Release 4B Snapshot #1

This page is part of the FHIR Specification (v4.3.0-snapshot1: Release 4B Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Conceptmap-example-specimen-type.xml

Vocabulary Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw XML (canonical form + also see XML Format Specification)

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

<?xml version="1.0" encoding="UTF-8"?>

<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="102"/> 
  <url value="http://hl7.org/fhir/ConceptMap/102"/> 
  <version value="20130725"/> 
  <name value="Specimen mapping from v2 table 0487 to SNOMED CT"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2013-07-25"/> 
  <publisher value="FHIR project team (original source: LabMCoP)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3
      649725%3AUploadedFile%3A145786"/> 
    </telecom> 
  </contact> 
  <sourceCanonical value="http://terminology.hl7.org/ValueSet/v2-0487"/> 
  <targetCanonical value="http://snomed.info/sct?fhir_vs"/> 
  <group> 
    <source value="http://terminology.hl7.org/CodeSystem/v2-0487"/> 
    <target value="http://snomed.info/sct"/> 
    <element> 
      <code value="ACNE"/> 
      <target> 
        <code value="309068002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ACNFLD"/> 
      <target> 
        <code value="119323008"/> 
        <equivalence value="equivalent"/> 
        <comment value="HL7 term is a historical term. mapped to Pus"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="AIRS"/> 
      <target> 
        <code value="446302006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ALL"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="7970006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="AMP"/> 
      <target> 
        <code value="408654003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="81723002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ANGI"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ARTC"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ASERU"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="ASP"/> 
      <target> 
        <code value="119295008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ATTE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="AUTOC"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="AUTP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment 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 (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)"/> 
      </target> 
    </element> 
    <element> 
      <code value="BBL"/> 
      <target> 
        <code value="119304001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="BCYST"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with
         specimen source topography 32361000^Popliteal fossa structure (body structure)"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="32361000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="BLEB"/> 
      <target> 
        <code value="309049000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BLIST"/> 
      <target> 
        <code value="309049000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BOIL"/> 
      <target> 
        <code value="119295008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="59843005"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BON"/> 
      <target> 
        <code value="430268003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="BOWL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Don't use this term for human samples - use Stool instead. animal would use small intestinal
         contents, large intestinal contents"/> 
      </target> 
    </element> 
    <element> 
      <code value="BPU"/> 
      <target> 
        <code value="119300005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRN"/> 
      <target> 
        <code value="119367005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRSH"/> 
      <target> 
        <code value="258415003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="439336003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BRTH"/> 
      <target> 
        <code value="119336008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRUS"/> 
      <target> 
        <code value="309176002"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="80657008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BUB"/> 
      <target> 
        <code value="302795002"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="11585000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BULLA"/> 
      <target> 
        <code value="258482009"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BX"/> 
      <target> 
        <code value="258415003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="86273004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CALC"/> 
      <target> 
        <code value="119350003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CARBU"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="41570003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CAT"/> 
      <target> 
        <code value="119311002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="CLIPP"/> 
      <target> 
        <code value="119327009"/> 
        <equivalence value="equivalent"/> 
        <comment value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="119401005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="128160006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="258498002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="COL"/> 
      <target> 
        <code value="119329007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CONE"/> 
      <target> 
        <code value="399713008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="54535009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="71252005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CSCR"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="submit for new term with parent 119365002^Specimen from wound (specimen)"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSERU"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSITE"/> 
      <target> 
        <code value="258507003"/> 
        <equivalence value="equivalent"/> 
        <comment 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> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="386144009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="285570007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CSMY"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CST"/> 
      <target> 
        <code value="258453008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSVR"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD - may use blood and SPM-6"/> 
      </target> 
    </element> 
    <element> 
      <code value="CTP"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="CVPS"/> 
      <target> 
        <code value="258507003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="CVPT"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="445085009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CYN"/> 
      <target> 
        <code value="119368000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="27925004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CYST"/> 
      <target> 
        <code value="119368000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="DBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="DCS"/> 
      <target> 
        <code value="119335007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="DEC"/> 
      <target> 
        <code value="258505006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="DEION"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="DIA"/> 
      <target> 
        <code value="119360007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="DISCHG"/> 
      <target> 
        <code value="258439008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="DIV"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="31113003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="DRN"/> 
      <target> 
        <code value="119306004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="DRNG"/> 
      <target> 
        <code value="258455001"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: not
         an acceptable specimen for micro - not specific enough term"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="DRNGP"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EARW"/> 
      <target> 
        <code value="122580007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="EBRUSH"/> 
      <target> 
        <code value="309210009"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="36213007"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="32849002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EEYE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFF"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFFUS"/> 
      <target> 
        <code value="258440005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFOD"/> 
      <target> 
        <code value="119320006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="EISO"/> 
      <target> 
        <code value="258536003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ELT"/> 
      <target> 
        <code value="119314005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ENVIR"/> 
      <target> 
        <code value="119324002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="EOTH"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="ESOI"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="ESOS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="ETA"/> 
      <target> 
        <code value="119307008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="321667001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ETTP"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ETTUB"/> 
      <target> 
        <code value="119307008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="321667001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EWHI"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXG"/> 
      <target> 
        <code value="119336008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXUDTE"/> 
      <target> 
        <code value="258441009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="FAW"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="FBLOOD"/> 
      <target> 
        <code value="119297000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="303112003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FGA"/> 
      <target> 
        <code value="168139001"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="83670000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FIST"/> 
      <target> 
        <code value="119370009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLD"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLU"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLUID"/> 
      <target> 
        <code value="258442002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="FOLEY"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="FRS"/> 
      <target> 
        <code value="258442002"/> 
        <equivalence value="equivalent"/> 
        <comment value="this term is not specific enough, choose from terms that more accurately describe the
         specimen"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="272626006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FSCLP"/> 
      <target> 
        <code value="309502007"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="41695006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FUR"/> 
      <target> 
        <code value="119295008"/> 
        <equivalence value="equivalent"/> 
        <comment value="Further describe the sample as tissue or pus. or by the collection method. The term boil
         is not specific to a body site - need to indicate source site (spm.8). preferred term
         is Aspirate_Boil"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="59843005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GAS"/> 
      <target> 
        <code value="119317003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="GASA"/> 
      <target> 
        <code value="168137004"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASAN"/> 
      <target> 
        <code value="119379005"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="66051006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASBR"/> 
      <target> 
        <code value="309213006"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="235157009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASD"/> 
      <target> 
        <code value="258459007"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GAST"/> 
      <target> 
        <code value="258459007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="GENV"/> 
      <target> 
        <code value="119394009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="GRAFT"/> 
      <target> 
        <code value="440493002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="GRANU"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="45647009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GROSH"/> 
      <target> 
        <code value="119311002"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="GSOL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="GSPEC"/> 
      <target> 
        <code value="309211008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="79121003"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="GTUBE"/> 
      <target> 
        <code value="258459007"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="127490009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="HBLUD"/> 
      <target> 
        <code value="119297000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="303113008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HEMAQ"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="HEMO"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="HERNI"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="HEV"/> 
      <target> 
        <code value="119306004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="HIC"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="445085009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HYDC"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="55434001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="IBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="ICYST"/> 
      <target> 
        <code value="309075001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="IDC"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="IHG"/> 
      <target> 
        <code value="119337004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ILEO"/> 
      <target> 
        <code value="258455001"/> 
        <equivalence value="equivalent"/> 
        <comment 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> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="419954003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ILLEG"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="IMP"/> 
      <target> 
        <code value="439961009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="INCI"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="INFIL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="This describes a morphologic abnormality, not a sample"/> 
      </target> 
    </element> 
    <element> 
      <code value="INS"/> 
      <target> 
        <code value="258614005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="INTRD"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="IT"/> 
      <target> 
        <code value="119307008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="IUD"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="IVCAT"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="255560000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="IVFLD"/> 
      <target> 
        <code value="258649003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="IVTIP"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="JEJU"/> 
      <target> 
        <code value="258463000"/> 
        <equivalence value="equivalent"/> 
        <comment 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> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="21306003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="JNTFLD"/> 
      <target> 
        <code value="119332005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="JP"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="KELOI"/> 
      <target> 
        <code value="440674008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="67889009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="KIDFLD"/> 
      <target> 
        <code value="309051001"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVG"/> 
      <target> 
        <code value="258607008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="397394009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVGG"/> 
      <target> 
        <code value="168138009"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="173830003"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVGP"/> 
      <target> 
        <code value="440137008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="LAVPG"/> 
      <target> 
        <code value="440674008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="67889009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="44567001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LENS1"/> 
      <target> 
        <code value="440473005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="LENS2"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="LESN"/> 
      <target> 
        <code value="309049000"/> 
        <equivalence value="equivalent"/> 
        <comment 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> 
      <code value="LIQ"/> 
      <target> 
        <code value="258442002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="LIQO"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="LSAC"/> 
      <target> 
        <code value="258450006"/> 
        <equivalence value="equivalent"/> 
        <comment value="The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="303949008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MAHUR"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="MASS"/> 
      <target> 
        <code value="420548004"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="4147007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MBLD"/> 
      <target> 
        <code value="119345009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="MUCOS"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="414781009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MUCUS"/> 
      <target> 
        <code value="258483004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="NASDR"/> 
      <target> 
        <code value="258474009"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="2095001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NEDL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="NEPH"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="NGASP"/> 
      <target> 
        <code value="302794003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="6853008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NGAST"/> 
      <target> 
        <code value="258459007"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="127492001"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NGS"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="NODUL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="NSECR"/> 
      <target> 
        <code value="168141000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ORH"/> 
      <target> 
        <code value="123038009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="ORL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="be more precise use ulcer, tumor, vesicle"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="74262004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="OTH"/> 
      <target> 
        <code value="123038009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PACEM"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="PCFL"/> 
      <target> 
        <code value="122571007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PDSIT"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PDTS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="submitted for code"/> 
      </target> 
    </element> 
    <element> 
      <code value="PELVA"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="12921003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PENIL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment 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> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="18911002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PERIA"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="397158004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PILOC"/> 
      <target> 
        <code value="119368000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PINS"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PIS"/> 
      <target> 
        <code value="258507003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLAN"/> 
      <target> 
        <code value="119301009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLAS"/> 
      <target> 
        <code value="119361006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLB"/> 
      <target> 
        <code value="119305000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLEVS"/> 
      <target> 
        <code value="119364003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="255587001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PND"/> 
      <target> 
        <code value="258439008"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term -though in this case more often used for discharge"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="13648007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POL"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="41329004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPGS"/> 
      <target> 
        <code value="440493002"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="6902008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPLG"/> 
      <target> 
        <code value="440493002"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="6902008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPLV"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="PORTA"/> 
      <target> 
        <code value="119311002"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="PPP"/> 
      <target> 
        <code value="119362004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PROST"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PRP"/> 
      <target> 
        <code value="119363009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PSC"/> 
      <target> 
        <code value="119368000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PUNCT"/> 
      <target> 
        <code value="119365002"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="129300006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PUS"/> 
      <target> 
        <code value="119323008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="PUSFR"/> 
      <target> 
        <code value="119323008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PUST"/> 
      <target> 
        <code value="119323008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="QC3"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="RANDU"/> 
      <target> 
        <code value="278020009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="RBITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Submit for new term with parent: 119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="RECT"/> 
      <target> 
        <code value="119339001"/> 
        <equivalence value="equivalent"/> 
        <comment 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> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="34402009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RECTA"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="34402009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RENALC"/> 
      <target> 
        <code value="258420003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RENC"/> 
      <target> 
        <code value="258453008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RES"/> 
      <target> 
        <code value="258603007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SAL"/> 
      <target> 
        <code value="119342007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SCAR"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SCLV"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="9454009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SCROA"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="20233005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SECRE"/> 
      <target> 
        <code value="432825001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SER"/> 
      <target> 
        <code value="119364003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SHU"/> 
      <target> 
        <code value="119295008"/> 
        <equivalence value="equivalent"/> 
        <comment value="Preferred is aspiration with sterile syringe from inflamed area. Specify body location
         of shunt site"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="257351008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHUNF"/> 
      <target> 
        <code value="446861007"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="446860008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="279107003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHUNT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SKBP"/> 
      <target> 
        <code value="309066003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="240977001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SKN"/> 
      <target> 
        <code value="119325001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SMM"/> 
      <target> 
        <code value="420548004"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="4147007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SNV"/> 
      <target> 
        <code value="119332005"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRM"/> 
      <target> 
        <code value="119349003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRP"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRPB"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPT"/> 
      <target> 
        <code value="119334006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPTC"/> 
      <target> 
        <code value="119335007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPTT"/> 
      <target> 
        <code value="258609006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUT1"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUTIN"/> 
      <target> 
        <code value="258610001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUTSP"/> 
      <target> 
        <code value="119335007"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="STER"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="STL"/> 
      <target> 
        <code value="119339001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="STONE"/> 
      <target> 
        <code value="119350003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUBMA"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="5713008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUBMX"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="4335006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUMP"/> 
      <target> 
        <code value="446562005"/> 
        <equivalence value="equivalent"/> 
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUP"/> 
      <target> 
        <code value="122575003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="58088002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUTUR"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SWGZ"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="TASP"/> 
      <target> 
        <code value="122877000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="129112001"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="44567001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TISS"/> 
      <target> 
        <code value="119376003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="TISU"/> 
      <target> 
        <code value="122593002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="TLC"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="TRAC"/> 
      <target> 
        <code value="438660002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="TRANS"/> 
      <target> 
        <code value="258538002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="TSERU"/> 
      <target> 
        <code value="119364003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="255588006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TSTES"/> 
      <target> 
        <code value="119371008"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="279572002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TTRA"/> 
      <target> 
        <code value="258480001"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="129112001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TUBES"/> 
      <target> 
        <code value="119310001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="TUMOR"/> 
      <target> 
        <code value="258435002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="TZANC"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="This is the name of a lab test. A skin sample is examined for viral inclusions."/> 
      </target> 
    </element> 
    <element> 
      <code value="UDENT"/> 
      <target> 
        <code value="123038009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="UR"/> 
      <target> 
        <code value="122575003"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="URC"/> 
      <target> 
        <code value="122880004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="URINB"/> 
      <target> 
        <code value="122575003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="78533007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINC"/> 
      <target> 
        <code value="446846006"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="URINM"/> 
      <target> 
        <code value="258574006"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="225271002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="431938005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINN"/> 
      <target> 
        <code value="446277003"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="225109005"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="25990002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="URT"/> 
      <target> 
        <code value="122565001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="USCOP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="NEW specimenTERM 7"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="176178006"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="89837001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="USPEC"/> 
      <target> 
        <code value="123038009"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="VASTIP"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="VENT"/> 
      <target> 
        <code value="119312009"/> 
        <equivalence value="equivalent"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="VITF"/> 
      <target> 
        <code value="258438000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="VOM"/> 
      <target> 
        <code value="122572000"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WASH"/> 
      <target> 
        <code value="440674008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WASI"/> 
      <target> 
        <code value="122609004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WAT"/> 
      <target> 
        <code value="119318008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WB"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Bloodbanking term ONLY now map to blood and the respective preservative"/> 
      </target> 
    </element> 
    <element> 
      <code value="WEN"/> 
      <target> 
        <code value="309075001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WICK"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="WND"/> 
      <target> 
        <code value="119365002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WNDA"/> 
      <target> 
        <code value="119366001"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WNDD"/> 
      <target> 
        <code value="122566000"/> 
        <equivalence value="equivalent"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="WNDE"/> 
      <target> 
        <code value="122568004"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WORM"/> 
      <target> 
        <code value="258618008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WRT"/> 
      <target> 
        <code value="309068002"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWA"/> 
      <target> 
        <code value="119318008"/> 
        <equivalence value="equivalent"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWO"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="CSITE"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment 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> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="119295008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="386144009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CLIPP"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="119326000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHU"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment 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> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="438660002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <value value="257351008"/> 
        </product> 
      </target> 
    </element> 
  </group> 
</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.