<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="102" />
  <meta>
    <lastUpdated value="2017-04-19T07:44:43.294+10:00" />
  </meta>
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Specimen mapping from v2 table 0487 to SNOMED CT (http://hl7.org/fhir/ConceptMap/102)</h2>
      <p>Mapping from 
        
              <a href="v2/0487/index.html">http://hl7.org/fhir/ValueSet/v2-0487</a> to http://snomed.info/id?fhir_vs
      
            </p>
      <p>DRAFT. Published on 25/07/2013 by FHIR project team (original source: LabMCoP) (
        
              <a href="http://hl7.org/fhir">http://hl7.org/fhir</a>, 
        
              <a href="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786">http://www.phconnect.org/group...</a>). 
      
            </p>
      <br />
      <table class="grid">
        <tr>
          <td colspan="1">
            <b>Source Concept</b>
          </td>
          <td>
            <b>Equivalence</b>
          </td>
          <td colspan="4">
            <b>Destination Concept</b>
          </td>
          <td>
            <b>Comment</b>
          </td>
        </tr>
        <tr>
          <td>
            <b>Code [http://hl7.org/fhir/v2/0487]</b>
          </td>
          <td />
          <td>
            <b>Code [http://snomed.info/sct]</b>
          </td>
          <td>
            <b>http://snomed.info/id/246380002 [http://snomed.info/sct]</b>
          </td>
          <td>
            <b>http://snomed.info/id/3006873018 [http://snomed.info/sct]</b>
          </td>
          <td>
            <b>TypeModifier [http://snomed.info/sct]</b>
          </td>
          <td />
        </tr>
        <tr>
          <td>ACNE (Tissue, Acne)</td>
          <td>:(equivalent)</td>
          <td>309068002 (Skin lesion sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ACNFLD (Fluid, Acne)</td>
          <td>:(equivalent)</td>
          <td>119323008 (Pus specimen)</td>
          <td />
          <td />
          <td>47002008 (Pustule)</td>
          <td>HL7 term is a historical term. mapped to Pus</td>
        </tr>
        <tr>
          <td>AIRS (Air Sample)</td>
          <td>:(equivalent)</td>
          <td>446302006 (Air sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ALL (Allograft)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td>7970006 (Allograft)</td>
          <td />
        </tr>
        <tr>
          <td>AMP (Amputation)</td>
          <td>:(equivalent)</td>
          <td>408654003 (Specimen obtained by amputation)</td>
          <td>81723002 (Amputation)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ANGI (Catheter Tip, Angio)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>ARTC (Catheter Tip, Arterial)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>ASERU (Serum, Acute)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>pending</td>
        </tr>
        <tr>
          <td>ASP (Aspirate)</td>
          <td>:(equivalent)</td>
          <td>119295008 (Specimen obtained by aspiration)</td>
          <td>14766002 (Removal by suction)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ATTE (Environment, Attest)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>AUTOC (Environmental, Autoclave Capsule)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>AUTP (Autopsy)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>This really is not a specimen per se - it is the state of the subject from whom the specimen is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated with a special medical record number or other notation on the patient. needs to have specimen type (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)</td>
        </tr>
        <tr>
          <td>BBL (Blood bag)</td>
          <td>:(equivalent)</td>
          <td>119304001 (Blood bag specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BCYST (Cyst, Baker's)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td>32361000 (Popliteal fossa)</td>
          <td />
          <td>submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)</td>
        </tr>
        <tr>
          <td>BITE (Bite)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>BLEB (Bleb)</td>
          <td>:(equivalent)</td>
          <td>309049000 (Lesion sample)</td>
          <td />
          <td />
          <td>339008 (Blister)</td>
          <td />
        </tr>
        <tr>
          <td>BLIST (Blister)</td>
          <td>:(equivalent)</td>
          <td>309049000 (Lesion sample)</td>
          <td />
          <td />
          <td>339008 (Blister)</td>
          <td />
        </tr>
        <tr>
          <td>BOIL (Boil)</td>
          <td>:(equivalent)</td>
          <td>119295008 (Specimen obtained by aspiration)</td>
          <td>14766002 (Removal by suction)</td>
          <td />
          <td>59843005 (Furuncle)</td>
          <td />
        </tr>
        <tr>
          <td>BON (Bone)</td>
          <td>:(equivalent)</td>
          <td>430268003 (Specimen from bone)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BOWL (Bowel contents)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents</td>
        </tr>
        <tr>
          <td>BPU (Blood product unit)</td>
          <td>:(equivalent)</td>
          <td>119300005 (Specimen from blood product)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BRN (Burn)</td>
          <td>:(equivalent)</td>
          <td>119367005 (Specimen from burn injury)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BRSH (Brush)</td>
          <td>:(equivalent)</td>
          <td>258415003 (Biopsy sample)</td>
          <td>439336003 (Brush biopsy)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BRTH (Breath (use EXHLD))</td>
          <td>:(equivalent)</td>
          <td>119336008 (Exhaled air specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BRUS (Brushing)</td>
          <td>:(equivalent)</td>
          <td>309176002 (Bronchial brushings sample)</td>
          <td>80657008 (Bronchoscopy with brush biopsy)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>BUB (Bubo)</td>
          <td>:(equivalent)</td>
          <td>302795002 (Lymph node aspirate)</td>
          <td>14766002 (Removal by suction)</td>
          <td />
          <td>11585000 (Bubo)</td>
          <td />
        </tr>
        <tr>
          <td>BULLA (Bulla/Bullae)</td>
          <td>:(equivalent)</td>
          <td>258482009 (Vesicle fluid sample)</td>
          <td />
          <td />
          <td>339008 (Blister)</td>
          <td />
        </tr>
        <tr>
          <td>BX (Biopsy)</td>
          <td>:(equivalent)</td>
          <td>258415003 (Biopsy sample)</td>
          <td>86273004 (Biopsy)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CALC (Calculus (=Stone))</td>
          <td>:(equivalent)</td>
          <td>119350003 (Calculus specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CARBU (Carbuncle)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td />
          <td />
          <td>41570003 (Carbuncle)</td>
          <td />
        </tr>
        <tr>
          <td>CAT (Catheter)</td>
          <td>:(equivalent)</td>
          <td>119311002 (Catheter specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CBITE (Bite, Cat)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>CLIPP (Clippings)</td>
          <td>:(equivalent)</td>
          <td>119327009 (Nail specimen)</td>
          <td />
          <td />
          <td />
          <td>Be more specific use either: 119326000^hair specimen or 119327009^nail specimen</td>
        </tr>
        <tr>
          <td>CNJT (Conjunctiva)</td>
          <td>:(equivalent)</td>
          <td>119401005 (Specimen from conjunctiva)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CNJT (Conjunctiva)</td>
          <td>:(equivalent)</td>
          <td>128160006 (Tissue specimen from conjunctiva)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CNJT (Conjunctiva)</td>
          <td>:(equivalent)</td>
          <td>258498002 (Conjunctival swab)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>COL (Colostrum)</td>
          <td>:(equivalent)</td>
          <td>119329007 (Colostrum specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CONE (Biospy, Cone)</td>
          <td>:(equivalent)</td>
          <td>399713008 (Specimen from uterine cervix obtained by cone biopsy)</td>
          <td>54535009 (Cone biopsy of cervix)</td>
          <td>71252005 (Uterine cervix)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>CSCR (Scratch, Cat)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>submit for new term with parent 119365002^Specimen from wound (specimen)</td>
        </tr>
        <tr>
          <td>CSERU (Serum, Convalescent)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>pending</td>
        </tr>
        <tr>
          <td>CSITE (Catheter Insertion Site)</td>
          <td>:(equivalent)</td>
          <td>258507003 (Swab of line insertion site)</td>
          <td>285570007 (Taking of swab)</td>
          <td />
          <td>386144009 (Line insertion site)</td>
          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora       </td>
        </tr>
        <tr>
          <td>CSMY (Fluid,  Cystostomy Tube)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CST (Fluid, Cyst)</td>
          <td>:(equivalent)</td>
          <td>258453008 (Cyst fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CSVR (Blood, Cell Saver)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD - may use blood and SPM-6</td>
        </tr>
        <tr>
          <td>CTP (Catheter tip)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>CVPS (Site, CVP)</td>
          <td>:(equivalent)</td>
          <td>258507003 (Swab of line insertion site)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>CVPT (Catheter Tip, CVP)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td>445085009 (Tunneled central venous catheter)</td>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>CYN (Nodule, Cystic)</td>
          <td>:(equivalent)</td>
          <td>119368000 (Specimen from cyst)</td>
          <td />
          <td />
          <td>27925004 (Nodule)</td>
          <td />
        </tr>
        <tr>
          <td>CYST (Cyst)</td>
          <td>:(equivalent)</td>
          <td>119368000 (Specimen from cyst)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>DBITE (Bite, Dog)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>DCS (Sputum, Deep Cough)</td>
          <td>:(equivalent)</td>
          <td>119335007 (Coughed sputum specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>DEC (Ulcer, Decubitus)</td>
          <td>:(equivalent)</td>
          <td>258505006 (Skin ulcer swab)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>DEION (Environmental, Water  (Deionized))</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>DIA (Dialysate)</td>
          <td>:(equivalent)</td>
          <td>119360007 (Dialysis fluid specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>DISCHG (Discharge)</td>
          <td>:(equivalent)</td>
          <td>258439008 (Discharge)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>DIV (Diverticulum)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td>31113003 (Diverticulum)</td>
          <td />
        </tr>
        <tr>
          <td>DRN (Drain)</td>
          <td>:(equivalent)</td>
          <td>119306004 (Drain device specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>DRNG (Drainage, Tube)</td>
          <td>:(equivalent)</td>
          <td>258455001 (Drainage fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td />
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptable specimen for micro - not specific enough term</td>
        </tr>
        <tr>
          <td>DRNGP (Drainage, Penrose)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td />
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>EARW (Ear wax (cerumen))</td>
          <td>:(equivalent)</td>
          <td>122580007 (Cerumen specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>EBRUSH (Brush, Esophageal)</td>
          <td>:(equivalent)</td>
          <td>309210009 (Oesophageal brushings sample)</td>
          <td>36213007 (Endoscopy and brush biopsy)</td>
          <td>32849002 (Esophagus)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>EEYE (Environmental, Eye Wash)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>EFF (Environmental, Effluent)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>EFFUS (Effusion)</td>
          <td>:(equivalent)</td>
          <td>258440005 (Effusion sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>EFOD (Environmental, Food)</td>
          <td>:(equivalent)</td>
          <td>119320006 (Food specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>EISO (Environmental, Isolette)</td>
          <td>:(equivalent)</td>
          <td>258536003 (Incubator swab)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ELT (Electrode)</td>
          <td>:(equivalent)</td>
          <td>119314005 (Electrode specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ENVIR (Environmental, Unidentified Substance)</td>
          <td>:(equivalent)</td>
          <td>119324002 (Specimen of unknown material)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>EOTH (Environmental, Other Substance)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>ESOI (Environmental, Soil)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>ESOS (Environmental, Solution (Sterile))</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>ETA (Aspirate,  Endotrach)</td>
          <td>:(equivalent)</td>
          <td>119307008 (Endotracheal tube specimen)</td>
          <td>14766002 (Removal by suction)</td>
          <td>321667001 (Respiratory tract structure)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>ETTP (Catheter Tip, Endotracheal)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>ETTUB (Tube, Endotracheal)</td>
          <td>:(equivalent)</td>
          <td>119307008 (Endotracheal tube specimen)</td>
          <td>14766002 (Removal by suction)</td>
          <td>321667001 (Respiratory tract structure)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>EWHI (Environmental, Whirlpool)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>EXG (Gas, exhaled (=breath))</td>
          <td>:(equivalent)</td>
          <td>119336008 (Exhaled air specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>EXS (Shunt, External)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>EXUDTE (Exudate)</td>
          <td>:(equivalent)</td>
          <td>258441009 (Exudate sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>FAW (Environmental, Water  (Well))</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>FBLOOD (Blood, Fetal)</td>
          <td>:(equivalent)</td>
          <td>119297000 (Blood specimen)</td>
          <td />
          <td />
          <td>303112003 (Fetal period)</td>
          <td />
        </tr>
        <tr>
          <td>FGA (Fluid,  Abdomen)</td>
          <td>:(equivalent)</td>
          <td>168139001 (Peritoneal fluid sample)</td>
          <td />
          <td>83670000 (Peritoneal cavity)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>FIST (Fistula)</td>
          <td>:(equivalent)</td>
          <td>119370009 (Specimen from fistula)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>FLD (Fluid, Other)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>FLT (Filter)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>FLU (Fluid, Body unsp)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>FLUID (Fluid)</td>
          <td>:(equivalent)</td>
          <td>258442002 (Fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>FOLEY (Catheter Tip, Foley)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>FRS (Fluid, Respiratory)</td>
          <td>:(equivalent)</td>
          <td>258442002 (Fluid sample)</td>
          <td />
          <td>272626006 (Respiratory organ)</td>
          <td />
          <td>this term is not specific enough, choose from terms that more accurately describe the specimen</td>
        </tr>
        <tr>
          <td>FSCLP (Scalp, Fetal)</td>
          <td>:(equivalent)</td>
          <td>309502007 (Fetus specimen)</td>
          <td />
          <td>41695006 (Scalp)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>FUR (Furuncle)</td>
          <td>:(equivalent)</td>
          <td>119295008 (Specimen obtained by aspiration)</td>
          <td />
          <td />
          <td>59843005 (Furuncle)</td>
          <td>Further describe the sample as tissue or pus. or by the collection method. The term boil is not specifc to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil</td>
        </tr>
        <tr>
          <td>GAS (Gas)</td>
          <td>:(equivalent)</td>
          <td>119317003 (Gaseous material specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>GASA (Aspirate, Gastric)</td>
          <td>:(equivalent)</td>
          <td>168137004 (Gastric aspirate sample)</td>
          <td>14766002 (Removal by suction)</td>
          <td>69695003 (Stomach)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>GASAN (Antrum, Gastric)</td>
          <td>:(equivalent)</td>
          <td>119379005 (Specimen from stomach)</td>
          <td />
          <td>66051006 (Pyloric antrum)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>GASBR (Brushing, Gastric)</td>
          <td>:(equivalent)</td>
          <td>309213006 (Gastric brushings sample)</td>
          <td>235157009 (Endoscopic brushings of GIT)</td>
          <td>69695003 (Stomach)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>GASD (Drainage, Gastric)</td>
          <td>:(equivalent)</td>
          <td>258459007 (Gastric fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td>69695003 (Stomach)</td>
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>GAST (Fluid/contents, Gastric)</td>
          <td>:(equivalent)</td>
          <td>258459007 (Gastric fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>GENV (Genital vaginal)</td>
          <td>:(equivalent)</td>
          <td>119394009 (Specimen from vagina)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>GRAFT (Graft)</td>
          <td>:(equivalent)</td>
          <td>440493002 (Graft sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>GRANU (Granuloma)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td>45647009 (Granuloma)</td>
          <td />
        </tr>
        <tr>
          <td>GROSH (Catheter, Groshong)</td>
          <td>:(equivalent)</td>
          <td>119311002 (Catheter specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>GSOL (Solution, Gastrostomy)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>GSPEC (Biopsy, Gastric)</td>
          <td>:(equivalent)</td>
          <td>309211008 (Gastric biopsy sample)</td>
          <td>79121003 (Biopsy of stomach)</td>
          <td>69695003 (Stomach)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>GT (Tube, Gastric)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>GTUBE (Drainage Tube, Drainage (Gastrostomy))</td>
          <td>:(equivalent)</td>
          <td>258459007 (Gastric fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td>69695003 (Stomach)</td>
          <td>127490009 (Gastrostomy route)</td>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>HBITE (Bite, Human)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>HBLUD (Blood, Autopsy)</td>
          <td>:(equivalent)</td>
          <td>119297000 (Blood specimen)</td>
          <td />
          <td />
          <td>303113008 (Postmortem period)</td>
          <td />
        </tr>
        <tr>
          <td>HEMAQ (Catheter Tip, Hemaquit)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>HEMO (Catheter Tip, Hemovac)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>HERNI (Tissue, Herniated)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>HEV (Drain, Hemovac)</td>
          <td>:(equivalent)</td>
          <td>119306004 (Drain device specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>HIC (Catheter, Hickman)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td>445085009 (Tunneled central venous catheter)</td>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>HYDC (Fluid, Hydrocele)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td />
          <td />
          <td>55434001 (Hydrocele)</td>
          <td />
        </tr>
        <tr>
          <td>IBITE (Bite, Insect)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Submit for new term with parent 119365002</td>
        </tr>
        <tr>
          <td>ICYST (Cyst, Inclusion)</td>
          <td>:(equivalent)</td>
          <td>309075001 (Skin cyst sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>IDC (Catheter Tip, Indwelling)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>IHG (Gas, Inhaled)</td>
          <td>:(equivalent)</td>
          <td>119337004 (Inhaled gas specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ILEO (Drainage, Ileostomy)</td>
          <td>:(equivalent)</td>
          <td>258455001 (Drainage fluid sample)</td>
          <td />
          <td />
          <td>419954003 (Ileostomy route)</td>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>
        </tr>
        <tr>
          <td>ILLEG (Source of Specimen Is Illigible)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>IMP (Implant)</td>
          <td>:(equivalent)</td>
          <td>439961009 (Implant submitted as specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>INCI (Site, Incision/Surgical)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>INFIL (Infiltrate)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>This describes a morphologic abnormality, not a sample</td>
        </tr>
        <tr>
          <td>INS (Insect)</td>
          <td>:(equivalent)</td>
          <td>258614005 (Insect sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>INTRD (Catheter Tip, Introducer)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>IT (Intubation tube)</td>
          <td>:(equivalent)</td>
          <td>119307008 (Endotracheal tube specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>IUD (Intrauterine Device)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>pending</td>
        </tr>
        <tr>
          <td>IVCAT (Catheter Tip, IV)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td>255560000 (Intravenous)</td>
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>IVFLD (Fluid, IV)</td>
          <td>:(equivalent)</td>
          <td>258649003 (Intravenous infusion fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>IVTIP (Tubing Tip, IV)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>JEJU (Drainage, Jejunal)</td>
          <td>:(equivalent)</td>
          <td>258463000 (Jejunal fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td>21306003 (Jejunum)</td>
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>
        </tr>
        <tr>
          <td>JNTFLD (Fluid, Joint)</td>
          <td>:(equivalent)</td>
          <td>119332005 (Synovial fluid specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>JP (Drainage, Jackson Pratt)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td />
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>KELOI (Lavage)</td>
          <td>:(equivalent)</td>
          <td>440674008 (Wash out specimen)</td>
          <td>67889009 (Irrigation)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>KIDFLD (Fluid, Kidney)</td>
          <td>:(equivalent)</td>
          <td>309051001 (Body fluid sample)</td>
          <td />
          <td>64033007 (Kidney)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>LAVG (Lavage, Bronhial)</td>
          <td>:(equivalent)</td>
          <td>258607008 (Bronchoalveolar lavage fluid sample)</td>
          <td>397394009 (Bronchoalveolar lavage)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>LAVGG (Lavage, Gastric)</td>
          <td>:(equivalent)</td>
          <td>168138009 (Gastric lavage aspirate sample)</td>
          <td>173830003 (Irrigation of stomach)</td>
          <td>69695003 (Stomach)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>LAVGP (Lavage, Peritoneal)</td>
          <td>:(equivalent)</td>
          <td>440137008 (Specimen obtained by peritoneal lavage)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>LAVPG (Lavage, Pre-Bronch)</td>
          <td>:(equivalent)</td>
          <td>440674008 (Wash out specimen)</td>
          <td>67889009 (Irrigation)</td>
          <td>44567001 (Trachea)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>LENS1 (Contact Lens)</td>
          <td>:(equivalent)</td>
          <td>440473005 (Contact lens submitted as specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>LENS2 (Contact Lens Case)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>LESN (Lesion)</td>
          <td>:(equivalent)</td>
          <td>309049000 (Lesion sample)</td>
          <td />
          <td />
          <td />
          <td>should be more specific what kind of lesion is observed - be more specific is it a wound, abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)</td>
        </tr>
        <tr>
          <td>LIQ (Liquid, Unspecified)</td>
          <td>:(equivalent)</td>
          <td>258442002 (Fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>LIQO (Liquid, Other)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>LSAC (Fluid, Lumbar Sac)</td>
          <td>:(equivalent)</td>
          <td>258450006 (Cerebrospinal fluid sample)</td>
          <td />
          <td>303949008 (Lumbar spinal cerebrospinal fluid pathway)</td>
          <td />
          <td>The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture</td>
        </tr>
        <tr>
          <td>MAHUR (Catheter Tip, Makurkour)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>MASS (Mass)</td>
          <td>:(equivalent)</td>
          <td>420548004 (Specimen from mass)</td>
          <td />
          <td />
          <td>4147007 (Mass)</td>
          <td />
        </tr>
        <tr>
          <td>MBLD (Blood, Menstrual)</td>
          <td>:(equivalent)</td>
          <td>119345009 (Menstrual blood specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>MUCOS (Mucosa)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td>414781009 (Mucous membrane structure)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>MUCUS (Mucus)</td>
          <td>:(equivalent)</td>
          <td>258483004 (Mucus sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>NASDR (Drainage, Nasal)</td>
          <td>:(equivalent)</td>
          <td>258474009 (Sinus fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td>2095001 (Accessory sinus)</td>
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>NEDL (Needle)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>NEPH (Site, Nephrostomy)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>NGASP (Aspirate, Nasogastric)</td>
          <td>:(equivalent)</td>
          <td>302794003 (Nasogastric aspirate)</td>
          <td>6853008 (Nasogastric tube aspiration)</td>
          <td>69695003 (Stomach)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>NGAST (Drainage, Nasogastric)</td>
          <td>:(equivalent)</td>
          <td>258459007 (Gastric fluid sample)</td>
          <td>122462000 (Drainage)</td>
          <td>69695003 (Stomach)</td>
          <td>127492001 (Nasogastric route)</td>
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>NGS (Site, Naso/Gastric)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>NODUL (Nodule(s))</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>pending</td>
        </tr>
        <tr>
          <td>NSECR (Secretion, Nasal)</td>
          <td>:(equivalent)</td>
          <td>168141000 (Nasal fluid sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ORH (Other)</td>
          <td>:(equivalent)</td>
          <td>123038009 (Specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>ORL (Lesion, Oral)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td>74262004 (Oral cavity)</td>
          <td />
          <td>be more precise use ulcer, tumor, vesicle</td>
        </tr>
        <tr>
          <td>OTH (Source, Other)</td>
          <td>:(equivalent)</td>
          <td>123038009 (Specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PACEM (Pacemaker)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>PCFL (Fluid, Pericardial)</td>
          <td>:(equivalent)</td>
          <td>122571007 (Pericardial fluid specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PDSIT (Site, Peritoneal Dialysis)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PDTS (Site, Peritoneal Dialysis Tunnel)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>submitted for code</td>
        </tr>
        <tr>
          <td>PELVA (Abscess, Pelvic)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>12921003 (Pelvis)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>PENIL (Lesion, Penile)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td>18911002 (Penis)</td>
          <td />
          <td>need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile, Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything else?</td>
        </tr>
        <tr>
          <td>PERIA (Abscess, Perianal)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>397158004 (Perianal region structure)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>PILOC (Cyst, Pilonidal)</td>
          <td>:(equivalent)</td>
          <td>119368000 (Specimen from cyst)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PINS (Site, Pin)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PIS (Site, Pacemaker Insetion)</td>
          <td>:(equivalent)</td>
          <td>258507003 (Swab of line insertion site)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PLAN (Plant Material)</td>
          <td>:(equivalent)</td>
          <td>119301009 (Plant specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PLAS (Plasma)</td>
          <td>:(equivalent)</td>
          <td>119361006 (Plasma specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PLB (Plasma bag)</td>
          <td>:(equivalent)</td>
          <td>119305000 (Plasma bag specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PLEVS (Serum, Peak Level)</td>
          <td>:(equivalent)</td>
          <td>119364003 (Serum specimen)</td>
          <td />
          <td />
          <td>255587001 (Peak)</td>
          <td />
        </tr>
        <tr>
          <td>PND (Drainage, Penile)</td>
          <td>:(equivalent)</td>
          <td>258439008 (Discharge)</td>
          <td>122462000 (Drainage)</td>
          <td>13648007 (Urethra)</td>
          <td />
          <td>Historical term -though in this case more often used for discharge</td>
        </tr>
        <tr>
          <td>POL (Polyps)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td>41329004 (Polyp)</td>
          <td />
        </tr>
        <tr>
          <td>POPGS (Graft Site, Popliteal)</td>
          <td>:(equivalent)</td>
          <td>440493002 (Graft sample)</td>
          <td />
          <td>6902008 (Popliteal region)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>POPLG (Graft, Popliteal)</td>
          <td>:(equivalent)</td>
          <td>440493002 (Graft sample)</td>
          <td />
          <td>6902008 (Popliteal region)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>POPLV (Site, Popliteal Vein)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>PORTA (Catheter, Porta)</td>
          <td>:(equivalent)</td>
          <td>119311002 (Catheter specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>PPP (Plasma, Platelet poor)</td>
          <td>:(equivalent)</td>
          <td>119362004 (Platelet poor plasma specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PROST (Prosthetic Device)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PRP (Plasma, Platelet rich)</td>
          <td>:(equivalent)</td>
          <td>119363009 (Platelet rich plasma specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PSC (Pseudocyst)</td>
          <td>:(equivalent)</td>
          <td>119368000 (Specimen from cyst)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PUNCT (Wound, Puncture)</td>
          <td>:(equivalent)</td>
          <td>119365002 (Specimen from wound)</td>
          <td />
          <td />
          <td>129300006 (Puncture - action)</td>
          <td />
        </tr>
        <tr>
          <td>PUS (Pus)</td>
          <td>:(equivalent)</td>
          <td>119323008 (Pus specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>PUSFR (Pustule)</td>
          <td>:(equivalent)</td>
          <td>119323008 (Pus specimen)</td>
          <td />
          <td />
          <td>47002008 (Pustule)</td>
          <td />
        </tr>
        <tr>
          <td>PUST (Pus)</td>
          <td>:(equivalent)</td>
          <td>119323008 (Pus specimen)</td>
          <td />
          <td />
          <td>47002008 (Pustule)</td>
          <td />
        </tr>
        <tr>
          <td>QC3 (Quality Control)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>RANDU (Urine, Random)</td>
          <td>:(equivalent)</td>
          <td>278020009 (Spot urine sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>RBITE (Bite, Reptile)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Submit for new term with parent: 119365002</td>
        </tr>
        <tr>
          <td>RECT (Drainage, Rectal)</td>
          <td>:(equivalent)</td>
          <td>119339001 (Stool specimen)</td>
          <td>122462000 (Drainage)</td>
          <td>34402009 (Rectum)</td>
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample</td>
        </tr>
        <tr>
          <td>RECTA (Abscess, Rectal)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>34402009 (Rectum)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>RENALC (Cyst, Renal)</td>
          <td>:(equivalent)</td>
          <td>258420003 (Cyst tissue)</td>
          <td />
          <td>64033007 (Kidney)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>RENC (Fluid, Renal Cyst)</td>
          <td>:(equivalent)</td>
          <td>258453008 (Cyst fluid sample)</td>
          <td />
          <td>64033007 (Kidney)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>RES (Respiratory)</td>
          <td>:(equivalent)</td>
          <td>258603007 (Respiratory sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SAL (Saliva)</td>
          <td>:(equivalent)</td>
          <td>119342007 (Saliva specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SCAR (Tissue, Keloid (Scar))</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SCLV (Catheter Tip, Subclavian)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td>9454009 (Subclavian vein)</td>
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>SCROA (Abscess, Scrotal)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>20233005 (Scrotum)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>SECRE (Secretion(s))</td>
          <td>:(equivalent)</td>
          <td>432825001 (Body secretion specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SER (Serum)</td>
          <td>:(equivalent)</td>
          <td>119364003 (Serum specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SHU (Site, Shunt)</td>
          <td>:(equivalent)</td>
          <td>119295008 (Specimen obtained by aspiration)</td>
          <td>14766002 (Removal by suction)</td>
          <td />
          <td>257351008 (Shunt)</td>
          <td>Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site</td>
        </tr>
        <tr>
          <td>SHUNF (Fluid, Shunt)</td>
          <td>:(equivalent)</td>
          <td>446861007 (Cerebrospinal fluid specimen obtained via ventriculoperitoneal shunt)</td>
          <td>446860008 (Collection of cerebrospinal fluid via ventriculoperitoneal shunt)</td>
          <td>279107003 (Central nervous system space)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>SHUNT (Shunt)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>SITE (Site)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>SKBP (Biopsy, Skin)</td>
          <td>:(equivalent)</td>
          <td>309066003 (Skin biopsy sample)</td>
          <td>240977001 (Biopsy of skin)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SKN (Skin)</td>
          <td>:(equivalent)</td>
          <td>119325001 (Skin specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SMM (Mass, Sub-Mandibular)</td>
          <td>:(equivalent)</td>
          <td>420548004 (Specimen from mass)</td>
          <td />
          <td />
          <td>4147007 (Mass)</td>
          <td />
        </tr>
        <tr>
          <td>SNV (Fluid, synovial (Joint fluid))</td>
          <td>:(equivalent)</td>
          <td>119332005 (Synovial fluid specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SPRM (Spermatozoa)</td>
          <td>:(equivalent)</td>
          <td>119349003 (Spermatozoa specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SPRP (Catheter Tip, Suprapubic)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>SPRPB (Cathether Tip, Suprapubic)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>SPS (Environmental, Spore Strip)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>SPT (Sputum)</td>
          <td>:(equivalent)</td>
          <td>119334006 (Sputum specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SPTC (Sputum - coughed)</td>
          <td>:(equivalent)</td>
          <td>119335007 (Coughed sputum specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SPTT (Sputum - tracheal aspirate)</td>
          <td>:(equivalent)</td>
          <td>258609006 (Sputum specimen obtained by aspiration from trachea)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SPUT1 (Sputum, Simulated)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>SPUTIN (Sputum, Inducted)</td>
          <td>:(equivalent)</td>
          <td>258610001 (Sputum specimen obtained by sputum induction)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SPUTSP (Sputum, Spontaneous)</td>
          <td>:(equivalent)</td>
          <td>119335007 (Coughed sputum specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>STER (Environmental, Sterrad)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>STL (Stool = Fecal)</td>
          <td>:(equivalent)</td>
          <td>119339001 (Stool specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>STONE (Stone, Kidney)</td>
          <td>:(equivalent)</td>
          <td>119350003 (Calculus specimen)</td>
          <td />
          <td>64033007 (Kidney)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>SUBMA (Abscess, Submandibular)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>5713008 (Submandibular triangle)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>SUBMX (Abscess, Submaxillary)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>4335006 (Upper jaw)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>SUMP (Drainage, Sump)</td>
          <td>:(equivalent)</td>
          <td>446562005 (Body fluid specimen obtained via sump drain)</td>
          <td>122462000 (Drainage)</td>
          <td />
          <td />
          <td>Historical term - consider what is being drained and indicate that in SPM-4 instead</td>
        </tr>
        <tr>
          <td>SUP (Suprapubic Tap)</td>
          <td>:(equivalent)</td>
          <td>122575003 (Urine specimen)</td>
          <td>58088002 (Urine specimen collection, suprapubic)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>SUTUR (Suture)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>SWGZ (Catheter Tip, Swan Gantz)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>TASP (Aspirate, Tracheal)</td>
          <td>:(equivalent)</td>
          <td>122877000 (Upper respiratory fluid specimen obtained by tracheal aspiration)</td>
          <td>129112001 (Aspiration from trachea)</td>
          <td>44567001 (Trachea)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>TISS (Tissue)</td>
          <td>:(equivalent)</td>
          <td>119376003 (Tissue specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TISU (Tissue ulcer)</td>
          <td>:(equivalent)</td>
          <td>122593002 (Tissue specimen obtained from ulcer)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TLC (Cathether Tip, Triple Lumen)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>TRAC (Site, Tracheostomy)</td>
          <td>:(equivalent)</td>
          <td>438660002 (Specimen from prosthetic device)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TRANS (Transudate)</td>
          <td>:(equivalent)</td>
          <td>258538002 (Transudate sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TSERU (Serum, Trough)</td>
          <td>:(equivalent)</td>
          <td>119364003 (Serum specimen)</td>
          <td />
          <td />
          <td>255588006 (Trough)</td>
          <td />
        </tr>
        <tr>
          <td>TSTES (Abscess, Testicular)</td>
          <td>:(equivalent)</td>
          <td>119371008 (Specimen from abscess)</td>
          <td />
          <td>279572002 (Testicular structure)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>TTRA (Aspirate, Transtracheal)</td>
          <td>:(equivalent)</td>
          <td>258480001 (Transtracheal aspirate sample)</td>
          <td>129112001 (Aspiration from trachea)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TUBES (Tubes)</td>
          <td>:(equivalent)</td>
          <td>119310001 (Tube specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TUMOR (Tumor)</td>
          <td>:(equivalent)</td>
          <td>258435002 (Tumour tissue)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>TZANC (Smear, Tzanck)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>This is the name of a lab test. A skin sample is examined for viral inclusions.</td>
        </tr>
        <tr>
          <td>UDENT (Source, Unidentified)</td>
          <td>:(equivalent)</td>
          <td>123038009 (Specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>UR (Urine)</td>
          <td>:(equivalent)</td>
          <td>122575003 (Urine specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>URC (Urine clean catch)</td>
          <td>:(equivalent)</td>
          <td>122880004 (Urine specimen obtained by clean catch procedure)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>URINB (Urine, Bladder Washings)</td>
          <td>:(equivalent)</td>
          <td>122575003 (Urine specimen)</td>
          <td>78533007 (Irrigation of urinary bladder)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>URINC (Urine, Catheterized)</td>
          <td>:(equivalent)</td>
          <td>446846006 (Urine specimen obtained via indwelling urinary catheter)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>URINM (Urine, Midstream)</td>
          <td>:(equivalent)</td>
          <td>258574006 (Mid-stream urine sample)</td>
          <td>225271002 (Collection of mid-stream specimen of urine)</td>
          <td>431938005 (Structure of urinary tract proper)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>URINN (Urine, Nephrostomy)</td>
          <td>:(equivalent)</td>
          <td>446277003 (Urine specimen obtained from nephrostomy tube after percutaneous insertion)</td>
          <td>225109005 (Collection of nephrostomy urine specimen)</td>
          <td>25990002 (Renal pelvis)</td>
          <td />
          <td />
        </tr>
        <tr>
          <td>URINP (Urine, Pedibag)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>URT (Urine catheter)</td>
          <td>:(equivalent)</td>
          <td>122565001 (Urinary catheter specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>USCOP (Urine, Cystoscopy)</td>
          <td>:unmatched</td>
          <td />
          <td>176178006 (Diagnostic cystoscopy)</td>
          <td>89837001 (Urinary bladder)</td>
          <td />
          <td>NEW specimenTERM 7</td>
        </tr>
        <tr>
          <td>USPEC (Source, Unspecified)</td>
          <td>:(equivalent)</td>
          <td>123038009 (Specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>VASTIP (Catheter Tip, Vas)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>VENT (Catheter Tip, Ventricular)</td>
          <td>:(equivalent)</td>
          <td>119312009 (Catheter tip specimen)</td>
          <td />
          <td />
          <td />
          <td>TBD in detail</td>
        </tr>
        <tr>
          <td>VITF (Vitreous Fluid)</td>
          <td>:(equivalent)</td>
          <td>258438000 (Vitreous humor sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>VOM (Vomitus)</td>
          <td>:(equivalent)</td>
          <td>122572000 (Vomitus specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WASH (Wash)</td>
          <td>:(equivalent)</td>
          <td>440674008 (Wash out specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WASI (Washing, e.g. bronchial washing)</td>
          <td>:(equivalent)</td>
          <td>122609004 (Specimen from lung obtained by bronchial washing procedure)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WAT (Water)</td>
          <td>:(equivalent)</td>
          <td>119318008 (Water specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WB (Blood, Whole)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>Bloodbanking term ONLY now map to blood and the respective preservative</td>
        </tr>
        <tr>
          <td>WEN (Wen)</td>
          <td>:(equivalent)</td>
          <td>309075001 (Skin cyst sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WICK (Wick)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>WND (Wound)</td>
          <td>:(equivalent)</td>
          <td>119365002 (Specimen from wound)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WNDA (Wound abscess)</td>
          <td>:(equivalent)</td>
          <td>119366001 (Specimen from wound abscess)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WNDD (Wound drainage)</td>
          <td>:(equivalent)</td>
          <td>122566000 (Fluid specimen from wound)</td>
          <td>122462000 (Drainage)</td>
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WNDE (Wound exudate)</td>
          <td>:(equivalent)</td>
          <td>122568004 (Exudate specimen from wound)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WORM (Worm)</td>
          <td>:(equivalent)</td>
          <td>258618008 (Helminth sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WRT (Wart)</td>
          <td>:(equivalent)</td>
          <td>309068002 (Skin lesion sample)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WWA (Environmental, Water)</td>
          <td>:(equivalent)</td>
          <td>119318008 (Water specimen)</td>
          <td />
          <td />
          <td />
          <td />
        </tr>
        <tr>
          <td>WWO (Environmental, Water (Ocean))</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>WWT (Environmental, Water  (Tap))</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td />
          <td>TBD</td>
        </tr>
        <tr>
          <td>CSITE (Catheter Insertion Site)</td>
          <td>:unmatched</td>
          <td />
          <td>386144009 (Line insertion site)</td>
          <td>14766002 (Removal by suction)</td>
          <td>119295008 (Specimen obtained by aspiration)</td>
          <td>Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora</td>
        </tr>
        <tr>
          <td>CLIPP (Clippings)</td>
          <td>:unmatched</td>
          <td />
          <td />
          <td />
          <td>119326000 (Hair specimen)</td>
          <td>Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen</td>
        </tr>
        <tr>
          <td>SHU (Site, Shunt)</td>
          <td>:unmatched</td>
          <td />
          <td>257351008 (Shunt)</td>
          <td />
          <td>438660002 (Specimen from prosthetic device)</td>
          <td>assume swab from shunt site for mapping here - clean surface of skin prior to expressing the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify body approximate match location of shunt site</td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/ConceptMap/102" />
  <version value="20130725" />
  <name value="Specimen mapping from v2 table 0487 to SNOMED CT" />
  <status value="draft" />
  <experimental value="false" />
  <date value="2013-07-25" />
  <publisher value="FHIR project team (original source: LabMCoP)" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786" />
    </telecom>
  </contact>
  <sourceReference>
    <reference value="http://hl7.org/fhir/ValueSet/v2-0487" />
  </sourceReference>
  <targetReference>
    <reference value="http://snomed.info/id?fhir_vs" />
  </targetReference>
  <group>
    <source value="http://hl7.org/fhir/v2/0487" />
    <target value="http://snomed.info/sct" />
    <element>
      <code value="ACNE" />
      <target>
        <code value="309068002" />
      </target>
    </element>
    <element>
      <code value="ACNFLD" />
      <target>
        <code value="119323008" />
        <comment value="HL7 term is a historical term. mapped to Pus" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="47002008" />
        </product>
      </target>
    </element>
    <element>
      <code value="AIRS" />
      <target>
        <code value="446302006" />
      </target>
    </element>
    <element>
      <code value="ALL" />
      <target>
        <code value="119376003" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="7970006" />
        </product>
      </target>
    </element>
    <element>
      <code value="AMP" />
      <target>
        <code value="408654003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="81723002" />
        </product>
      </target>
    </element>
    <element>
      <code value="ANGI" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="ARTC" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="ASERU" />
      <target>
        <equivalence value="unmatched" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="ASP" />
      <target>
        <code value="119295008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="ATTE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="AUTOC" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="AUTP" />
      <target>
        <equivalence value="unmatched" />
        <comment value="This really is not a specimen per se - it is the state of the subject from whom the specimen is collected, so it should be used as a  specimen type modifier ONLY!. Often this is indicated with a special medical record number or other notation on the patient. needs to have specimen type (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)" />
      </target>
    </element>
    <element>
      <code value="BBL" />
      <target>
        <code value="119304001" />
      </target>
    </element>
    <element>
      <code value="BCYST" />
      <target>
        <equivalence value="unmatched" />
        <comment value="submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="32361000" />
        </product>
      </target>
    </element>
    <element>
      <code value="BITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="BLEB" />
      <target>
        <code value="309049000" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="339008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BLIST" />
      <target>
        <code value="309049000" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="339008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BOIL" />
      <target>
        <code value="119295008" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="59843005" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="BON" />
      <target>
        <code value="430268003" />
      </target>
    </element>
    <element>
      <code value="BOWL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents" />
      </target>
    </element>
    <element>
      <code value="BPU" />
      <target>
        <code value="119300005" />
      </target>
    </element>
    <element>
      <code value="BRN" />
      <target>
        <code value="119367005" />
      </target>
    </element>
    <element>
      <code value="BRSH" />
      <target>
        <code value="258415003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="439336003" />
        </product>
      </target>
    </element>
    <element>
      <code value="BRTH" />
      <target>
        <code value="119336008" />
      </target>
    </element>
    <element>
      <code value="BRUS" />
      <target>
        <code value="309176002" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="80657008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BUB" />
      <target>
        <code value="302795002" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="11585000" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="BULLA" />
      <target>
        <code value="258482009" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="339008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BX" />
      <target>
        <code value="258415003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="86273004" />
        </product>
      </target>
    </element>
    <element>
      <code value="CALC" />
      <target>
        <code value="119350003" />
      </target>
    </element>
    <element>
      <code value="CARBU" />
      <target>
        <code value="309051001" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="41570003" />
        </product>
      </target>
    </element>
    <element>
      <code value="CAT" />
      <target>
        <code value="119311002" />
      </target>
    </element>
    <element>
      <code value="CBITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="CLIPP" />
      <target>
        <code value="119327009" />
        <comment value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen" />
      </target>
    </element>
    <element>
      <code value="CNJT" />
      <target>
        <code value="119401005" />
      </target>
    </element>
    <element>
      <code value="CNJT" />
      <target>
        <code value="128160006" />
      </target>
    </element>
    <element>
      <code value="CNJT" />
      <target>
        <code value="258498002" />
      </target>
    </element>
    <element>
      <code value="COL" />
      <target>
        <code value="119329007" />
      </target>
    </element>
    <element>
      <code value="CONE" />
      <target>
        <code value="399713008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="54535009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="71252005" />
        </product>
      </target>
    </element>
    <element>
      <code value="CSCR" />
      <target>
        <equivalence value="unmatched" />
        <comment value="submit for new term with parent 119365002^Specimen from wound (specimen)" />
      </target>
    </element>
    <element>
      <code value="CSERU" />
      <target>
        <equivalence value="unmatched" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="CSITE" />
      <target>
        <code value="258507003" />
        <comment value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="386144009" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="285570007" />
        </product>
      </target>
    </element>
    <element>
      <code value="CSMY" />
      <target>
        <code value="309051001" />
      </target>
    </element>
    <element>
      <code value="CST" />
      <target>
        <code value="258453008" />
      </target>
    </element>
    <element>
      <code value="CSVR" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD - may use blood and SPM-6" />
      </target>
    </element>
    <element>
      <code value="CTP" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="CVPS" />
      <target>
        <code value="258507003" />
      </target>
    </element>
    <element>
      <code value="CVPT" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="445085009" />
        </product>
      </target>
    </element>
    <element>
      <code value="CYN" />
      <target>
        <code value="119368000" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="27925004" />
        </product>
      </target>
    </element>
    <element>
      <code value="CYST" />
      <target>
        <code value="119368000" />
      </target>
    </element>
    <element>
      <code value="DBITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="DCS" />
      <target>
        <code value="119335007" />
      </target>
    </element>
    <element>
      <code value="DEC" />
      <target>
        <code value="258505006" />
      </target>
    </element>
    <element>
      <code value="DEION" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="DIA" />
      <target>
        <code value="119360007" />
      </target>
    </element>
    <element>
      <code value="DISCHG" />
      <target>
        <code value="258439008" />
      </target>
    </element>
    <element>
      <code value="DIV" />
      <target>
        <code value="119376003" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="31113003" />
        </product>
      </target>
    </element>
    <element>
      <code value="DRN" />
      <target>
        <code value="119306004" />
      </target>
    </element>
    <element>
      <code value="DRNG" />
      <target>
        <code value="258455001" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptable specimen for micro - not specific enough term" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="DRNGP" />
      <target>
        <code value="309051001" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="EARW" />
      <target>
        <code value="122580007" />
      </target>
    </element>
    <element>
      <code value="EBRUSH" />
      <target>
        <code value="309210009" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="36213007" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="32849002" />
        </product>
      </target>
    </element>
    <element>
      <code value="EEYE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EFF" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EFFUS" />
      <target>
        <code value="258440005" />
      </target>
    </element>
    <element>
      <code value="EFOD" />
      <target>
        <code value="119320006" />
      </target>
    </element>
    <element>
      <code value="EISO" />
      <target>
        <code value="258536003" />
      </target>
    </element>
    <element>
      <code value="ELT" />
      <target>
        <code value="119314005" />
      </target>
    </element>
    <element>
      <code value="ENVIR" />
      <target>
        <code value="119324002" />
      </target>
    </element>
    <element>
      <code value="EOTH" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="ESOI" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="ESOS" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="ETA" />
      <target>
        <code value="119307008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="321667001" />
        </product>
      </target>
    </element>
    <element>
      <code value="ETTP" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="ETTUB" />
      <target>
        <code value="119307008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="321667001" />
        </product>
      </target>
    </element>
    <element>
      <code value="EWHI" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EXG" />
      <target>
        <code value="119336008" />
      </target>
    </element>
    <element>
      <code value="EXS" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EXUDTE" />
      <target>
        <code value="258441009" />
      </target>
    </element>
    <element>
      <code value="FAW" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="FBLOOD" />
      <target>
        <code value="119297000" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="303112003" />
        </product>
      </target>
    </element>
    <element>
      <code value="FGA" />
      <target>
        <code value="168139001" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="83670000" />
        </product>
      </target>
    </element>
    <element>
      <code value="FIST" />
      <target>
        <code value="119370009" />
      </target>
    </element>
    <element>
      <code value="FLD" />
      <target>
        <code value="309051001" />
      </target>
    </element>
    <element>
      <code value="FLT" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="FLU" />
      <target>
        <code value="309051001" />
      </target>
    </element>
    <element>
      <code value="FLUID" />
      <target>
        <code value="258442002" />
      </target>
    </element>
    <element>
      <code value="FOLEY" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="FRS" />
      <target>
        <code value="258442002" />
        <comment value="this term is not specific enough, choose from terms that more accurately describe the specimen" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="272626006" />
        </product>
      </target>
    </element>
    <element>
      <code value="FSCLP" />
      <target>
        <code value="309502007" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="41695006" />
        </product>
      </target>
    </element>
    <element>
      <code value="FUR" />
      <target>
        <code value="119295008" />
        <comment value="Further describe the sample as tissue or pus. or by the collection method. The term boil is not specifc to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="59843005" />
        </product>
      </target>
    </element>
    <element>
      <code value="GAS" />
      <target>
        <code value="119317003" />
      </target>
    </element>
    <element>
      <code value="GASA" />
      <target>
        <code value="168137004" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GASAN" />
      <target>
        <code value="119379005" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="66051006" />
        </product>
      </target>
    </element>
    <element>
      <code value="GASBR" />
      <target>
        <code value="309213006" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="235157009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GASD" />
      <target>
        <code value="258459007" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GAST" />
      <target>
        <code value="258459007" />
      </target>
    </element>
    <element>
      <code value="GENV" />
      <target>
        <code value="119394009" />
      </target>
    </element>
    <element>
      <code value="GRAFT" />
      <target>
        <code value="440493002" />
      </target>
    </element>
    <element>
      <code value="GRANU" />
      <target>
        <code value="119376003" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="45647009" />
        </product>
      </target>
    </element>
    <element>
      <code value="GROSH" />
      <target>
        <code value="119311002" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="GSOL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="GSPEC" />
      <target>
        <code value="309211008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="79121003" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GT" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="GTUBE" />
      <target>
        <code value="258459007" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="127490009" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="HBITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="HBLUD" />
      <target>
        <code value="119297000" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="303113008" />
        </product>
      </target>
    </element>
    <element>
      <code value="HEMAQ" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="HEMO" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="HERNI" />
      <target>
        <code value="119376003" />
      </target>
    </element>
    <element>
      <code value="HEV" />
      <target>
        <code value="119306004" />
      </target>
    </element>
    <element>
      <code value="HIC" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="445085009" />
        </product>
      </target>
    </element>
    <element>
      <code value="HYDC" />
      <target>
        <code value="309051001" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="55434001" />
        </product>
      </target>
    </element>
    <element>
      <code value="IBITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="ICYST" />
      <target>
        <code value="309075001" />
      </target>
    </element>
    <element>
      <code value="IDC" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="IHG" />
      <target>
        <code value="119337004" />
      </target>
    </element>
    <element>
      <code value="ILEO" />
      <target>
        <code value="258455001" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="419954003" />
        </product>
      </target>
    </element>
    <element>
      <code value="ILLEG" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="IMP" />
      <target>
        <code value="439961009" />
      </target>
    </element>
    <element>
      <code value="INCI" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="INFIL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="This describes a morphologic abnormality, not a sample" />
      </target>
    </element>
    <element>
      <code value="INS" />
      <target>
        <code value="258614005" />
      </target>
    </element>
    <element>
      <code value="INTRD" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="IT" />
      <target>
        <code value="119307008" />
      </target>
    </element>
    <element>
      <code value="IUD" />
      <target>
        <equivalence value="unmatched" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="IVCAT" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="255560000" />
        </product>
      </target>
    </element>
    <element>
      <code value="IVFLD" />
      <target>
        <code value="258649003" />
      </target>
    </element>
    <element>
      <code value="IVTIP" />
      <target>
        <code value="119312009" />
      </target>
    </element>
    <element>
      <code value="JEJU" />
      <target>
        <code value="258463000" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="21306003" />
        </product>
      </target>
    </element>
    <element>
      <code value="JNTFLD" />
      <target>
        <code value="119332005" />
      </target>
    </element>
    <element>
      <code value="JP" />
      <target>
        <code value="309051001" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="KELOI" />
      <target>
        <code value="440674008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="67889009" />
        </product>
      </target>
    </element>
    <element>
      <code value="KIDFLD" />
      <target>
        <code value="309051001" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="LAVG" />
      <target>
        <code value="258607008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="397394009" />
        </product>
      </target>
    </element>
    <element>
      <code value="LAVGG" />
      <target>
        <code value="168138009" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="173830003" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="LAVGP" />
      <target>
        <code value="440137008" />
      </target>
    </element>
    <element>
      <code value="LAVPG" />
      <target>
        <code value="440674008" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="67889009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="44567001" />
        </product>
      </target>
    </element>
    <element>
      <code value="LENS1" />
      <target>
        <code value="440473005" />
      </target>
    </element>
    <element>
      <code value="LENS2" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="LESN" />
      <target>
        <code value="309049000" />
        <comment value="should be more specific what kind of lesion is observed - be more specific is it a wound, abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)" />
      </target>
    </element>
    <element>
      <code value="LIQ" />
      <target>
        <code value="258442002" />
      </target>
    </element>
    <element>
      <code value="LIQO" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="LSAC" />
      <target>
        <code value="258450006" />
        <comment value="The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="303949008" />
        </product>
      </target>
    </element>
    <element>
      <code value="MAHUR" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="MASS" />
      <target>
        <code value="420548004" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="4147007" />
        </product>
      </target>
    </element>
    <element>
      <code value="MBLD" />
      <target>
        <code value="119345009" />
      </target>
    </element>
    <element>
      <code value="MUCOS" />
      <target>
        <code value="119376003" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="414781009" />
        </product>
      </target>
    </element>
    <element>
      <code value="MUCUS" />
      <target>
        <code value="258483004" />
      </target>
    </element>
    <element>
      <code value="NASDR" />
      <target>
        <code value="258474009" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="2095001" />
        </product>
      </target>
    </element>
    <element>
      <code value="NEDL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="NEPH" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="NGASP" />
      <target>
        <code value="302794003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="6853008" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="NGAST" />
      <target>
        <code value="258459007" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="127492001" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="NGS" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="NODUL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="NSECR" />
      <target>
        <code value="168141000" />
      </target>
    </element>
    <element>
      <code value="ORH" />
      <target>
        <code value="123038009" />
      </target>
    </element>
    <element>
      <code value="ORL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="be more precise use ulcer, tumor, vesicle" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="74262004" />
        </product>
      </target>
    </element>
    <element>
      <code value="OTH" />
      <target>
        <code value="123038009" />
      </target>
    </element>
    <element>
      <code value="PACEM" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="PCFL" />
      <target>
        <code value="122571007" />
      </target>
    </element>
    <element>
      <code value="PDSIT" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="PDTS" />
      <target>
        <equivalence value="unmatched" />
        <comment value="submitted for code" />
      </target>
    </element>
    <element>
      <code value="PELVA" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="12921003" />
        </product>
      </target>
    </element>
    <element>
      <code value="PENIL" />
      <target>
        <equivalence value="unmatched" />
        <comment value="need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile, Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything else?" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="18911002" />
        </product>
      </target>
    </element>
    <element>
      <code value="PERIA" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="397158004" />
        </product>
      </target>
    </element>
    <element>
      <code value="PILOC" />
      <target>
        <code value="119368000" />
      </target>
    </element>
    <element>
      <code value="PINS" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="PIS" />
      <target>
        <code value="258507003" />
      </target>
    </element>
    <element>
      <code value="PLAN" />
      <target>
        <code value="119301009" />
      </target>
    </element>
    <element>
      <code value="PLAS" />
      <target>
        <code value="119361006" />
      </target>
    </element>
    <element>
      <code value="PLB" />
      <target>
        <code value="119305000" />
      </target>
    </element>
    <element>
      <code value="PLEVS" />
      <target>
        <code value="119364003" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="255587001" />
        </product>
      </target>
    </element>
    <element>
      <code value="PND" />
      <target>
        <code value="258439008" />
        <comment value="Historical term -though in this case more often used for discharge" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="13648007" />
        </product>
      </target>
    </element>
    <element>
      <code value="POL" />
      <target>
        <code value="119376003" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="41329004" />
        </product>
      </target>
    </element>
    <element>
      <code value="POPGS" />
      <target>
        <code value="440493002" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="6902008" />
        </product>
      </target>
    </element>
    <element>
      <code value="POPLG" />
      <target>
        <code value="440493002" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="6902008" />
        </product>
      </target>
    </element>
    <element>
      <code value="POPLV" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="PORTA" />
      <target>
        <code value="119311002" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="PPP" />
      <target>
        <code value="119362004" />
      </target>
    </element>
    <element>
      <code value="PROST" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="PRP" />
      <target>
        <code value="119363009" />
      </target>
    </element>
    <element>
      <code value="PSC" />
      <target>
        <code value="119368000" />
      </target>
    </element>
    <element>
      <code value="PUNCT" />
      <target>
        <code value="119365002" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="129300006" />
        </product>
      </target>
    </element>
    <element>
      <code value="PUS" />
      <target>
        <code value="119323008" />
      </target>
    </element>
    <element>
      <code value="PUSFR" />
      <target>
        <code value="119323008" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="47002008" />
        </product>
      </target>
    </element>
    <element>
      <code value="PUST" />
      <target>
        <code value="119323008" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="47002008" />
        </product>
      </target>
    </element>
    <element>
      <code value="QC3" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="RANDU" />
      <target>
        <code value="278020009" />
      </target>
    </element>
    <element>
      <code value="RBITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Submit for new term with parent: 119365002" />
      </target>
    </element>
    <element>
      <code value="RECT" />
      <target>
        <code value="119339001" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="34402009" />
        </product>
      </target>
    </element>
    <element>
      <code value="RECTA" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="34402009" />
        </product>
      </target>
    </element>
    <element>
      <code value="RENALC" />
      <target>
        <code value="258420003" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="RENC" />
      <target>
        <code value="258453008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="RES" />
      <target>
        <code value="258603007" />
      </target>
    </element>
    <element>
      <code value="SAL" />
      <target>
        <code value="119342007" />
      </target>
    </element>
    <element>
      <code value="SCAR" />
      <target>
        <code value="119376003" />
      </target>
    </element>
    <element>
      <code value="SCLV" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="9454009" />
        </product>
      </target>
    </element>
    <element>
      <code value="SCROA" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="20233005" />
        </product>
      </target>
    </element>
    <element>
      <code value="SECRE" />
      <target>
        <code value="432825001" />
      </target>
    </element>
    <element>
      <code value="SER" />
      <target>
        <code value="119364003" />
      </target>
    </element>
    <element>
      <code value="SHU" />
      <target>
        <code value="119295008" />
        <comment value="Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="257351008" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="SHUNF" />
      <target>
        <code value="446861007" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="446860008" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="279107003" />
        </product>
      </target>
    </element>
    <element>
      <code value="SHUNT" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SKBP" />
      <target>
        <code value="309066003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="240977001" />
        </product>
      </target>
    </element>
    <element>
      <code value="SKN" />
      <target>
        <code value="119325001" />
      </target>
    </element>
    <element>
      <code value="SMM" />
      <target>
        <code value="420548004" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="4147007" />
        </product>
      </target>
    </element>
    <element>
      <code value="SNV" />
      <target>
        <code value="119332005" />
      </target>
    </element>
    <element>
      <code value="SPRM" />
      <target>
        <code value="119349003" />
      </target>
    </element>
    <element>
      <code value="SPRP" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="SPRPB" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="SPS" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SPT" />
      <target>
        <code value="119334006" />
      </target>
    </element>
    <element>
      <code value="SPTC" />
      <target>
        <code value="119335007" />
      </target>
    </element>
    <element>
      <code value="SPTT" />
      <target>
        <code value="258609006" />
      </target>
    </element>
    <element>
      <code value="SPUT1" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SPUTIN" />
      <target>
        <code value="258610001" />
      </target>
    </element>
    <element>
      <code value="SPUTSP" />
      <target>
        <code value="119335007" />
      </target>
    </element>
    <element>
      <code value="STER" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="STL" />
      <target>
        <code value="119339001" />
      </target>
    </element>
    <element>
      <code value="STONE" />
      <target>
        <code value="119350003" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUBMA" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="5713008" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUBMX" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="4335006" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUMP" />
      <target>
        <code value="446562005" />
        <comment value="Historical term - consider what is being drained and indicate that in SPM-4 instead" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUP" />
      <target>
        <code value="122575003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="58088002" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUTUR" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SWGZ" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="TASP" />
      <target>
        <code value="122877000" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="129112001" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="44567001" />
        </product>
      </target>
    </element>
    <element>
      <code value="TISS" />
      <target>
        <code value="119376003" />
      </target>
    </element>
    <element>
      <code value="TISU" />
      <target>
        <code value="122593002" />
      </target>
    </element>
    <element>
      <code value="TLC" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="TRAC" />
      <target>
        <code value="438660002" />
      </target>
    </element>
    <element>
      <code value="TRANS" />
      <target>
        <code value="258538002" />
      </target>
    </element>
    <element>
      <code value="TSERU" />
      <target>
        <code value="119364003" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="255588006" />
        </product>
      </target>
    </element>
    <element>
      <code value="TSTES" />
      <target>
        <code value="119371008" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="279572002" />
        </product>
      </target>
    </element>
    <element>
      <code value="TTRA" />
      <target>
        <code value="258480001" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="129112001" />
        </product>
      </target>
    </element>
    <element>
      <code value="TUBES" />
      <target>
        <code value="119310001" />
      </target>
    </element>
    <element>
      <code value="TUMOR" />
      <target>
        <code value="258435002" />
      </target>
    </element>
    <element>
      <code value="TZANC" />
      <target>
        <equivalence value="unmatched" />
        <comment value="This is the name of a lab test. A skin sample is examined for viral inclusions." />
      </target>
    </element>
    <element>
      <code value="UDENT" />
      <target>
        <code value="123038009" />
      </target>
    </element>
    <element>
      <code value="UR" />
      <target>
        <code value="122575003" />
      </target>
    </element>
    <element>
      <code value="URC" />
      <target>
        <code value="122880004" />
      </target>
    </element>
    <element>
      <code value="URINB" />
      <target>
        <code value="122575003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="78533007" />
        </product>
      </target>
    </element>
    <element>
      <code value="URINC" />
      <target>
        <code value="446846006" />
      </target>
    </element>
    <element>
      <code value="URINM" />
      <target>
        <code value="258574006" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="225271002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="431938005" />
        </product>
      </target>
    </element>
    <element>
      <code value="URINN" />
      <target>
        <code value="446277003" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="225109005" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="25990002" />
        </product>
      </target>
    </element>
    <element>
      <code value="URINP" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="URT" />
      <target>
        <code value="122565001" />
      </target>
    </element>
    <element>
      <code value="USCOP" />
      <target>
        <equivalence value="unmatched" />
        <comment value="NEW specimenTERM 7" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="176178006" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="89837001" />
        </product>
      </target>
    </element>
    <element>
      <code value="USPEC" />
      <target>
        <code value="123038009" />
      </target>
    </element>
    <element>
      <code value="VASTIP" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="VENT" />
      <target>
        <code value="119312009" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="VITF" />
      <target>
        <code value="258438000" />
      </target>
    </element>
    <element>
      <code value="VOM" />
      <target>
        <code value="122572000" />
      </target>
    </element>
    <element>
      <code value="WASH" />
      <target>
        <code value="440674008" />
      </target>
    </element>
    <element>
      <code value="WASI" />
      <target>
        <code value="122609004" />
      </target>
    </element>
    <element>
      <code value="WAT" />
      <target>
        <code value="119318008" />
      </target>
    </element>
    <element>
      <code value="WB" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Bloodbanking term ONLY now map to blood and the respective preservative" />
      </target>
    </element>
    <element>
      <code value="WEN" />
      <target>
        <code value="309075001" />
      </target>
    </element>
    <element>
      <code value="WICK" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="WND" />
      <target>
        <code value="119365002" />
      </target>
    </element>
    <element>
      <code value="WNDA" />
      <target>
        <code value="119366001" />
      </target>
    </element>
    <element>
      <code value="WNDD" />
      <target>
        <code value="122566000" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="WNDE" />
      <target>
        <code value="122568004" />
      </target>
    </element>
    <element>
      <code value="WORM" />
      <target>
        <code value="258618008" />
      </target>
    </element>
    <element>
      <code value="WRT" />
      <target>
        <code value="309068002" />
      </target>
    </element>
    <element>
      <code value="WWA" />
      <target>
        <code value="119318008" />
      </target>
    </element>
    <element>
      <code value="WWO" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="WWT" />
      <target>
        <equivalence value="unmatched" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="CSITE" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="119295008" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="386144009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <code value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="CLIPP" />
      <target>
        <equivalence value="unmatched" />
        <comment value="Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="119326000" />
        </product>
      </target>
    </element>
    <element>
      <code value="SHU" />
      <target>
        <equivalence value="unmatched" />
        <comment value="assume swab from shunt site for mapping here - clean surface of skin prior to expressing the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify body approximate match location of shunt site" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <code value="438660002" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <code value="257351008" />
        </product>
      </target>
    </element>
  </group>
</ConceptMap>