<ConceptMap xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/conceptmap.xsd">
  <id value="102" />
  <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>
  <sourceCanonical value="http://terminology.hl7.org/ValueSet/v2-0487" />
  <targetCanonical value="http://snomed.info/sct?fhir_vs" />
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0487" />
    <target value="http://snomed.info/sct" />
    <element>
      <code value="ACNE" />
      <target>
        <code value="309068002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ACNFLD" />
      <target>
        <code value="119323008" />
        <relationship value="equivalent" />
        <comment value="HL7 term is a historical term. mapped to Pus" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="47002008" />
        </product>
      </target>
    </element>
    <element>
      <code value="AIRS" />
      <target>
        <code value="446302006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ALL" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="7970006" />
        </product>
      </target>
    </element>
    <element>
      <code value="AMP" />
      <target>
        <code value="408654003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="81723002" />
        </product>
      </target>
    </element>
    <element>
      <code value="ANGI" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="ARTC" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="ASERU" />
      <target>
        <relationship value="not-related-to" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="ASP" />
      <target>
        <code value="119295008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="ATTE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="AUTOC" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="AUTP" />
      <target>
        <relationship value="not-related-to" />
        <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" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="BCYST" />
      <target>
        <relationship value="not-related-to" />
        <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" />
          <value value="32361000" />
        </product>
      </target>
    </element>
    <element>
      <code value="BITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="BLEB" />
      <target>
        <code value="309049000" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="339008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BLIST" />
      <target>
        <code value="309049000" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="339008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BOIL" />
      <target>
        <code value="119295008" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="59843005" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="BON" />
      <target>
        <code value="430268003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="BOWL" />
      <target>
        <relationship value="not-related-to" />
        <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" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="BRN" />
      <target>
        <code value="119367005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="BRSH" />
      <target>
        <code value="258415003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="439336003" />
        </product>
      </target>
    </element>
    <element>
      <code value="BRTH" />
      <target>
        <code value="119336008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="BRUS" />
      <target>
        <code value="309176002" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="80657008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BUB" />
      <target>
        <code value="302795002" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="11585000" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="BULLA" />
      <target>
        <code value="258482009" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="339008" />
        </product>
      </target>
    </element>
    <element>
      <code value="BX" />
      <target>
        <code value="258415003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="86273004" />
        </product>
      </target>
    </element>
    <element>
      <code value="CALC" />
      <target>
        <code value="119350003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CARBU" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="41570003" />
        </product>
      </target>
    </element>
    <element>
      <code value="CAT" />
      <target>
        <code value="119311002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CBITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="CLIPP" />
      <target>
        <code value="119327009" />
        <relationship value="equivalent" />
        <comment value="Be more specific use either: 119326000^hair specimen or 119327009^nail specimen" />
      </target>
    </element>
    <element>
      <code value="CNJT" />
      <target>
        <code value="119401005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CNJT" />
      <target>
        <code value="128160006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CNJT" />
      <target>
        <code value="258498002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="COL" />
      <target>
        <code value="119329007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CONE" />
      <target>
        <code value="399713008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="54535009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="71252005" />
        </product>
      </target>
    </element>
    <element>
      <code value="CSCR" />
      <target>
        <relationship value="not-related-to" />
        <comment value="submit for new term with parent 119365002^Specimen from wound (specimen)" />
      </target>
    </element>
    <element>
      <code value="CSERU" />
      <target>
        <relationship value="not-related-to" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="CSITE" />
      <target>
        <code value="258507003" />
        <relationship value="equivalent" />
        <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" />
          <value value="386144009" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="285570007" />
        </product>
      </target>
    </element>
    <element>
      <code value="CSMY" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CST" />
      <target>
        <code value="258453008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CSVR" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD - may use blood and SPM-6" />
      </target>
    </element>
    <element>
      <code value="CTP" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="CVPS" />
      <target>
        <code value="258507003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="CVPT" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="445085009" />
        </product>
      </target>
    </element>
    <element>
      <code value="CYN" />
      <target>
        <code value="119368000" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="27925004" />
        </product>
      </target>
    </element>
    <element>
      <code value="CYST" />
      <target>
        <code value="119368000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="DBITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="DCS" />
      <target>
        <code value="119335007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="DEC" />
      <target>
        <code value="258505006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="DEION" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="DIA" />
      <target>
        <code value="119360007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="DISCHG" />
      <target>
        <code value="258439008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="DIV" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="31113003" />
        </product>
      </target>
    </element>
    <element>
      <code value="DRN" />
      <target>
        <code value="119306004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="DRNG" />
      <target>
        <code value="258455001" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="DRNGP" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="EARW" />
      <target>
        <code value="122580007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="EBRUSH" />
      <target>
        <code value="309210009" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="36213007" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="32849002" />
        </product>
      </target>
    </element>
    <element>
      <code value="EEYE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EFF" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EFFUS" />
      <target>
        <code value="258440005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="EFOD" />
      <target>
        <code value="119320006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="EISO" />
      <target>
        <code value="258536003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ELT" />
      <target>
        <code value="119314005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ENVIR" />
      <target>
        <code value="119324002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="EOTH" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="ESOI" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="ESOS" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="ETA" />
      <target>
        <code value="119307008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="321667001" />
        </product>
      </target>
    </element>
    <element>
      <code value="ETTP" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="ETTUB" />
      <target>
        <code value="119307008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="321667001" />
        </product>
      </target>
    </element>
    <element>
      <code value="EWHI" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EXG" />
      <target>
        <code value="119336008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="EXS" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="EXUDTE" />
      <target>
        <code value="258441009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="FAW" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="FBLOOD" />
      <target>
        <code value="119297000" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="303112003" />
        </product>
      </target>
    </element>
    <element>
      <code value="FGA" />
      <target>
        <code value="168139001" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="83670000" />
        </product>
      </target>
    </element>
    <element>
      <code value="FIST" />
      <target>
        <code value="119370009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="FLD" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="FLT" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="FLU" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="FLUID" />
      <target>
        <code value="258442002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="FOLEY" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="FRS" />
      <target>
        <code value="258442002" />
        <relationship value="equivalent" />
        <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" />
          <value value="272626006" />
        </product>
      </target>
    </element>
    <element>
      <code value="FSCLP" />
      <target>
        <code value="309502007" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="41695006" />
        </product>
      </target>
    </element>
    <element>
      <code value="FUR" />
      <target>
        <code value="119295008" />
        <relationship value="equivalent" />
        <comment value="Further describe the sample as tissue or pus. or by the collection method. The term boil is not specific to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="59843005" />
        </product>
      </target>
    </element>
    <element>
      <code value="GAS" />
      <target>
        <code value="119317003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="GASA" />
      <target>
        <code value="168137004" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GASAN" />
      <target>
        <code value="119379005" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="66051006" />
        </product>
      </target>
    </element>
    <element>
      <code value="GASBR" />
      <target>
        <code value="309213006" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="235157009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GASD" />
      <target>
        <code value="258459007" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GAST" />
      <target>
        <code value="258459007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="GENV" />
      <target>
        <code value="119394009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="GRAFT" />
      <target>
        <code value="440493002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="GRANU" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="45647009" />
        </product>
      </target>
    </element>
    <element>
      <code value="GROSH" />
      <target>
        <code value="119311002" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="GSOL" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="GSPEC" />
      <target>
        <code value="309211008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="79121003" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="GT" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="GTUBE" />
      <target>
        <code value="258459007" />
        <relationship value="equivalent" />
        <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" />
          <value value="127490009" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="HBITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="HBLUD" />
      <target>
        <code value="119297000" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="303113008" />
        </product>
      </target>
    </element>
    <element>
      <code value="HEMAQ" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="HEMO" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="HERNI" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="HEV" />
      <target>
        <code value="119306004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="HIC" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="445085009" />
        </product>
      </target>
    </element>
    <element>
      <code value="HYDC" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="55434001" />
        </product>
      </target>
    </element>
    <element>
      <code value="IBITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Submit for new term with parent 119365002" />
      </target>
    </element>
    <element>
      <code value="ICYST" />
      <target>
        <code value="309075001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="IDC" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="IHG" />
      <target>
        <code value="119337004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ILEO" />
      <target>
        <code value="258455001" />
        <relationship value="equivalent" />
        <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" />
          <value value="419954003" />
        </product>
      </target>
    </element>
    <element>
      <code value="ILLEG" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="IMP" />
      <target>
        <code value="439961009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="INCI" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="INFIL" />
      <target>
        <relationship value="not-related-to" />
        <comment value="This describes a morphologic abnormality, not a sample" />
      </target>
    </element>
    <element>
      <code value="INS" />
      <target>
        <code value="258614005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="INTRD" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="IT" />
      <target>
        <code value="119307008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="IUD" />
      <target>
        <relationship value="not-related-to" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="IVCAT" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="255560000" />
        </product>
      </target>
    </element>
    <element>
      <code value="IVFLD" />
      <target>
        <code value="258649003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="IVTIP" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="JEJU" />
      <target>
        <code value="258463000" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="21306003" />
        </product>
      </target>
    </element>
    <element>
      <code value="JNTFLD" />
      <target>
        <code value="119332005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="JP" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="KELOI" />
      <target>
        <code value="440674008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="67889009" />
        </product>
      </target>
    </element>
    <element>
      <code value="KIDFLD" />
      <target>
        <code value="309051001" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="LAVG" />
      <target>
        <code value="258607008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="397394009" />
        </product>
      </target>
    </element>
    <element>
      <code value="LAVGG" />
      <target>
        <code value="168138009" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="173830003" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="LAVGP" />
      <target>
        <code value="440137008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="LAVPG" />
      <target>
        <code value="440674008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="67889009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="44567001" />
        </product>
      </target>
    </element>
    <element>
      <code value="LENS1" />
      <target>
        <code value="440473005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="LENS2" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="LESN" />
      <target>
        <code value="309049000" />
        <relationship value="equivalent" />
        <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" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="LIQO" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="LSAC" />
      <target>
        <code value="258450006" />
        <relationship value="equivalent" />
        <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" />
          <value value="303949008" />
        </product>
      </target>
    </element>
    <element>
      <code value="MAHUR" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="MASS" />
      <target>
        <code value="420548004" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="4147007" />
        </product>
      </target>
    </element>
    <element>
      <code value="MBLD" />
      <target>
        <code value="119345009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="MUCOS" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="414781009" />
        </product>
      </target>
    </element>
    <element>
      <code value="MUCUS" />
      <target>
        <code value="258483004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="NASDR" />
      <target>
        <code value="258474009" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="2095001" />
        </product>
      </target>
    </element>
    <element>
      <code value="NEDL" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="NEPH" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="NGASP" />
      <target>
        <code value="302794003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="6853008" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="NGAST" />
      <target>
        <code value="258459007" />
        <relationship value="equivalent" />
        <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" />
          <value value="127492001" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="69695003" />
        </product>
      </target>
    </element>
    <element>
      <code value="NGS" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="NODUL" />
      <target>
        <relationship value="not-related-to" />
        <comment value="pending" />
      </target>
    </element>
    <element>
      <code value="NSECR" />
      <target>
        <code value="168141000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ORH" />
      <target>
        <code value="123038009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="ORL" />
      <target>
        <relationship value="not-related-to" />
        <comment value="be more precise use ulcer, tumor, vesicle" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="74262004" />
        </product>
      </target>
    </element>
    <element>
      <code value="OTH" />
      <target>
        <code value="123038009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PACEM" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="PCFL" />
      <target>
        <code value="122571007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PDSIT" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PDTS" />
      <target>
        <relationship value="not-related-to" />
        <comment value="submitted for code" />
      </target>
    </element>
    <element>
      <code value="PELVA" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="12921003" />
        </product>
      </target>
    </element>
    <element>
      <code value="PENIL" />
      <target>
        <relationship value="not-related-to" />
        <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" />
          <value value="18911002" />
        </product>
      </target>
    </element>
    <element>
      <code value="PERIA" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="397158004" />
        </product>
      </target>
    </element>
    <element>
      <code value="PILOC" />
      <target>
        <code value="119368000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PINS" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PIS" />
      <target>
        <code value="258507003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PLAN" />
      <target>
        <code value="119301009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PLAS" />
      <target>
        <code value="119361006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PLB" />
      <target>
        <code value="119305000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PLEVS" />
      <target>
        <code value="119364003" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="255587001" />
        </product>
      </target>
    </element>
    <element>
      <code value="PND" />
      <target>
        <code value="258439008" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="13648007" />
        </product>
      </target>
    </element>
    <element>
      <code value="POL" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="41329004" />
        </product>
      </target>
    </element>
    <element>
      <code value="POPGS" />
      <target>
        <code value="440493002" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="6902008" />
        </product>
      </target>
    </element>
    <element>
      <code value="POPLG" />
      <target>
        <code value="440493002" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="6902008" />
        </product>
      </target>
    </element>
    <element>
      <code value="POPLV" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="PORTA" />
      <target>
        <code value="119311002" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="PPP" />
      <target>
        <code value="119362004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PROST" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PRP" />
      <target>
        <code value="119363009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PSC" />
      <target>
        <code value="119368000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PUNCT" />
      <target>
        <code value="119365002" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="129300006" />
        </product>
      </target>
    </element>
    <element>
      <code value="PUS" />
      <target>
        <code value="119323008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="PUSFR" />
      <target>
        <code value="119323008" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="47002008" />
        </product>
      </target>
    </element>
    <element>
      <code value="PUST" />
      <target>
        <code value="119323008" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="47002008" />
        </product>
      </target>
    </element>
    <element>
      <code value="QC3" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="RANDU" />
      <target>
        <code value="278020009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="RBITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Submit for new term with parent: 119365002" />
      </target>
    </element>
    <element>
      <code value="RECT" />
      <target>
        <code value="119339001" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="34402009" />
        </product>
      </target>
    </element>
    <element>
      <code value="RECTA" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="34402009" />
        </product>
      </target>
    </element>
    <element>
      <code value="RENALC" />
      <target>
        <code value="258420003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="RENC" />
      <target>
        <code value="258453008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="RES" />
      <target>
        <code value="258603007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SAL" />
      <target>
        <code value="119342007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SCAR" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SCLV" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="9454009" />
        </product>
      </target>
    </element>
    <element>
      <code value="SCROA" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="20233005" />
        </product>
      </target>
    </element>
    <element>
      <code value="SECRE" />
      <target>
        <code value="432825001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SER" />
      <target>
        <code value="119364003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SHU" />
      <target>
        <code value="119295008" />
        <relationship value="equivalent" />
        <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" />
          <value value="257351008" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="SHUNF" />
      <target>
        <code value="446861007" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="446860008" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="279107003" />
        </product>
      </target>
    </element>
    <element>
      <code value="SHUNT" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SITE" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SKBP" />
      <target>
        <code value="309066003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="240977001" />
        </product>
      </target>
    </element>
    <element>
      <code value="SKN" />
      <target>
        <code value="119325001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SMM" />
      <target>
        <code value="420548004" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="4147007" />
        </product>
      </target>
    </element>
    <element>
      <code value="SNV" />
      <target>
        <code value="119332005" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SPRM" />
      <target>
        <code value="119349003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SPRP" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="SPRPB" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="SPS" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SPT" />
      <target>
        <code value="119334006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SPTC" />
      <target>
        <code value="119335007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SPTT" />
      <target>
        <code value="258609006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SPUT1" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SPUTIN" />
      <target>
        <code value="258610001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="SPUTSP" />
      <target>
        <code value="119335007" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="STER" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="STL" />
      <target>
        <code value="119339001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="STONE" />
      <target>
        <code value="119350003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="64033007" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUBMA" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="5713008" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUBMX" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="4335006" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUMP" />
      <target>
        <code value="446562005" />
        <relationship value="equivalent" />
        <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" />
          <value value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUP" />
      <target>
        <code value="122575003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="58088002" />
        </product>
      </target>
    </element>
    <element>
      <code value="SUTUR" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="SWGZ" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="TASP" />
      <target>
        <code value="122877000" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="129112001" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="44567001" />
        </product>
      </target>
    </element>
    <element>
      <code value="TISS" />
      <target>
        <code value="119376003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="TISU" />
      <target>
        <code value="122593002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="TLC" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="TRAC" />
      <target>
        <code value="438660002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="TRANS" />
      <target>
        <code value="258538002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="TSERU" />
      <target>
        <code value="119364003" />
        <relationship value="equivalent" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="255588006" />
        </product>
      </target>
    </element>
    <element>
      <code value="TSTES" />
      <target>
        <code value="119371008" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="279572002" />
        </product>
      </target>
    </element>
    <element>
      <code value="TTRA" />
      <target>
        <code value="258480001" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="129112001" />
        </product>
      </target>
    </element>
    <element>
      <code value="TUBES" />
      <target>
        <code value="119310001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="TUMOR" />
      <target>
        <code value="258435002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="TZANC" />
      <target>
        <relationship value="not-related-to" />
        <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" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="UR" />
      <target>
        <code value="122575003" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="URC" />
      <target>
        <code value="122880004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="URINB" />
      <target>
        <code value="122575003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="78533007" />
        </product>
      </target>
    </element>
    <element>
      <code value="URINC" />
      <target>
        <code value="446846006" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="URINM" />
      <target>
        <code value="258574006" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="225271002" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="431938005" />
        </product>
      </target>
    </element>
    <element>
      <code value="URINN" />
      <target>
        <code value="446277003" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="225109005" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="25990002" />
        </product>
      </target>
    </element>
    <element>
      <code value="URINP" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="URT" />
      <target>
        <code value="122565001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="USCOP" />
      <target>
        <relationship value="not-related-to" />
        <comment value="NEW specimenTERM 7" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="176178006" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="89837001" />
        </product>
      </target>
    </element>
    <element>
      <code value="USPEC" />
      <target>
        <code value="123038009" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="VASTIP" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="VENT" />
      <target>
        <code value="119312009" />
        <relationship value="equivalent" />
        <comment value="TBD in detail" />
      </target>
    </element>
    <element>
      <code value="VITF" />
      <target>
        <code value="258438000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="VOM" />
      <target>
        <code value="122572000" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WASH" />
      <target>
        <code value="440674008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WASI" />
      <target>
        <code value="122609004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WAT" />
      <target>
        <code value="119318008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WB" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Bloodbanking term ONLY now map to blood and the respective preservative" />
      </target>
    </element>
    <element>
      <code value="WEN" />
      <target>
        <code value="309075001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WICK" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="WND" />
      <target>
        <code value="119365002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WNDA" />
      <target>
        <code value="119366001" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WNDD" />
      <target>
        <code value="122566000" />
        <relationship value="equivalent" />
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="122462000" />
        </product>
      </target>
    </element>
    <element>
      <code value="WNDE" />
      <target>
        <code value="122568004" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WORM" />
      <target>
        <code value="258618008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WRT" />
      <target>
        <code value="309068002" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WWA" />
      <target>
        <code value="119318008" />
        <relationship value="equivalent" />
      </target>
    </element>
    <element>
      <code value="WWO" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="WWT" />
      <target>
        <relationship value="not-related-to" />
        <comment value="TBD" />
      </target>
    </element>
    <element>
      <code value="CSITE" />
      <target>
        <relationship value="not-related-to" />
        <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" />
          <value value="119295008" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="386144009" />
        </product>
        <product>
          <property value="http://snomed.info/id/3006873018" />
          <system value="http://snomed.info/sct" />
          <value value="14766002" />
        </product>
      </target>
    </element>
    <element>
      <code value="CLIPP" />
      <target>
        <relationship value="not-related-to" />
        <comment value="Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen" />
        <product>
          <property value="TypeModifier" />
          <system value="http://snomed.info/sct" />
          <value value="119326000" />
        </product>
      </target>
    </element>
    <element>
      <code value="SHU" />
      <target>
        <relationship value="not-related-to" />
        <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" />
          <value value="438660002" />
        </product>
        <product>
          <property value="http://snomed.info/id/246380002" />
          <system value="http://snomed.info/sct" />
          <value value="257351008" />
        </product>
      </target>
    </element>
  </group>
</ConceptMap>