FHIR Genomics Implementation Guide

Notice

Important: This guidance is under active development by NHS England and content may be added or updated on a regular basis.
This Implementation Guide is currently in Draft and SHOULD NOT be used for development or active implementation without express direction from the NHS England Genomics Unit.

ConceptMap Genomic Specimen Primary Sample

Usage
ConceptMap used for the translation and recording of concepts for the categories of primary sample types.This is intended for the element Specimen.type

HTML View

to http://snomed.info/sct?fhir_vs=ecl/%3C%3C%20123038009%20

Source

Equivalence

Destination

Comment

amniotic-fluid (Amniotic Fluid)

equivalent

119373006 (Amniotic fluid specimen (specimen))

blood (Blood)

equivalent

119297000 (Blood specimen)

bone-marrow-trephine (Bone Marrow Trephine)

equivalent

258585008 (Bone marrow trephine specimen)

bone-marrrow-aspirate (Bone Marrrow Aspirate)

equivalent

396997002 (Specimen from bone marrow obtained by aspiration)

buccals-smear (Buccals Smear)

equivalent

258564008 (Buccal smear specimen)

cerebrospinal-fluid (Cerebrospinal Fluid)

equivalent

258450006 (Cerebrospinal fluid specimen (specimen))

cord-blood (Cord Blood)

equivalent

122556008 (Cord blood specimen (specimen))

chorionic-villus-sampling (Chorionic Villus Sampling)

equivalent

258565009 (Chorionic villi specimen)

fetal-blood (Fetal Blood)

equivalent

737357006 (Fetal blood specimen)

fibroblasts (Fibroblasts)

equivalent

119333000 (Fibroblast specimen)

heart (Heart)

equivalent

127462005 (Specimen from heart (specimen))

kidney (Kidney)

equivalent

127473003 (Specimen from kidney (specimen))

liver (Liver)

equivalent

119383005 (Specimen from liver (specimen))

lymph-node (Lymph Node)

equivalent

258589002 (Lymph node specimen)

other (Other)

wider

123038009 (Specimen (specimen))

Any other suitable descendant of 123038009|Specimen (specimen) not listed on this code. This should be provided by free text if no suitable SNOMED CT is found.

pericardial (Pericardial)

equivalent

122571007 (Pericardial fluid specimen (specimen))

peritoneal (Peritoneal)

equivalent

430250001 (Specimen from peritoneum (specimen))

pleural-fluid (Pleural Fluid)

equivalent

418564007 (Pleural fluid specimen (specimen))

products of conception (Products Of Conception)

equivalent

258428005 (Products of conception tissue specimen)

saliva (Saliva)

equivalent

119342007 (Saliva specimen (specimen))

skeletal muscle (Skeletal Muscle)

equivalent

119331003 (Skeletal muscle specimen (specimen))

skin (Skin)

equivalent

608969007 (Specimen from skin (specimen))

spleen (Spleen)

equivalent

433308004 (Specimen from spleen (specimen))

tumour (Tumour)

equivalent

258435002 (Tumor tissue specimen (specimen))

urine (Urine)

equivalent

122575003 (Urine specimen (specimen))

Table View

ConceptMap.id[0]	genomics-primarysample
ConceptMap.url[0]	https://fhir.nhs.uk/ConceptMap/genomics-primarysample
ConceptMap.version[0]	0.0.1
ConceptMap.name[0]	GenomicsPrimarySample
ConceptMap.title[0]	Genomics Primary Sample
ConceptMap.status[0]	draft
ConceptMap.date[0]	2024-08-15T00:00:00.000Z
ConceptMap.publisher[0]	NHS England
ConceptMap.contact[0].name[0]	NHS England
ConceptMap.contact[0].telecom[0].system[0]	email
ConceptMap.contact[0].telecom[0].value[0]	interoperabilityteam@nhs.net
ConceptMap.description[0]	A ConceptMap used for the translation and recording of concepts from MDS source data(code-options) to equivalent Snomed CT codes, and FHIR spec.
ConceptMap.purpose[0]	ConceptMap used for the translation and recording of concepts for the categories of primary sample types.This is intended for the element Specimen.type
ConceptMap.copyright[0]	Copyright © 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \"License\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \"AS IS\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html.
ConceptMap.target[0]	http://snomed.info/sct?fhir_vs=ecl/%3C%3C%20123038009%20
ConceptMap.group[0].source[0]	https://future.nhs.uk/NHSgenomics/view?objectId=222250117
ConceptMap.group[0].target[0]	http://snomed.info/sct
ConceptMap.group[0].element[0].code[0]	amniotic-fluid
ConceptMap.group[0].element[0].display[0]	Amniotic Fluid
ConceptMap.group[0].element[0].target[0].code[0]	119373006
ConceptMap.group[0].element[0].target[0].display[0]	Amniotic fluid specimen (specimen)
ConceptMap.group[0].element[0].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[1].code[0]	blood
ConceptMap.group[0].element[1].display[0]	Blood
ConceptMap.group[0].element[1].target[0].code[0]	119297000
ConceptMap.group[0].element[1].target[0].display[0]	Blood specimen
ConceptMap.group[0].element[1].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[2].code[0]	bone-marrow-trephine
ConceptMap.group[0].element[2].display[0]	Bone Marrow Trephine
ConceptMap.group[0].element[2].target[0].code[0]	258585008
ConceptMap.group[0].element[2].target[0].display[0]	Bone marrow trephine specimen
ConceptMap.group[0].element[2].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[3].code[0]	bone-marrrow-aspirate
ConceptMap.group[0].element[3].display[0]	Bone Marrrow Aspirate
ConceptMap.group[0].element[3].target[0].code[0]	396997002
ConceptMap.group[0].element[3].target[0].display[0]	Specimen from bone marrow obtained by aspiration
ConceptMap.group[0].element[3].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[4].code[0]	buccals-smear
ConceptMap.group[0].element[4].display[0]	Buccals Smear
ConceptMap.group[0].element[4].target[0].code[0]	258564008
ConceptMap.group[0].element[4].target[0].display[0]	Buccal smear specimen
ConceptMap.group[0].element[4].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[5].code[0]	cerebrospinal-fluid
ConceptMap.group[0].element[5].display[0]	Cerebrospinal Fluid
ConceptMap.group[0].element[5].target[0].code[0]	258450006
ConceptMap.group[0].element[5].target[0].display[0]	Cerebrospinal fluid specimen (specimen)
ConceptMap.group[0].element[5].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[6].code[0]	cord-blood
ConceptMap.group[0].element[6].display[0]	Cord Blood
ConceptMap.group[0].element[6].target[0].code[0]	122556008
ConceptMap.group[0].element[6].target[0].display[0]	Cord blood specimen (specimen)
ConceptMap.group[0].element[6].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[7].code[0]	chorionic-villus-sampling
ConceptMap.group[0].element[7].display[0]	Chorionic Villus Sampling
ConceptMap.group[0].element[7].target[0].code[0]	258565009
ConceptMap.group[0].element[7].target[0].display[0]	Chorionic villi specimen
ConceptMap.group[0].element[7].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[8].code[0]	fetal-blood
ConceptMap.group[0].element[8].display[0]	Fetal Blood
ConceptMap.group[0].element[8].target[0].code[0]	737357006
ConceptMap.group[0].element[8].target[0].display[0]	Fetal blood specimen
ConceptMap.group[0].element[8].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[9].code[0]	fibroblasts
ConceptMap.group[0].element[9].display[0]	Fibroblasts
ConceptMap.group[0].element[9].target[0].code[0]	119333000
ConceptMap.group[0].element[9].target[0].display[0]	Fibroblast specimen
ConceptMap.group[0].element[9].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[10].code[0]	heart
ConceptMap.group[0].element[10].display[0]	Heart
ConceptMap.group[0].element[10].target[0].code[0]	127462005
ConceptMap.group[0].element[10].target[0].display[0]	Specimen from heart (specimen)
ConceptMap.group[0].element[10].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[11].code[0]	kidney
ConceptMap.group[0].element[11].display[0]	Kidney
ConceptMap.group[0].element[11].target[0].code[0]	127473003
ConceptMap.group[0].element[11].target[0].display[0]	Specimen from kidney (specimen)
ConceptMap.group[0].element[11].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[12].code[0]	liver
ConceptMap.group[0].element[12].display[0]	Liver
ConceptMap.group[0].element[12].target[0].code[0]	119383005
ConceptMap.group[0].element[12].target[0].display[0]	Specimen from liver (specimen)
ConceptMap.group[0].element[12].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[13].code[0]	lymph-node
ConceptMap.group[0].element[13].display[0]	Lymph Node
ConceptMap.group[0].element[13].target[0].code[0]	258589002
ConceptMap.group[0].element[13].target[0].display[0]	Lymph node specimen
ConceptMap.group[0].element[13].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[14].code[0]	other
ConceptMap.group[0].element[14].display[0]	Other
ConceptMap.group[0].element[14].target[0].code[0]	123038009
ConceptMap.group[0].element[14].target[0].display[0]	Specimen (specimen)
ConceptMap.group[0].element[14].target[0].equivalence[0]	wider
ConceptMap.group[0].element[14].target[0].comment[0]	Any other suitable descendant of 123038009\|Specimen (specimen) not listed on this code. This should be provided by free text if no suitable SNOMED CT is found.
ConceptMap.group[0].element[15].code[0]	pericardial
ConceptMap.group[0].element[15].display[0]	Pericardial
ConceptMap.group[0].element[15].target[0].code[0]	122571007
ConceptMap.group[0].element[15].target[0].display[0]	Pericardial fluid specimen (specimen)
ConceptMap.group[0].element[15].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[16].code[0]	peritoneal
ConceptMap.group[0].element[16].display[0]	Peritoneal
ConceptMap.group[0].element[16].target[0].code[0]	430250001
ConceptMap.group[0].element[16].target[0].display[0]	Specimen from peritoneum (specimen)
ConceptMap.group[0].element[16].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[17].code[0]	pleural-fluid
ConceptMap.group[0].element[17].display[0]	Pleural Fluid
ConceptMap.group[0].element[17].target[0].code[0]	418564007
ConceptMap.group[0].element[17].target[0].display[0]	Pleural fluid specimen (specimen)
ConceptMap.group[0].element[17].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[18].code[0]	products of conception
ConceptMap.group[0].element[18].display[0]	Products Of Conception
ConceptMap.group[0].element[18].target[0].code[0]	258428005
ConceptMap.group[0].element[18].target[0].display[0]	Products of conception tissue specimen
ConceptMap.group[0].element[18].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[19].code[0]	saliva
ConceptMap.group[0].element[19].display[0]	Saliva
ConceptMap.group[0].element[19].target[0].code[0]	119342007
ConceptMap.group[0].element[19].target[0].display[0]	Saliva specimen (specimen)
ConceptMap.group[0].element[19].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[20].code[0]	skeletal muscle
ConceptMap.group[0].element[20].display[0]	Skeletal Muscle
ConceptMap.group[0].element[20].target[0].code[0]	119331003
ConceptMap.group[0].element[20].target[0].display[0]	Skeletal muscle specimen (specimen)
ConceptMap.group[0].element[20].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[21].code[0]	skin
ConceptMap.group[0].element[21].display[0]	Skin
ConceptMap.group[0].element[21].target[0].code[0]	608969007
ConceptMap.group[0].element[21].target[0].display[0]	Specimen from skin (specimen)
ConceptMap.group[0].element[21].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[22].code[0]	spleen
ConceptMap.group[0].element[22].display[0]	Spleen
ConceptMap.group[0].element[22].target[0].code[0]	433308004
ConceptMap.group[0].element[22].target[0].display[0]	Specimen from spleen (specimen)
ConceptMap.group[0].element[22].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[23].code[0]	tumour
ConceptMap.group[0].element[23].display[0]	Tumour
ConceptMap.group[0].element[23].target[0].code[0]	258435002
ConceptMap.group[0].element[23].target[0].display[0]	Tumor tissue specimen (specimen)
ConceptMap.group[0].element[23].target[0].equivalence[0]	equivalent
ConceptMap.group[0].element[24].code[0]	urine
ConceptMap.group[0].element[24].display[0]	Urine
ConceptMap.group[0].element[24].target[0].code[0]	122575003
ConceptMap.group[0].element[24].target[0].display[0]	Urine specimen (specimen)
ConceptMap.group[0].element[24].target[0].equivalence[0]	equivalent

XML View

<ConceptMap xmlns="http://hl7.org/fhir">
    <id value="genomics-primarysample" />
    <url value="https://fhir.nhs.uk/ConceptMap/genomics-primarysample" />
    <version value="0.0.1" />
    <name value="GenomicsPrimarySample" />
    <title value="Genomics Primary Sample" />
    <status value="draft" />
    <date value="2024-08-15T00:00:00.000Z" />
    <publisher value="NHS England" />
    <contact>
        <name value="NHS England" />
        <telecom>
            <system value="email" />
            <value value="interoperabilityteam@nhs.net" />
        </telecom>
    </contact>
    <description value="A ConceptMap used for the translation and recording of concepts from MDS source data(code-options) to equivalent Snomed CT codes, and FHIR spec." />
    <purpose value="ConceptMap used for the translation and recording of concepts for the categories of primary sample types.This is intended for the element Specimen.type" />
    <copyright value="Copyright &#169; 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \&quot;AS IS\&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7&#174; FHIR&#174; standard Copyright &#169; 2011+ HL7 The HL7&#174; FHIR&#174; standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
    <targetUri value="http://snomed.info/sct?fhir_vs=ecl/%3C%3C%20123038009%20" />
    <group>
        <source value="https://future.nhs.uk/NHSgenomics/view?objectId=222250117" />
        <target value="http://snomed.info/sct" />
        <element>
            <code value="amniotic-fluid" />
            <display value="Amniotic Fluid" />
            <target>
                <code value="119373006" />
                <display value="Amniotic fluid specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="blood" />
            <display value="Blood" />
            <target>
                <code value="119297000" />
                <display value="Blood specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="bone-marrow-trephine" />
            <display value="Bone Marrow Trephine" />
            <target>
                <code value="258585008" />
                <display value="Bone marrow trephine specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="bone-marrrow-aspirate" />
            <display value="Bone Marrrow Aspirate" />
            <target>
                <code value="396997002" />
                <display value="Specimen from bone marrow obtained by aspiration" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="buccals-smear" />
            <display value="Buccals Smear" />
            <target>
                <code value="258564008" />
                <display value="Buccal smear specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="cerebrospinal-fluid" />
            <display value="Cerebrospinal Fluid" />
            <target>
                <code value="258450006" />
                <display value="Cerebrospinal fluid specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="cord-blood" />
            <display value="Cord Blood" />
            <target>
                <code value="122556008" />
                <display value="Cord blood specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="chorionic-villus-sampling" />
            <display value="Chorionic Villus Sampling" />
            <target>
                <code value="258565009" />
                <display value="Chorionic villi specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="fetal-blood" />
            <display value="Fetal Blood" />
            <target>
                <code value="737357006" />
                <display value="Fetal blood specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="fibroblasts" />
            <display value="Fibroblasts" />
            <target>
                <code value="119333000" />
                <display value="Fibroblast specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="heart" />
            <display value="Heart" />
            <target>
                <code value="127462005" />
                <display value="Specimen from heart (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="kidney" />
            <display value="Kidney" />
            <target>
                <code value="127473003" />
                <display value="Specimen from kidney (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="liver" />
            <display value="Liver" />
            <target>
                <code value="119383005" />
                <display value="Specimen from liver (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="lymph-node" />
            <display value="Lymph Node" />
            <target>
                <code value="258589002" />
                <display value="Lymph node specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="other" />
            <display value="Other" />
            <target>
                <code value="123038009" />
                <display value="Specimen (specimen)" />
                <equivalence value="wider" />
                <comment value="Any other suitable descendant of 123038009|Specimen (specimen) not listed on this code. This should be provided by free text if no suitable SNOMED CT is found." />
            </target>
        </element>
        <element>
            <code value="pericardial" />
            <display value="Pericardial" />
            <target>
                <code value="122571007" />
                <display value="Pericardial fluid specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="peritoneal" />
            <display value="Peritoneal" />
            <target>
                <code value="430250001" />
                <display value="Specimen from peritoneum (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="pleural-fluid" />
            <display value="Pleural Fluid" />
            <target>
                <code value="418564007" />
                <display value="Pleural fluid specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="products of conception" />
            <display value="Products Of Conception" />
            <target>
                <code value="258428005" />
                <display value="Products of conception tissue specimen" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="saliva" />
            <display value="Saliva" />
            <target>
                <code value="119342007" />
                <display value="Saliva specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="skeletal muscle" />
            <display value="Skeletal Muscle" />
            <target>
                <code value="119331003" />
                <display value="Skeletal muscle specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="skin" />
            <display value="Skin" />
            <target>
                <code value="608969007" />
                <display value="Specimen from skin (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="spleen" />
            <display value="Spleen" />
            <target>
                <code value="433308004" />
                <display value="Specimen from spleen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="tumour" />
            <display value="Tumour" />
            <target>
                <code value="258435002" />
                <display value="Tumor tissue specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
        <element>
            <code value="urine" />
            <display value="Urine" />
            <target>
                <code value="122575003" />
                <display value="Urine specimen (specimen)" />
                <equivalence value="equivalent" />
            </target>
        </element>
    </group>
</ConceptMap>

JSON View

{
    "resourceType": "ConceptMap",
    "id": "genomics-primarysample",
    "url": "https://fhir.nhs.uk/ConceptMap/genomics-primarysample",
    "version": "0.0.1",
    "name": "GenomicsPrimarySample",
    "title": "Genomics Primary Sample",
    "status": "draft",
    "date": "2024-08-15T00:00:00.000Z",
    "publisher": "NHS England",
    "contact":  [
        {
            "name": "NHS England",
            "telecom":  [
                {
                    "system": "email",
                    "value": "interoperabilityteam@nhs.net"
                }
            ]
        }
    ],
    "description": "A ConceptMap used for the translation and recording of concepts from MDS source data(code-options) to equivalent Snomed CT codes, and FHIR spec.",
    "purpose": "ConceptMap used for the translation and recording of concepts for the categories of primary sample types.This is intended for the element Specimen.type",
    "copyright": "Copyright © 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \\\"License\\\"); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \\\"AS IS\\\" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html.",
    "targetUri": "http://snomed.info/sct?fhir_vs=ecl/%3C%3C%20123038009%20",
    "group":  [
        {
            "source": "https://future.nhs.uk/NHSgenomics/view?objectId=222250117",
            "target": "http://snomed.info/sct",
            "element":  [
                {
                    "code": "amniotic-fluid",
                    "display": "Amniotic Fluid",
                    "target":  [
                        {
                            "code": "119373006",
                            "display": "Amniotic fluid specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "blood",
                    "display": "Blood",
                    "target":  [
                        {
                            "code": "119297000",
                            "display": "Blood specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "bone-marrow-trephine",
                    "display": "Bone Marrow Trephine",
                    "target":  [
                        {
                            "code": "258585008",
                            "display": "Bone marrow trephine specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "bone-marrrow-aspirate",
                    "display": "Bone Marrrow Aspirate",
                    "target":  [
                        {
                            "code": "396997002",
                            "display": "Specimen from bone marrow obtained by aspiration",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "buccals-smear",
                    "display": "Buccals Smear",
                    "target":  [
                        {
                            "code": "258564008",
                            "display": "Buccal smear specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "cerebrospinal-fluid",
                    "display": "Cerebrospinal Fluid",
                    "target":  [
                        {
                            "code": "258450006",
                            "display": "Cerebrospinal fluid specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "cord-blood",
                    "display": "Cord Blood",
                    "target":  [
                        {
                            "code": "122556008",
                            "display": "Cord blood specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "chorionic-villus-sampling",
                    "display": "Chorionic Villus Sampling",
                    "target":  [
                        {
                            "code": "258565009",
                            "display": "Chorionic villi specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "fetal-blood",
                    "display": "Fetal Blood",
                    "target":  [
                        {
                            "code": "737357006",
                            "display": "Fetal blood specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "fibroblasts",
                    "display": "Fibroblasts",
                    "target":  [
                        {
                            "code": "119333000",
                            "display": "Fibroblast specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "heart",
                    "display": "Heart",
                    "target":  [
                        {
                            "code": "127462005",
                            "display": "Specimen from heart (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "kidney",
                    "display": "Kidney",
                    "target":  [
                        {
                            "code": "127473003",
                            "display": "Specimen from kidney (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "liver",
                    "display": "Liver",
                    "target":  [
                        {
                            "code": "119383005",
                            "display": "Specimen from liver (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "lymph-node",
                    "display": "Lymph Node",
                    "target":  [
                        {
                            "code": "258589002",
                            "display": "Lymph node specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "other",
                    "display": "Other",
                    "target":  [
                        {
                            "code": "123038009",
                            "display": "Specimen (specimen)",
                            "equivalence": "wider",
                            "comment": "Any other suitable descendant of 123038009|Specimen (specimen) not listed on this code. This should be provided by free text if no suitable SNOMED CT is found."
                        }
                    ]
                },
                {
                    "code": "pericardial",
                    "display": "Pericardial",
                    "target":  [
                        {
                            "code": "122571007",
                            "display": "Pericardial fluid specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "peritoneal",
                    "display": "Peritoneal",
                    "target":  [
                        {
                            "code": "430250001",
                            "display": "Specimen from peritoneum (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "pleural-fluid",
                    "display": "Pleural Fluid",
                    "target":  [
                        {
                            "code": "418564007",
                            "display": "Pleural fluid specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "products of conception",
                    "display": "Products Of Conception",
                    "target":  [
                        {
                            "code": "258428005",
                            "display": "Products of conception tissue specimen",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "saliva",
                    "display": "Saliva",
                    "target":  [
                        {
                            "code": "119342007",
                            "display": "Saliva specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "skeletal muscle",
                    "display": "Skeletal Muscle",
                    "target":  [
                        {
                            "code": "119331003",
                            "display": "Skeletal muscle specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "skin",
                    "display": "Skin",
                    "target":  [
                        {
                            "code": "608969007",
                            "display": "Specimen from skin (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "spleen",
                    "display": "Spleen",
                    "target":  [
                        {
                            "code": "433308004",
                            "display": "Specimen from spleen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "tumour",
                    "display": "Tumour",
                    "target":  [
                        {
                            "code": "258435002",
                            "display": "Tumor tissue specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                },
                {
                    "code": "urine",
                    "display": "Urine",
                    "target":  [
                        {
                            "code": "122575003",
                            "display": "Urine specimen (specimen)",
                            "equivalence": "equivalent"
                        }
                    ]
                }
            ]
        }
    ]
}

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