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{
  "resourceType": "ConceptMap",
  "id": "conceptmap-orthopedic-srf-codes-to-snomed",
  "url": "http://ontariohealth.ca/fhir/srf/ConceptMap/orthopedic-srf-codes-to-snomed",
  "name": "OrthopedicSRFtoSNOMED",
  "title": "Orthopedic SRF to SNOMED",
  "description": "Map from Orthopedic SRF codes to SNOMED CT.",
  "version": "1.0.0",
  "status": "draft",
  "date": "2026-10-08",
  "publisher": "Ontario Health",
  "contact": [
    {
      "name": "Ontario Health - Digital Health Standards",
      "telecom": [
        {
          "system": "url",
          "value": "https://ehealthontario.on.ca/en/it-professionals/standards"
        },
        {
          "system": "email",
          "value": "DigitalHealthStandards@ontariohealth.ca"
        }
      ]
    }
  ],
  "sourceUri": "http://ontariohealth.ca/fhir/srf/ValueSet/orthopedic-standardized-referral-form",
  "targetUri": "http://snomed.info/sct?fhir_vs",
  "group": [
    {
      "source": "http://ontariohealth.ca/fhir/srf/CodeSystem/standardized-referral-form-codes",
      "target": "http://snomed.info/sct",
      "element": [
        {
          "code": "21401",
          "display": "Multiple Areas",
          "target": [
            {
              "equivalence": "unmatched"
            }
          ]
        },
        {
          "code": "20341",
          "display": "Shoulder",
          "target": [
            {
              "code": "16982005",
              "display": "Shoulder region structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20342",
          "display": "Arm",
          "target": [
            {
              "code": "40983000",
              "display": "Upper arm structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20343",
          "display": "Elbow",
          "target": [
            {
              "code": "127949000",
              "display": "Elbow region structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20344",
          "display": "Forearm",
          "target": [
            {
              "code": "14975008",
              "display": "Forearm structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20345",
          "display": "Wrist",
          "target": [
            {
              "code": "8205005",
              "display": "Wrist region structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20346",
          "display": "Hand",
          "target": [
            {
              "code": "85562004",
              "display": "Hand structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20347",
          "display": "Spine",
          "target": [
            {
              "code": "421060004",
              "display": "Structure of vertebral column",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20348",
          "display": "Pelvis",
          "target": [
            {
              "code": "12921003",
              "display": "Pelvic region",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20349",
          "display": "Hip",
          "target": [
            {
              "code": "29836001",
              "display": "Hip region structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20350",
          "display": "Thigh",
          "target": [
            {
              "code": "68367000",
              "display": "Thigh structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20351",
          "display": "Knee",
          "target": [
            {
              "code": "72696002",
              "display": "Knee region structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20352",
          "display": "Leg",
          "target": [
            {
              "code": "30021000",
              "display": "Lower leg structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20353",
          "display": "Ankle / Hindfoot",
          "target": [
            {
              "code": "419605007",
              "display": "Structure of ankle and/or foot",
              "equivalence": "wider"
            },
            {
              "code": "344001",
              "display": "Ankle region structure",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            },
            {
              "code": "116668006",
              "display": "Hindfoot",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            }
          ]
        },
        {
          "code": "20354",
          "display": "Midfoot / Forefoot",
          "target": [
            {
              "code": "362887000",
              "display": "Region of foot",
              "equivalence": "wider"
            },
            {
              "code": "711637003",
              "display": "Midfoot region of foot",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            },
            {
              "code": "396956009",
              "display": "Forefoot region of foot",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            }
          ]
        },
        {
          "code": "20355",
          "display": "Fracture",
          "target": [
            {
              "code": "125605004",
              "display": "Fracture of bone",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20356",
          "display": "Joint Instability / Subluxation",
          "target": [
            {
              "code": "67374007",
              "display": "Instability of joint",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            },
            {
              "code": "263031003",
              "display": "Subluxation of joint",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            }
          ]
        },
        {
          "code": "20357",
          "display": "Osteoarthritis",
          "target": [
            {
              "code": "396275006",
              "display": "Osteoarthritis",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20358",
          "display": "Pain NYD",
          "target": [
            {
              "code": "22253000",
              "display": "Pain",
              "equivalence": "wider",
              "comment": "Target does not imply not yet diagnosed"
            }
          ]
        },
        {
          "code": "20359",
          "display": "Rotator Cuff / Impingement",
          "target": [
            {
              "code": "359532006",
              "display": "Rotator cuff impingement syndrome",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20360",
          "display": "Post-traumatic arthritis",
          "target": [
            {
              "code": "1344898003",
              "display": "Traumatic arthritis",
              "equivalence": "wider",
              "comment": "Target does not imply post-traumatic, only traumatic"
            }
          ]
        },
        {
          "code": "20177",
          "display": "Carpal Tunnel Syndrome",
          "target": [
            {
              "code": "57406009",
              "display": "Carpal tunnel syndrome",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20362",
          "display": "De Quervain's Tenosynovitis",
          "target": [
            {
              "code": "1255982007",
              "display": "Synovitis and tenosynovitis of joint of wrist",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20363",
          "display": "Ganglion Cyst",
          "target": [
            {
              "code": "445008009",
              "display": "Ganglion cyst",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20364",
          "display": "Dupuytren's Contracture",
          "target": [
            {
              "code": "203045001",
              "display": "Dupuytren's disease of palm",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20365",
          "display": "Finger Deformity",
          "target": [
            {
              "code": "203556007",
              "display": "Deviation of finger",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            },
            {
              "code": "313133004",
              "display": "Finding of finger",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "20366",
          "display": "Flexor Tendon Injury",
          "target": [
            {
              "code": "439052006",
              "display": "Injury of flexor tendon of hand",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20367",
          "display": "Trigger Finger",
          "target": [
            {
              "code": "239987006",
              "display": "Triggering of digit",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20368",
          "display": "Cervical Spine",
          "target": [
            {
              "code": "122494005",
              "display": "Structure of cervical vertebral column",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20369",
          "display": "Thoracic Spine",
          "target": [
            {
              "code": "122495006",
              "display": "Thoracic spine structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20370",
          "display": "Lumbar Spine",
          "target": [
            {
              "code": "122496007",
              "display": "Lumbar spine structure",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20371",
          "display": "Deformity / Scoliosis / Kyphosis",
          "target": [
            {
              "code": "298380006",
              "display": "Deformity of spine",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            },
            {
              "code": "298382003",
              "display": "Scoliosis deformity of spine",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            },
            {
              "code": "414564002",
              "display": "Kyphosis deformity of spine",
              "equivalence": "narrower",
              "comment": "Target is more specific in meaning"
            }
          ]
        },
        {
          "code": "20372",
          "display": "Myelopathy",
          "target": [
            {
              "code": "48522003",
              "display": "Spinal cord disease",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20373",
          "display": "Neurogenic Claudication",
          "target": [
            {
              "code": "303081002",
              "display": "Neurogenic claudication",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20374",
          "display": "Spondylolisthesis",
          "target": [
            {
              "code": "274152003",
              "display": "Spondylolisthesis",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20375",
          "display": "Stenosis",
          "target": [
            {
              "code": "76107001",
              "display": "Spinal stenosis",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20205",
          "display": "Inflammatory Arthritis",
          "target": [
            {
              "code": "3723001",
              "display": "Arthritis",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20377",
          "display": "ACL Tear",
          "target": [
            {
              "code": "239725005",
              "display": "Rupture of anterior cruciate ligament",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "20378",
          "display": "Cartilage Injury",
          "target": [
            {
              "code": "363182001",
              "display": "Injury of cartilage",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20376",
          "display": "Knee Malalignment",
          "target": [
            {
              "code": "299328006",
              "display": "Deformity of knee joint",
              "equivalence": "wider"
            }
          ]
        },
        {
          "code": "20379",
          "display": "Loose Bodies",
          "target": [
            {
              "code": "81512004",
              "display": "Loose body in knee",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20380",
          "display": "Meniscal Tear",
          "target": [
            {
              "code": "239720000",
              "display": "Tear of meniscus of knee",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20381",
          "display": "Multi-Ligament Injury",
          "target": [
            {
              "code": "438479005",
              "display": "Injury of ligament of knee",
              "equivalence": "wider",
              "comment": "Target does not imply \"multi\""
            }
          ]
        },
        {
          "code": "20382",
          "display": "Achilles Tendinopathy",
          "target": [
            {
              "code": "702605005",
              "display": "Disorder of Achilles tendon",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20384",
          "display": "Bunion",
          "target": [
            {
              "code": "415692008",
              "display": "Bunion",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20385",
          "display": "Charcot Foot",
          "target": [
            {
              "code": "309255002",
              "display": "Charcot's joint of foot",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20386",
          "display": "Flatfoot / Pes Planus",
          "target": [
            {
              "code": "53226007",
              "display": "Talipes planus",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20387",
          "display": "Metatarsalgia",
          "target": [
            {
              "code": "10085004",
              "display": "Metatarsalgia",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20388",
          "display": "Plantar Fasciitis",
          "target": [
            {
              "code": "202882003",
              "display": "Plantar fasciitis",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "20389",
          "display": "Toe Deformity",
          "target": [
            {
              "code": "299567001",
              "display": "Deformity of toe",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    }
  ]
}

name : OrthopedicSRFtoSNOMED

{

}