Release 5 Preview #1

This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Conceptmap-example-specimen-type.ttl

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

Raw Turtle (+ also see Turtle/RDF Format Specification)

Specimen Type v2 -> SNOMED CT Mapping

@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ConceptMap/102> a fhir:ConceptMap;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "102"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <h2>Specimen mapping from v2 table 0487 to SNOMED CT (http://hl7.org/fhir/ConceptMap/102)</h2>\n      <p>Mapping from \n        <a href=\"v2/0487/index.html\">http://terminology.hl7.org/ValueSet/v2-0487</a> to http://snomed.info/sct?fhir_vs\n      </p>\n      <p>DRAFT. Published on 2013-07-25 by FHIR project team (original source: LabMCoP) (\n        <a href=\"http://hl7.org/fhir\">http://hl7.org/fhir</a>, \n        <a href=\"http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786\">http://www.phconnect.org/group...</a>). \n      </p>\n      <br/>\n      <table class=\"grid\">\n        <tr>\n          <td colspan=\"1\">\n            <b>Source Concept Details</b>\n          </td>\n          <td>\n            <b>Relationship</b>\n          </td>\n          <td colspan=\"4\">\n            <b>Destination Concept Details</b>\n          </td>\n          <td>\n            <b>Comment</b>\n          </td>\n        </tr>\n        <tr>\n          <td>\n            <b>Code</b> from \n            <a href=\"v2/0487/index.html\" title=\"http://terminology.hl7.org/CodeSystem/v2-0487\">v2 Specimen Type</a>\n          </td>\n          <td/>\n          <td>\n            <b>Code</b> from \n            <a href=\"codesystem-snomedct.html\" title=\"http://snomed.info/sct\">SNOMED CT (all versions)</a>\n          </td>\n          <td>\n            <b>Code</b> from \n            <a href=\"codesystem-snomedct.html\" title=\"http://snomed.info/sct\">SNOMED CT (all versions)</a>\n          </td>\n          <td>\n            <b>Code</b> from \n            <a href=\"codesystem-snomedct.html\" title=\"http://snomed.info/sct\">SNOMED CT (all versions)</a>\n          </td>\n          <td>\n            <b>Code</b> from \n            <a href=\"codesystem-snomedct.html\" title=\"http://snomed.info/sct\">SNOMED CT (all versions)</a>\n          </td>\n          <td/>\n        </tr>\n        <tr>\n          <td>ACNE (Tissue, Acne)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309068002 (Skin lesion sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ACNFLD (Fluid, Acne)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119323008 (Pus specimen)</td>\n          <td/>\n          <td/>\n          <td>47002008 (Pustule)</td>\n          <td>HL7 term is a historical term. mapped to Pus</td>\n        </tr>\n        <tr>\n          <td>AIRS (Air Sample)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>446302006 (Air sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ALL (Allograft)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td>7970006 (Allograft)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>AMP (Amputation)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>408654003 (Specimen obtained by amputation)</td>\n          <td>81723002 (Amputation)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ANGI (Catheter Tip, Angio)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>ARTC (Catheter Tip, Arterial)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>ASERU (Serum, Acute)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>ASP (Aspirate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119295008 (Specimen obtained by aspiration)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ATTE (Environment, Attest)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>AUTOC (Environmental, Autoclave Capsule)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>AUTP (Autopsy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>This really is not a specimen per se - it is the state of the subject from whom the specimen is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated with a special medical record number or other notation on the patient. needs to have specimen type (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)</td>\n        </tr>\n        <tr>\n          <td>BBL (Blood bag)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119304001 (Blood bag specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BCYST (Cyst, Baker's)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td>32361000 (Popliteal fossa)</td>\n          <td/>\n          <td>submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)</td>\n        </tr>\n        <tr>\n          <td>BITE (Bite)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>BLEB (Bleb)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309049000 (Lesion sample)</td>\n          <td/>\n          <td/>\n          <td>339008 (Blister)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BLIST (Blister)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309049000 (Lesion sample)</td>\n          <td/>\n          <td/>\n          <td>339008 (Blister)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BOIL (Boil)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119295008 (Specimen obtained by aspiration)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td/>\n          <td>59843005 (Furuncle)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BON (Bone)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>430268003 (Specimen from bone)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BOWL (Bowel contents)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents</td>\n        </tr>\n        <tr>\n          <td>BPU (Blood product unit)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119300005 (Specimen from blood product)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRN (Burn)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119367005 (Specimen from burn injury)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRSH (Brush)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258415003 (Biopsy sample)</td>\n          <td>439336003 (Brush biopsy)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRTH (Breath (use EXHLD))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119336008 (Exhaled air specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BRUS (Brushing)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309176002 (Bronchial brushings sample)</td>\n          <td>80657008 (Bronchoscopy with brush biopsy)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>BUB (Bubo)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>302795002 (Lymph node aspirate)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td/>\n          <td>11585000 (Bubo)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BULLA (Bulla/Bullae)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258482009 (Vesicle fluid sample)</td>\n          <td/>\n          <td/>\n          <td>339008 (Blister)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>BX (Biopsy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258415003 (Biopsy sample)</td>\n          <td>86273004 (Biopsy)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CALC (Calculus (=Stone))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119350003 (Calculus specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CARBU (Carbuncle)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td/>\n          <td/>\n          <td>41570003 (Carbuncle)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>CAT (Catheter)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119311002 (Catheter specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CBITE (Bite, Cat)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>CLIPP (Clippings)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119327009 (Nail specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>Be more specific use either: 119326000^hair specimen or 119327009^nail specimen</td>\n        </tr>\n        <tr>\n          <td>CNJT (Conjunctiva)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119401005 (Specimen from conjunctiva)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CNJT (Conjunctiva)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>128160006 (Tissue specimen from conjunctiva)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CNJT (Conjunctiva)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258498002 (Conjunctival swab)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>COL (Colostrum)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119329007 (Colostrum specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CONE (Biospy, Cone)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>399713008 (Specimen from uterine cervix obtained by cone biopsy)</td>\n          <td>54535009 (Cone biopsy of cervix)</td>\n          <td>71252005 (Uterine cervix)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CSCR (Scratch, Cat)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>submit for new term with parent 119365002^Specimen from wound (specimen)</td>\n        </tr>\n        <tr>\n          <td>CSERU (Serum, Convalescent)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>CSITE (Catheter Insertion Site)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258507003 (Swab of line insertion site)</td>\n          <td>285570007 (Taking of swab)</td>\n          <td/>\n          <td>386144009 (Line insertion site)</td>\n          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora       </td>\n        </tr>\n        <tr>\n          <td>CSMY (Fluid,  Cystostomy Tube)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CST (Fluid, Cyst)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258453008 (Cyst fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CSVR (Blood, Cell Saver)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD - may use blood and SPM-6</td>\n        </tr>\n        <tr>\n          <td>CTP (Catheter tip)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>CVPS (Site, CVP)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258507003 (Swab of line insertion site)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>CVPT (Catheter Tip, CVP)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td>445085009 (Tunneled central venous catheter)</td>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>CYN (Nodule, Cystic)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119368000 (Specimen from cyst)</td>\n          <td/>\n          <td/>\n          <td>27925004 (Nodule)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>CYST (Cyst)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119368000 (Specimen from cyst)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DBITE (Bite, Dog)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>DCS (Sputum, Deep Cough)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119335007 (Coughed sputum specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DEC (Ulcer, Decubitus)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258505006 (Skin ulcer swab)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DEION (Environmental, Water  (Deionized))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>DIA (Dialysate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119360007 (Dialysis fluid specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DISCHG (Discharge)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258439008 (Discharge)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DIV (Diverticulum)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td>31113003 (Diverticulum)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>DRN (Drain)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119306004 (Drain device specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>DRNG (Drainage, Tube)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258455001 (Drainage fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td/>\n          <td/>\n          <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>\n        </tr>\n        <tr>\n          <td>DRNGP (Drainage, Penrose)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>EARW (Ear wax (cerumen))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122580007 (Cerumen specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EBRUSH (Brush, Esophageal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309210009 (Oesophageal brushings sample)</td>\n          <td>36213007 (Endoscopy and brush biopsy)</td>\n          <td>32849002 (Esophagus)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EEYE (Environmental, Eye Wash)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EFF (Environmental, Effluent)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EFFUS (Effusion)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258440005 (Effusion sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EFOD (Environmental, Food)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119320006 (Food specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EISO (Environmental, Isolette)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258536003 (Incubator swab)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ELT (Electrode)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119314005 (Electrode specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ENVIR (Environmental, Unidentified Substance)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119324002 (Specimen of unknown material)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EOTH (Environmental, Other Substance)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>ESOI (Environmental, Soil)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>ESOS (Environmental, Solution (Sterile))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>ETA (Aspirate,  Endotrach)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119307008 (Endotracheal tube specimen)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td>321667001 (Respiratory tract structure)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ETTP (Catheter Tip, Endotracheal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>ETTUB (Tube, Endotracheal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119307008 (Endotracheal tube specimen)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td>321667001 (Respiratory tract structure)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EWHI (Environmental, Whirlpool)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EXG (Gas, exhaled (=breath))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119336008 (Exhaled air specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>EXS (Shunt, External)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>EXUDTE (Exudate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258441009 (Exudate sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FAW (Environmental, Water  (Well))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>FBLOOD (Blood, Fetal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119297000 (Blood specimen)</td>\n          <td/>\n          <td/>\n          <td>303112003 (Fetal period)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>FGA (Fluid,  Abdomen)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>168139001 (Peritoneal fluid sample)</td>\n          <td/>\n          <td>83670000 (Peritoneal cavity)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FIST (Fistula)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119370009 (Specimen from fistula)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FLD (Fluid, Other)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FLT (Filter)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>FLU (Fluid, Body unsp)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FLUID (Fluid)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258442002 (Fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FOLEY (Catheter Tip, Foley)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>FRS (Fluid, Respiratory)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258442002 (Fluid sample)</td>\n          <td/>\n          <td>272626006 (Respiratory organ)</td>\n          <td/>\n          <td>this term is not specific enough, choose from terms that more accurately describe the specimen</td>\n        </tr>\n        <tr>\n          <td>FSCLP (Scalp, Fetal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309502007 (Fetus specimen)</td>\n          <td/>\n          <td>41695006 (Scalp)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>FUR (Furuncle)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119295008 (Specimen obtained by aspiration)</td>\n          <td/>\n          <td/>\n          <td>59843005 (Furuncle)</td>\n          <td>Further describe the sample as tissue or pus. or by the collection method. The term boil is not specific to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil</td>\n        </tr>\n        <tr>\n          <td>GAS (Gas)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119317003 (Gaseous material specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASA (Aspirate, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>168137004 (Gastric aspirate sample)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td>69695003 (Stomach)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASAN (Antrum, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119379005 (Specimen from stomach)</td>\n          <td/>\n          <td>66051006 (Pyloric antrum)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASBR (Brushing, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309213006 (Gastric brushings sample)</td>\n          <td>235157009 (Endoscopic brushings of GIT)</td>\n          <td>69695003 (Stomach)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GASD (Drainage, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258459007 (Gastric fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td>69695003 (Stomach)</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>GAST (Fluid/contents, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258459007 (Gastric fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GENV (Genital vaginal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119394009 (Specimen from vagina)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GRAFT (Graft)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440493002 (Graft sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GRANU (Granuloma)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td>45647009 (Granuloma)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>GROSH (Catheter, Groshong)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119311002 (Catheter specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>GSOL (Solution, Gastrostomy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>GSPEC (Biopsy, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309211008 (Gastric biopsy sample)</td>\n          <td>79121003 (Biopsy of stomach)</td>\n          <td>69695003 (Stomach)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>GT (Tube, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>GTUBE (Drainage Tube, Drainage (Gastrostomy))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258459007 (Gastric fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td>69695003 (Stomach)</td>\n          <td>127490009 (Gastrostomy route)</td>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>HBITE (Bite, Human)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>HBLUD (Blood, Autopsy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119297000 (Blood specimen)</td>\n          <td/>\n          <td/>\n          <td>303113008 (Postmortem period)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>HEMAQ (Catheter Tip, Hemaquit)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>HEMO (Catheter Tip, Hemovac)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>HERNI (Tissue, Herniated)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>HEV (Drain, Hemovac)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119306004 (Drain device specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>HIC (Catheter, Hickman)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td>445085009 (Tunneled central venous catheter)</td>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>HYDC (Fluid, Hydrocele)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td/>\n          <td/>\n          <td>55434001 (Hydrocele)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>IBITE (Bite, Insect)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent 119365002</td>\n        </tr>\n        <tr>\n          <td>ICYST (Cyst, Inclusion)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309075001 (Skin cyst sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>IDC (Catheter Tip, Indwelling)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>IHG (Gas, Inhaled)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119337004 (Inhaled gas specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ILEO (Drainage, Ileostomy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258455001 (Drainage fluid sample)</td>\n          <td/>\n          <td/>\n          <td>419954003 (Ileostomy route)</td>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>\n        </tr>\n        <tr>\n          <td>ILLEG (Source of Specimen Is Illegible)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>IMP (Implant)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>439961009 (Implant submitted as specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>INCI (Site, Incision/Surgical)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>INFIL (Infiltrate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>This describes a morphologic abnormality, not a sample</td>\n        </tr>\n        <tr>\n          <td>INS (Insect)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258614005 (Insect sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>INTRD (Catheter Tip, Introducer)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>IT (Intubation tube)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119307008 (Endotracheal tube specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>IUD (Intrauterine Device)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>IVCAT (Catheter Tip, IV)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td>255560000 (Intravenous)</td>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>IVFLD (Fluid, IV)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258649003 (Intravenous infusion fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>IVTIP (Tubing Tip, IV)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>JEJU (Drainage, Jejunal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258463000 (Jejunal fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td>21306003 (Jejunum)</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>\n        </tr>\n        <tr>\n          <td>JNTFLD (Fluid, Joint)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119332005 (Synovial fluid specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>JP (Drainage, Jackson Pratt)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>KELOI (Lavage)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440674008 (Wash out specimen)</td>\n          <td>67889009 (Irrigation)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>KIDFLD (Fluid, Kidney)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309051001 (Body fluid sample)</td>\n          <td/>\n          <td>64033007 (Kidney)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVG (Lavage, Bronhial)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258607008 (Bronchoalveolar lavage fluid sample)</td>\n          <td>397394009 (Bronchoalveolar lavage)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVGG (Lavage, Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>168138009 (Gastric lavage aspirate sample)</td>\n          <td>173830003 (Irrigation of stomach)</td>\n          <td>69695003 (Stomach)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVGP (Lavage, Peritoneal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440137008 (Specimen obtained by peritoneal lavage)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LAVPG (Lavage, Pre-Bronch)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440674008 (Wash out specimen)</td>\n          <td>67889009 (Irrigation)</td>\n          <td>44567001 (Trachea)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LENS1 (Contact Lens)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440473005 (Contact lens submitted as specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LENS2 (Contact Lens Case)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>LESN (Lesion)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309049000 (Lesion sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>should be more specific what kind of lesion is observed - be more specific is it a wound, abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)</td>\n        </tr>\n        <tr>\n          <td>LIQ (Liquid, Unspecified)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258442002 (Fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>LIQO (Liquid, Other)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>LSAC (Fluid, Lumbar Sac)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258450006 (Cerebrospinal fluid sample)</td>\n          <td/>\n          <td>303949008 (Lumbar spinal cerebrospinal fluid pathway)</td>\n          <td/>\n          <td>The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture</td>\n        </tr>\n        <tr>\n          <td>MAHUR (Catheter Tip, Makurkour)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>MASS (Mass)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>420548004 (Specimen from mass)</td>\n          <td/>\n          <td/>\n          <td>4147007 (Mass)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>MBLD (Blood, Menstrual)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119345009 (Menstrual blood specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>MUCOS (Mucosa)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td>414781009 (Mucous membrane structure)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>MUCUS (Mucus)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258483004 (Mucus sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NASDR (Drainage, Nasal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258474009 (Sinus fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td>2095001 (Accessory sinus)</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>NEDL (Needle)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>NEPH (Site, Nephrostomy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NGASP (Aspirate, Nasogastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>302794003 (Nasogastric aspirate)</td>\n          <td>6853008 (Nasogastric tube aspiration)</td>\n          <td>69695003 (Stomach)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NGAST (Drainage, Nasogastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258459007 (Gastric fluid sample)</td>\n          <td>122462000 (Drainage)</td>\n          <td>69695003 (Stomach)</td>\n          <td>127492001 (Nasogastric route)</td>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>NGS (Site, Naso/Gastric)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>NODUL (Nodule(s))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>pending</td>\n        </tr>\n        <tr>\n          <td>NSECR (Secretion, Nasal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>168141000 (Nasal fluid sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ORH (Other)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>123038009 (Specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>ORL (Lesion, Oral)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td>74262004 (Oral cavity)</td>\n          <td/>\n          <td>be more precise use ulcer, tumor, vesicle</td>\n        </tr>\n        <tr>\n          <td>OTH (Source, Other)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>123038009 (Specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PACEM (Pacemaker)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>PCFL (Fluid, Pericardial)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122571007 (Pericardial fluid specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PDSIT (Site, Peritoneal Dialysis)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PDTS (Site, Peritoneal Dialysis Tunnel)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>submitted for code</td>\n        </tr>\n        <tr>\n          <td>PELVA (Abscess, Pelvic)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>12921003 (Pelvis)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PENIL (Lesion, Penile)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td>18911002 (Penis)</td>\n          <td/>\n          <td>need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile, Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything else?</td>\n        </tr>\n        <tr>\n          <td>PERIA (Abscess, Perianal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>397158004 (Perianal region structure)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PILOC (Cyst, Pilonidal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119368000 (Specimen from cyst)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PINS (Site, Pin)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PIS (Site, Pacemaker Insetion)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258507003 (Swab of line insertion site)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLAN (Plant Material)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119301009 (Plant specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLAS (Plasma)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119361006 (Plasma specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLB (Plasma bag)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119305000 (Plasma bag specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PLEVS (Serum, Peak Level)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119364003 (Serum specimen)</td>\n          <td/>\n          <td/>\n          <td>255587001 (Peak)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PND (Drainage, Penile)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258439008 (Discharge)</td>\n          <td>122462000 (Drainage)</td>\n          <td>13648007 (Urethra)</td>\n          <td/>\n          <td>Historical term -though in this case more often used for discharge</td>\n        </tr>\n        <tr>\n          <td>POL (Polyps)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td>41329004 (Polyp)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>POPGS (Graft Site, Popliteal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440493002 (Graft sample)</td>\n          <td/>\n          <td>6902008 (Popliteal region)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>POPLG (Graft, Popliteal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440493002 (Graft sample)</td>\n          <td/>\n          <td>6902008 (Popliteal region)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>POPLV (Site, Popliteal Vein)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>PORTA (Catheter, Porta)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119311002 (Catheter specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>PPP (Plasma, Platelet poor)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119362004 (Platelet poor plasma specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PROST (Prosthetic Device)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PRP (Plasma, Platelet rich)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119363009 (Platelet rich plasma specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PSC (Pseudocyst)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119368000 (Specimen from cyst)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUNCT (Wound, Puncture)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119365002 (Specimen from wound)</td>\n          <td/>\n          <td/>\n          <td>129300006 (Puncture - action)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUS (Pus)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119323008 (Pus specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUSFR (Pustule)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119323008 (Pus specimen)</td>\n          <td/>\n          <td/>\n          <td>47002008 (Pustule)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PUST (Pus)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119323008 (Pus specimen)</td>\n          <td/>\n          <td/>\n          <td>47002008 (Pustule)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>QC3 (Quality Control)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>RANDU (Urine, Random)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>278020009 (Spot urine sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RBITE (Bite, Reptile)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Submit for new term with parent: 119365002</td>\n        </tr>\n        <tr>\n          <td>RECT (Drainage, Rectal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119339001 (Stool specimen)</td>\n          <td>122462000 (Drainage)</td>\n          <td>34402009 (Rectum)</td>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>\n        </tr>\n        <tr>\n          <td>RECTA (Abscess, Rectal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>34402009 (Rectum)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RENALC (Cyst, Renal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258420003 (Cyst tissue)</td>\n          <td/>\n          <td>64033007 (Kidney)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RENC (Fluid, Renal Cyst)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258453008 (Cyst fluid sample)</td>\n          <td/>\n          <td>64033007 (Kidney)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>RES (Respiratory)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258603007 (Respiratory sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SAL (Saliva)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119342007 (Saliva specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SCAR (Tissue, Keloid (Scar))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SCLV (Catheter Tip, Subclavian)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td>9454009 (Subclavian vein)</td>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>SCROA (Abscess, Scrotal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>20233005 (Scrotum)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SECRE (Secretion(s))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>432825001 (Body secretion specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SER (Serum)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119364003 (Serum specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SHU (Site, Shunt)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119295008 (Specimen obtained by aspiration)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td/>\n          <td>257351008 (Shunt)</td>\n          <td>Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site</td>\n        </tr>\n        <tr>\n          <td>SHUNF (Fluid, Shunt)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>446861007 (Cerebrospinal fluid specimen obtained via ventriculoperitoneal shunt)</td>\n          <td>446860008 (Collection of cerebrospinal fluid via ventriculoperitoneal shunt)</td>\n          <td>279107003 (Central nervous system space)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SHUNT (Shunt)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SITE (Site)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SKBP (Biopsy, Skin)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309066003 (Skin biopsy sample)</td>\n          <td>240977001 (Biopsy of skin)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SKN (Skin)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119325001 (Skin specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SMM (Mass, Sub-Mandibular)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>420548004 (Specimen from mass)</td>\n          <td/>\n          <td/>\n          <td>4147007 (Mass)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>SNV (Fluid, synovial (Joint fluid))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119332005 (Synovial fluid specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPRM (Spermatozoa)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119349003 (Spermatozoa specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPRP (Catheter Tip, Suprapubic)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>SPRPB (Cathether Tip, Suprapubic)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>SPS (Environmental, Spore Strip)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SPT (Sputum)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119334006 (Sputum specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPTC (Sputum - coughed)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119335007 (Coughed sputum specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPTT (Sputum - tracheal aspirate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258609006 (Sputum specimen obtained by aspiration from trachea)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPUT1 (Sputum, Simulated)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SPUTIN (Sputum, Inducted)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258610001 (Sputum specimen obtained by sputum induction)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SPUTSP (Sputum, Spontaneous)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119335007 (Coughed sputum specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>STER (Environmental, Sterrad)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>STL (Stool = Fecal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119339001 (Stool specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>STONE (Stone, Kidney)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119350003 (Calculus specimen)</td>\n          <td/>\n          <td>64033007 (Kidney)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUBMA (Abscess, Submandibular)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>5713008 (Submandibular triangle)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUBMX (Abscess, Submaxillary)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>4335006 (Upper jaw)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUMP (Drainage, Sump)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>446562005 (Body fluid specimen obtained via sump drain)</td>\n          <td>122462000 (Drainage)</td>\n          <td/>\n          <td/>\n          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>\n        </tr>\n        <tr>\n          <td>SUP (Suprapubic Tap)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122575003 (Urine specimen)</td>\n          <td>58088002 (Urine specimen collection, suprapubic)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>SUTUR (Suture)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>SWGZ (Catheter Tip, Swan Gantz)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>TASP (Aspirate, Tracheal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122877000 (Upper respiratory fluid specimen obtained by tracheal aspiration)</td>\n          <td>129112001 (Aspiration from trachea)</td>\n          <td>44567001 (Trachea)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TISS (Tissue)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119376003 (Tissue specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TISU (Tissue ulcer)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122593002 (Tissue specimen obtained from ulcer)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TLC (Cathether Tip, Triple Lumen)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>TRAC (Site, Tracheostomy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TRANS (Transudate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258538002 (Transudate sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TSERU (Serum, Trough)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119364003 (Serum specimen)</td>\n          <td/>\n          <td/>\n          <td>255588006 (Trough)</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>TSTES (Abscess, Testicular)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119371008 (Specimen from abscess)</td>\n          <td/>\n          <td>279572002 (Testicular structure)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TTRA (Aspirate, Transtracheal)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258480001 (Transtracheal aspirate sample)</td>\n          <td>129112001 (Aspiration from trachea)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TUBES (Tubes)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119310001 (Tube specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TUMOR (Tumor)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258435002 (Tumour tissue)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>TZANC (Smear, Tzanck)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>This is the name of a lab test. A skin sample is examined for viral inclusions.</td>\n        </tr>\n        <tr>\n          <td>UDENT (Source, Unidentified)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>123038009 (Specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>UR (Urine)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122575003 (Urine specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URC (Urine clean catch)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122880004 (Urine specimen obtained by clean catch procedure)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINB (Urine, Bladder Washings)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122575003 (Urine specimen)</td>\n          <td>78533007 (Irrigation of urinary bladder)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINC (Urine, Catheterized)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>446846006 (Urine specimen obtained via indwelling urinary catheter)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINM (Urine, Midstream)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258574006 (Mid-stream urine sample)</td>\n          <td>225271002 (Collection of mid-stream specimen of urine)</td>\n          <td>431938005 (Structure of urinary tract proper)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINN (Urine, Nephrostomy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>446277003 (Urine specimen obtained from nephrostomy tube after percutaneous insertion)</td>\n          <td>225109005 (Collection of nephrostomy urine specimen)</td>\n          <td>25990002 (Renal pelvis)</td>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>URINP (Urine, Pedibag)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>URT (Urine catheter)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122565001 (Urinary catheter specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>USCOP (Urine, Cystoscopy)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td>176178006 (Diagnostic cystoscopy)</td>\n          <td>89837001 (Urinary bladder)</td>\n          <td/>\n          <td>NEW specimenTERM 7</td>\n        </tr>\n        <tr>\n          <td>USPEC (Source, Unspecified)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>123038009 (Specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>VASTIP (Catheter Tip, Vas)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>VENT (Catheter Tip, Ventricular)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119312009 (Catheter tip specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD in detail</td>\n        </tr>\n        <tr>\n          <td>VITF (Vitreous Fluid)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258438000 (Vitreous humor sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>VOM (Vomitus)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122572000 (Vomitus specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WASH (Wash)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>440674008 (Wash out specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WASI (Washing, e.g. bronchial washing)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122609004 (Specimen from lung obtained by bronchial washing procedure)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WAT (Water)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119318008 (Water specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WB (Blood, Whole)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>Bloodbanking term ONLY now map to blood and the respective preservative</td>\n        </tr>\n        <tr>\n          <td>WEN (Wen)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309075001 (Skin cyst sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WICK (Wick)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>WND (Wound)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119365002 (Specimen from wound)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WNDA (Wound abscess)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119366001 (Specimen from wound abscess)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WNDD (Wound drainage)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122566000 (Fluid specimen from wound)</td>\n          <td>122462000 (Drainage)</td>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WNDE (Wound exudate)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>122568004 (Exudate specimen from wound)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WORM (Worm)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>258618008 (Helminth sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WRT (Wart)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>309068002 (Skin lesion sample)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WWA (Environmental, Water)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#equivalent\">equivalent</a>\n          </td>\n          <td>119318008 (Water specimen)</td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n        </tr>\n        <tr>\n          <td>WWO (Environmental, Water (Ocean))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>WWT (Environmental, Water  (Tap))</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td/>\n          <td>TBD</td>\n        </tr>\n        <tr>\n          <td>CSITE (Catheter Insertion Site)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td>386144009 (Line insertion site)</td>\n          <td>14766002 (Removal by suction)</td>\n          <td>119295008 (Specimen obtained by aspiration)</td>\n          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora</td>\n        </tr>\n        <tr>\n          <td>CLIPP (Clippings)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td/>\n          <td/>\n          <td>119326000 (Hair specimen)</td>\n          <td>Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen</td>\n        </tr>\n        <tr>\n          <td>SHU (Site, Shunt)</td>\n          <td>\n            <a href=\"codesystem-concept-map-relationship.html#not-related-to\">not-related-to</a>\n          </td>\n          <td/>\n          <td>257351008 (Shunt)</td>\n          <td/>\n          <td>438660002 (Specimen from prosthetic device)</td>\n          <td>assume swab from shunt site for mapping here - clean surface of skin prior to expressing the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify body approximate match location of shunt site</td>\n        </tr>\n      </table>\n    </div>"
  ];
  fhir:ConceptMap.url [ fhir:value "http://hl7.org/fhir/ConceptMap/102"];
  fhir:ConceptMap.version [ fhir:value "4.2.0"];
  fhir:ConceptMap.name [ fhir:value "Specimen mapping from v2 table 0487 to SNOMED CT"];
  fhir:ConceptMap.status [ fhir:value "draft"];
  fhir:ConceptMap.experimental [ fhir:value "false"^^xsd:boolean];
  fhir:ConceptMap.date [ fhir:value "2013-07-25"^^xsd:date];
  fhir:ConceptMap.publisher [ fhir:value "FHIR project team (original source: LabMCoP)"];
  fhir:ConceptMap.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://hl7.org/fhir" ]
     ]
  ], [
     fhir:index 1;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786" ]
     ]
  ];
  fhir:ConceptMap.sourceCanonical [
     fhir:value "http://terminology.hl7.org/ValueSet/v2-0487";
     fhir:link <http://terminology.hl7.org/ValueSet/v2-0487>
  ];
  fhir:ConceptMap.targetCanonical [
     fhir:value "http://snomed.info/sct?fhir_vs";
     fhir:link <http://snomed.info/sct?fhir_vs>
  ];
  fhir:ConceptMap.group [
     fhir:index 0;
     fhir:ConceptMap.group.source [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0487" ];
     fhir:ConceptMap.group.target [ fhir:value "http://snomed.info/sct" ];
     fhir:ConceptMap.group.element [
       fhir:index 0;
       fhir:ConceptMap.group.element.code [ fhir:value "ACNE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309068002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 1;
       fhir:ConceptMap.group.element.code [ fhir:value "ACNFLD" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119323008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "HL7 term is a historical term. mapped to Pus" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "47002008" ]
         ]
       ]
     ], [
       fhir:index 2;
       fhir:ConceptMap.group.element.code [ fhir:value "AIRS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "446302006" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 3;
       fhir:ConceptMap.group.element.code [ fhir:value "ALL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119376003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "7970006" ]
         ]
       ]
     ], [
       fhir:index 4;
       fhir:ConceptMap.group.element.code [ fhir:value "AMP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "408654003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "81723002" ]
         ]
       ]
     ], [
       fhir:index 5;
       fhir:ConceptMap.group.element.code [ fhir:value "ANGI" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
       ]
     ], [
       fhir:index 6;
       fhir:ConceptMap.group.element.code [ fhir:value "ARTC" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
       ]
     ], [
       fhir:index 7;
       fhir:ConceptMap.group.element.code [ fhir:value "ASERU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "pending" ]
       ]
     ], [
       fhir:index 8;
       fhir:ConceptMap.group.element.code [ fhir:value "ASP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119295008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "14766002" ]
         ]
       ]
     ], [
       fhir:index 9;
       fhir:ConceptMap.group.element.code [ fhir:value "ATTE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 10;
       fhir:ConceptMap.group.element.code [ fhir:value "AUTOC" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 11;
       fhir:ConceptMap.group.element.code [ fhir:value "AUTP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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)" ]
       ]
     ], [
       fhir:index 12;
       fhir:ConceptMap.group.element.code [ fhir:value "BBL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119304001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 13;
       fhir:ConceptMap.group.element.code [ fhir:value "BCYST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "32361000" ]
         ]
       ]
     ], [
       fhir:index 14;
       fhir:ConceptMap.group.element.code [ fhir:value "BITE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Submit for new term with parent 119365002" ]
       ]
     ], [
       fhir:index 15;
       fhir:ConceptMap.group.element.code [ fhir:value "BLEB" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309049000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "339008" ]
         ]
       ]
     ], [
       fhir:index 16;
       fhir:ConceptMap.group.element.code [ fhir:value "BLIST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309049000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "339008" ]
         ]
       ]
     ], [
       fhir:index 17;
       fhir:ConceptMap.group.element.code [ fhir:value "BOIL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119295008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "59843005" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "14766002" ]
         ]
       ]
     ], [
       fhir:index 18;
       fhir:ConceptMap.group.element.code [ fhir:value "BON" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "430268003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 19;
       fhir:ConceptMap.group.element.code [ fhir:value "BOWL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents" ]
       ]
     ], [
       fhir:index 20;
       fhir:ConceptMap.group.element.code [ fhir:value "BPU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119300005" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 21;
       fhir:ConceptMap.group.element.code [ fhir:value "BRN" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119367005" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 22;
       fhir:ConceptMap.group.element.code [ fhir:value "BRSH" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258415003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "439336003" ]
         ]
       ]
     ], [
       fhir:index 23;
       fhir:ConceptMap.group.element.code [ fhir:value "BRTH" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119336008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 24;
       fhir:ConceptMap.group.element.code [ fhir:value "BRUS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309176002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "80657008" ]
         ]
       ]
     ], [
       fhir:index 25;
       fhir:ConceptMap.group.element.code [ fhir:value "BUB" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "302795002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "11585000" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "14766002" ]
         ]
       ]
     ], [
       fhir:index 26;
       fhir:ConceptMap.group.element.code [ fhir:value "BULLA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258482009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "339008" ]
         ]
       ]
     ], [
       fhir:index 27;
       fhir:ConceptMap.group.element.code [ fhir:value "BX" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258415003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "86273004" ]
         ]
       ]
     ], [
       fhir:index 28;
       fhir:ConceptMap.group.element.code [ fhir:value "CALC" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119350003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 29;
       fhir:ConceptMap.group.element.code [ fhir:value "CARBU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309051001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "41570003" ]
         ]
       ]
     ], [
       fhir:index 30;
       fhir:ConceptMap.group.element.code [ fhir:value "CAT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119311002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 31;
       fhir:ConceptMap.group.element.code [ fhir:value "CBITE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Submit for new term with parent 119365002" ]
       ]
     ], [
       fhir:index 32;
       fhir:ConceptMap.group.element.code [ fhir:value "CLIPP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119327009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Be more specific use either: 119326000^hair specimen or 119327009^nail specimen" ]
       ]
     ], [
       fhir:index 33;
       fhir:ConceptMap.group.element.code [ fhir:value "CNJT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119401005" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 34;
       fhir:ConceptMap.group.element.code [ fhir:value "CNJT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "128160006" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 35;
       fhir:ConceptMap.group.element.code [ fhir:value "CNJT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258498002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 36;
       fhir:ConceptMap.group.element.code [ fhir:value "COL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119329007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 37;
       fhir:ConceptMap.group.element.code [ fhir:value "CONE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "399713008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "54535009" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "71252005" ]
         ]
       ]
     ], [
       fhir:index 38;
       fhir:ConceptMap.group.element.code [ fhir:value "CSCR" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "submit for new term with parent 119365002^Specimen from wound (specimen)" ]
       ]
     ], [
       fhir:index 39;
       fhir:ConceptMap.group.element.code [ fhir:value "CSERU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "pending" ]
       ]
     ], [
       fhir:index 40;
       fhir:ConceptMap.group.element.code [ fhir:value "CSITE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258507003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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       " ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "386144009" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "285570007" ]
         ]
       ]
     ], [
       fhir:index 41;
       fhir:ConceptMap.group.element.code [ fhir:value "CSMY" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309051001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 42;
       fhir:ConceptMap.group.element.code [ fhir:value "CST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258453008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 43;
       fhir:ConceptMap.group.element.code [ fhir:value "CSVR" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD - may use blood and SPM-6" ]
       ]
     ], [
       fhir:index 44;
       fhir:ConceptMap.group.element.code [ fhir:value "CTP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
       ]
     ], [
       fhir:index 45;
       fhir:ConceptMap.group.element.code [ fhir:value "CVPS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258507003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 46;
       fhir:ConceptMap.group.element.code [ fhir:value "CVPT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "445085009" ]
         ]
       ]
     ], [
       fhir:index 47;
       fhir:ConceptMap.group.element.code [ fhir:value "CYN" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119368000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "27925004" ]
         ]
       ]
     ], [
       fhir:index 48;
       fhir:ConceptMap.group.element.code [ fhir:value "CYST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119368000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 49;
       fhir:ConceptMap.group.element.code [ fhir:value "DBITE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Submit for new term with parent 119365002" ]
       ]
     ], [
       fhir:index 50;
       fhir:ConceptMap.group.element.code [ fhir:value "DCS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119335007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 51;
       fhir:ConceptMap.group.element.code [ fhir:value "DEC" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258505006" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 52;
       fhir:ConceptMap.group.element.code [ fhir:value "DEION" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 53;
       fhir:ConceptMap.group.element.code [ fhir:value "DIA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119360007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 54;
       fhir:ConceptMap.group.element.code [ fhir:value "DISCHG" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258439008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 55;
       fhir:ConceptMap.group.element.code [ fhir:value "DIV" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119376003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "31113003" ]
         ]
       ]
     ], [
       fhir:index 56;
       fhir:ConceptMap.group.element.code [ fhir:value "DRN" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119306004" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 57;
       fhir:ConceptMap.group.element.code [ fhir:value "DRNG" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258455001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
         ]
       ]
     ], [
       fhir:index 58;
       fhir:ConceptMap.group.element.code [ fhir:value "DRNGP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309051001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Historical term - consider what is being drained and indicate that in SPM-4 instead" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
         ]
       ]
     ], [
       fhir:index 59;
       fhir:ConceptMap.group.element.code [ fhir:value "EARW" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "122580007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 60;
       fhir:ConceptMap.group.element.code [ fhir:value "EBRUSH" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "36213007" ]
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
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       fhir:ConceptMap.group.element.code [ fhir:value "EEYE" ];
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         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "EFF" ];
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         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "EFFUS" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "EFOD" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "EISO" ];
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         fhir:ConceptMap.group.element.target.code [ fhir:value "258536003" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "ELT" ];
       fhir:ConceptMap.group.element.target [
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         fhir:ConceptMap.group.element.target.code [ fhir:value "119314005" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "ENVIR" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "EOTH" ];
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         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
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       fhir:ConceptMap.group.element.code [ fhir:value "ESOI" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "ESOS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "ETA" ];
       fhir:ConceptMap.group.element.target [
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         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.system [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "321667001" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "ETTP" ];
       fhir:ConceptMap.group.element.target [
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         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "ETTUB" ];
       fhir:ConceptMap.group.element.target [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "321667001" ]
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       fhir:index 74;
       fhir:ConceptMap.group.element.code [ fhir:value "EWHI" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 75;
       fhir:ConceptMap.group.element.code [ fhir:value "EXG" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119336008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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       fhir:index 76;
       fhir:ConceptMap.group.element.code [ fhir:value "EXS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 77;
       fhir:ConceptMap.group.element.code [ fhir:value "EXUDTE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258441009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "FAW" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 79;
       fhir:ConceptMap.group.element.code [ fhir:value "FBLOOD" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119297000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "303112003" ]
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       fhir:index 80;
       fhir:ConceptMap.group.element.code [ fhir:value "FGA" ];
       fhir:ConceptMap.group.element.target [
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         fhir:ConceptMap.group.element.target.code [ fhir:value "168139001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "83670000" ]
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       fhir:index 81;
       fhir:ConceptMap.group.element.code [ fhir:value "FIST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119370009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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     ], [
       fhir:index 82;
       fhir:ConceptMap.group.element.code [ fhir:value "FLD" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309051001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 83;
       fhir:ConceptMap.group.element.code [ fhir:value "FLT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 84;
       fhir:ConceptMap.group.element.code [ fhir:value "FLU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309051001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 85;
       fhir:ConceptMap.group.element.code [ fhir:value "FLUID" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258442002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 86;
       fhir:ConceptMap.group.element.code [ fhir:value "FOLEY" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
       ]
     ], [
       fhir:index 87;
       fhir:ConceptMap.group.element.code [ fhir:value "FRS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258442002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "this term is not specific enough, choose from terms that more accurately describe the specimen" ];
         fhir:ConceptMap.group.element.target.product [
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "272626006" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "FSCLP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309502007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "41695006" ]
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       fhir:index 89;
       fhir:ConceptMap.group.element.code [ fhir:value "FUR" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119295008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Further describe the sample as tissue or pus. or by the collection method. The term boil is not specific to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "59843005" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "GAS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119317003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
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       fhir:ConceptMap.group.element.code [ fhir:value "GASA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "168137004" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
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           fhir:ConceptMap.group.element.target.dependsOn.system [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "69695003" ]
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       fhir:index 92;
       fhir:ConceptMap.group.element.code [ fhir:value "GASAN" ];
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         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119379005" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
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             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "66051006" ]
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       fhir:ConceptMap.group.element.code [ fhir:value "GASBR" ];
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         fhir:ConceptMap.group.element.target.code [ fhir:value "309213006" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
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           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "235157009" ]
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           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "69695003" ]
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       fhir:index 94;
       fhir:ConceptMap.group.element.code [ fhir:value "GASD" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258459007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Historical term - consider what is being drained and indicate that in SPM-4 instead" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
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           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
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           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
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             fhir:link <http://snomed.info/sct>
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       fhir:index 95;
       fhir:ConceptMap.group.element.code [ fhir:value "GAST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258459007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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       fhir:index 96;
       fhir:ConceptMap.group.element.code [ fhir:value "GENV" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119394009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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       fhir:index 97;
       fhir:ConceptMap.group.element.code [ fhir:value "GRAFT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "440493002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
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       fhir:index 98;
       fhir:ConceptMap.group.element.code [ fhir:value "GRANU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119376003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
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           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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       fhir:index 99;
       fhir:ConceptMap.group.element.code [ fhir:value "GROSH" ];
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         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119311002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
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         fhir:ConceptMap.group.element.target.code [ fhir:value "440473005" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 138;
       fhir:ConceptMap.group.element.code [ fhir:value "LENS2" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 139;
       fhir:ConceptMap.group.element.code [ fhir:value "LESN" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309049000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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)" ]
       ]
     ], [
       fhir:index 140;
       fhir:ConceptMap.group.element.code [ fhir:value "LIQ" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258442002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 141;
       fhir:ConceptMap.group.element.code [ fhir:value "LIQO" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 142;
       fhir:ConceptMap.group.element.code [ fhir:value "LSAC" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258450006" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "303949008" ]
         ]
       ]
     ], [
       fhir:index 143;
       fhir:ConceptMap.group.element.code [ fhir:value "MAHUR" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119312009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD in detail" ]
       ]
     ], [
       fhir:index 144;
       fhir:ConceptMap.group.element.code [ fhir:value "MASS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "420548004" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "4147007" ]
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       ]
     ], [
       fhir:index 145;
       fhir:ConceptMap.group.element.code [ fhir:value "MBLD" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119345009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 146;
       fhir:ConceptMap.group.element.code [ fhir:value "MUCOS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119376003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "414781009" ]
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       ]
     ], [
       fhir:index 147;
       fhir:ConceptMap.group.element.code [ fhir:value "MUCUS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258483004" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 148;
       fhir:ConceptMap.group.element.code [ fhir:value "NASDR" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258474009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Historical term - consider what is being drained and indicate that in SPM-4 instead" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "2095001" ]
         ]
       ]
     ], [
       fhir:index 149;
       fhir:ConceptMap.group.element.code [ fhir:value "NEDL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 150;
       fhir:ConceptMap.group.element.code [ fhir:value "NEPH" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "438660002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 151;
       fhir:ConceptMap.group.element.code [ fhir:value "NGASP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "302794003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "6853008" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "69695003" ]
         ]
       ]
     ], [
       fhir:index 152;
       fhir:ConceptMap.group.element.code [ fhir:value "NGAST" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258459007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Historical term - consider what is being drained and indicate that in SPM-4 instead" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "127492001" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
         ], [
           fhir:index 2;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "69695003" ]
         ]
       ]
     ], [
       fhir:index 153;
       fhir:ConceptMap.group.element.code [ fhir:value "NGS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "438660002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 154;
       fhir:ConceptMap.group.element.code [ fhir:value "NODUL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "pending" ]
       ]
     ], [
       fhir:index 155;
       fhir:ConceptMap.group.element.code [ fhir:value "NSECR" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "168141000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 156;
       fhir:ConceptMap.group.element.code [ fhir:value "ORH" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "123038009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 157;
       fhir:ConceptMap.group.element.code [ fhir:value "ORL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "be more precise use ulcer, tumor, vesicle" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "74262004" ]
         ]
       ]
     ], [
       fhir:index 158;
       fhir:ConceptMap.group.element.code [ fhir:value "OTH" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "123038009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 159;
       fhir:ConceptMap.group.element.code [ fhir:value "PACEM" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 160;
       fhir:ConceptMap.group.element.code [ fhir:value "PCFL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "122571007" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 161;
       fhir:ConceptMap.group.element.code [ fhir:value "PDSIT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "438660002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 162;
       fhir:ConceptMap.group.element.code [ fhir:value "PDTS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "submitted for code" ]
       ]
     ], [
       fhir:index 163;
       fhir:ConceptMap.group.element.code [ fhir:value "PELVA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119371008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "12921003" ]
         ]
       ]
     ], [
       fhir:index 164;
       fhir:ConceptMap.group.element.code [ fhir:value "PENIL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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?" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "18911002" ]
         ]
       ]
     ], [
       fhir:index 165;
       fhir:ConceptMap.group.element.code [ fhir:value "PERIA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119371008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "397158004" ]
         ]
       ]
     ], [
       fhir:index 166;
       fhir:ConceptMap.group.element.code [ fhir:value "PILOC" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119368000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 167;
       fhir:ConceptMap.group.element.code [ fhir:value "PINS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "438660002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 168;
       fhir:ConceptMap.group.element.code [ fhir:value "PIS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258507003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 169;
       fhir:ConceptMap.group.element.code [ fhir:value "PLAN" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119301009" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 170;
       fhir:ConceptMap.group.element.code [ fhir:value "PLAS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119361006" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 171;
       fhir:ConceptMap.group.element.code [ fhir:value "PLB" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119305000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 172;
       fhir:ConceptMap.group.element.code [ fhir:value "PLEVS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119364003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "255587001" ]
         ]
       ]
     ], [
       fhir:index 173;
       fhir:ConceptMap.group.element.code [ fhir:value "PND" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258439008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Historical term -though in this case more often used for discharge" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "13648007" ]
         ]
       ]
     ], [
       fhir:index 174;
       fhir:ConceptMap.group.element.code [ fhir:value "POL" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119376003" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "41329004" ]
         ]
       ]
     ], [
       fhir:index 175;
       fhir:ConceptMap.group.element.code [ fhir:value "POPGS" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "440493002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
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           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "6902008" ]
         ]
       ]
     ], [
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       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 261;
       fhir:ConceptMap.group.element.code [ fhir:value "WND" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119365002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 262;
       fhir:ConceptMap.group.element.code [ fhir:value "WNDA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119366001" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 263;
       fhir:ConceptMap.group.element.code [ fhir:value "WNDD" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "122566000" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "122462000" ]
         ]
       ]
     ], [
       fhir:index 264;
       fhir:ConceptMap.group.element.code [ fhir:value "WNDE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "122568004" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 265;
       fhir:ConceptMap.group.element.code [ fhir:value "WORM" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "258618008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 266;
       fhir:ConceptMap.group.element.code [ fhir:value "WRT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "309068002" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 267;
       fhir:ConceptMap.group.element.code [ fhir:value "WWA" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.code [ fhir:value "119318008" ];
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index 268;
       fhir:ConceptMap.group.element.code [ fhir:value "WWO" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 269;
       fhir:ConceptMap.group.element.code [ fhir:value "WWT" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "TBD" ]
       ]
     ], [
       fhir:index 270;
       fhir:ConceptMap.group.element.code [ fhir:value "CSITE" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "119295008" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "386144009" ]
         ], [
           fhir:index 2;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/3006873018" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "14766002" ]
         ]
       ]
     ], [
       fhir:index 271;
       fhir:ConceptMap.group.element.code [ fhir:value "CLIPP" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir:value "Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "119326000" ]
         ]
       ]
     ], [
       fhir:index 272;
       fhir:ConceptMap.group.element.code [ fhir:value "SHU" ];
       fhir:ConceptMap.group.element.target [
         fhir:index 0;
         fhir:ConceptMap.group.element.target.relationship [ fhir:value "not-related-to" ];
         fhir:ConceptMap.group.element.target.comment [ fhir: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" ];
         fhir:ConceptMap.group.element.target.product [
           fhir:index 0;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "TypeModifier" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "438660002" ]
         ], [
           fhir:index 1;
           fhir:ConceptMap.group.element.target.dependsOn.property [ fhir:value "http://snomed.info/id/246380002" ];
           fhir:ConceptMap.group.element.target.dependsOn.system [
             fhir:value "http://snomed.info/sct";
             fhir:link <http://snomed.info/sct>
           ];
           fhir:ConceptMap.group.element.target.dependsOn.value [ fhir:value "257351008" ]
         ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ConceptMap/102.ttl> a owl:Ontology;
  owl:imports fhir:fhir.ttl;
  owl:versionIRI <http://build.fhir.org/ConceptMap/102.ttl> .

# -------------------------------------------------------------------------------------


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.