DSTU2 QA Preview

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Conceptmap-example-specimen-type.xml

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

Raw XML

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="102"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Specimen mapping from v2 table 0487 to SNOMED CT (http://hl7.org/fhir/ConceptMap/102)</h2>
      <p>Mapping from 
        <a href="v2/0487/index.html">http://hl7.org/fhir/ValueSet/v2-0487</a> to 
        <a href="http://snomed.info/id">SNOMED-CT</a>
      </p>
      <p>DRAFT. Published on 25/07/2013 by FHIR project team (original source: LabMCoP) (
        <a href="http://hl7.org/fhir">http://hl7.org/fhir</a>; , 
        <a href="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
        649725%3AUploadedFile%3A145786">http://www.phconnect.org/group...</a>; ). 
      </p>
      <br/>
      <table class="grid">
        <tr>
          <td colspan="1">
            <b>Source Concept</b>
          </td>
          <td>
            <b>Equivalence</b>
          </td>
          <td colspan="4">
            <b>Destination Concept</b>
          </td>
          <td>
            <b>Comments</b>
          </td>
        </tr>
        <tr>
          <td>
            <b>Code [http://hl7.org/fhir/v2/0487]</b>
          </td>
          <td/>
          <td>
            <b>Code [http://snomed.info/sct]</b>
          </td>
          <td>
            <b>v2 SPM-7 [http://snomed.info/sct]</b>
          </td>
          <td>
            <b>v2 SPM-8 [http://snomed.info/sct]</b>
          </td>
          <td>
            <b>v2 SPM-5 [http://snomed.info/sct]</b>
          </td>
          <td/>
        </tr>
        <tr>
          <td>ACNE (Tissue, Acne)</td>
          <td>EQUIVALENT</td>
          <td>309068002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ACNFLD (Fluid, Acne)</td>
          <td>EQUIVALENT</td>
          <td>119323008</td>
          <td/>
          <td/>
          <td>47002008</td>
          <td>HL7 term is a historical term. mapped to Pus</td>
        </tr>
        <tr>
          <td>AIRS (Air Sample)</td>
          <td>EQUIVALENT</td>
          <td>446302006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ALL (Allograft)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td>7970006</td>
          <td/>
        </tr>
        <tr>
          <td>AMP (Amputation)</td>
          <td>EQUIVALENT</td>
          <td>408654003</td>
          <td>81723002</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ANGI (Catheter Tip, Angio)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>ARTC (Catheter Tip, Arterial)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>ASERU (Serum, Acute)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>pending</td>
        </tr>
        <tr>
          <td>ASP (Aspirate)</td>
          <td>EQUIVALENT</td>
          <td>119295008</td>
          <td>14766002</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ATTE (Environment, Attest)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>AUTOC (Environmental, Autoclave Capsule)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>AUTP (Autopsy)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>This really is not a specimen per se - it is the state of the subject from whom the specimen
             is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated
             with a special medical record number or other notation on the patient. needs to have specimen
             type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)</td>
        </tr>
        <tr>
          <td>BBL (Blood bag)</td>
          <td>EQUIVALENT</td>
          <td>119304001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BCYST (Cyst, Baker's)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td>32361000</td>
          <td/>
          <td>submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with
             specimen source topography 32361000^Popliteal fossa structure (body structure)</td>
        </tr>
        <tr>
          <td>BITE (Bite)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>BLEB (Bleb)</td>
          <td>EQUIVALENT</td>
          <td>309049000</td>
          <td/>
          <td/>
          <td>339008</td>
          <td/>
        </tr>
        <tr>
          <td>BLIST (Blister)</td>
          <td>EQUIVALENT</td>
          <td>309049000</td>
          <td/>
          <td/>
          <td>339008</td>
          <td/>
        </tr>
        <tr>
          <td>BOIL (Boil)</td>
          <td>EQUIVALENT</td>
          <td>119295008</td>
          <td>14766002</td>
          <td/>
          <td>59843005</td>
          <td/>
        </tr>
        <tr>
          <td>BON (Bone)</td>
          <td>EQUIVALENT</td>
          <td>430268003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BOWL (Bowel contents)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Don't use this term for human samples - use Stool instead. animal would use small intestinal
             contents, large intestinal contents</td>
        </tr>
        <tr>
          <td>BPU (Blood product unit)</td>
          <td>EQUIVALENT</td>
          <td>119300005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BRN (Burn)</td>
          <td>EQUIVALENT</td>
          <td>119367005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BRSH (Brush)</td>
          <td>EQUIVALENT</td>
          <td>258415003</td>
          <td>439336003</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BRTH (Breath (use EXHLD))</td>
          <td>EQUIVALENT</td>
          <td>119336008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BRUS (Brushing)</td>
          <td>EQUIVALENT</td>
          <td>309176002</td>
          <td>80657008</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>BUB (Bubo)</td>
          <td>EQUIVALENT</td>
          <td>302795002</td>
          <td>14766002</td>
          <td/>
          <td>11585000</td>
          <td/>
        </tr>
        <tr>
          <td>BULLA (Bulla/Bullae)</td>
          <td>EQUIVALENT</td>
          <td>258482009</td>
          <td/>
          <td/>
          <td>339008</td>
          <td/>
        </tr>
        <tr>
          <td>BX (Biopsy)</td>
          <td>EQUIVALENT</td>
          <td>258415003</td>
          <td>86273004</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CALC (Calculus (=Stone))</td>
          <td>EQUIVALENT</td>
          <td>119350003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CARBU (Carbuncle)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td/>
          <td/>
          <td>41570003</td>
          <td/>
        </tr>
        <tr>
          <td>CAT (Catheter)</td>
          <td>EQUIVALENT</td>
          <td>119311002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CBITE (Bite, Cat)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>CLIPP (Clippings)</td>
          <td>EQUIVALENT</td>
          <td>119327009</td>
          <td/>
          <td/>
          <td/>
          <td>Be more specific use either: 119326000^hair specimen or 119327009^nail specimen</td>
        </tr>
        <tr>
          <td>CNJT (Conjunctiva)</td>
          <td>EQUIVALENT</td>
          <td>119401005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CNJT (Conjunctiva)</td>
          <td>EQUIVALENT</td>
          <td>128160006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CNJT (Conjunctiva)</td>
          <td>EQUIVALENT</td>
          <td>258498002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>COL (Colostrum)</td>
          <td>EQUIVALENT</td>
          <td>119329007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CONE (Biospy, Cone)</td>
          <td>EQUIVALENT</td>
          <td>399713008</td>
          <td>54535009</td>
          <td>71252005</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CSCR (Scratch, Cat)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>submit for new term with parent 119365002^Specimen from wound (specimen)</td>
        </tr>
        <tr>
          <td>CSERU (Serum, Convalescent)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>pending</td>
        </tr>
        <tr>
          <td>CSITE (Catheter Insertion Site)</td>
          <td>EQUIVALENT</td>
          <td>258507003</td>
          <td>285570007</td>
          <td/>
          <td>386144009</td>
          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
             all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
             specimen and a falsely identified infected central line. Do not just swab the reddened
             area - that will just collect skin flora       </td>
        </tr>
        <tr>
          <td>CSMY (Fluid,  Cystostomy Tube)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CST (Fluid, Cyst)</td>
          <td>EQUIVALENT</td>
          <td>258453008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CSVR (Blood, Cell Saver)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD - may use blood and SPM-6</td>
        </tr>
        <tr>
          <td>CTP (Catheter tip)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>CVPS (Site, CVP)</td>
          <td>EQUIVALENT</td>
          <td>258507003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>CVPT (Catheter Tip, CVP)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td>445085009</td>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>CYN (Nodule, Cystic)</td>
          <td>EQUIVALENT</td>
          <td>119368000</td>
          <td/>
          <td/>
          <td>27925004</td>
          <td/>
        </tr>
        <tr>
          <td>CYST (Cyst)</td>
          <td>EQUIVALENT</td>
          <td>119368000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>DBITE (Bite, Dog)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>DCS (Sputum, Deep Cough)</td>
          <td>EQUIVALENT</td>
          <td>119335007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>DEC (Ulcer, Decubitus)</td>
          <td>EQUIVALENT</td>
          <td>258505006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>DEION (Environmental, Water  (Deionized))</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>DIA (Dialysate)</td>
          <td>EQUIVALENT</td>
          <td>119360007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>DISCHG (Discharge)</td>
          <td>EQUIVALENT</td>
          <td>258439008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>DIV (Diverticulum)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td>31113003</td>
          <td/>
        </tr>
        <tr>
          <td>DRN (Drain)</td>
          <td>EQUIVALENT</td>
          <td>119306004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>DRNG (Drainage, Tube)</td>
          <td>EQUIVALENT</td>
          <td>258455001</td>
          <td>122462000</td>
          <td/>
          <td/>
          <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>
        </tr>
        <tr>
          <td>DRNGP (Drainage, Penrose)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td>122462000</td>
          <td/>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>EARW (Ear wax (cerumen))</td>
          <td>EQUIVALENT</td>
          <td>122580007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EBRUSH (Brush, Esophageal)</td>
          <td>EQUIVALENT</td>
          <td>309210009</td>
          <td>36213007</td>
          <td>32849002</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EEYE (Environmental, Eye Wash)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>EFF (Environmental, Effluent)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>EFFUS (Effusion)</td>
          <td>EQUIVALENT</td>
          <td>258440005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EFOD (Environmental, Food)</td>
          <td>EQUIVALENT</td>
          <td>119320006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EISO (Environmental, Isolette)</td>
          <td>EQUIVALENT</td>
          <td>258536003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ELT (Electrode)</td>
          <td>EQUIVALENT</td>
          <td>119314005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ENVIR (Environmental, Unidentified Substance)</td>
          <td>EQUIVALENT</td>
          <td>119324002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EOTH (Environmental, Other Substance)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>ESOI (Environmental, Soil)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>ESOS (Environmental, Solution (Sterile))</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>ETA (Aspirate,  Endotrach)</td>
          <td>EQUIVALENT</td>
          <td>119307008</td>
          <td>14766002</td>
          <td>321667001</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ETTP (Catheter Tip, Endotracheal)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>ETTUB (Tube, Endotracheal)</td>
          <td>EQUIVALENT</td>
          <td>119307008</td>
          <td>14766002</td>
          <td>321667001</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EWHI (Environmental, Whirlpool)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>EXG (Gas, exhaled (=breath))</td>
          <td>EQUIVALENT</td>
          <td>119336008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>EXS (Shunt, External)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>EXUDTE (Exudate)</td>
          <td>EQUIVALENT</td>
          <td>258441009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FAW (Environmental, Water  (Well))</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>FBLOOD (Blood, Fetal)</td>
          <td>EQUIVALENT</td>
          <td>119297000</td>
          <td/>
          <td/>
          <td>303112003</td>
          <td/>
        </tr>
        <tr>
          <td>FGA (Fluid,  Abdomen)</td>
          <td>EQUIVALENT</td>
          <td>168139001</td>
          <td/>
          <td>83670000</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FIST (Fistula)</td>
          <td>EQUIVALENT</td>
          <td>119370009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FLD (Fluid, Other)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FLT (Filter)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>FLU (Fluid, Body unsp)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FLUID (Fluid)</td>
          <td>EQUIVALENT</td>
          <td>258442002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FOLEY (Catheter Tip, Foley)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>FRS (Fluid, Respiratory)</td>
          <td>EQUIVALENT</td>
          <td>258442002</td>
          <td/>
          <td>272626006</td>
          <td/>
          <td>this term is not specific enough, choose from terms that more accurately describe the
             specimen</td>
        </tr>
        <tr>
          <td>FSCLP (Scalp, Fetal)</td>
          <td>EQUIVALENT</td>
          <td>309502007</td>
          <td/>
          <td>41695006</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>FUR (Furuncle)</td>
          <td>EQUIVALENT</td>
          <td>119295008</td>
          <td/>
          <td/>
          <td>59843005</td>
          <td>Further describe the sample as tissue or pus. or by the collection method. The term boil
             is not specifc to a body site - need to indicate source site (spm.8). preferred term is
             Aspirate_Boil</td>
        </tr>
        <tr>
          <td>GAS (Gas)</td>
          <td>EQUIVALENT</td>
          <td>119317003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GASA (Aspirate, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>168137004</td>
          <td>14766002</td>
          <td>69695003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GASAN (Antrum, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>119379005</td>
          <td/>
          <td>66051006</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GASBR (Brushing, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>309213006</td>
          <td>235157009</td>
          <td>69695003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GASD (Drainage, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>258459007</td>
          <td>122462000</td>
          <td>69695003</td>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>GAST (Fluid/contents, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>258459007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GENV (Genital vaginal)</td>
          <td>EQUIVALENT</td>
          <td>119394009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GRAFT (Graft)</td>
          <td>EQUIVALENT</td>
          <td>440493002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GRANU (Granuloma)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td>45647009</td>
          <td/>
        </tr>
        <tr>
          <td>GROSH (Catheter, Groshong)</td>
          <td>EQUIVALENT</td>
          <td>119311002</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>GSOL (Solution, Gastrostomy)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>GSPEC (Biopsy, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>309211008</td>
          <td>79121003</td>
          <td>69695003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>GT (Tube, Gastric)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>GTUBE (Drainage Tube, Drainage (Gastrostomy))</td>
          <td>EQUIVALENT</td>
          <td>258459007</td>
          <td>122462000</td>
          <td>69695003</td>
          <td>127490009</td>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>HBITE (Bite, Human)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>HBLUD (Blood, Autopsy)</td>
          <td>EQUIVALENT</td>
          <td>119297000</td>
          <td/>
          <td/>
          <td>303113008</td>
          <td/>
        </tr>
        <tr>
          <td>HEMAQ (Catheter Tip, Hemaquit)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>HEMO (Catheter Tip, Hemovac)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>HERNI (Tissue, Herniated)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>HEV (Drain, Hemovac)</td>
          <td>EQUIVALENT</td>
          <td>119306004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>HIC (Catheter, Hickman)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td>445085009</td>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>HYDC (Fluid, Hydrocele)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td/>
          <td/>
          <td>55434001</td>
          <td/>
        </tr>
        <tr>
          <td>IBITE (Bite, Insect)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>ICYST (Cyst, Inclusion)</td>
          <td>EQUIVALENT</td>
          <td>309075001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>IDC (Catheter Tip, Indwelling)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>IHG (Gas, Inhaled)</td>
          <td>EQUIVALENT</td>
          <td>119337004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ILEO (Drainage, Ileostomy)</td>
          <td>EQUIVALENT</td>
          <td>258455001</td>
          <td/>
          <td/>
          <td>419954003</td>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
             is what is expected, should use stool sample</td>
        </tr>
        <tr>
          <td>ILLEG (Source of Specimen Is Illegible)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>IMP (Implant)</td>
          <td>EQUIVALENT</td>
          <td>439961009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>INCI (Site, Incision/Surgical)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>INFIL (Infiltrate)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>This describes a morphologic abnormality, not a sample</td>
        </tr>
        <tr>
          <td>INS (Insect)</td>
          <td>EQUIVALENT</td>
          <td>258614005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>INTRD (Catheter Tip, Introducer)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>IT (Intubation tube)</td>
          <td>EQUIVALENT</td>
          <td>119307008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>IUD (Intrauterine Device)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>pending</td>
        </tr>
        <tr>
          <td>IVCAT (Catheter Tip, IV)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td>255560000</td>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>IVFLD (Fluid, IV)</td>
          <td>EQUIVALENT</td>
          <td>258649003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>IVTIP (Tubing Tip, IV)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>JEJU (Drainage, Jejunal)</td>
          <td>EQUIVALENT</td>
          <td>258463000</td>
          <td>122462000</td>
          <td>21306003</td>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
             is what is expected, should use stool sample</td>
        </tr>
        <tr>
          <td>JNTFLD (Fluid, Joint)</td>
          <td>EQUIVALENT</td>
          <td>119332005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>JP (Drainage, Jackson Pratt)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td>122462000</td>
          <td/>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>KELOI (Lavage)</td>
          <td>EQUIVALENT</td>
          <td>440674008</td>
          <td>67889009</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>KIDFLD (Fluid, Kidney)</td>
          <td>EQUIVALENT</td>
          <td>309051001</td>
          <td/>
          <td>64033007</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LAVG (Lavage, Bronhial)</td>
          <td>EQUIVALENT</td>
          <td>258607008</td>
          <td>397394009</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LAVGG (Lavage, Gastric)</td>
          <td>EQUIVALENT</td>
          <td>168138009</td>
          <td>173830003</td>
          <td>69695003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LAVGP (Lavage, Peritoneal)</td>
          <td>EQUIVALENT</td>
          <td>440137008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LAVPG (Lavage, Pre-Bronch)</td>
          <td>EQUIVALENT</td>
          <td>440674008</td>
          <td>67889009</td>
          <td>44567001</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LENS1 (Contact Lens)</td>
          <td>EQUIVALENT</td>
          <td>440473005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LENS2 (Contact Lens Case)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>LESN (Lesion)</td>
          <td>EQUIVALENT</td>
          <td>309049000</td>
          <td/>
          <td/>
          <td/>
          <td>should be more specific what kind of lesion is observed - be more specific is it a wound,
             abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)</td>
        </tr>
        <tr>
          <td>LIQ (Liquid, Unspecified)</td>
          <td>EQUIVALENT</td>
          <td>258442002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>LIQO (Liquid, Other)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>LSAC (Fluid, Lumbar Sac)</td>
          <td>EQUIVALENT</td>
          <td>258450006</td>
          <td/>
          <td>303949008</td>
          <td/>
          <td>The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture</td>
        </tr>
        <tr>
          <td>MAHUR (Catheter Tip, Makurkour)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>MASS (Mass)</td>
          <td>EQUIVALENT</td>
          <td>420548004</td>
          <td/>
          <td/>
          <td>4147007</td>
          <td/>
        </tr>
        <tr>
          <td>MBLD (Blood, Menstrual)</td>
          <td>EQUIVALENT</td>
          <td>119345009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>MUCOS (Mucosa)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td>414781009</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>MUCUS (Mucus)</td>
          <td>EQUIVALENT</td>
          <td>258483004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>NASDR (Drainage, Nasal)</td>
          <td>EQUIVALENT</td>
          <td>258474009</td>
          <td>122462000</td>
          <td>2095001</td>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>NEDL (Needle)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>NEPH (Site, Nephrostomy)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>NGASP (Aspirate, Nasogastric)</td>
          <td>EQUIVALENT</td>
          <td>302794003</td>
          <td>6853008</td>
          <td>69695003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>NGAST (Drainage, Nasogastric)</td>
          <td>EQUIVALENT</td>
          <td>258459007</td>
          <td>122462000</td>
          <td>69695003</td>
          <td>127492001</td>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>NGS (Site, Naso/Gastric)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>NODUL (Nodule(s))</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>pending</td>
        </tr>
        <tr>
          <td>NSECR (Secretion, Nasal)</td>
          <td>EQUIVALENT</td>
          <td>168141000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ORH (Other)</td>
          <td>EQUIVALENT</td>
          <td>123038009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>ORL (Lesion, Oral)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td>74262004</td>
          <td/>
          <td>be more precise use ulcer, tumor, vesicle</td>
        </tr>
        <tr>
          <td>OTH (Source, Other)</td>
          <td>EQUIVALENT</td>
          <td>123038009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PACEM (Pacemaker)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>PCFL (Fluid, Pericardial)</td>
          <td>EQUIVALENT</td>
          <td>122571007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PDSIT (Site, Peritoneal Dialysis)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PDTS (Site, Peritoneal Dialysis Tunnel)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>submitted for code</td>
        </tr>
        <tr>
          <td>PELVA (Abscess, Pelvic)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>12921003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PENIL (Lesion, Penile)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td>18911002</td>
          <td/>
          <td>need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,
             Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything
             else?</td>
        </tr>
        <tr>
          <td>PERIA (Abscess, Perianal)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>397158004</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PILOC (Cyst, Pilonidal)</td>
          <td>EQUIVALENT</td>
          <td>119368000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PINS (Site, Pin)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PIS (Site, Pacemaker Insetion)</td>
          <td>EQUIVALENT</td>
          <td>258507003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PLAN (Plant Material)</td>
          <td>EQUIVALENT</td>
          <td>119301009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PLAS (Plasma)</td>
          <td>EQUIVALENT</td>
          <td>119361006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PLB (Plasma bag)</td>
          <td>EQUIVALENT</td>
          <td>119305000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PLEVS (Serum, Peak Level)</td>
          <td>EQUIVALENT</td>
          <td>119364003</td>
          <td/>
          <td/>
          <td>255587001</td>
          <td/>
        </tr>
        <tr>
          <td>PND (Drainage, Penile)</td>
          <td>EQUIVALENT</td>
          <td>258439008</td>
          <td>122462000</td>
          <td>13648007</td>
          <td/>
          <td>Historical term -though in this case more often used for discharge</td>
        </tr>
        <tr>
          <td>POL (Polyps)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td>41329004</td>
          <td/>
        </tr>
        <tr>
          <td>POPGS (Graft Site, Popliteal)</td>
          <td>EQUIVALENT</td>
          <td>440493002</td>
          <td/>
          <td>6902008</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>POPLG (Graft, Popliteal)</td>
          <td>EQUIVALENT</td>
          <td>440493002</td>
          <td/>
          <td>6902008</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>POPLV (Site, Popliteal Vein)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>PORTA (Catheter, Porta)</td>
          <td>EQUIVALENT</td>
          <td>119311002</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>PPP (Plasma, Platelet poor)</td>
          <td>EQUIVALENT</td>
          <td>119362004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PROST (Prosthetic Device)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PRP (Plasma, Platelet rich)</td>
          <td>EQUIVALENT</td>
          <td>119363009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PSC (Pseudocyst)</td>
          <td>EQUIVALENT</td>
          <td>119368000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PUNCT (Wound, Puncture)</td>
          <td>EQUIVALENT</td>
          <td>119365002</td>
          <td/>
          <td/>
          <td>129300006</td>
          <td/>
        </tr>
        <tr>
          <td>PUS (Pus)</td>
          <td>EQUIVALENT</td>
          <td>119323008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>PUSFR (Pustule)</td>
          <td>EQUIVALENT</td>
          <td>119323008</td>
          <td/>
          <td/>
          <td>47002008</td>
          <td/>
        </tr>
        <tr>
          <td>PUST (Pus)</td>
          <td>EQUIVALENT</td>
          <td>119323008</td>
          <td/>
          <td/>
          <td>47002008</td>
          <td/>
        </tr>
        <tr>
          <td>QC3 (Quality Control)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>RANDU (Urine, Random)</td>
          <td>EQUIVALENT</td>
          <td>278020009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>RBITE (Bite, Reptile)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Submit for new term with parent: 119365002</td>
        </tr>
        <tr>
          <td>RECT (Drainage, Rectal)</td>
          <td>EQUIVALENT</td>
          <td>119339001</td>
          <td>122462000</td>
          <td>34402009</td>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
             is what is expected, should use stool sample</td>
        </tr>
        <tr>
          <td>RECTA (Abscess, Rectal)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>34402009</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>RENALC (Cyst, Renal)</td>
          <td>EQUIVALENT</td>
          <td>258420003</td>
          <td/>
          <td>64033007</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>RENC (Fluid, Renal Cyst)</td>
          <td>EQUIVALENT</td>
          <td>258453008</td>
          <td/>
          <td>64033007</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>RES (Respiratory)</td>
          <td>EQUIVALENT</td>
          <td>258603007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SAL (Saliva)</td>
          <td>EQUIVALENT</td>
          <td>119342007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SCAR (Tissue, Keloid (Scar))</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SCLV (Catheter Tip, Subclavian)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td>9454009</td>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>SCROA (Abscess, Scrotal)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>20233005</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SECRE (Secretion(s))</td>
          <td>EQUIVALENT</td>
          <td>432825001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SER (Serum)</td>
          <td>EQUIVALENT</td>
          <td>119364003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SHU (Site, Shunt)</td>
          <td>EQUIVALENT</td>
          <td>119295008</td>
          <td>14766002</td>
          <td/>
          <td>257351008</td>
          <td>Preferred is aspiration with sterile syringe from inflamed area. Specify body location
             of shunt site</td>
        </tr>
        <tr>
          <td>SHUNF (Fluid, Shunt)</td>
          <td>EQUIVALENT</td>
          <td>446861007</td>
          <td>446860008</td>
          <td>279107003</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SHUNT (Shunt)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>SITE (Site)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>SKBP (Biopsy, Skin)</td>
          <td>EQUIVALENT</td>
          <td>309066003</td>
          <td>240977001</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SKN (Skin)</td>
          <td>EQUIVALENT</td>
          <td>119325001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SMM (Mass, Sub-Mandibular)</td>
          <td>EQUIVALENT</td>
          <td>420548004</td>
          <td/>
          <td/>
          <td>4147007</td>
          <td/>
        </tr>
        <tr>
          <td>SNV (Fluid, synovial (Joint fluid))</td>
          <td>EQUIVALENT</td>
          <td>119332005</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SPRM (Spermatozoa)</td>
          <td>EQUIVALENT</td>
          <td>119349003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SPRP (Catheter Tip, Suprapubic)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>SPRPB (Cathether Tip, Suprapubic)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>SPS (Environmental, Spore Strip)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>SPT (Sputum)</td>
          <td>EQUIVALENT</td>
          <td>119334006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SPTC (Sputum - coughed)</td>
          <td>EQUIVALENT</td>
          <td>119335007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SPTT (Sputum - tracheal aspirate)</td>
          <td>EQUIVALENT</td>
          <td>258609006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SPUT1 (Sputum, Simulated)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>SPUTIN (Sputum, Inducted)</td>
          <td>EQUIVALENT</td>
          <td>258610001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SPUTSP (Sputum, Spontaneous)</td>
          <td>EQUIVALENT</td>
          <td>119335007</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>STER (Environmental, Sterrad)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>STL (Stool = Fecal)</td>
          <td>EQUIVALENT</td>
          <td>119339001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>STONE (Stone, Kidney)</td>
          <td>EQUIVALENT</td>
          <td>119350003</td>
          <td/>
          <td>64033007</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SUBMA (Abscess, Submandibular)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>5713008</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SUBMX (Abscess, Submaxillary)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>4335006</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SUMP (Drainage, Sump)</td>
          <td>EQUIVALENT</td>
          <td>446562005</td>
          <td>122462000</td>
          <td/>
          <td/>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>SUP (Suprapubic Tap)</td>
          <td>EQUIVALENT</td>
          <td>122575003</td>
          <td>58088002</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>SUTUR (Suture)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>SWGZ (Catheter Tip, Swan Gantz)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>TASP (Aspirate, Tracheal)</td>
          <td>EQUIVALENT</td>
          <td>122877000</td>
          <td>129112001</td>
          <td>44567001</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TISS (Tissue)</td>
          <td>EQUIVALENT</td>
          <td>119376003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TISU (Tissue ulcer)</td>
          <td>EQUIVALENT</td>
          <td>122593002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TLC (Cathether Tip, Triple Lumen)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>TRAC (Site, Tracheostomy)</td>
          <td>EQUIVALENT</td>
          <td>438660002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TRANS (Transudate)</td>
          <td>EQUIVALENT</td>
          <td>258538002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TSERU (Serum, Trough)</td>
          <td>EQUIVALENT</td>
          <td>119364003</td>
          <td/>
          <td/>
          <td>255588006</td>
          <td/>
        </tr>
        <tr>
          <td>TSTES (Abscess, Testicular)</td>
          <td>EQUIVALENT</td>
          <td>119371008</td>
          <td/>
          <td>279572002</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TTRA (Aspirate, Transtracheal)</td>
          <td>EQUIVALENT</td>
          <td>258480001</td>
          <td>129112001</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TUBES (Tubes)</td>
          <td>EQUIVALENT</td>
          <td>119310001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TUMOR (Tumor)</td>
          <td>EQUIVALENT</td>
          <td>258435002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>TZANC (Smear, Tzanck)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>This is the name of a lab test. A skin sample is examined for viral inclusions.</td>
        </tr>
        <tr>
          <td>UDENT (Source, Unidentified)</td>
          <td>EQUIVALENT</td>
          <td>123038009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>UR (Urine)</td>
          <td>EQUIVALENT</td>
          <td>122575003</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>URC (Urine clean catch)</td>
          <td>EQUIVALENT</td>
          <td>122880004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>URINB (Urine, Bladder Washings)</td>
          <td>EQUIVALENT</td>
          <td>122575003</td>
          <td>78533007</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>URINC (Urine, Catheterized)</td>
          <td>EQUIVALENT</td>
          <td>446846006</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>URINM (Urine, Midstream)</td>
          <td>EQUIVALENT</td>
          <td>258574006</td>
          <td>225271002</td>
          <td>431938005</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>URINN (Urine, Nephrostomy)</td>
          <td>EQUIVALENT</td>
          <td>446277003</td>
          <td>225109005</td>
          <td>25990002</td>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>URINP (Urine, Pedibag)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>URT (Urine catheter)</td>
          <td>EQUIVALENT</td>
          <td>122565001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>USCOP (Urine, Cystoscopy)</td>
          <td>UNMATCHED</td>
          <td/>
          <td>176178006</td>
          <td>89837001</td>
          <td/>
          <td>NEW specimenTERM 7</td>
        </tr>
        <tr>
          <td>USPEC (Source, Unspecified)</td>
          <td>EQUIVALENT</td>
          <td>123038009</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>VASTIP (Catheter Tip, Vas)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>VENT (Catheter Tip, Ventricular)</td>
          <td>EQUIVALENT</td>
          <td>119312009</td>
          <td/>
          <td/>
          <td/>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>VITF (Vitreous Fluid)</td>
          <td>EQUIVALENT</td>
          <td>258438000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>VOM (Vomitus)</td>
          <td>EQUIVALENT</td>
          <td>122572000</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WASH (Wash)</td>
          <td>EQUIVALENT</td>
          <td>440674008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WASI (Washing, e.g. bronchial washing)</td>
          <td>EQUIVALENT</td>
          <td>122609004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WAT (Water)</td>
          <td>EQUIVALENT</td>
          <td>119318008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WB (Blood, Whole)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>Bloodbanking term ONLY now map to blood and the respective preservative</td>
        </tr>
        <tr>
          <td>WEN (Wen)</td>
          <td>EQUIVALENT</td>
          <td>309075001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WICK (Wick)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>WND (Wound)</td>
          <td>EQUIVALENT</td>
          <td>119365002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WNDA (Wound abscess)</td>
          <td>EQUIVALENT</td>
          <td>119366001</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WNDD (Wound drainage)</td>
          <td>EQUIVALENT</td>
          <td>122566000</td>
          <td>122462000</td>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WNDE (Wound exudate)</td>
          <td>EQUIVALENT</td>
          <td>122568004</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WORM (Worm)</td>
          <td>EQUIVALENT</td>
          <td>258618008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WRT (Wart)</td>
          <td>EQUIVALENT</td>
          <td>309068002</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WWA (Environmental, Water)</td>
          <td>EQUIVALENT</td>
          <td>119318008</td>
          <td/>
          <td/>
          <td/>
          <td/>
        </tr>
        <tr>
          <td>WWO (Environmental, Water (Ocean))</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>WWT (Environmental, Water  (Tap))</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td/>
          <td>TBD</td>
        </tr>
        <tr>
          <td>CSITE (Catheter Insertion Site)</td>
          <td>UNMATCHED</td>
          <td/>
          <td>386144009</td>
          <td>14766002</td>
          <td>119295008</td>
          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
             all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
             specimen and a falsely identified infected central line. Do not just swab the reddened
             area - that will just collect skin flora</td>
        </tr>
        <tr>
          <td>CLIPP (Clippings)</td>
          <td>UNMATCHED</td>
          <td/>
          <td/>
          <td/>
          <td>119326000</td>
          <td>Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen</td>
        </tr>
        <tr>
          <td>SHU (Site, Shunt)</td>
          <td>UNMATCHED</td>
          <td/>
          <td>257351008</td>
          <td/>
          <td>438660002</td>
          <td>assume swab from shunt site for mapping here - clean surface of skin prior to expressing
             the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify
             body approximate match location of shunt site</td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ConceptMap/102"/>
<!--     version: the date of the source     -->
  <version value="20130725"/>
  <name value="Specimen mapping from v2 table 0487 to SNOMED CT"/>
  <status value="draft"/>
  <experimental value="false"/>
  <publisher value="FHIR project team (original source: LabMCoP)"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
      649725%3AUploadedFile%3A145786"/>
    </telecom>
  </contact>
  <date value="2013-07-25"/>
  <sourceReference>
    <reference value="http://hl7.org/fhir/ValueSet/v2-0487"/>
  </sourceReference>
  <targetReference>
    <reference value="http://snomed.info/id"/>
  </targetReference>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ACNE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309068002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ACNFLD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
      <comments value="HL7 term is a historical term. mapped to Pus"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="47002008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AIRS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446302006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ALL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="7970006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AMP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="408654003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="81723002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ANGI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ARTC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ASERU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ASP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ATTE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AUTOC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="AUTP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="This really is not a specimen per se - it is the state of the subject from whom the specimen
       is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated
       with a special medical record number or other notation on the patient. needs to have specimen
       type (SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BBL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119304001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BCYST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with
       specimen source topography 32361000^Popliteal fossa structure (body structure)"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="32361000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BLEB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309049000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="339008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BLIST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309049000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="339008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BOIL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="59843005"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BON"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="430268003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BOWL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Don't use this term for human samples - use Stool instead. animal would use small intestinal
       contents, large intestinal contents"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BPU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119300005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119367005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRSH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258415003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="439336003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRTH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119336008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BRUS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309176002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="80657008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BUB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="302795002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="11585000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BULLA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258482009"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="339008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="BX"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258415003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="86273004"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CALC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119350003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CARBU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="41570003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CAT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119311002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CBITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CLIPP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119327009"/>
      <equivalence value="equivalent"/>
      <comments value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CNJT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119401005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CNJT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="128160006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CNJT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258498002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="COL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119329007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CONE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="399713008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="54535009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="71252005"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSCR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="submit for new term with parent 119365002^Specimen from wound (specimen)"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSERU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258507003"/>
      <equivalence value="equivalent"/>
      <comments value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
       all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
       specimen and a falsely identified infected central line. Do not just swab the reddened
       area - that will just collect skin flora       "/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="386144009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="285570007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSMY"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258453008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSVR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD - may use blood and SPM-6"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CTP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CVPS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258507003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CVPT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="445085009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CYN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="27925004"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CYST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DBITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DCS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119335007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DEC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258505006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DEION"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DIA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119360007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DISCHG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258439008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DIV"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="31113003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DRN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119306004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DRNG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258455001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: not
       an acceptible specimen for micro - not specific enough term"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="DRNGP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EARW"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122580007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EBRUSH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309210009"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="36213007"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="32849002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EEYE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EFF"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EFFUS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258440005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EFOD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119320006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EISO"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258536003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ELT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119314005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ENVIR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119324002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EOTH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ESOI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ESOS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ETA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119307008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="321667001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ETTP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ETTUB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119307008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="321667001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EWHI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EXG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119336008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EXS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="EXUDTE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258441009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FAW"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FBLOOD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119297000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="303112003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FGA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168139001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="83670000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FIST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119370009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FLUID"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258442002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FOLEY"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FRS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258442002"/>
      <equivalence value="equivalent"/>
      <comments value="this term is not specific enough, choose from terms that more accurately describe the
       specimen"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="272626006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FSCLP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309502007"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="41695006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="FUR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <comments value="Further describe the sample as tissue or pus. or by the collection method. The term boil
       is not specifc to a body site - need to indicate source site (spm.8). preferred term is
       Aspirate_Boil"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="59843005"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GAS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119317003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168137004"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASAN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119379005"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="66051006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASBR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309213006"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="235157009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GASD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GAST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GENV"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119394009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GRAFT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440493002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GRANU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="45647009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GROSH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119311002"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GSOL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GSPEC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309211008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="79121003"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="GTUBE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="127490009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HBITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HBLUD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119297000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="303113008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HEMAQ"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HEMO"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HERNI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HEV"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119306004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HIC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="445085009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="HYDC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="55434001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IBITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent 119365002"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ICYST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309075001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IDC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IHG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119337004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ILEO"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258455001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="419954003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ILLEG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IMP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="439961009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INCI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INFIL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="This describes a morphologic abnormality, not a sample"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258614005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="INTRD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119307008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IUD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IVCAT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="255560000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IVFLD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258649003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="IVTIP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="JEJU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258463000"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="21306003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="JNTFLD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119332005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="JP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="KELOI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440674008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="67889009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="KIDFLD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309051001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258607008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="397394009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVGG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168138009"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="173830003"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVGP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440137008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LAVPG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440674008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="67889009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="44567001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LENS1"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440473005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LENS2"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LESN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309049000"/>
      <equivalence value="equivalent"/>
      <comments value="should be more specific what kind of lesion is observed - be more specific is it a wound,
       abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LIQ"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258442002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LIQO"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="LSAC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258450006"/>
      <equivalence value="equivalent"/>
      <comments value="The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="303949008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MAHUR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MASS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="420548004"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="4147007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MBLD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119345009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MUCOS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="414781009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="MUCUS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258483004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NASDR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258474009"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="2095001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NEDL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NEPH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NGASP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="302794003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="6853008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NGAST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258459007"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="127492001"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="69695003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NGS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NODUL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="pending"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="NSECR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="168141000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ORH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="ORL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="be more precise use ulcer, tumor, vesicle"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="74262004"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="OTH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PACEM"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PCFL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122571007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PDSIT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PDTS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="submitted for code"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PELVA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="12921003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PENIL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile,
       Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything
       else?"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="18911002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PERIA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="397158004"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PILOC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PINS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PIS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258507003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLAN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119301009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLAS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119361006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119305000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PLEVS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119364003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="255587001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PND"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258439008"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term -though in this case more often used for discharge"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="13648007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="41329004"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POPGS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440493002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="6902008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POPLG"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440493002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="6902008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="POPLV"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PORTA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119311002"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PPP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119362004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PROST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PRP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119363009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PSC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119368000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUNCT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119365002"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="129300006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUSFR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="47002008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="PUST"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119323008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="47002008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="QC3"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RANDU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="278020009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RBITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Submit for new term with parent: 119365002"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RECT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119339001"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool
       is what is expected, should use stool sample"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="34402009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RECTA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="34402009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RENALC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258420003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RENC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258453008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="RES"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258603007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SAL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119342007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SCAR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SCLV"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="9454009"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SCROA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="20233005"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SECRE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="432825001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SER"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119364003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119295008"/>
      <equivalence value="equivalent"/>
      <comments value="Preferred is aspiration with sterile syringe from inflamed area. Specify body location
       of shunt site"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="257351008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHUNF"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446861007"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="446860008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="279107003"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHUNT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SKBP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309066003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="240977001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SKN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119325001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SMM"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="420548004"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="4147007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SNV"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119332005"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPRM"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119349003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPRP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPRPB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119334006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPTC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119335007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPTT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258609006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPUT1"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPUTIN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258610001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SPUTSP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119335007"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="STER"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="STL"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119339001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="STONE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119350003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="64033007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUBMA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="5713008"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUBMX"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="4335006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUMP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446562005"/>
      <equivalence value="equivalent"/>
      <comments value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122575003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="58088002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SUTUR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SWGZ"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TASP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122877000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="129112001"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="44567001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TISS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119376003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TISU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122593002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TLC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TRAC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="438660002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TRANS"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258538002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TSERU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119364003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="255588006"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TSTES"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119371008"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="279572002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TTRA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258480001"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="129112001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TUBES"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119310001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TUMOR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258435002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="TZANC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="This is the name of a lab test. A skin sample is examined for viral inclusions."/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="UDENT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="UR"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122575003"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122880004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122575003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="78533007"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446846006"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINM"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258574006"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="225271002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="431938005"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="446277003"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="225109005"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="25990002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URINP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="URT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122565001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="USCOP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="NEW specimenTERM 7"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="176178006"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="89837001"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="USPEC"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="123038009"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VASTIP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VENT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119312009"/>
      <equivalence value="equivalent"/>
      <comments value="TBD in detail"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VITF"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258438000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="VOM"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122572000"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WASH"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="440674008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WASI"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122609004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WAT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119318008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WB"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Bloodbanking term ONLY now map to blood and the respective preservative"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WEN"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309075001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WICK"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WND"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119365002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WNDA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119366001"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WNDD"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122566000"/>
      <equivalence value="equivalent"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="122462000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WNDE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="122568004"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WORM"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="258618008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WRT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="309068002"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WWA"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <code value="119318008"/>
      <equivalence value="equivalent"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WWO"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="WWT"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="TBD"/>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CSITE"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is
       all that can be obtained, then swab after cleaning, otherwise you may get a contaminated
       specimen and a falsely identified infected central line. Do not just swab the reddened
       area - that will just collect skin flora"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="119295008"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="386144009"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-8"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="14766002"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="CLIPP"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="119326000"/>
      </product>
    </target>
  </element>
  <element>
    <codeSystem value="http://hl7.org/fhir/v2/0487"/>
    <code value="SHU"/>
    <target>
      <codeSystem value="http://snomed.info/sct"/>
      <equivalence value="unmatched"/>
      <comments value="assume swab from shunt site for mapping here - clean surface of skin prior to expressing
       the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify
       body approximate match location of shunt site"/>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-5"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="438660002"/>
      </product>
      <product>
        <element value="http://hl7.org/fhir/v2/element/SPM-7"/>
        <codeSystem value="http://snomed.info/sct"/>
        <code value="257351008"/>
      </product>
    </target>
  </element>
</ConceptMap>

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