<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="genomics-typeof-transplantprocedure" />
  <url value="https://fhir.nhs.uk/ConceptMap/genomics-typeof-transplantprocedure" />
  <version value="0.1.0" />
  <name value="GenomicsTypeofTransplantProcedure" />
  <title value="Genomics Type of Transplant Procedure" />
  <status value="draft" />
  <date value="2025-09-05T11:00:00.000Z" />
  <publisher value="NHS England" />
  <contact>
    <name value="NHS England" />
    <telecom>
      <system value="email" />
      <value value="interoperabilityteam@nhs.net" />
    </telecom>
  </contact>
  <description value="A ConceptMap used for the translation and recording of concepts from MDS source data(code-options) to equivalent Snomed CT codes, and FHIR spec." />
  <purpose value="ConceptMap used for the translation and recording concepts for transplantation procedure. This is intended for the element Procedure.code" />
  <copyright value="Copyright © 2023+ NHS England Licensed under the Apache License, Version 2.0 (the \&quot;License\&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an \&quot;AS IS\&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
  <group>
    <source value="https://future.nhs.uk/NHSgenomics/view?objectId=222250117" />
    <target value="http://snomed.info/sct" />
    <element>
      <code value="bilateral-single-lung" />
      <display value="BILATERAL SINGLE LUNG" />
      <target>
        <code value="232660006" />
        <display value="Bilateral sequential single lung transplant" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="bone-marrow" />
      <display value="BONE MARROW" />
      <target>
        <code value="23719005" />
        <display value="Transplantation of bone marrow" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="double-kidney" />
      <display value="DOUBLE KIDNEY" />
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided that this transplation procedure is for double kidney. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="double-lung" />
      <display value="DOUBLE LUNG" />
      <target>
        <code value="232658009" />
        <display value="Double lung transplant" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="enbloc-kidney" />
      <display value="EN-BLOCKIDNEY" />
      <target>
        <equivalence value="unmatched" />
        <comment value="This concept should be recored by free text under Procedure.code. No suitable SNOMED CT code existed for it at this time but process are being iniated to ensure the SNOMED Team added it to the SNOMED Vocab." />
      </target>
    </element>
    <element>
      <code value="heart" />
      <display value="HEART" />
      <target>
        <code value="32413006" />
        <display value="Transplantation of heart" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="heart-and-kidney" />
      <display value="HEART AND KIDNEY" />
      <target>
        <code value="32413006" />
        <display value="Transplantation of heart" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that this transplantation procedure is for a combined heart and kidney transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that this transplantation procedure is for combined heart and kidney procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="heart-and-liver" />
      <display value="HEART AND LIVER" />
      <target>
        <code value="32413006" />
        <display value="Transplantation of heart" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="heart-lung" />
      <display value="HEART LUNG" />
      <target>
        <code value="32477003" />
        <display value="Heart and lung transplant" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="heart-lung-and-kidney" />
      <display value="HEART LUNG AND KIDNEY" />
      <target>
        <code value="32413006" />
        <display value="Transplantation of heart" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="88039007" />
        <display value="Transplant of lung" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="heart-lung-and-liver" />
      <display value="HEART LUNG AND LIVER" />
      <target>
        <code value="32413006" />
        <display value="Transplantation of heart" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="88039007" />
        <display value="Transplant of lung" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="if-liver-bowel-pancreas" />
      <display value="IF LIVER BOWEL PANCREAS" />
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="A negative IF (Incompatible Factor) Blood test is a precondition to carrying out this combined procedure. The IF Blood test (250406009|Blood Incompatible(finding)) should be recorded in an observation resource. When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="56283009" />
        <display value="Transplantation of small intestine" />
        <equivalence value="narrower" />
        <comment value="A negative IF (Incompatible Factor) Blood test is a precondition to carrying out this combined procedure. The IF Blood test (250406009|Blood Incompatible(finding)) should be recorded in an observation resource. When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="A negative IF (Incompatible Factor) Blood test is a precondition to carrying out this combined procedure. The IF Blood test (250406009|Blood Incompatible(finding)) should be recorded in an observation resource. When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="if-liver-only" />
      <display value="IF LIVER ONLY" />
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="equivalent" />
        <comment value="A negative IF (Incompatible Factor) Blood test is a precondition to carrying out this procedure. The IF Blood test (250406009|Blood Incompatible(finding)) should be recorded in an observation resource.The procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="if-multivisceral" />
      <display value="IF MULTIVISCERAL" />
      <target>
        <code value="118158008" />
        <display value="Gastrointestinal tract transplantation" />
        <equivalence value="equivalent" />
        <comment value="A negative IF (Incompatible Factor) Blood test is a precondition to carrying out this procedure. The IF Blood test (250406009|Blood Incompatible(finding)) should be recorded in an observation resource.The procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="kidney" />
      <display value="KIDNEY" />
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="kidney-and-pancreas" />
      <display value="KIDNEY AND PANCREAS" />
      <target>
        <code value="6471000179103" />
        <display value="Transplantation of kidney and pancreas" />
        <equivalence value="equivalent" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="kidney-and-pancreas-islets" />
      <display value="KIDNEY AND PANCREAS ISLETS" />
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="128531006" />
        <display value="Islet cell transplant" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="liver" />
      <display value="LIVER" />
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="liver-and-kidney" />
      <display value="LIVER AND KIDNEY" />
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="liver-and-pancreas" />
      <display value="LIVER AND PANCREAS" />
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="liver-kidney-and-pancreas" />
      <display value="LIVER KIDNEY AND PANCREAS" />
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="lung" />
      <display value="LUNG" />
      <target>
        <code value="88039007" />
        <display value="Transplant of lung" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="lung-and-kidney" />
      <display value="LUNG AND KIDNEY" />
      <target>
        <code value="88039007" />
        <display value="Transplant of lung" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="lung-and-kidney-and-liver" />
      <display value="LUNG AND KIDNEY AND LIVER" />
      <target>
        <code value="88039007" />
        <display value="Transplant of lung" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="lung-and-liver" />
      <display value="LUNG AND LIVER" />
      <target>
        <code value="88039007" />
        <display value="Transplant of lung" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="18027006" />
        <display value="Transplantation of liver" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="ocular-tissue" />
      <display value="OCULAR TISSUE" />
      <target>
        <code value="120095006" />
        <display value="Eye structure transplantation" />
        <equivalence value="wider" />
      </target>
    </element>
    <element>
      <code value="pancreas" />
      <display value="PANCREAS ONLY" />
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="pancreas-and-liver" />
      <display value="PANCREAS AND LIVER" />
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="pancreas-islets" />
      <display value="PANCREAS ISLETS" />
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="128531006" />
        <display value="Islet cell transplant" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="pancreas-kidney" />
      <display value="PANCREAS KIDNEY" />
      <target>
        <code value="6471000179103" />
        <display value="Transplantation of kidney and pancreas" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="pancreas-liver-and-kidney" />
      <display value="PANCREAS LIVER AND KIDNEY" />
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="62438007" />
        <display value="Transplantation of pancreas" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
      <target>
        <code value="70536003" />
        <display value="Transplant of kidney" />
        <equivalence value="narrower" />
        <comment value="When this concept is used, further notes should be provided to state that it is a combined transplant procedure. Respective procedures should be recorded in a separate Procedure resource." />
      </target>
    </element>
    <element>
      <code value="partial-lung" />
      <display value="PARTIAL LUNG" />
      <target>
        <code value="429332008" />
        <display value="Transplantation of single lobe of lung" />
        <equivalence value="equivalent" />
      </target>
    </element>
    <element>
      <code value="stem-cell" />
      <display value="STEM CELL" />
      <target>
        <code value="285581000000102" />
        <display value="Transplantation of stem cells" />
        <equivalence value="equivalent" />
      </target>
    </element>
  </group>
</ConceptMap>