVALENT | 258459007 (Gastric fluid sample (specimen)) | 122462000 (Drainage procedure (procedure)) | 69695003 (Stomach structure (body structure)) | 127492001 (Nasogastric route (qualifier value)) | Historical term - consider what is being drained and indicate that in SPM-4 instead |
| NGS (Site, Naso/Gastric) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| NODUL (Nodule(s)) | UNMATCHED | pending | ||||
| NSECR (Secretion, Nasal) | EQUIVALENT | 168141000 (Nasal fluid sample (specimen)) | ||||
| ORH (Other) | EQUIVALENT | 123038009 (Specimen (specimen)) | ||||
| ORL (Lesion, Oral) | UNMATCHED | 74262004 (Oral cavity) | be more precise use ulcer, tumor, vesicle | |||
| OTH (Source, Other) | EQUIVALENT | 123038009 (Specimen (specimen)) | ||||
| PACEM (Pacemaker) | UNMATCHED | TBD | ||||
| PCFL (Fluid, Pericardial) | EQUIVALENT | 122571007 (Pericardial fluid specimen (specimen)) | ||||
| PDSIT (Site, Peritoneal Dialysis) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| PDTS (Site, Peritoneal Dialysis Tunnel) | UNMATCHED | submitted for code | ||||
| PELVA (Abscess, Pelvic) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 12921003 (Pelvic structure (body structure)) | |||
| PENIL (Lesion, Penile) | UNMATCHED | 18911002 (Penile structure (body structure)) | 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? | |||
| PERIA (Abscess, Perianal) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 397158004 (Perianal region structure (body structure)) | |||
| PILOC (Cyst, Pilonidal) | EQUIVALENT | 119368000 (Specimen from cyst (specimen)) | ||||
| PINS (Site, Pin) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| PIS (Site, Pacemaker Insetion) | EQUIVALENT | 258507003 (Swab of line insertion site (specimen)) | ||||
| PLAN (Plant Material) | EQUIVALENT | 119301009 (Plant specimen (specimen)) | ||||
| PLAS (Plasma) | EQUIVALENT | 119361006 (Plasma specimen (specimen)) | ||||
| PLB (Plasma bag) | EQUIVALENT | 119305000 (Plasma bag specimen (specimen)) | ||||
| PLEVS (Serum, Peak Level) | EQUIVALENT | 119364003 (Serum specimen) | 255587001 (Peak (qualifier value)) | |||
| PND (Drainage, Penile) | EQUIVALENT | 258439008 (Discharge specimen (specimen)) | 122462000 (Drainage procedure (procedure)) | 13648007 (Urethral structure (body structure)) | Historical term -though in this case more often used for discharge | |
| POL (Polyps) | EQUIVALENT | 119376003 (Tissue specimen) | 41329004 (Polyp (morphologic abnormality)) | |||
| POPGS (Graft Site, Popliteal) | EQUIVALENT | 440493002 (Graft specimen from patient (specimen)) | 6902008 (Popliteal region structure (body structure)) | |||
| POPLG (Graft, Popliteal) | EQUIVALENT | 440493002 (Graft specimen from patient (specimen)) | 6902008 (Popliteal region structure (body structure)) | |||
| POPLV (Site, Popliteal Vein) | UNMATCHED | TBD | ||||
| PORTA (Catheter, Porta) | EQUIVALENT | 119311002 (Catheter specimen (specimen)) | TBD in detail | |||
| PPP (Plasma, Platelet poor) | EQUIVALENT | 119362004 (Platelet poor plasma specimen (specimen)) | ||||
| PROST (Prosthetic Device) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| PRP (Plasma, Platelet rich) | EQUIVALENT | 119363009 (Platelet rich plasma specimen (specimen)) | ||||
| PSC (Pseudocyst) | EQUIVALENT | 119368000 (Specimen from cyst (specimen)) | ||||
| PUNCT (Wound, Puncture) | EQUIVALENT | 119365002 (Specimen from wound (specimen)) | 129300006 (Puncture - action (qualifier value)) | |||
| PUS (Pus) | EQUIVALENT | 119323008 (Pus sample) | ||||
| PUSFR (Pustule) | EQUIVALENT | 119323008 (Pus sample) | 47002008 (Pustule) | |||
| PUST (Pus) | EQUIVALENT | 119323008 (Pus sample) | 47002008 (Pustule) | |||
| QC3 (Quality Control) | UNMATCHED | TBD | ||||
| RANDU (Urine, Random) | EQUIVALENT | 278020009 (Spot urine sample (specimen)) | ||||
| RBITE (Bite, Reptile) | UNMATCHED | Submit for new term with parent: 119365002 | ||||
| RECT (Drainage, Rectal) | EQUIVALENT | 119339001 (Stool specimen (specimen)) | 122462000 (Drainage procedure (procedure)) | 34402009 (Rectum structure (body structure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample | |
| RECTA (Abscess, Rectal) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 34402009 (Rectum structure (body structure)) | |||
| RENALC (Cyst, Renal) | EQUIVALENT | 258420003 (Cyst tissue (specimen)) | 64033007 (Kidney structure (body structure)) | |||
| RENC (Fluid, Renal Cyst) | EQUIVALENT | 258453008 (Cyst fluid sample (specimen)) | 64033007 (Kidney structure (body structure)) | |||
| RES (Respiratory) | EQUIVALENT | 258603007 (Respiratory sample (specimen)) | ||||
| SAL (Saliva) | EQUIVALENT | 119342007 (Saliva specimen (specimen)) | ||||
| SCAR (Tissue, Keloid (Scar)) | EQUIVALENT | 119376003 (Tissue specimen) | ||||
| SCLV (Catheter Tip, Subclavian) | EQUIVALENT | 119312009 (Catheter tip specimen) | 9454009 (Structure of subclavian vein (body structure)) | TBD in detail | ||
| SCROA (Abscess, Scrotal) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 20233005 (Scrotal structure (body structure)) | |||
| SECRE (Secretion(s)) | EQUIVALENT | 432825001 (Body secretion specimen (specimen)) | ||||
| SER (Serum) | EQUIVALENT | 119364003 (Serum specimen) | ||||
| SHU (Site, Shunt) | EQUIVALENT | 119295008 (Aspirate) | 14766002 (Aspiration (procedure)) | 257351008 (Shunt (physical object)) | Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site | |
| SHUNF (Fluid, Shunt) | EQUIVALENT | 446861007 (Cerebrospinal fluid specimen obtained via ventriculoperitoneal shunt (specimen)) | 446860008 (Collection of cerebrospinal fluid via ventriculoperitoneal shunt (procedure)) | 279107003 (Central nervous system space (body structure)) | ||
| SHUNT (Shunt) | UNMATCHED | TBD | ||||
| SITE (Site) | UNMATCHED | TBD | ||||
| SKBP (Biopsy, Skin) | EQUIVALENT | 309066003 (Skin biopsy sample (specimen)) | 240977001 (Biopsy of skin) | |||
| SKN (Skin) | EQUIVALENT | 119325001 (Skin (tissue) specimen (specimen)) | ||||
| SMM (Mass, Sub-Mandibular) | EQUIVALENT | 420548004 (Specimen from mass lesion (specimen)) | 4147007 (Mass (morphologic abnormality)) | |||
| SNV (Fluid, synovial (Joint fluid)) | EQUIVALENT | 119332005 (Synovial fluid specimen (specimen)) | ||||
| SPRM (Spermatozoa) | EQUIVALENT | 119349003 (Spermatozoa specimen (specimen)) | ||||
| SPRP (Catheter Tip, Suprapubic) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| SPRPB (Cathether Tip, Suprapubic) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| SPS (Environmental, Spore Strip) | UNMATCHED | TBD | ||||
| SPT (Sputum) | EQUIVALENT | 119334006 (Sputum specimen (specimen)) | ||||
| SPTC (Sputum - coughed) | EQUIVALENT | 119335007 (Coughed sputum specimen (specimen)) | ||||
| SPTT (Sputum - tracheal aspirate) | EQUIVALENT | 258609006 (Sputum specimen obtained by aspiration from trachea (specimen)) | ||||
| SPUT1 (Sputum, Simulated) | UNMATCHED | TBD | ||||
| SPUTIN (Sputum, Inducted) | EQUIVALENT | 258610001 (Sputum specimen obtained by sputum induction (specimen)) | ||||
| SPUTSP (Sputum, Spontaneous) | EQUIVALENT | 119335007 (Coughed sputum specimen (specimen)) | ||||
| STER (Environmental, Sterrad) | UNMATCHED | TBD | ||||
| STL (Stool = Fecal) | EQUIVALENT | 119339001 (Stool specimen (specimen)) | ||||
| STONE (Stone, Kidney) | EQUIVALENT | 119350003 (Calculus specimen (specimen)) | 64033007 (Kidney structure (body structure)) | |||
| SUBMA (Abscess, Submandibular) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 5713008 (Submandibular triangle structure (body structure)) | |||
| SUBMX (Abscess, Submaxillary) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 4335006 (Upper jaw region structure (body structure)) | |||
| SUMP (Drainage, Sump) | EQUIVALENT | 446562005 (Body fluid specimen obtained via sump drain (specimen)) | 122462000 (Drainage procedure (procedure)) | Historical term - consider what is being drained and indicate that in SPM-4 instead | ||
| SUP (Suprapubic Tap) | EQUIVALENT | 122575003 (Urine sample) | 58088002 (Urine specimen collection, suprapubic (procedure)) | |||
| SUTUR (Suture) | UNMATCHED | TBD | ||||
| SWGZ (Catheter Tip, Swan Gantz) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| TASP (Aspirate, Tracheal) | EQUIVALENT | 122877000 (Upper respiratory fluid specimen obtained by tracheal aspiration (specimen)) | 129112001 (Aspiration from trachea (procedure)) | 44567001 (Tracheal structure (body structure)) | ||
| TISS (Tissue) | EQUIVALENT | 119376003 (Tissue specimen) | ||||
| TISU (Tissue ulcer) | EQUIVALENT | 122593002 (Tissue specimen obtained from ulcer (specimen)) | ||||
| TLC (Cathether Tip, Triple Lumen) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| TRAC (Site, Tracheostomy) | EQUIVALENT | 438660002 (Specimen from prosthetic device (specimen)) | ||||
| TRANS (Transudate) | EQUIVALENT | 258538002 (Transudate sample (specimen)) | ||||
| TSERU (Serum, Trough) | EQUIVALENT | 119364003 (Serum specimen) | 255588006 (Trough (qualifier value)) | |||
| TSTES (Abscess, Testicular) | EQUIVALENT | 119371008 (Specimen from abscess (specimen)) | 279572002 (Testicular structure (body structure)) | |||
| TTRA (Aspirate, Transtracheal) | EQUIVALENT | 258480001 (Transtracheal aspirate sample (specimen)) | 129112001 (Aspiration from trachea (procedure)) | |||
| TUBES (Tubes) | EQUIVALENT | 119310001 (Tube specimen (specimen)) | ||||
| TUMOR (Tumor) | EQUIVALENT | 258435002 (Tumor tissue sample (specimen)) | ||||
| TZANC (Smear, Tzanck) | UNMATCHED | This is the name of a lab test. A skin sample is examined for viral inclusions. | ||||
| UDENT (Source, Unidentified) | EQUIVALENT | 123038009 (Specimen (specimen)) | ||||
| UR (Urine) | EQUIVALENT | 122575003 (Urine sample) | ||||
| URC (Urine clean catch) | EQUIVALENT | 122880004 (Urine specimen obtained by clean catch procedure (specimen)) | ||||
| URINB (Urine, Bladder Washings) | EQUIVALENT | 122575003 (Urine sample) | 78533007 (Irrigation of urinary bladder (procedure)) | |||
| URINC (Urine, Catheterized) | EQUIVALENT | 446846006 (Urine specimen obtained via indwelling urinary catheter (specimen)) | ||||
| URINM (Urine, Midstream) | EQUIVALENT | 258574006 (Mid-stream urine sample (specimen)) | 225271002 (Collection of mid-stream specimen of urine (procedure)) | 431938005 (Structure of urinary tract proper (body structure)) | ||
| URINN (Urine, Nephrostomy) | EQUIVALENT | 446277003 (Urine specimen obtained from nephrostomy tube after percutaneous insertion (specimen)) | 225109005 (Collection of nephrostomy urine specimen (procedure)) | 25990002 (Renal pelvis structure (body structure)) | ||
| URINP (Urine, Pedibag) | UNMATCHED | TBD | ||||
| URT (Urine catheter) | EQUIVALENT | 122565001 (Urinary catheter specimen (specimen)) | ||||
| USCOP (Urine, Cystoscopy) | UNMATCHED | 176178006 (Diagnostic cystoscopy (procedure)) | 89837001 (Urinary bladder structure (body structure)) | NEW specimenTERM 7 | ||
| USPEC (Source, Unspecified) | EQUIVALENT | 123038009 (Specimen (specimen)) | ||||
| VASTIP (Catheter Tip, Vas) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| VENT (Catheter Tip, Ventricular) | EQUIVALENT | 119312009 (Catheter tip specimen) | TBD in detail | |||
| VITF (Vitreous Fluid) | EQUIVALENT | 258438000 (Vitreous humor sample (specimen)) | ||||
| VOM (Vomitus) | EQUIVALENT | 122572000 (Vomitus specimen (specimen)) | ||||
| WASH (Wash) | EQUIVALENT | 440674008 (Specimen obtained by lavage (specimen)) | ||||
| WASI (Washing, e.g. bronchial washing) | EQUIVALENT | 122609004 (Specimen from lung obtained by bronchial washing procedure (specimen)) | ||||
| WAT (Water) | EQUIVALENT | 119318008 (Water specimen (specimen)) | ||||
| WB (Blood, Whole) | UNMATCHED | Bloodbanking term ONLY now map to blood and the respective preservative | ||||
| WEN (Wen) | EQUIVALENT | 309075001 (Skin cyst sample (specimen)) | ||||
| WICK (Wick) | UNMATCHED | TBD | ||||
| WND (Wound) | EQUIVALENT | 119365002 (Specimen from wound (specimen)) | ||||
| WNDA (Wound abscess) | EQUIVALENT | 119366001 (Specimen from wound abscess (specimen)) | ||||
| WNDD (Wound drainage) | EQUIVALENT | 122566000 (Fluid specimen from wound (specimen)) | 122462000 (Drainage procedure (procedure)) | |||
| WNDE (Wound exudate) | EQUIVALENT | 122568004 (Exudate specimen from wound (specimen)) | ||||
| WORM (Worm) | EQUIVALENT | 258618008 (Helminth sample (specimen)) | ||||
| WRT (Wart) | EQUIVALENT | 309068002 (Skin lesion sample) | ||||
| WWA (Environmental, Water) | EQUIVALENT | 119318008 (Water specimen (specimen)) | ||||
| WWO (Environmental, Water (Ocean)) | UNMATCHED | TBD | ||||
| WWT (Environmental, Water (Tap)) | UNMATCHED | TBD | ||||
| CSITE (Catheter Insertion Site) | UNMATCHED | 386144009 (Line insertion site (morphologic abnormality)) | 14766002 (Aspiration (procedure)) | 119295008 (Aspirate) | 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 | |
| CLIPP (Clippings) | UNMATCHED | 119326000 (Hair specimen (specimen)) | Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen | |||
| SHU (Site, Shunt) | UNMATCHED | 257351008 (Shunt (physical object)) | 438660002 (Specimen from prosthetic device (specimen)) | 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 | ||
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.
© HL7.org 2011+. FHIR DSTU (v0.5.0-5149) generated on Fri, Apr 3, 2015 14:30+1100.
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