DSTU2 QA Preview

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Conceptmap-example-specimen-type.json

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Specimen Type v2 -> SNOMED-CT Mapping

{
  "resourceType": "ConceptMap",
  "id": "102",
  "text": {
    "status": "generated",
    "div": "<div>\n      <h2>Specimen mapping from v2 table 0487 to SNOMED CT (http://hl7.org/fhir/ConceptMap/102)</h2>\n      <p>Mapping from \n        <a href=\"v2/0487/index.html\">http://hl7.org/fhir/ValueSet/v2-0487</a> to \n        <a href=\"http://snomed.info/id\">SNOMED-CT</a>\n      </p>\n      <p>DRAFT. Published on 25/07/2013 by FHIR project team (original source: LabMCoP) (\n        <a href=\"http://hl7.org/fhir\">http://hl7.org/fhir</a>; , \n        <a href=\"http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786\">http://www.phconnect.org/group...</a>; ). \n      </p>\n      <br/>\n      <table class=\"grid\">\n        <tr>\n          <td colspan=\"1\">\n            <b>Source Concept</b>\n          </td>\n          <td>\n            <b>Equivalence</b>\n          </td>\n          <td colspan=\"4\">\n            <b>Destination Concept</b>\n          </td>\n          <td>\n            <b>Comments</b>\n          </td>\n        </tr>\n        <tr>\n          <td>\n            <b>Code [http://hl7.org/fhir/v2/0487]</b>\n          </td>\n          <td/>\n          <td>\n            <b>Code [http://snomed.info/sct]</b>\n          </td>\n          <td>\n            <b>v2 SPM-7 [http://snomed.info/sct]</b>\n          </td>\n          <td>\n            <b>v2 SPM-8 [http://snomed.info/sct]</b>\n          </td>\n          <td>\n            <b>v2 SPM-5 [http://snomed.info/sct]</b>\n          </td>\n          <td/>\n        </tr>\n        <tr>\n          <td>ACNE (Tissue, Acne)</td>\n          <td>EQUIVALENT</td>\n          <td>309068002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ACNFLD (Fluid, Acne)</td>\n          <td>EQUIVALENT</td>\n          <td>119323008</td>\n          <td/>\n          <td/>\n          <td>47002008</td>\n          <td>HL7 term is a historical term. mapped to Pus</td>\n        </tr>\n        <tr>\n          <td>AIRS (Air Sample)</td>\n          <td>EQUIVALENT</td>\n          <td>446302006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ALL (Allograft)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td>7970006</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>AMP (Amputation)</td>\n          <td>EQUIVALENT</td>\n          <td>408654003</td>\n          <td>81723002</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ANGI (Catheter Tip, Angio)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>ARTC (Catheter Tip, Arterial)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>ASERU (Serum, Acute)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>ASP (Aspirate)</td>\n          <td>EQUIVALENT</td>\n          <td>119295008</td>\n          <td>14766002</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ATTE (Environment, Attest)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>AUTOC (Environmental, Autoclave Capsule)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>AUTP (Autopsy)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>This really is not a specimen per se - it is the state of the subject from whom the specimen is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated with a special medical record number or other notation on the patient. needs to have specimen type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)</td>\n        </tr>\n        <tr>\n          <td>BBL (Blood bag)</td>\n          <td>EQUIVALENT</td>\n          <td>119304001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BCYST (Cyst, Baker's)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td>32361000</td>\n          <td/>\n          <td>submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)</td>\n        </tr>\n        <tr>\n          <td>BITE (Bite)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>BLEB (Bleb)</td>\n          <td>EQUIVALENT</td>\n          <td>309049000</td>\n          <td/>\n          <td/>\n          <td>339008</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BLIST (Blister)</td>\n          <td>EQUIVALENT</td>\n          <td>309049000</td>\n          <td/>\n          <td/>\n          <td>339008</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BOIL (Boil)</td>\n          <td>EQUIVALENT</td>\n          <td>119295008</td>\n          <td>14766002</td>\n          <td/>\n          <td>59843005</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BON (Bone)</td>\n          <td>EQUIVALENT</td>\n          <td>430268003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BOWL (Bowel contents)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents</td>\n        </tr>\n        <tr>\n          <td>BPU (Blood product unit)</td>\n          <td>EQUIVALENT</td>\n          <td>119300005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRN (Burn)</td>\n          <td>EQUIVALENT</td>\n          <td>119367005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRSH (Brush)</td>\n          <td>EQUIVALENT</td>\n          <td>258415003</td>\n          <td>439336003</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRTH (Breath (use EXHLD))</td>\n          <td>EQUIVALENT</td>\n          <td>119336008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRUS (Brushing)</td>\n          <td>EQUIVALENT</td>\n          <td>309176002</td>\n          <td>80657008</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BUB (Bubo)</td>\n          <td>EQUIVALENT</td>\n          <td>302795002</td>\n          <td>14766002</td>\n          <td/>\n          <td>11585000</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BULLA (Bulla/Bullae)</td>\n          <td>EQUIVALENT</td>\n          <td>258482009</td>\n          <td/>\n          <td/>\n          <td>339008</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BX (Biopsy)</td>\n          <td>EQUIVALENT</td>\n          <td>258415003</td>\n          <td>86273004</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CALC (Calculus (=Stone))</td>\n          <td>EQUIVALENT</td>\n          <td>119350003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CARBU (Carbuncle)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td/>\n          <td/>\n          <td>41570003</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>CAT (Catheter)</td>\n          <td>EQUIVALENT</td>\n          <td>119311002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CBITE (Bite, Cat)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>CLIPP (Clippings)</td>\n          <td>EQUIVALENT</td>\n          <td>119327009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>Be more specific use either: 119326000^hair specimen or 119327009^nail specimen</td>\n        </tr>\n        <tr>\n          <td>CNJT (Conjunctiva)</td>\n          <td>EQUIVALENT</td>\n          <td>119401005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CNJT (Conjunctiva)</td>\n          <td>EQUIVALENT</td>\n          <td>128160006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CNJT (Conjunctiva)</td>\n          <td>EQUIVALENT</td>\n          <td>258498002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>COL (Colostrum)</td>\n          <td>EQUIVALENT</td>\n          <td>119329007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CONE (Biospy, Cone)</td>\n          <td>EQUIVALENT</td>\n          <td>399713008</td>\n          <td>54535009</td>\n          <td>71252005</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CSCR (Scratch, Cat)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>submit for new term with parent 119365002^Specimen from wound (specimen)</td>\n        </tr>\n        <tr>\n          <td>CSERU (Serum, Convalescent)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>CSITE (Catheter Insertion Site)</td>\n          <td>EQUIVALENT</td>\n          <td>258507003</td>\n          <td>285570007</td>\n          <td/>\n          <td>386144009</td>\n          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora       </td>\n        </tr>\n        <tr>\n          <td>CSMY (Fluid,  Cystostomy Tube)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CST (Fluid, Cyst)</td>\n          <td>EQUIVALENT</td>\n          <td>258453008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CSVR (Blood, Cell Saver)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD - may use blood and SPM-6</td>\n        </tr>\n        <tr>\n          <td>CTP (Catheter tip)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>CVPS (Site, CVP)</td>\n          <td>EQUIVALENT</td>\n          <td>258507003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CVPT (Catheter Tip, CVP)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td>445085009</td>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>CYN (Nodule, Cystic)</td>\n          <td>EQUIVALENT</td>\n          <td>119368000</td>\n          <td/>\n          <td/>\n          <td>27925004</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>CYST (Cyst)</td>\n          <td>EQUIVALENT</td>\n          <td>119368000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DBITE (Bite, Dog)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>DCS (Sputum, Deep Cough)</td>\n          <td>EQUIVALENT</td>\n          <td>119335007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DEC (Ulcer, Decubitus)</td>\n          <td>EQUIVALENT</td>\n          <td>258505006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DEION (Environmental, Water  (Deionized))</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>DIA (Dialysate)</td>\n          <td>EQUIVALENT</td>\n          <td>119360007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DISCHG (Discharge)</td>\n          <td>EQUIVALENT</td>\n          <td>258439008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DIV (Diverticulum)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td>31113003</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>DRN (Drain)</td>\n          <td>EQUIVALENT</td>\n          <td>119306004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DRNG (Drainage, Tube)</td>\n          <td>EQUIVALENT</td>\n          <td>258455001</td>\n          <td>122462000</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptible specimen for micro - not specific enough term</td>\n        </tr>\n        <tr>\n          <td>DRNGP (Drainage, Penrose)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td>122462000</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>EARW (Ear wax (cerumen))</td>\n          <td>EQUIVALENT</td>\n          <td>122580007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EBRUSH (Brush, Esophageal)</td>\n          <td>EQUIVALENT</td>\n          <td>309210009</td>\n          <td>36213007</td>\n          <td>32849002</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EEYE (Environmental, Eye Wash)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EFF (Environmental, Effluent)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EFFUS (Effusion)</td>\n          <td>EQUIVALENT</td>\n          <td>258440005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EFOD (Environmental, Food)</td>\n          <td>EQUIVALENT</td>\n          <td>119320006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EISO (Environmental, Isolette)</td>\n          <td>EQUIVALENT</td>\n          <td>258536003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ELT (Electrode)</td>\n          <td>EQUIVALENT</td>\n          <td>119314005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ENVIR (Environmental, Unidentified Substance)</td>\n          <td>EQUIVALENT</td>\n          <td>119324002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EOTH (Environmental, Other Substance)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>ESOI (Environmental, Soil)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>ESOS (Environmental, Solution (Sterile))</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>ETA (Aspirate,  Endotrach)</td>\n          <td>EQUIVALENT</td>\n          <td>119307008</td>\n          <td>14766002</td>\n          <td>321667001</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ETTP (Catheter Tip, Endotracheal)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>ETTUB (Tube, Endotracheal)</td>\n          <td>EQUIVALENT</td>\n          <td>119307008</td>\n          <td>14766002</td>\n          <td>321667001</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EWHI (Environmental, Whirlpool)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EXG (Gas, exhaled (=breath))</td>\n          <td>EQUIVALENT</td>\n          <td>119336008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EXS (Shunt, External)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EXUDTE (Exudate)</td>\n          <td>EQUIVALENT</td>\n          <td>258441009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FAW (Environmental, Water  (Well))</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>FBLOOD (Blood, Fetal)</td>\n          <td>EQUIVALENT</td>\n          <td>119297000</td>\n          <td/>\n          <td/>\n          <td>303112003</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>FGA (Fluid,  Abdomen)</td>\n          <td>EQUIVALENT</td>\n          <td>168139001</td>\n          <td/>\n          <td>83670000</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FIST (Fistula)</td>\n          <td>EQUIVALENT</td>\n          <td>119370009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FLD (Fluid, Other)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FLT (Filter)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>FLU (Fluid, Body unsp)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FLUID (Fluid)</td>\n          <td>EQUIVALENT</td>\n          <td>258442002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FOLEY (Catheter Tip, Foley)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>FRS (Fluid, Respiratory)</td>\n          <td>EQUIVALENT</td>\n          <td>258442002</td>\n          <td/>\n          <td>272626006</td>\n          <td/>\n          <td>this term is not specific enough, choose from terms that more accurately describe the specimen</td>\n        </tr>\n        <tr>\n          <td>FSCLP (Scalp, Fetal)</td>\n          <td>EQUIVALENT</td>\n          <td>309502007</td>\n          <td/>\n          <td>41695006</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FUR (Furuncle)</td>\n          <td>EQUIVALENT</td>\n          <td>119295008</td>\n          <td/>\n          <td/>\n          <td>59843005</td>\n          <td>Further describe the sample as tissue or pus. or by the collection method. The term boil is not specifc to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil</td>\n        </tr>\n        <tr>\n          <td>GAS (Gas)</td>\n          <td>EQUIVALENT</td>\n          <td>119317003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASA (Aspirate, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>168137004</td>\n          <td>14766002</td>\n          <td>69695003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASAN (Antrum, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>119379005</td>\n          <td/>\n          <td>66051006</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASBR (Brushing, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>309213006</td>\n          <td>235157009</td>\n          <td>69695003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASD (Drainage, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>258459007</td>\n          <td>122462000</td>\n          <td>69695003</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>GAST (Fluid/contents, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>258459007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GENV (Genital vaginal)</td>\n          <td>EQUIVALENT</td>\n          <td>119394009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GRAFT (Graft)</td>\n          <td>EQUIVALENT</td>\n          <td>440493002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GRANU (Granuloma)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td>45647009</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>GROSH (Catheter, Groshong)</td>\n          <td>EQUIVALENT</td>\n          <td>119311002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>GSOL (Solution, Gastrostomy)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>GSPEC (Biopsy, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>309211008</td>\n          <td>79121003</td>\n          <td>69695003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GT (Tube, Gastric)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>GTUBE (Drainage Tube, Drainage (Gastrostomy))</td>\n          <td>EQUIVALENT</td>\n          <td>258459007</td>\n          <td>122462000</td>\n          <td>69695003</td>\n          <td>127490009</td>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>HBITE (Bite, Human)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>HBLUD (Blood, Autopsy)</td>\n          <td>EQUIVALENT</td>\n          <td>119297000</td>\n          <td/>\n          <td/>\n          <td>303113008</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>HEMAQ (Catheter Tip, Hemaquit)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>HEMO (Catheter Tip, Hemovac)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>HERNI (Tissue, Herniated)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>HEV (Drain, Hemovac)</td>\n          <td>EQUIVALENT</td>\n          <td>119306004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>HIC (Catheter, Hickman)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td>445085009</td>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>HYDC (Fluid, Hydrocele)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td/>\n          <td/>\n          <td>55434001</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>IBITE (Bite, Insect)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>ICYST (Cyst, Inclusion)</td>\n          <td>EQUIVALENT</td>\n          <td>309075001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>IDC (Catheter Tip, Indwelling)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>IHG (Gas, Inhaled)</td>\n          <td>EQUIVALENT</td>\n          <td>119337004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ILEO (Drainage, Ileostomy)</td>\n          <td>EQUIVALENT</td>\n          <td>258455001</td>\n          <td/>\n          <td/>\n          <td>419954003</td>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>\n        </tr>\n        <tr>\n          <td>ILLEG (Source of Specimen Is Illegible)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>IMP (Implant)</td>\n          <td>EQUIVALENT</td>\n          <td>439961009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>INCI (Site, Incision/Surgical)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>INFIL (Infiltrate)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>This describes a morphologic abnormality, not a sample</td>\n        </tr>\n        <tr>\n          <td>INS (Insect)</td>\n          <td>EQUIVALENT</td>\n          <td>258614005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>INTRD (Catheter Tip, Introducer)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>IT (Intubation tube)</td>\n          <td>EQUIVALENT</td>\n          <td>119307008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>IUD (Intrauterine Device)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>IVCAT (Catheter Tip, IV)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td>255560000</td>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>IVFLD (Fluid, IV)</td>\n          <td>EQUIVALENT</td>\n          <td>258649003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>IVTIP (Tubing Tip, IV)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>JEJU (Drainage, Jejunal)</td>\n          <td>EQUIVALENT</td>\n          <td>258463000</td>\n          <td>122462000</td>\n          <td>21306003</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>\n        </tr>\n        <tr>\n          <td>JNTFLD (Fluid, Joint)</td>\n          <td>EQUIVALENT</td>\n          <td>119332005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>JP (Drainage, Jackson Pratt)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td>122462000</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>KELOI (Lavage)</td>\n          <td>EQUIVALENT</td>\n          <td>440674008</td>\n          <td>67889009</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>KIDFLD (Fluid, Kidney)</td>\n          <td>EQUIVALENT</td>\n          <td>309051001</td>\n          <td/>\n          <td>64033007</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVG (Lavage, Bronhial)</td>\n          <td>EQUIVALENT</td>\n          <td>258607008</td>\n          <td>397394009</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVGG (Lavage, Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>168138009</td>\n          <td>173830003</td>\n          <td>69695003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVGP (Lavage, Peritoneal)</td>\n          <td>EQUIVALENT</td>\n          <td>440137008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVPG (Lavage, Pre-Bronch)</td>\n          <td>EQUIVALENT</td>\n          <td>440674008</td>\n          <td>67889009</td>\n          <td>44567001</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LENS1 (Contact Lens)</td>\n          <td>EQUIVALENT</td>\n          <td>440473005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LENS2 (Contact Lens Case)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>LESN (Lesion)</td>\n          <td>EQUIVALENT</td>\n          <td>309049000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>should be more specific what kind of lesion is observed - be more specific is it a wound, abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)</td>\n        </tr>\n        <tr>\n          <td>LIQ (Liquid, Unspecified)</td>\n          <td>EQUIVALENT</td>\n          <td>258442002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LIQO (Liquid, Other)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>LSAC (Fluid, Lumbar Sac)</td>\n          <td>EQUIVALENT</td>\n          <td>258450006</td>\n          <td/>\n          <td>303949008</td>\n          <td/>\n          <td>The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture</td>\n        </tr>\n        <tr>\n          <td>MAHUR (Catheter Tip, Makurkour)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>MASS (Mass)</td>\n          <td>EQUIVALENT</td>\n          <td>420548004</td>\n          <td/>\n          <td/>\n          <td>4147007</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>MBLD (Blood, Menstrual)</td>\n          <td>EQUIVALENT</td>\n          <td>119345009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>MUCOS (Mucosa)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td>414781009</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>MUCUS (Mucus)</td>\n          <td>EQUIVALENT</td>\n          <td>258483004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NASDR (Drainage, Nasal)</td>\n          <td>EQUIVALENT</td>\n          <td>258474009</td>\n          <td>122462000</td>\n          <td>2095001</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>NEDL (Needle)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>NEPH (Site, Nephrostomy)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NGASP (Aspirate, Nasogastric)</td>\n          <td>EQUIVALENT</td>\n          <td>302794003</td>\n          <td>6853008</td>\n          <td>69695003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NGAST (Drainage, Nasogastric)</td>\n          <td>EQUIVALENT</td>\n          <td>258459007</td>\n          <td>122462000</td>\n          <td>69695003</td>\n          <td>127492001</td>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>NGS (Site, Naso/Gastric)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NODUL (Nodule(s))</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>NSECR (Secretion, Nasal)</td>\n          <td>EQUIVALENT</td>\n          <td>168141000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ORH (Other)</td>\n          <td>EQUIVALENT</td>\n          <td>123038009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ORL (Lesion, Oral)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td>74262004</td>\n          <td/>\n          <td>be more precise use ulcer, tumor, vesicle</td>\n        </tr>\n        <tr>\n          <td>OTH (Source, Other)</td>\n          <td>EQUIVALENT</td>\n          <td>123038009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PACEM (Pacemaker)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>PCFL (Fluid, Pericardial)</td>\n          <td>EQUIVALENT</td>\n          <td>122571007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PDSIT (Site, Peritoneal Dialysis)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PDTS (Site, Peritoneal Dialysis Tunnel)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>submitted for code</td>\n        </tr>\n        <tr>\n          <td>PELVA (Abscess, Pelvic)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>12921003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PENIL (Lesion, Penile)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td>18911002</td>\n          <td/>\n          <td>need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile, Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything else?</td>\n        </tr>\n        <tr>\n          <td>PERIA (Abscess, Perianal)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>397158004</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PILOC (Cyst, Pilonidal)</td>\n          <td>EQUIVALENT</td>\n          <td>119368000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PINS (Site, Pin)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PIS (Site, Pacemaker Insetion)</td>\n          <td>EQUIVALENT</td>\n          <td>258507003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLAN (Plant Material)</td>\n          <td>EQUIVALENT</td>\n          <td>119301009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLAS (Plasma)</td>\n          <td>EQUIVALENT</td>\n          <td>119361006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLB (Plasma bag)</td>\n          <td>EQUIVALENT</td>\n          <td>119305000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLEVS (Serum, Peak Level)</td>\n          <td>EQUIVALENT</td>\n          <td>119364003</td>\n          <td/>\n          <td/>\n          <td>255587001</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PND (Drainage, Penile)</td>\n          <td>EQUIVALENT</td>\n          <td>258439008</td>\n          <td>122462000</td>\n          <td>13648007</td>\n          <td/>\n          <td>Historical term -though in this case more often used for discharge</td>\n        </tr>\n        <tr>\n          <td>POL (Polyps)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td>41329004</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>POPGS (Graft Site, Popliteal)</td>\n          <td>EQUIVALENT</td>\n          <td>440493002</td>\n          <td/>\n          <td>6902008</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>POPLG (Graft, Popliteal)</td>\n          <td>EQUIVALENT</td>\n          <td>440493002</td>\n          <td/>\n          <td>6902008</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>POPLV (Site, Popliteal Vein)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>PORTA (Catheter, Porta)</td>\n          <td>EQUIVALENT</td>\n          <td>119311002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>PPP (Plasma, Platelet poor)</td>\n          <td>EQUIVALENT</td>\n          <td>119362004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PROST (Prosthetic Device)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PRP (Plasma, Platelet rich)</td>\n          <td>EQUIVALENT</td>\n          <td>119363009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PSC (Pseudocyst)</td>\n          <td>EQUIVALENT</td>\n          <td>119368000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUNCT (Wound, Puncture)</td>\n          <td>EQUIVALENT</td>\n          <td>119365002</td>\n          <td/>\n          <td/>\n          <td>129300006</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUS (Pus)</td>\n          <td>EQUIVALENT</td>\n          <td>119323008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUSFR (Pustule)</td>\n          <td>EQUIVALENT</td>\n          <td>119323008</td>\n          <td/>\n          <td/>\n          <td>47002008</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUST (Pus)</td>\n          <td>EQUIVALENT</td>\n          <td>119323008</td>\n          <td/>\n          <td/>\n          <td>47002008</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>QC3 (Quality Control)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>RANDU (Urine, Random)</td>\n          <td>EQUIVALENT</td>\n          <td>278020009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RBITE (Bite, Reptile)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent: 119365002</td>\n        </tr>\n        <tr>\n          <td>RECT (Drainage, Rectal)</td>\n          <td>EQUIVALENT</td>\n          <td>119339001</td>\n          <td>122462000</td>\n          <td>34402009</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>\n        </tr>\n        <tr>\n          <td>RECTA (Abscess, Rectal)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>34402009</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RENALC (Cyst, Renal)</td>\n          <td>EQUIVALENT</td>\n          <td>258420003</td>\n          <td/>\n          <td>64033007</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RENC (Fluid, Renal Cyst)</td>\n          <td>EQUIVALENT</td>\n          <td>258453008</td>\n          <td/>\n          <td>64033007</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RES (Respiratory)</td>\n          <td>EQUIVALENT</td>\n          <td>258603007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SAL (Saliva)</td>\n          <td>EQUIVALENT</td>\n          <td>119342007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SCAR (Tissue, Keloid (Scar))</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SCLV (Catheter Tip, Subclavian)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td>9454009</td>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>SCROA (Abscess, Scrotal)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>20233005</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SECRE (Secretion(s))</td>\n          <td>EQUIVALENT</td>\n          <td>432825001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SER (Serum)</td>\n          <td>EQUIVALENT</td>\n          <td>119364003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SHU (Site, Shunt)</td>\n          <td>EQUIVALENT</td>\n          <td>119295008</td>\n          <td>14766002</td>\n          <td/>\n          <td>257351008</td>\n          <td>Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site</td>\n        </tr>\n        <tr>\n          <td>SHUNF (Fluid, Shunt)</td>\n          <td>EQUIVALENT</td>\n          <td>446861007</td>\n          <td>446860008</td>\n          <td>279107003</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SHUNT (Shunt)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SITE (Site)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SKBP (Biopsy, Skin)</td>\n          <td>EQUIVALENT</td>\n          <td>309066003</td>\n          <td>240977001</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SKN (Skin)</td>\n          <td>EQUIVALENT</td>\n          <td>119325001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SMM (Mass, Sub-Mandibular)</td>\n          <td>EQUIVALENT</td>\n          <td>420548004</td>\n          <td/>\n          <td/>\n          <td>4147007</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>SNV (Fluid, synovial (Joint fluid))</td>\n          <td>EQUIVALENT</td>\n          <td>119332005</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPRM (Spermatozoa)</td>\n          <td>EQUIVALENT</td>\n          <td>119349003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPRP (Catheter Tip, Suprapubic)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>SPRPB (Cathether Tip, Suprapubic)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>SPS (Environmental, Spore Strip)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SPT (Sputum)</td>\n          <td>EQUIVALENT</td>\n          <td>119334006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPTC (Sputum - coughed)</td>\n          <td>EQUIVALENT</td>\n          <td>119335007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPTT (Sputum - tracheal aspirate)</td>\n          <td>EQUIVALENT</td>\n          <td>258609006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPUT1 (Sputum, Simulated)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SPUTIN (Sputum, Inducted)</td>\n          <td>EQUIVALENT</td>\n          <td>258610001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPUTSP (Sputum, Spontaneous)</td>\n          <td>EQUIVALENT</td>\n          <td>119335007</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>STER (Environmental, Sterrad)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>STL (Stool = Fecal)</td>\n          <td>EQUIVALENT</td>\n          <td>119339001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>STONE (Stone, Kidney)</td>\n          <td>EQUIVALENT</td>\n          <td>119350003</td>\n          <td/>\n          <td>64033007</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUBMA (Abscess, Submandibular)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>5713008</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUBMX (Abscess, Submaxillary)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>4335006</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUMP (Drainage, Sump)</td>\n          <td>EQUIVALENT</td>\n          <td>446562005</td>\n          <td>122462000</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>SUP (Suprapubic Tap)</td>\n          <td>EQUIVALENT</td>\n          <td>122575003</td>\n          <td>58088002</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUTUR (Suture)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SWGZ (Catheter Tip, Swan Gantz)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>TASP (Aspirate, Tracheal)</td>\n          <td>EQUIVALENT</td>\n          <td>122877000</td>\n          <td>129112001</td>\n          <td>44567001</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TISS (Tissue)</td>\n          <td>EQUIVALENT</td>\n          <td>119376003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TISU (Tissue ulcer)</td>\n          <td>EQUIVALENT</td>\n          <td>122593002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TLC (Cathether Tip, Triple Lumen)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>TRAC (Site, Tracheostomy)</td>\n          <td>EQUIVALENT</td>\n          <td>438660002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TRANS (Transudate)</td>\n          <td>EQUIVALENT</td>\n          <td>258538002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TSERU (Serum, Trough)</td>\n          <td>EQUIVALENT</td>\n          <td>119364003</td>\n          <td/>\n          <td/>\n          <td>255588006</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>TSTES (Abscess, Testicular)</td>\n          <td>EQUIVALENT</td>\n          <td>119371008</td>\n          <td/>\n          <td>279572002</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TTRA (Aspirate, Transtracheal)</td>\n          <td>EQUIVALENT</td>\n          <td>258480001</td>\n          <td>129112001</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TUBES (Tubes)</td>\n          <td>EQUIVALENT</td>\n          <td>119310001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TUMOR (Tumor)</td>\n          <td>EQUIVALENT</td>\n          <td>258435002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TZANC (Smear, Tzanck)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>This is the name of a lab test. A skin sample is examined for viral inclusions.</td>\n        </tr>\n        <tr>\n          <td>UDENT (Source, Unidentified)</td>\n          <td>EQUIVALENT</td>\n          <td>123038009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>UR (Urine)</td>\n          <td>EQUIVALENT</td>\n          <td>122575003</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URC (Urine clean catch)</td>\n          <td>EQUIVALENT</td>\n          <td>122880004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINB (Urine, Bladder Washings)</td>\n          <td>EQUIVALENT</td>\n          <td>122575003</td>\n          <td>78533007</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINC (Urine, Catheterized)</td>\n          <td>EQUIVALENT</td>\n          <td>446846006</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINM (Urine, Midstream)</td>\n          <td>EQUIVALENT</td>\n          <td>258574006</td>\n          <td>225271002</td>\n          <td>431938005</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINN (Urine, Nephrostomy)</td>\n          <td>EQUIVALENT</td>\n          <td>446277003</td>\n          <td>225109005</td>\n          <td>25990002</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINP (Urine, Pedibag)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>URT (Urine catheter)</td>\n          <td>EQUIVALENT</td>\n          <td>122565001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>USCOP (Urine, Cystoscopy)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td>176178006</td>\n          <td>89837001</td>\n          <td/>\n          <td>NEW specimenTERM 7</td>\n        </tr>\n        <tr>\n          <td>USPEC (Source, Unspecified)</td>\n          <td>EQUIVALENT</td>\n          <td>123038009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>VASTIP (Catheter Tip, Vas)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>VENT (Catheter Tip, Ventricular)</td>\n          <td>EQUIVALENT</td>\n          <td>119312009</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>VITF (Vitreous Fluid)</td>\n          <td>EQUIVALENT</td>\n          <td>258438000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>VOM (Vomitus)</td>\n          <td>EQUIVALENT</td>\n          <td>122572000</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WASH (Wash)</td>\n          <td>EQUIVALENT</td>\n          <td>440674008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WASI (Washing, e.g. bronchial washing)</td>\n          <td>EQUIVALENT</td>\n          <td>122609004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WAT (Water)</td>\n          <td>EQUIVALENT</td>\n          <td>119318008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WB (Blood, Whole)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Bloodbanking term ONLY now map to blood and the respective preservative</td>\n        </tr>\n        <tr>\n          <td>WEN (Wen)</td>\n          <td>EQUIVALENT</td>\n          <td>309075001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WICK (Wick)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>WND (Wound)</td>\n          <td>EQUIVALENT</td>\n          <td>119365002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WNDA (Wound abscess)</td>\n          <td>EQUIVALENT</td>\n          <td>119366001</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WNDD (Wound drainage)</td>\n          <td>EQUIVALENT</td>\n          <td>122566000</td>\n          <td>122462000</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WNDE (Wound exudate)</td>\n          <td>EQUIVALENT</td>\n          <td>122568004</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WORM (Worm)</td>\n          <td>EQUIVALENT</td>\n          <td>258618008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WRT (Wart)</td>\n          <td>EQUIVALENT</td>\n          <td>309068002</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WWA (Environmental, Water)</td>\n          <td>EQUIVALENT</td>\n          <td>119318008</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WWO (Environmental, Water (Ocean))</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>WWT (Environmental, Water  (Tap))</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>CSITE (Catheter Insertion Site)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td>386144009</td>\n          <td>14766002</td>\n          <td>119295008</td>\n          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora</td>\n        </tr>\n        <tr>\n          <td>CLIPP (Clippings)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>119326000</td>\n          <td>Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen</td>\n        </tr>\n        <tr>\n          <td>SHU (Site, Shunt)</td>\n          <td>UNMATCHED</td>\n          <td/>\n          <td>257351008</td>\n          <td/>\n          <td>438660002</td>\n          <td>assume swab from shunt site for mapping here - clean surface of skin prior to expressing the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify body approximate match location of shunt site</td>\n        </tr>\n      </table>\n    </div>"
  },
  "url": "http://hl7.org/fhir/ConceptMap/102",
  "version": "20130725",
  "_version": {
    "fhir_comments": [
      "    version: the date of the source    "
    ]
  },
  "name": "Specimen mapping from v2 table 0487 to SNOMED CT",
  "status": "draft",
  "experimental": false,
  "publisher": "FHIR project team (original source: LabMCoP)",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://hl7.org/fhir"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "other",
          "value": "http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786"
        }
      ]
    }
  ],
  "date": "2013-07-25",
  "sourceReference": {
    "reference": "http://hl7.org/fhir/ValueSet/v2-0487"
  },
  "targetReference": {
    "reference": "http://snomed.info/id"
  },
  "element": [
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ACNE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309068002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ACNFLD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent",
          "comments": "HL7 term is a historical term. mapped to Pus",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "47002008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AIRS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446302006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ALL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "7970006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AMP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "408654003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "81723002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ANGI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ARTC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ASERU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ASP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ATTE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AUTOC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "AUTP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "This really is not a specimen per se - it is the state of the subject from whom the specimen is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated with a special medical record number or other notation on the patient. needs to have specimen type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BBL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119304001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BCYST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "32361000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BLEB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309049000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "339008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BLIST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309049000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "339008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BOIL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "59843005"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BON",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "430268003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BOWL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BPU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119300005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119367005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRSH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258415003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "439336003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRTH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119336008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BRUS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309176002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "80657008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BUB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "302795002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "11585000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BULLA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258482009",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "339008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "BX",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258415003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "86273004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CALC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119350003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CARBU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "41570003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CAT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119311002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CBITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CLIPP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119327009",
          "equivalence": "equivalent",
          "comments": "Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CNJT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119401005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CNJT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "128160006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CNJT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258498002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "COL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119329007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CONE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "399713008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "54535009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "71252005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSCR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "submit for new term with parent 119365002^Specimen from wound (specimen)"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSERU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258507003",
          "equivalence": "equivalent",
          "comments": "Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora       ",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "386144009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "285570007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSMY",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258453008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSVR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD - may use blood and SPM-6"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CTP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CVPS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258507003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CVPT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "445085009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CYN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "27925004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CYST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DBITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DCS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119335007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DEC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258505006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DEION",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DIA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119360007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DISCHG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258439008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DIV",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "31113003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DRN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119306004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DRNG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258455001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptible specimen for micro - not specific enough term",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "DRNGP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EARW",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122580007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EBRUSH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309210009",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "36213007"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "32849002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EEYE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EFF",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EFFUS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258440005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EFOD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119320006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EISO",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258536003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ELT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119314005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ENVIR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119324002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EOTH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ESOI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ESOS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ETA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119307008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "321667001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ETTP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ETTUB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119307008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "321667001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EWHI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EXG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119336008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EXS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "EXUDTE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258441009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FAW",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FBLOOD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119297000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "303112003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FGA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168139001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "83670000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FIST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119370009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FLUID",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258442002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FOLEY",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FRS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258442002",
          "equivalence": "equivalent",
          "comments": "this term is not specific enough, choose from terms that more accurately describe the specimen",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "272626006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FSCLP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309502007",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "41695006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "FUR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "comments": "Further describe the sample as tissue or pus. or by the collection method. The term boil is not specifc to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "59843005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GAS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119317003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168137004",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASAN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119379005",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "66051006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASBR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309213006",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "235157009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GASD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GAST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GENV",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119394009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GRAFT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440493002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GRANU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "45647009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GROSH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119311002",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GSOL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GSPEC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309211008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "79121003"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "GTUBE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "127490009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HBITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HBLUD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119297000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "303113008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HEMAQ",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HEMO",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HERNI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HEV",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119306004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HIC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "445085009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "HYDC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "55434001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IBITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ICYST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309075001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IDC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IHG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119337004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ILEO",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258455001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "419954003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ILLEG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IMP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "439961009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INCI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INFIL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "This describes a morphologic abnormality, not a sample"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258614005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "INTRD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119307008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IUD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IVCAT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "255560000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IVFLD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258649003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "IVTIP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "JEJU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258463000",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "21306003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "JNTFLD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119332005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "JP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "KELOI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440674008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "67889009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "KIDFLD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309051001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258607008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "397394009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVGG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168138009",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "173830003"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVGP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440137008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LAVPG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440674008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "67889009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "44567001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LENS1",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440473005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LENS2",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LESN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309049000",
          "equivalence": "equivalent",
          "comments": "should be more specific what kind of lesion is observed - be more specific is it a wound, abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LIQ",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258442002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LIQO",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "LSAC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258450006",
          "equivalence": "equivalent",
          "comments": "The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "303949008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MAHUR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MASS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "420548004",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "4147007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MBLD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119345009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MUCOS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "414781009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "MUCUS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258483004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NASDR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258474009",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "2095001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NEDL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NEPH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NGASP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "302794003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "6853008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NGAST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258459007",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "127492001"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "69695003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NGS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NODUL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "pending"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "NSECR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "168141000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ORH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "ORL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "be more precise use ulcer, tumor, vesicle",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "74262004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "OTH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PACEM",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PCFL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122571007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PDSIT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PDTS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "submitted for code"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PELVA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "12921003"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PENIL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile, Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything else?",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "18911002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PERIA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "397158004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PILOC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PINS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PIS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258507003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLAN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119301009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLAS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119361006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119305000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PLEVS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119364003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "255587001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PND",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258439008",
          "equivalence": "equivalent",
          "comments": "Historical term -though in this case more often used for discharge",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "13648007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "41329004"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POPGS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440493002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "6902008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POPLG",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440493002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "6902008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "POPLV",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PORTA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119311002",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PPP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119362004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PROST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PRP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119363009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PSC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119368000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUNCT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119365002",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "129300006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUSFR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "47002008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "PUST",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119323008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "47002008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "QC3",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RANDU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "278020009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RBITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Submit for new term with parent: 119365002"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RECT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119339001",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "34402009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RECTA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "34402009"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RENALC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258420003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RENC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258453008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "RES",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258603007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SAL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119342007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SCAR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SCLV",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "9454009"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SCROA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "20233005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SECRE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "432825001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SER",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119364003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119295008",
          "equivalence": "equivalent",
          "comments": "Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "257351008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHUNF",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446861007",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "446860008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "279107003"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHUNT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SKBP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309066003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "240977001"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SKN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119325001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SMM",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "420548004",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "4147007"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SNV",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119332005",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPRM",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119349003",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPRP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPRPB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119334006",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPTC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119335007",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPTT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258609006",
          "equivalence": "equivalent"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPUT1",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
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      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPUTIN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258610001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SPUTSP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119335007",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "STER",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "STL",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119339001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "STONE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119350003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "64033007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUBMA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "5713008"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUBMX",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "4335006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUMP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446562005",
          "equivalence": "equivalent",
          "comments": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122575003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "58088002"
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          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SUTUR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SWGZ",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TASP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122877000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "129112001"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "44567001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TISS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119376003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TISU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122593002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TLC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TRAC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "438660002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TRANS",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258538002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TSERU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119364003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "255588006"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TSTES",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119371008",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "279572002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TTRA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258480001",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "129112001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TUBES",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119310001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TUMOR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258435002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "TZANC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "This is the name of a lab test. A skin sample is examined for viral inclusions."
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "UDENT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "UR",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122575003",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122880004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122575003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "78533007"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446846006",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINM",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258574006",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "225271002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "431938005"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "446277003",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "225109005"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "25990002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URINP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "URT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122565001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "USCOP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "NEW specimenTERM 7",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "176178006"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "89837001"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "USPEC",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "123038009",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VASTIP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VENT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119312009",
          "equivalence": "equivalent",
          "comments": "TBD in detail"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VITF",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258438000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "VOM",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122572000",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WASH",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "440674008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WASI",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122609004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WAT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119318008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WB",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Bloodbanking term ONLY now map to blood and the respective preservative"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WEN",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309075001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WICK",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WND",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119365002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WNDA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119366001",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WNDD",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122566000",
          "equivalence": "equivalent",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "122462000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WNDE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "122568004",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WORM",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "258618008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WRT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "309068002",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WWA",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "code": "119318008",
          "equivalence": "equivalent"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WWO",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "WWT",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "TBD"
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CSITE",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "119295008"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "386144009"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-8",
              "codeSystem": "http://snomed.info/sct",
              "code": "14766002"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "CLIPP",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "119326000"
            }
          ]
        }
      ]
    },
    {
      "codeSystem": "http://hl7.org/fhir/v2/0487",
      "code": "SHU",
      "target": [
        {
          "codeSystem": "http://snomed.info/sct",
          "equivalence": "unmatched",
          "comments": "assume swab from shunt site for mapping here - clean surface of skin prior to expressing the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify body approximate match location of shunt site",
          "product": [
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-5",
              "codeSystem": "http://snomed.info/sct",
              "code": "438660002"
            },
            {
              "element": "http://hl7.org/fhir/v2/element/SPM-7",
              "codeSystem": "http://snomed.info/sct",
              "code": "257351008"
            }
          ]
        }
      ]
    }
  ]
}

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