FHIR Release 3 (STU)

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Conceptmap-example-specimen-type.xml

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

Raw XML (canonical form)

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

<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 http://snomed.info/id?fhir_vs
      </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> Comment</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> http://snomed.info/id/246380002 [http://snomed.info/sct]</b> 
          </td> 
          <td> 
            <b> http://snomed.info/id/3006873018 [http://snomed.info/sct]</b> 
          </td> 
          <td> 
            <b> TypeModifier [http://snomed.info/sct]</b> 
          </td> 
          <td/>  
        </tr> 
        <tr> 
          <td> ACNE (Tissue, Acne)</td> 
          <td> :(equivalent)</td> 
          <td> 309068002 (Skin lesion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ACNFLD (Fluid, Acne)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td> 47002008 (Pustule)</td> 
          <td> HL7 term is a historical term. mapped to Pus</td> 
        </tr> 
        <tr> 
          <td> AIRS (Air Sample)</td> 
          <td> :(equivalent)</td> 
          <td> 446302006 (Air sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ALL (Allograft)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 7970006 (Allograft)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> AMP (Amputation)</td> 
          <td> :(equivalent)</td> 
          <td> 408654003 (Specimen obtained by amputation)</td> 
          <td> 81723002 (Amputation)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ANGI (Catheter Tip, Angio)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> ARTC (Catheter Tip, Arterial)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</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 (Specimen obtained by aspiration)</td> 
          <td> 14766002 (Removal by suction)</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 (e.g. 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 (Blood bag specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BCYST (Cyst, Baker's)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td> 32361000 (Popliteal fossa)</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 (Lesion sample)</td> 
          <td/>  
          <td/>  
          <td> 339008 (Blister)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BLIST (Blister)</td> 
          <td> :(equivalent)</td> 
          <td> 309049000 (Lesion sample)</td> 
          <td/>  
          <td/>  
          <td> 339008 (Blister)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BOIL (Boil)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td> 59843005 (Furuncle)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BON (Bone)</td> 
          <td> :(equivalent)</td> 
          <td> 430268003 (Specimen from bone)</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 (Specimen from blood product)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRN (Burn)</td> 
          <td> :(equivalent)</td> 
          <td> 119367005 (Specimen from burn injury)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRSH (Brush)</td> 
          <td> :(equivalent)</td> 
          <td> 258415003 (Biopsy sample)</td> 
          <td> 439336003 (Brush biopsy)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRTH (Breath (use EXHLD))</td> 
          <td> :(equivalent)</td> 
          <td> 119336008 (Exhaled air specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BRUS (Brushing)</td> 
          <td> :(equivalent)</td> 
          <td> 309176002 (Bronchial brushings sample)</td> 
          <td> 80657008 (Bronchoscopy with brush biopsy)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> BUB (Bubo)</td> 
          <td> :(equivalent)</td> 
          <td> 302795002 (Lymph node aspirate)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td> 11585000 (Bubo)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BULLA (Bulla/Bullae)</td> 
          <td> :(equivalent)</td> 
          <td> 258482009 (Vesicle fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 339008 (Blister)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> BX (Biopsy)</td> 
          <td> :(equivalent)</td> 
          <td> 258415003 (Biopsy sample)</td> 
          <td> 86273004 (Biopsy)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CALC (Calculus (=Stone))</td> 
          <td> :(equivalent)</td> 
          <td> 119350003 (Calculus specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CARBU (Carbuncle)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 41570003 (Carbuncle)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> CAT (Catheter)</td> 
          <td> :(equivalent)</td> 
          <td> 119311002 (Catheter specimen)</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 (Nail specimen)</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 (Specimen from conjunctiva)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CNJT (Conjunctiva)</td> 
          <td> :(equivalent)</td> 
          <td> 128160006 (Tissue specimen from conjunctiva)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CNJT (Conjunctiva)</td> 
          <td> :(equivalent)</td> 
          <td> 258498002 (Conjunctival swab)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> COL (Colostrum)</td> 
          <td> :(equivalent)</td> 
          <td> 119329007 (Colostrum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CONE (Biospy, Cone)</td> 
          <td> :(equivalent)</td> 
          <td> 399713008 (Specimen from uterine cervix obtained by cone biopsy)</td> 
          <td> 54535009 (Cone biopsy of cervix)</td> 
          <td> 71252005 (Uterine cervix)</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 (Swab of line insertion site)</td> 
          <td> 285570007 (Taking of swab)</td> 
          <td/>  
          <td> 386144009 (Line insertion site)</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 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CST (Fluid, Cyst)</td> 
          <td> :(equivalent)</td> 
          <td> 258453008 (Cyst fluid sample)</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 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> CVPS (Site, CVP)</td> 
          <td> :(equivalent)</td> 
          <td> 258507003 (Swab of line insertion site)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> CVPT (Catheter Tip, CVP)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td> 445085009 (Tunneled central venous catheter)</td> 
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> CYN (Nodule, Cystic)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td> 27925004 (Nodule)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> CYST (Cyst)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</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 (Coughed sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DEC (Ulcer, Decubitus)</td> 
          <td> :(equivalent)</td> 
          <td> 258505006 (Skin ulcer swab)</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 (Dialysis fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DISCHG (Discharge)</td> 
          <td> :(equivalent)</td> 
          <td> 258439008 (Discharge)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DIV (Diverticulum)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 31113003 (Diverticulum)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> DRN (Drain)</td> 
          <td> :(equivalent)</td> 
          <td> 119306004 (Drain device specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> DRNG (Drainage, Tube)</td> 
          <td> :(equivalent)</td> 
          <td> 258455001 (Drainage fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td> Historical term - consider what is being drained and indicate that in SPM-4 instead: not
             an acceptable specimen for micro - not specific enough term</td> 
        </tr> 
        <tr> 
          <td> DRNGP (Drainage, Penrose)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td> 122462000 (Drainage)</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 (Cerumen specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EBRUSH (Brush, Esophageal)</td> 
          <td> :(equivalent)</td> 
          <td> 309210009 (Oesophageal brushings sample)</td> 
          <td> 36213007 (Endoscopy and brush biopsy)</td> 
          <td> 32849002 (Esophagus)</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 (Effusion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EFOD (Environmental, Food)</td> 
          <td> :(equivalent)</td> 
          <td> 119320006 (Food specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> EISO (Environmental, Isolette)</td> 
          <td> :(equivalent)</td> 
          <td> 258536003 (Incubator swab)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ELT (Electrode)</td> 
          <td> :(equivalent)</td> 
          <td> 119314005 (Electrode specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ENVIR (Environmental, Unidentified Substance)</td> 
          <td> :(equivalent)</td> 
          <td> 119324002 (Specimen of unknown material)</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 (Endotracheal tube specimen)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 321667001 (Respiratory tract structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ETTP (Catheter Tip, Endotracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> ETTUB (Tube, Endotracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 119307008 (Endotracheal tube specimen)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 321667001 (Respiratory tract structure)</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 (Exhaled air specimen)</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 (Exudate sample)</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 (Blood specimen)</td> 
          <td/>  
          <td/>  
          <td> 303112003 (Fetal period)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> FGA (Fluid,  Abdomen)</td> 
          <td> :(equivalent)</td> 
          <td> 168139001 (Peritoneal fluid sample)</td> 
          <td/>  
          <td> 83670000 (Peritoneal cavity)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FIST (Fistula)</td> 
          <td> :(equivalent)</td> 
          <td> 119370009 (Specimen from fistula)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FLD (Fluid, Other)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</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 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FLUID (Fluid)</td> 
          <td> :(equivalent)</td> 
          <td> 258442002 (Fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FOLEY (Catheter Tip, Foley)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> FRS (Fluid, Respiratory)</td> 
          <td> :(equivalent)</td> 
          <td> 258442002 (Fluid sample)</td> 
          <td/>  
          <td> 272626006 (Respiratory organ)</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 (Fetus specimen)</td> 
          <td/>  
          <td> 41695006 (Scalp)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> FUR (Furuncle)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td/>  
          <td/>  
          <td> 59843005 (Furuncle)</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 (Gaseous material specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASA (Aspirate, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 168137004 (Gastric aspirate sample)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASAN (Antrum, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 119379005 (Specimen from stomach)</td> 
          <td/>  
          <td> 66051006 (Pyloric antrum)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASBR (Brushing, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 309213006 (Gastric brushings sample)</td> 
          <td> 235157009 (Endoscopic brushings of GIT)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GASD (Drainage, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 258459007 (Gastric fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 69695003 (Stomach)</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 (Gastric fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GENV (Genital vaginal)</td> 
          <td> :(equivalent)</td> 
          <td> 119394009 (Specimen from vagina)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GRAFT (Graft)</td> 
          <td> :(equivalent)</td> 
          <td> 440493002 (Graft sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> GRANU (Granuloma)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 45647009 (Granuloma)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> GROSH (Catheter, Groshong)</td> 
          <td> :(equivalent)</td> 
          <td> 119311002 (Catheter specimen)</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 (Gastric biopsy sample)</td> 
          <td> 79121003 (Biopsy of stomach)</td> 
          <td> 69695003 (Stomach)</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 (Gastric fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 69695003 (Stomach)</td> 
          <td> 127490009 (Gastrostomy route)</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 (Blood specimen)</td> 
          <td/>  
          <td/>  
          <td> 303113008 (Postmortem period)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> HEMAQ (Catheter Tip, Hemaquit)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> HEMO (Catheter Tip, Hemovac)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> HERNI (Tissue, Herniated)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> HEV (Drain, Hemovac)</td> 
          <td> :(equivalent)</td> 
          <td> 119306004 (Drain device specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> HIC (Catheter, Hickman)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td> 445085009 (Tunneled central venous catheter)</td> 
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> HYDC (Fluid, Hydrocele)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 55434001 (Hydrocele)</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 (Skin cyst sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> IDC (Catheter Tip, Indwelling)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> IHG (Gas, Inhaled)</td> 
          <td> :(equivalent)</td> 
          <td> 119337004 (Inhaled gas specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ILEO (Drainage, Ileostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 258455001 (Drainage fluid sample)</td> 
          <td/>  
          <td/>  
          <td> 419954003 (Ileostomy route)</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 Illigible)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
          <td> TBD</td> 
        </tr> 
        <tr> 
          <td> IMP (Implant)</td> 
          <td> :(equivalent)</td> 
          <td> 439961009 (Implant submitted as specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> INCI (Site, Incision/Surgical)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</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 (Insect sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> INTRD (Catheter Tip, Introducer)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> IT (Intubation tube)</td> 
          <td> :(equivalent)</td> 
          <td> 119307008 (Endotracheal tube specimen)</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 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td> 255560000 (Intravenous)</td> 
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> IVFLD (Fluid, IV)</td> 
          <td> :(equivalent)</td> 
          <td> 258649003 (Intravenous infusion fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> IVTIP (Tubing Tip, IV)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> JEJU (Drainage, Jejunal)</td> 
          <td> :(equivalent)</td> 
          <td> 258463000 (Jejunal fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 21306003 (Jejunum)</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 (Synovial fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> JP (Drainage, Jackson Pratt)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td> 122462000 (Drainage)</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 (Wash out specimen)</td> 
          <td> 67889009 (Irrigation)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> KIDFLD (Fluid, Kidney)</td> 
          <td> :(equivalent)</td> 
          <td> 309051001 (Body fluid sample)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVG (Lavage, Bronhial)</td> 
          <td> :(equivalent)</td> 
          <td> 258607008 (Bronchoalveolar lavage fluid sample)</td> 
          <td> 397394009 (Bronchoalveolar lavage)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVGG (Lavage, Gastric)</td> 
          <td> :(equivalent)</td> 
          <td> 168138009 (Gastric lavage aspirate sample)</td> 
          <td> 173830003 (Irrigation of stomach)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVGP (Lavage, Peritoneal)</td> 
          <td> :(equivalent)</td> 
          <td> 440137008 (Specimen obtained by peritoneal lavage)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LAVPG (Lavage, Pre-Bronch)</td> 
          <td> :(equivalent)</td> 
          <td> 440674008 (Wash out specimen)</td> 
          <td> 67889009 (Irrigation)</td> 
          <td> 44567001 (Trachea)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> LENS1 (Contact Lens)</td> 
          <td> :(equivalent)</td> 
          <td> 440473005 (Contact lens submitted as specimen)</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 (Lesion sample)</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 (Fluid sample)</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 (Cerebrospinal fluid sample)</td> 
          <td/>  
          <td> 303949008 (Lumbar spinal cerebrospinal fluid pathway)</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 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> MASS (Mass)</td> 
          <td> :(equivalent)</td> 
          <td> 420548004 (Specimen from mass)</td> 
          <td/>  
          <td/>  
          <td> 4147007 (Mass)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> MBLD (Blood, Menstrual)</td> 
          <td> :(equivalent)</td> 
          <td> 119345009 (Menstrual blood specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> MUCOS (Mucosa)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td> 414781009 (Mucous membrane structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> MUCUS (Mucus)</td> 
          <td> :(equivalent)</td> 
          <td> 258483004 (Mucus sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NASDR (Drainage, Nasal)</td> 
          <td> :(equivalent)</td> 
          <td> 258474009 (Sinus fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 2095001 (Accessory sinus)</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 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NGASP (Aspirate, Nasogastric)</td> 
          <td> :(equivalent)</td> 
          <td> 302794003 (Nasogastric aspirate)</td> 
          <td> 6853008 (Nasogastric tube aspiration)</td> 
          <td> 69695003 (Stomach)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> NGAST (Drainage, Nasogastric)</td> 
          <td> :(equivalent)</td> 
          <td> 258459007 (Gastric fluid sample)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 69695003 (Stomach)</td> 
          <td> 127492001 (Nasogastric route)</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 (Specimen from prosthetic device)</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 (Nasal fluid sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ORH (Other)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> ORL (Lesion, Oral)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td> 74262004 (Oral cavity)</td> 
          <td/>  
          <td> be more precise use ulcer, tumor, vesicle</td> 
        </tr> 
        <tr> 
          <td> OTH (Source, Other)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</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 (Pericardial fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PDSIT (Site, Peritoneal Dialysis)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</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 (Specimen from abscess)</td> 
          <td/>  
          <td> 12921003 (Pelvis)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PENIL (Lesion, Penile)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td/>  
          <td> 18911002 (Penis)</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 (Specimen from abscess)</td> 
          <td/>  
          <td> 397158004 (Perianal region structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PILOC (Cyst, Pilonidal)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PINS (Site, Pin)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PIS (Site, Pacemaker Insetion)</td> 
          <td> :(equivalent)</td> 
          <td> 258507003 (Swab of line insertion site)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLAN (Plant Material)</td> 
          <td> :(equivalent)</td> 
          <td> 119301009 (Plant specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLAS (Plasma)</td> 
          <td> :(equivalent)</td> 
          <td> 119361006 (Plasma specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLB (Plasma bag)</td> 
          <td> :(equivalent)</td> 
          <td> 119305000 (Plasma bag specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PLEVS (Serum, Peak Level)</td> 
          <td> :(equivalent)</td> 
          <td> 119364003 (Serum specimen)</td> 
          <td/>  
          <td/>  
          <td> 255587001 (Peak)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> PND (Drainage, Penile)</td> 
          <td> :(equivalent)</td> 
          <td> 258439008 (Discharge)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 13648007 (Urethra)</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 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td> 41329004 (Polyp)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> POPGS (Graft Site, Popliteal)</td> 
          <td> :(equivalent)</td> 
          <td> 440493002 (Graft sample)</td> 
          <td/>  
          <td> 6902008 (Popliteal region)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> POPLG (Graft, Popliteal)</td> 
          <td> :(equivalent)</td> 
          <td> 440493002 (Graft sample)</td> 
          <td/>  
          <td> 6902008 (Popliteal region)</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 (Catheter specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> PPP (Plasma, Platelet poor)</td> 
          <td> :(equivalent)</td> 
          <td> 119362004 (Platelet poor plasma specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PROST (Prosthetic Device)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PRP (Plasma, Platelet rich)</td> 
          <td> :(equivalent)</td> 
          <td> 119363009 (Platelet rich plasma specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PSC (Pseudocyst)</td> 
          <td> :(equivalent)</td> 
          <td> 119368000 (Specimen from cyst)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PUNCT (Wound, Puncture)</td> 
          <td> :(equivalent)</td> 
          <td> 119365002 (Specimen from wound)</td> 
          <td/>  
          <td/>  
          <td> 129300006 (Puncture - action)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> PUS (Pus)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> PUSFR (Pustule)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td> 47002008 (Pustule)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> PUST (Pus)</td> 
          <td> :(equivalent)</td> 
          <td> 119323008 (Pus specimen)</td> 
          <td/>  
          <td/>  
          <td> 47002008 (Pustule)</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 (Spot urine sample)</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 (Stool specimen)</td> 
          <td> 122462000 (Drainage)</td> 
          <td> 34402009 (Rectum)</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 (Specimen from abscess)</td> 
          <td/>  
          <td> 34402009 (Rectum)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RENALC (Cyst, Renal)</td> 
          <td> :(equivalent)</td> 
          <td> 258420003 (Cyst tissue)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RENC (Fluid, Renal Cyst)</td> 
          <td> :(equivalent)</td> 
          <td> 258453008 (Cyst fluid sample)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> RES (Respiratory)</td> 
          <td> :(equivalent)</td> 
          <td> 258603007 (Respiratory sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SAL (Saliva)</td> 
          <td> :(equivalent)</td> 
          <td> 119342007 (Saliva specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SCAR (Tissue, Keloid (Scar))</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SCLV (Catheter Tip, Subclavian)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td> 9454009 (Subclavian vein)</td> 
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> SCROA (Abscess, Scrotal)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 20233005 (Scrotum)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SECRE (Secretion(s))</td> 
          <td> :(equivalent)</td> 
          <td> 432825001 (Body secretion specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SER (Serum)</td> 
          <td> :(equivalent)</td> 
          <td> 119364003 (Serum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SHU (Site, Shunt)</td> 
          <td> :(equivalent)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td/>  
          <td> 257351008 (Shunt)</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 (Cerebrospinal fluid specimen obtained via ventriculoperitoneal shunt)</td> 
          <td> 446860008 (Collection of cerebrospinal fluid via ventriculoperitoneal shunt)</td> 
          <td> 279107003 (Central nervous system space)</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 (Skin biopsy sample)</td> 
          <td> 240977001 (Biopsy of skin)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SKN (Skin)</td> 
          <td> :(equivalent)</td> 
          <td> 119325001 (Skin specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SMM (Mass, Sub-Mandibular)</td> 
          <td> :(equivalent)</td> 
          <td> 420548004 (Specimen from mass)</td> 
          <td/>  
          <td/>  
          <td> 4147007 (Mass)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> SNV (Fluid, synovial (Joint fluid))</td> 
          <td> :(equivalent)</td> 
          <td> 119332005 (Synovial fluid specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPRM (Spermatozoa)</td> 
          <td> :(equivalent)</td> 
          <td> 119349003 (Spermatozoa specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPRP (Catheter Tip, Suprapubic)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> SPRPB (Cathether Tip, Suprapubic)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</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 (Sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPTC (Sputum - coughed)</td> 
          <td> :(equivalent)</td> 
          <td> 119335007 (Coughed sputum specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPTT (Sputum - tracheal aspirate)</td> 
          <td> :(equivalent)</td> 
          <td> 258609006 (Sputum specimen obtained by aspiration from trachea)</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 (Sputum specimen obtained by sputum induction)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SPUTSP (Sputum, Spontaneous)</td> 
          <td> :(equivalent)</td> 
          <td> 119335007 (Coughed sputum specimen)</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 (Stool specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> STONE (Stone, Kidney)</td> 
          <td> :(equivalent)</td> 
          <td> 119350003 (Calculus specimen)</td> 
          <td/>  
          <td> 64033007 (Kidney)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUBMA (Abscess, Submandibular)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 5713008 (Submandibular triangle)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUBMX (Abscess, Submaxillary)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 4335006 (Upper jaw)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> SUMP (Drainage, Sump)</td> 
          <td> :(equivalent)</td> 
          <td> 446562005 (Body fluid specimen obtained via sump drain)</td> 
          <td> 122462000 (Drainage)</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 (Urine specimen)</td> 
          <td> 58088002 (Urine specimen collection, suprapubic)</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 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> TASP (Aspirate, Tracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 122877000 (Upper respiratory fluid specimen obtained by tracheal aspiration)</td> 
          <td> 129112001 (Aspiration from trachea)</td> 
          <td> 44567001 (Trachea)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TISS (Tissue)</td> 
          <td> :(equivalent)</td> 
          <td> 119376003 (Tissue specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TISU (Tissue ulcer)</td> 
          <td> :(equivalent)</td> 
          <td> 122593002 (Tissue specimen obtained from ulcer)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TLC (Cathether Tip, Triple Lumen)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> TRAC (Site, Tracheostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 438660002 (Specimen from prosthetic device)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TRANS (Transudate)</td> 
          <td> :(equivalent)</td> 
          <td> 258538002 (Transudate sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TSERU (Serum, Trough)</td> 
          <td> :(equivalent)</td> 
          <td> 119364003 (Serum specimen)</td> 
          <td/>  
          <td/>  
          <td> 255588006 (Trough)</td> 
          <td/>  
        </tr> 
        <tr> 
          <td> TSTES (Abscess, Testicular)</td> 
          <td> :(equivalent)</td> 
          <td> 119371008 (Specimen from abscess)</td> 
          <td/>  
          <td> 279572002 (Testicular structure)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TTRA (Aspirate, Transtracheal)</td> 
          <td> :(equivalent)</td> 
          <td> 258480001 (Transtracheal aspirate sample)</td> 
          <td> 129112001 (Aspiration from trachea)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TUBES (Tubes)</td> 
          <td> :(equivalent)</td> 
          <td> 119310001 (Tube specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> TUMOR (Tumor)</td> 
          <td> :(equivalent)</td> 
          <td> 258435002 (Tumour tissue)</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 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> UR (Urine)</td> 
          <td> :(equivalent)</td> 
          <td> 122575003 (Urine specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URC (Urine clean catch)</td> 
          <td> :(equivalent)</td> 
          <td> 122880004 (Urine specimen obtained by clean catch procedure)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINB (Urine, Bladder Washings)</td> 
          <td> :(equivalent)</td> 
          <td> 122575003 (Urine specimen)</td> 
          <td> 78533007 (Irrigation of urinary bladder)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINC (Urine, Catheterized)</td> 
          <td> :(equivalent)</td> 
          <td> 446846006 (Urine specimen obtained via indwelling urinary catheter)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINM (Urine, Midstream)</td> 
          <td> :(equivalent)</td> 
          <td> 258574006 (Mid-stream urine sample)</td> 
          <td> 225271002 (Collection of mid-stream specimen of urine)</td> 
          <td> 431938005 (Structure of urinary tract proper)</td> 
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> URINN (Urine, Nephrostomy)</td> 
          <td> :(equivalent)</td> 
          <td> 446277003 (Urine specimen obtained from nephrostomy tube after percutaneous insertion)</td> 
          <td> 225109005 (Collection of nephrostomy urine specimen)</td> 
          <td> 25990002 (Renal pelvis)</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 (Urinary catheter specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> USCOP (Urine, Cystoscopy)</td> 
          <td> :unmatched</td> 
          <td/>  
          <td> 176178006 (Diagnostic cystoscopy)</td> 
          <td> 89837001 (Urinary bladder)</td> 
          <td/>  
          <td> NEW specimenTERM 7</td> 
        </tr> 
        <tr> 
          <td> USPEC (Source, Unspecified)</td> 
          <td> :(equivalent)</td> 
          <td> 123038009 (Specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> VASTIP (Catheter Tip, Vas)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> VENT (Catheter Tip, Ventricular)</td> 
          <td> :(equivalent)</td> 
          <td> 119312009 (Catheter tip specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td> TBD in detail</td> 
        </tr> 
        <tr> 
          <td> VITF (Vitreous Fluid)</td> 
          <td> :(equivalent)</td> 
          <td> 258438000 (Vitreous humor sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> VOM (Vomitus)</td> 
          <td> :(equivalent)</td> 
          <td> 122572000 (Vomitus specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WASH (Wash)</td> 
          <td> :(equivalent)</td> 
          <td> 440674008 (Wash out specimen)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WASI (Washing, e.g. bronchial washing)</td> 
          <td> :(equivalent)</td> 
          <td> 122609004 (Specimen from lung obtained by bronchial washing procedure)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WAT (Water)</td> 
          <td> :(equivalent)</td> 
          <td> 119318008 (Water specimen)</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 (Skin cyst sample)</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 (Specimen from wound)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WNDA (Wound abscess)</td> 
          <td> :(equivalent)</td> 
          <td> 119366001 (Specimen from wound abscess)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WNDD (Wound drainage)</td> 
          <td> :(equivalent)</td> 
          <td> 122566000 (Fluid specimen from wound)</td> 
          <td> 122462000 (Drainage)</td> 
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WNDE (Wound exudate)</td> 
          <td> :(equivalent)</td> 
          <td> 122568004 (Exudate specimen from wound)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WORM (Worm)</td> 
          <td> :(equivalent)</td> 
          <td> 258618008 (Helminth sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WRT (Wart)</td> 
          <td> :(equivalent)</td> 
          <td> 309068002 (Skin lesion sample)</td> 
          <td/>  
          <td/>  
          <td/>  
          <td/>  
        </tr> 
        <tr> 
          <td> WWA (Environmental, Water)</td> 
          <td> :(equivalent)</td> 
          <td> 119318008 (Water specimen)</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 (Line insertion site)</td> 
          <td> 14766002 (Removal by suction)</td> 
          <td> 119295008 (Specimen obtained by aspiration)</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 (Hair specimen)</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 (Shunt)</td> 
          <td/>  
          <td> 438660002 (Specimen from prosthetic device)</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 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> 
  <sourceReference> 
    <reference value="http://hl7.org/fhir/ValueSet/v2-0487"/> 
  </sourceReference> 
  <targetReference> 
    <reference value="http://snomed.info/id?fhir_vs"/> 
  </targetReference> 
  <group> 
    <source value="http://hl7.org/fhir/v2/0487"/> 
    <target value="http://snomed.info/sct"/> 
    <element> 
      <code value="ACNE"/> 
      <target> 
        <code value="309068002"/> 
      </target> 
    </element> 
    <element> 
      <code value="ACNFLD"/> 
      <target> 
        <code value="119323008"/> 
        <comment value="HL7 term is a historical term. mapped to Pus"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="AIRS"/> 
      <target> 
        <code value="446302006"/> 
      </target> 
    </element> 
    <element> 
      <code value="ALL"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="7970006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="AMP"/> 
      <target> 
        <code value="408654003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="81723002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ANGI"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ARTC"/> 
      <target> 
        <code value="119312009"/> 
        <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"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </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"/> 
          <code 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"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BLIST"/> 
      <target> 
        <code value="309049000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BOIL"/> 
      <target> 
        <code value="119295008"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="59843005"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BON"/> 
      <target> 
        <code value="430268003"/> 
      </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"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRN"/> 
      <target> 
        <code value="119367005"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRSH"/> 
      <target> 
        <code value="258415003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="439336003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BRTH"/> 
      <target> 
        <code value="119336008"/> 
      </target> 
    </element> 
    <element> 
      <code value="BRUS"/> 
      <target> 
        <code value="309176002"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="80657008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BUB"/> 
      <target> 
        <code value="302795002"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="11585000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BULLA"/> 
      <target> 
        <code value="258482009"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="339008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="BX"/> 
      <target> 
        <code value="258415003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="86273004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CALC"/> 
      <target> 
        <code value="119350003"/> 
      </target> 
    </element> 
    <element> 
      <code value="CARBU"/> 
      <target> 
        <code value="309051001"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="41570003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CAT"/> 
      <target> 
        <code value="119311002"/> 
      </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"/> 
        <comment value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="119401005"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="128160006"/> 
      </target> 
    </element> 
    <element> 
      <code value="CNJT"/> 
      <target> 
        <code value="258498002"/> 
      </target> 
    </element> 
    <element> 
      <code value="COL"/> 
      <target> 
        <code value="119329007"/> 
      </target> 
    </element> 
    <element> 
      <code value="CONE"/> 
      <target> 
        <code value="399713008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="54535009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
        <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"/> 
          <code value="386144009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="285570007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CSMY"/> 
      <target> 
        <code value="309051001"/> 
      </target> 
    </element> 
    <element> 
      <code value="CST"/> 
      <target> 
        <code value="258453008"/> 
      </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"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="CVPS"/> 
      <target> 
        <code value="258507003"/> 
      </target> 
    </element> 
    <element> 
      <code value="CVPT"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="445085009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CYN"/> 
      <target> 
        <code value="119368000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="27925004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="CYST"/> 
      <target> 
        <code value="119368000"/> 
      </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"/> 
      </target> 
    </element> 
    <element> 
      <code value="DEC"/> 
      <target> 
        <code value="258505006"/> 
      </target> 
    </element> 
    <element> 
      <code value="DEION"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="DIA"/> 
      <target> 
        <code value="119360007"/> 
      </target> 
    </element> 
    <element> 
      <code value="DISCHG"/> 
      <target> 
        <code value="258439008"/> 
      </target> 
    </element> 
    <element> 
      <code value="DIV"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="31113003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="DRN"/> 
      <target> 
        <code value="119306004"/> 
      </target> 
    </element> 
    <element> 
      <code value="DRNG"/> 
      <target> 
        <code value="258455001"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="DRNGP"/> 
      <target> 
        <code value="309051001"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="EARW"/> 
      <target> 
        <code value="122580007"/> 
      </target> 
    </element> 
    <element> 
      <code value="EBRUSH"/> 
      <target> 
        <code value="309210009"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="36213007"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </target> 
    </element> 
    <element> 
      <code value="EFOD"/> 
      <target> 
        <code value="119320006"/> 
      </target> 
    </element> 
    <element> 
      <code value="EISO"/> 
      <target> 
        <code value="258536003"/> 
      </target> 
    </element> 
    <element> 
      <code value="ELT"/> 
      <target> 
        <code value="119314005"/> 
      </target> 
    </element> 
    <element> 
      <code value="ENVIR"/> 
      <target> 
        <code value="119324002"/> 
      </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"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="321667001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="ETTP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="ETTUB"/> 
      <target> 
        <code value="119307008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXS"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="EXUDTE"/> 
      <target> 
        <code value="258441009"/> 
      </target> 
    </element> 
    <element> 
      <code value="FAW"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="FBLOOD"/> 
      <target> 
        <code value="119297000"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="303112003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FGA"/> 
      <target> 
        <code value="168139001"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="83670000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FIST"/> 
      <target> 
        <code value="119370009"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLD"/> 
      <target> 
        <code value="309051001"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLT"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLU"/> 
      <target> 
        <code value="309051001"/> 
      </target> 
    </element> 
    <element> 
      <code value="FLUID"/> 
      <target> 
        <code value="258442002"/> 
      </target> 
    </element> 
    <element> 
      <code value="FOLEY"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="FRS"/> 
      <target> 
        <code value="258442002"/> 
        <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"/> 
          <code value="272626006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FSCLP"/> 
      <target> 
        <code value="309502007"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="41695006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="FUR"/> 
      <target> 
        <code value="119295008"/> 
        <comment 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> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="59843005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GAS"/> 
      <target> 
        <code value="119317003"/> 
      </target> 
    </element> 
    <element> 
      <code value="GASA"/> 
      <target> 
        <code value="168137004"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASAN"/> 
      <target> 
        <code value="119379005"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="66051006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASBR"/> 
      <target> 
        <code value="309213006"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="235157009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GASD"/> 
      <target> 
        <code value="258459007"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GAST"/> 
      <target> 
        <code value="258459007"/> 
      </target> 
    </element> 
    <element> 
      <code value="GENV"/> 
      <target> 
        <code value="119394009"/> 
      </target> 
    </element> 
    <element> 
      <code value="GRAFT"/> 
      <target> 
        <code value="440493002"/> 
      </target> 
    </element> 
    <element> 
      <code value="GRANU"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="45647009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="GROSH"/> 
      <target> 
        <code value="119311002"/> 
        <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"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="79121003"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
        <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"/> 
          <code value="127490009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="303113008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HEMAQ"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="HEMO"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="HERNI"/> 
      <target> 
        <code value="119376003"/> 
      </target> 
    </element> 
    <element> 
      <code value="HEV"/> 
      <target> 
        <code value="119306004"/> 
      </target> 
    </element> 
    <element> 
      <code value="HIC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="445085009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="HYDC"/> 
      <target> 
        <code value="309051001"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </target> 
    </element> 
    <element> 
      <code value="IDC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="IHG"/> 
      <target> 
        <code value="119337004"/> 
      </target> 
    </element> 
    <element> 
      <code value="ILEO"/> 
      <target> 
        <code value="258455001"/> 
        <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"/> 
          <code 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"/> 
      </target> 
    </element> 
    <element> 
      <code value="INCI"/> 
      <target> 
        <code value="438660002"/> 
      </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"/> 
      </target> 
    </element> 
    <element> 
      <code value="INTRD"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="IT"/> 
      <target> 
        <code value="119307008"/> 
      </target> 
    </element> 
    <element> 
      <code value="IUD"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="IVCAT"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="255560000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="IVFLD"/> 
      <target> 
        <code value="258649003"/> 
      </target> 
    </element> 
    <element> 
      <code value="IVTIP"/> 
      <target> 
        <code value="119312009"/> 
      </target> 
    </element> 
    <element> 
      <code value="JEJU"/> 
      <target> 
        <code value="258463000"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="21306003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="JNTFLD"/> 
      <target> 
        <code value="119332005"/> 
      </target> 
    </element> 
    <element> 
      <code value="JP"/> 
      <target> 
        <code value="309051001"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="KELOI"/> 
      <target> 
        <code value="440674008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="67889009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="KIDFLD"/> 
      <target> 
        <code value="309051001"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVG"/> 
      <target> 
        <code value="258607008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="397394009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVGG"/> 
      <target> 
        <code value="168138009"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="173830003"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LAVGP"/> 
      <target> 
        <code value="440137008"/> 
      </target> 
    </element> 
    <element> 
      <code value="LAVPG"/> 
      <target> 
        <code value="440674008"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="67889009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="44567001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="LENS1"/> 
      <target> 
        <code value="440473005"/> 
      </target> 
    </element> 
    <element> 
      <code value="LENS2"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="LESN"/> 
      <target> 
        <code value="309049000"/> 
        <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"/> 
      </target> 
    </element> 
    <element> 
      <code value="LIQO"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="LSAC"/> 
      <target> 
        <code value="258450006"/> 
        <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"/> 
          <code value="303949008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MAHUR"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="MASS"/> 
      <target> 
        <code value="420548004"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="4147007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MBLD"/> 
      <target> 
        <code value="119345009"/> 
      </target> 
    </element> 
    <element> 
      <code value="MUCOS"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="414781009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="MUCUS"/> 
      <target> 
        <code value="258483004"/> 
      </target> 
    </element> 
    <element> 
      <code value="NASDR"/> 
      <target> 
        <code value="258474009"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </target> 
    </element> 
    <element> 
      <code value="NGASP"/> 
      <target> 
        <code value="302794003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="6853008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NGAST"/> 
      <target> 
        <code value="258459007"/> 
        <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"/> 
          <code value="127492001"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="69695003"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="NGS"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="NODUL"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="pending"/> 
      </target> 
    </element> 
    <element> 
      <code value="NSECR"/> 
      <target> 
        <code value="168141000"/> 
      </target> 
    </element> 
    <element> 
      <code value="ORH"/> 
      <target> 
        <code value="123038009"/> 
      </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"/> 
          <code value="74262004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="OTH"/> 
      <target> 
        <code value="123038009"/> 
      </target> 
    </element> 
    <element> 
      <code value="PACEM"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="PCFL"/> 
      <target> 
        <code value="122571007"/> 
      </target> 
    </element> 
    <element> 
      <code value="PDSIT"/> 
      <target> 
        <code value="438660002"/> 
      </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"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
          <code value="18911002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PERIA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="397158004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PILOC"/> 
      <target> 
        <code value="119368000"/> 
      </target> 
    </element> 
    <element> 
      <code value="PINS"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="PIS"/> 
      <target> 
        <code value="258507003"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLAN"/> 
      <target> 
        <code value="119301009"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLAS"/> 
      <target> 
        <code value="119361006"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLB"/> 
      <target> 
        <code value="119305000"/> 
      </target> 
    </element> 
    <element> 
      <code value="PLEVS"/> 
      <target> 
        <code value="119364003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="255587001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PND"/> 
      <target> 
        <code value="258439008"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="13648007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POL"/> 
      <target> 
        <code value="119376003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="41329004"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPGS"/> 
      <target> 
        <code value="440493002"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="6902008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="POPLG"/> 
      <target> 
        <code value="440493002"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="PPP"/> 
      <target> 
        <code value="119362004"/> 
      </target> 
    </element> 
    <element> 
      <code value="PROST"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="PRP"/> 
      <target> 
        <code value="119363009"/> 
      </target> 
    </element> 
    <element> 
      <code value="PSC"/> 
      <target> 
        <code value="119368000"/> 
      </target> 
    </element> 
    <element> 
      <code value="PUNCT"/> 
      <target> 
        <code value="119365002"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="129300006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PUS"/> 
      <target> 
        <code value="119323008"/> 
      </target> 
    </element> 
    <element> 
      <code value="PUSFR"/> 
      <target> 
        <code value="119323008"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="47002008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="PUST"/> 
      <target> 
        <code value="119323008"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </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"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="34402009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RECTA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="34402009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RENALC"/> 
      <target> 
        <code value="258420003"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RENC"/> 
      <target> 
        <code value="258453008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="RES"/> 
      <target> 
        <code value="258603007"/> 
      </target> 
    </element> 
    <element> 
      <code value="SAL"/> 
      <target> 
        <code value="119342007"/> 
      </target> 
    </element> 
    <element> 
      <code value="SCAR"/> 
      <target> 
        <code value="119376003"/> 
      </target> 
    </element> 
    <element> 
      <code value="SCLV"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="9454009"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SCROA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="20233005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SECRE"/> 
      <target> 
        <code value="432825001"/> 
      </target> 
    </element> 
    <element> 
      <code value="SER"/> 
      <target> 
        <code value="119364003"/> 
      </target> 
    </element> 
    <element> 
      <code value="SHU"/> 
      <target> 
        <code value="119295008"/> 
        <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"/> 
          <code value="257351008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="14766002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SHUNF"/> 
      <target> 
        <code value="446861007"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="446860008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="240977001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SKN"/> 
      <target> 
        <code value="119325001"/> 
      </target> 
    </element> 
    <element> 
      <code value="SMM"/> 
      <target> 
        <code value="420548004"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="4147007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SNV"/> 
      <target> 
        <code value="119332005"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRM"/> 
      <target> 
        <code value="119349003"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPRPB"/> 
      <target> 
        <code value="119312009"/> 
        <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"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPTC"/> 
      <target> 
        <code value="119335007"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPTT"/> 
      <target> 
        <code value="258609006"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUT1"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUTIN"/> 
      <target> 
        <code value="258610001"/> 
      </target> 
    </element> 
    <element> 
      <code value="SPUTSP"/> 
      <target> 
        <code value="119335007"/> 
      </target> 
    </element> 
    <element> 
      <code value="STER"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="STL"/> 
      <target> 
        <code value="119339001"/> 
      </target> 
    </element> 
    <element> 
      <code value="STONE"/> 
      <target> 
        <code value="119350003"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="64033007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUBMA"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="5713008"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUBMX"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="4335006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUMP"/> 
      <target> 
        <code value="446562005"/> 
        <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"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="SUP"/> 
      <target> 
        <code value="122575003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="TASP"/> 
      <target> 
        <code value="122877000"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="129112001"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="44567001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TISS"/> 
      <target> 
        <code value="119376003"/> 
      </target> 
    </element> 
    <element> 
      <code value="TISU"/> 
      <target> 
        <code value="122593002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TLC"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="TRAC"/> 
      <target> 
        <code value="438660002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TRANS"/> 
      <target> 
        <code value="258538002"/> 
      </target> 
    </element> 
    <element> 
      <code value="TSERU"/> 
      <target> 
        <code value="119364003"/> 
        <product> 
          <property value="TypeModifier"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="255588006"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TSTES"/> 
      <target> 
        <code value="119371008"/> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="279572002"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TTRA"/> 
      <target> 
        <code value="258480001"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="129112001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="TUBES"/> 
      <target> 
        <code value="119310001"/> 
      </target> 
    </element> 
    <element> 
      <code value="TUMOR"/> 
      <target> 
        <code value="258435002"/> 
      </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"/> 
      </target> 
    </element> 
    <element> 
      <code value="UR"/> 
      <target> 
        <code value="122575003"/> 
      </target> 
    </element> 
    <element> 
      <code value="URC"/> 
      <target> 
        <code value="122880004"/> 
      </target> 
    </element> 
    <element> 
      <code value="URINB"/> 
      <target> 
        <code value="122575003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="78533007"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINC"/> 
      <target> 
        <code value="446846006"/> 
      </target> 
    </element> 
    <element> 
      <code value="URINM"/> 
      <target> 
        <code value="258574006"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="225271002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="431938005"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="URINN"/> 
      <target> 
        <code value="446277003"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="225109005"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
      </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"/> 
          <code value="176178006"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="89837001"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="USPEC"/> 
      <target> 
        <code value="123038009"/> 
      </target> 
    </element> 
    <element> 
      <code value="VASTIP"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="VENT"/> 
      <target> 
        <code value="119312009"/> 
        <comment value="TBD in detail"/> 
      </target> 
    </element> 
    <element> 
      <code value="VITF"/> 
      <target> 
        <code value="258438000"/> 
      </target> 
    </element> 
    <element> 
      <code value="VOM"/> 
      <target> 
        <code value="122572000"/> 
      </target> 
    </element> 
    <element> 
      <code value="WASH"/> 
      <target> 
        <code value="440674008"/> 
      </target> 
    </element> 
    <element> 
      <code value="WASI"/> 
      <target> 
        <code value="122609004"/> 
      </target> 
    </element> 
    <element> 
      <code value="WAT"/> 
      <target> 
        <code value="119318008"/> 
      </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"/> 
      </target> 
    </element> 
    <element> 
      <code value="WICK"/> 
      <target> 
        <equivalence value="unmatched"/> 
        <comment value="TBD"/> 
      </target> 
    </element> 
    <element> 
      <code value="WND"/> 
      <target> 
        <code value="119365002"/> 
      </target> 
    </element> 
    <element> 
      <code value="WNDA"/> 
      <target> 
        <code value="119366001"/> 
      </target> 
    </element> 
    <element> 
      <code value="WNDD"/> 
      <target> 
        <code value="122566000"/> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="122462000"/> 
        </product> 
      </target> 
    </element> 
    <element> 
      <code value="WNDE"/> 
      <target> 
        <code value="122568004"/> 
      </target> 
    </element> 
    <element> 
      <code value="WORM"/> 
      <target> 
        <code value="258618008"/> 
      </target> 
    </element> 
    <element> 
      <code value="WRT"/> 
      <target> 
        <code value="309068002"/> 
      </target> 
    </element> 
    <element> 
      <code value="WWA"/> 
      <target> 
        <code value="119318008"/> 
      </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"/> 
          <code value="119295008"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code value="386144009"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/3006873018"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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"/> 
          <code 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"/> 
          <code value="438660002"/> 
        </product> 
        <product> 
          <property value="http://snomed.info/id/246380002"/> 
          <system value="http://snomed.info/sct"/> 
          <code 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.