{

"resourceType": "ConceptMap",
"id": "102",
"url": "http://hl7.org/fhir/ConceptMap/102",
"version": "4.0.1",
"name": "Specimen mapping from v2 table 0487 to SNOMED CT",
"status": "draft",
"experimental": false,
"date": "2013-07-25",
"publisher": "FHIR project team (original source: LabMCoP)",
"contact": [
  {
    "telecom": [
      {
        "system": "url",
        "value": "http://hl7.org/fhir"
      }
    ]
  },
  {
    "telecom": [
      {
        "system": "url",
        "value": "http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786"
      }
    ]
  }
],
"sourceCanonical": "http://terminology.hl7.org/ValueSet/v2-0487",
"targetCanonical": "http://snomed.info/sct?fhir_vs",
"group": [
  {
    "source": "http://terminology.hl7.org/CodeSystem/v2-0487",
    "target": "http://snomed.info/sct",
    "element": [
      {
        "code": "ACNE",
        "target": [
          {
            "code": "309068002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ACNFLD",
        "target": [
          {
            "code": "119323008",
            "equivalence": "equivalent",
            "comment": "HL7 term is a historical term. mapped to Pus",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "47002008"
              }
            ]
          }
        ]
      },
      {
        "code": "AIRS",
        "target": [
          {
            "code": "446302006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ALL",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "7970006"
              }
            ]
          }
        ]
      },
      {
        "code": "AMP",
        "target": [
          {
            "code": "408654003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "81723002"
              }
            ]
          }
        ]
      },
      {
        "code": "ANGI",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "ARTC",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "ASERU",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "pending"
          }
        ]
      },
      {
        "code": "ASP",
        "target": [
          {
            "code": "119295008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              }
            ]
          }
        ]
      },
      {
        "code": "ATTE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "AUTOC",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "AUTP",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "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)"
          }
        ]
      },
      {
        "code": "BBL",
        "target": [
          {
            "code": "119304001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "BCYST",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "submitted (PLR155) with parent of  167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "32361000"
              }
            ]
          }
        ]
      },
      {
        "code": "BITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Submit for new term with parent 119365002"
          }
        ]
      },
      {
        "code": "BLEB",
        "target": [
          {
            "code": "309049000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "339008"
              }
            ]
          }
        ]
      },
      {
        "code": "BLIST",
        "target": [
          {
            "code": "309049000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "339008"
              }
            ]
          }
        ]
      },
      {
        "code": "BOIL",
        "target": [
          {
            "code": "119295008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "59843005"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              }
            ]
          }
        ]
      },
      {
        "code": "BON",
        "target": [
          {
            "code": "430268003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "BOWL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Don't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents"
          }
        ]
      },
      {
        "code": "BPU",
        "target": [
          {
            "code": "119300005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "BRN",
        "target": [
          {
            "code": "119367005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "BRSH",
        "target": [
          {
            "code": "258415003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "439336003"
              }
            ]
          }
        ]
      },
      {
        "code": "BRTH",
        "target": [
          {
            "code": "119336008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "BRUS",
        "target": [
          {
            "code": "309176002",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "80657008"
              }
            ]
          }
        ]
      },
      {
        "code": "BUB",
        "target": [
          {
            "code": "302795002",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "11585000"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              }
            ]
          }
        ]
      },
      {
        "code": "BULLA",
        "target": [
          {
            "code": "258482009",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "339008"
              }
            ]
          }
        ]
      },
      {
        "code": "BX",
        "target": [
          {
            "code": "258415003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "86273004"
              }
            ]
          }
        ]
      },
      {
        "code": "CALC",
        "target": [
          {
            "code": "119350003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CARBU",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "41570003"
              }
            ]
          }
        ]
      },
      {
        "code": "CAT",
        "target": [
          {
            "code": "119311002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CBITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Submit for new term with parent 119365002"
          }
        ]
      },
      {
        "code": "CLIPP",
        "target": [
          {
            "code": "119327009",
            "equivalence": "equivalent",
            "comment": "Be more specific use either: 119326000^hair specimen or 119327009^nail specimen"
          }
        ]
      },
      {
        "code": "CNJT",
        "target": [
          {
            "code": "119401005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CNJT",
        "target": [
          {
            "code": "128160006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CNJT",
        "target": [
          {
            "code": "258498002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "COL",
        "target": [
          {
            "code": "119329007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CONE",
        "target": [
          {
            "code": "399713008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "54535009"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "71252005"
              }
            ]
          }
        ]
      },
      {
        "code": "CSCR",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "submit for new term with parent 119365002^Specimen from wound (specimen)"
          }
        ]
      },
      {
        "code": "CSERU",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "pending"
          }
        ]
      },
      {
        "code": "CSITE",
        "target": [
          {
            "code": "258507003",
            "equivalence": "equivalent",
            "comment": "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": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "386144009"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "285570007"
              }
            ]
          }
        ]
      },
      {
        "code": "CSMY",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CST",
        "target": [
          {
            "code": "258453008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CSVR",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD - may use blood and SPM-6"
          }
        ]
      },
      {
        "code": "CTP",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "CVPS",
        "target": [
          {
            "code": "258507003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "CVPT",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "445085009"
              }
            ]
          }
        ]
      },
      {
        "code": "CYN",
        "target": [
          {
            "code": "119368000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "27925004"
              }
            ]
          }
        ]
      },
      {
        "code": "CYST",
        "target": [
          {
            "code": "119368000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "DBITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Submit for new term with parent 119365002"
          }
        ]
      },
      {
        "code": "DCS",
        "target": [
          {
            "code": "119335007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "DEC",
        "target": [
          {
            "code": "258505006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "DEION",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "DIA",
        "target": [
          {
            "code": "119360007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "DISCHG",
        "target": [
          {
            "code": "258439008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "DIV",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "31113003"
              }
            ]
          }
        ]
      },
      {
        "code": "DRN",
        "target": [
          {
            "code": "119306004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "DRNG",
        "target": [
          {
            "code": "258455001",
            "equivalence": "equivalent",
            "comment": "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": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              }
            ]
          }
        ]
      },
      {
        "code": "DRNGP",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              }
            ]
          }
        ]
      },
      {
        "code": "EARW",
        "target": [
          {
            "code": "122580007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "EBRUSH",
        "target": [
          {
            "code": "309210009",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "36213007"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "32849002"
              }
            ]
          }
        ]
      },
      {
        "code": "EEYE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "EFF",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "EFFUS",
        "target": [
          {
            "code": "258440005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "EFOD",
        "target": [
          {
            "code": "119320006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "EISO",
        "target": [
          {
            "code": "258536003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ELT",
        "target": [
          {
            "code": "119314005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ENVIR",
        "target": [
          {
            "code": "119324002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "EOTH",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "ESOI",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "ESOS",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "ETA",
        "target": [
          {
            "code": "119307008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "321667001"
              }
            ]
          }
        ]
      },
      {
        "code": "ETTP",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "ETTUB",
        "target": [
          {
            "code": "119307008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "321667001"
              }
            ]
          }
        ]
      },
      {
        "code": "EWHI",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "EXG",
        "target": [
          {
            "code": "119336008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "EXS",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "EXUDTE",
        "target": [
          {
            "code": "258441009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "FAW",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "FBLOOD",
        "target": [
          {
            "code": "119297000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "303112003"
              }
            ]
          }
        ]
      },
      {
        "code": "FGA",
        "target": [
          {
            "code": "168139001",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "83670000"
              }
            ]
          }
        ]
      },
      {
        "code": "FIST",
        "target": [
          {
            "code": "119370009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "FLD",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "FLT",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "FLU",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "FLUID",
        "target": [
          {
            "code": "258442002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "FOLEY",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "FRS",
        "target": [
          {
            "code": "258442002",
            "equivalence": "equivalent",
            "comment": "this term is not specific enough, choose from terms that more accurately describe the specimen",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "272626006"
              }
            ]
          }
        ]
      },
      {
        "code": "FSCLP",
        "target": [
          {
            "code": "309502007",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "41695006"
              }
            ]
          }
        ]
      },
      {
        "code": "FUR",
        "target": [
          {
            "code": "119295008",
            "equivalence": "equivalent",
            "comment": "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": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "59843005"
              }
            ]
          }
        ]
      },
      {
        "code": "GAS",
        "target": [
          {
            "code": "119317003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "GASA",
        "target": [
          {
            "code": "168137004",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "GASAN",
        "target": [
          {
            "code": "119379005",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "66051006"
              }
            ]
          }
        ]
      },
      {
        "code": "GASBR",
        "target": [
          {
            "code": "309213006",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "235157009"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "GASD",
        "target": [
          {
            "code": "258459007",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "GAST",
        "target": [
          {
            "code": "258459007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "GENV",
        "target": [
          {
            "code": "119394009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "GRAFT",
        "target": [
          {
            "code": "440493002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "GRANU",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "45647009"
              }
            ]
          }
        ]
      },
      {
        "code": "GROSH",
        "target": [
          {
            "code": "119311002",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "GSOL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "GSPEC",
        "target": [
          {
            "code": "309211008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "79121003"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "GT",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "GTUBE",
        "target": [
          {
            "code": "258459007",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "127490009"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "HBITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Submit for new term with parent 119365002"
          }
        ]
      },
      {
        "code": "HBLUD",
        "target": [
          {
            "code": "119297000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "303113008"
              }
            ]
          }
        ]
      },
      {
        "code": "HEMAQ",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "HEMO",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "HERNI",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "HEV",
        "target": [
          {
            "code": "119306004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "HIC",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "445085009"
              }
            ]
          }
        ]
      },
      {
        "code": "HYDC",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "55434001"
              }
            ]
          }
        ]
      },
      {
        "code": "IBITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Submit for new term with parent 119365002"
          }
        ]
      },
      {
        "code": "ICYST",
        "target": [
          {
            "code": "309075001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "IDC",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "IHG",
        "target": [
          {
            "code": "119337004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ILEO",
        "target": [
          {
            "code": "258455001",
            "equivalence": "equivalent",
            "comment": "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": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "419954003"
              }
            ]
          }
        ]
      },
      {
        "code": "ILLEG",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "IMP",
        "target": [
          {
            "code": "439961009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "INCI",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "INFIL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "This describes a morphologic abnormality, not a sample"
          }
        ]
      },
      {
        "code": "INS",
        "target": [
          {
            "code": "258614005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "INTRD",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "IT",
        "target": [
          {
            "code": "119307008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "IUD",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "pending"
          }
        ]
      },
      {
        "code": "IVCAT",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "255560000"
              }
            ]
          }
        ]
      },
      {
        "code": "IVFLD",
        "target": [
          {
            "code": "258649003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "IVTIP",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "JEJU",
        "target": [
          {
            "code": "258463000",
            "equivalence": "equivalent",
            "comment": "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": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "21306003"
              }
            ]
          }
        ]
      },
      {
        "code": "JNTFLD",
        "target": [
          {
            "code": "119332005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "JP",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              }
            ]
          }
        ]
      },
      {
        "code": "KELOI",
        "target": [
          {
            "code": "440674008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "67889009"
              }
            ]
          }
        ]
      },
      {
        "code": "KIDFLD",
        "target": [
          {
            "code": "309051001",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "64033007"
              }
            ]
          }
        ]
      },
      {
        "code": "LAVG",
        "target": [
          {
            "code": "258607008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "397394009"
              }
            ]
          }
        ]
      },
      {
        "code": "LAVGG",
        "target": [
          {
            "code": "168138009",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "173830003"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "LAVGP",
        "target": [
          {
            "code": "440137008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "LAVPG",
        "target": [
          {
            "code": "440674008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "67889009"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "44567001"
              }
            ]
          }
        ]
      },
      {
        "code": "LENS1",
        "target": [
          {
            "code": "440473005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "LENS2",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "LESN",
        "target": [
          {
            "code": "309049000",
            "equivalence": "equivalent",
            "comment": "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)"
          }
        ]
      },
      {
        "code": "LIQ",
        "target": [
          {
            "code": "258442002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "LIQO",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "LSAC",
        "target": [
          {
            "code": "258450006",
            "equivalence": "equivalent",
            "comment": "The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "303949008"
              }
            ]
          }
        ]
      },
      {
        "code": "MAHUR",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "MASS",
        "target": [
          {
            "code": "420548004",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "4147007"
              }
            ]
          }
        ]
      },
      {
        "code": "MBLD",
        "target": [
          {
            "code": "119345009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "MUCOS",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "414781009"
              }
            ]
          }
        ]
      },
      {
        "code": "MUCUS",
        "target": [
          {
            "code": "258483004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "NASDR",
        "target": [
          {
            "code": "258474009",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "2095001"
              }
            ]
          }
        ]
      },
      {
        "code": "NEDL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "NEPH",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "NGASP",
        "target": [
          {
            "code": "302794003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "6853008"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "NGAST",
        "target": [
          {
            "code": "258459007",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "127492001"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "69695003"
              }
            ]
          }
        ]
      },
      {
        "code": "NGS",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "NODUL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "pending"
          }
        ]
      },
      {
        "code": "NSECR",
        "target": [
          {
            "code": "168141000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ORH",
        "target": [
          {
            "code": "123038009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "ORL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "be more precise use ulcer, tumor, vesicle",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "74262004"
              }
            ]
          }
        ]
      },
      {
        "code": "OTH",
        "target": [
          {
            "code": "123038009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PACEM",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "PCFL",
        "target": [
          {
            "code": "122571007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PDSIT",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PDTS",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "submitted for code"
          }
        ]
      },
      {
        "code": "PELVA",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "12921003"
              }
            ]
          }
        ]
      },
      {
        "code": "PENIL",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "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": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "18911002"
              }
            ]
          }
        ]
      },
      {
        "code": "PERIA",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "397158004"
              }
            ]
          }
        ]
      },
      {
        "code": "PILOC",
        "target": [
          {
            "code": "119368000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PINS",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PIS",
        "target": [
          {
            "code": "258507003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PLAN",
        "target": [
          {
            "code": "119301009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PLAS",
        "target": [
          {
            "code": "119361006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PLB",
        "target": [
          {
            "code": "119305000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PLEVS",
        "target": [
          {
            "code": "119364003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "255587001"
              }
            ]
          }
        ]
      },
      {
        "code": "PND",
        "target": [
          {
            "code": "258439008",
            "equivalence": "equivalent",
            "comment": "Historical term -though in this case more often used for discharge",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "13648007"
              }
            ]
          }
        ]
      },
      {
        "code": "POL",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "41329004"
              }
            ]
          }
        ]
      },
      {
        "code": "POPGS",
        "target": [
          {
            "code": "440493002",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "6902008"
              }
            ]
          }
        ]
      },
      {
        "code": "POPLG",
        "target": [
          {
            "code": "440493002",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "6902008"
              }
            ]
          }
        ]
      },
      {
        "code": "POPLV",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "PORTA",
        "target": [
          {
            "code": "119311002",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "PPP",
        "target": [
          {
            "code": "119362004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PROST",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PRP",
        "target": [
          {
            "code": "119363009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PSC",
        "target": [
          {
            "code": "119368000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PUNCT",
        "target": [
          {
            "code": "119365002",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "129300006"
              }
            ]
          }
        ]
      },
      {
        "code": "PUS",
        "target": [
          {
            "code": "119323008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "PUSFR",
        "target": [
          {
            "code": "119323008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "47002008"
              }
            ]
          }
        ]
      },
      {
        "code": "PUST",
        "target": [
          {
            "code": "119323008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "47002008"
              }
            ]
          }
        ]
      },
      {
        "code": "QC3",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "RANDU",
        "target": [
          {
            "code": "278020009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "RBITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Submit for new term with parent: 119365002"
          }
        ]
      },
      {
        "code": "RECT",
        "target": [
          {
            "code": "119339001",
            "equivalence": "equivalent",
            "comment": "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": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "34402009"
              }
            ]
          }
        ]
      },
      {
        "code": "RECTA",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "34402009"
              }
            ]
          }
        ]
      },
      {
        "code": "RENALC",
        "target": [
          {
            "code": "258420003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "64033007"
              }
            ]
          }
        ]
      },
      {
        "code": "RENC",
        "target": [
          {
            "code": "258453008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "64033007"
              }
            ]
          }
        ]
      },
      {
        "code": "RES",
        "target": [
          {
            "code": "258603007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SAL",
        "target": [
          {
            "code": "119342007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SCAR",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SCLV",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "9454009"
              }
            ]
          }
        ]
      },
      {
        "code": "SCROA",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "20233005"
              }
            ]
          }
        ]
      },
      {
        "code": "SECRE",
        "target": [
          {
            "code": "432825001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SER",
        "target": [
          {
            "code": "119364003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SHU",
        "target": [
          {
            "code": "119295008",
            "equivalence": "equivalent",
            "comment": "Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "257351008"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              }
            ]
          }
        ]
      },
      {
        "code": "SHUNF",
        "target": [
          {
            "code": "446861007",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "446860008"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "279107003"
              }
            ]
          }
        ]
      },
      {
        "code": "SHUNT",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "SITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "SKBP",
        "target": [
          {
            "code": "309066003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "240977001"
              }
            ]
          }
        ]
      },
      {
        "code": "SKN",
        "target": [
          {
            "code": "119325001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SMM",
        "target": [
          {
            "code": "420548004",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "4147007"
              }
            ]
          }
        ]
      },
      {
        "code": "SNV",
        "target": [
          {
            "code": "119332005",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SPRM",
        "target": [
          {
            "code": "119349003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SPRP",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "SPRPB",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "SPS",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "SPT",
        "target": [
          {
            "code": "119334006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SPTC",
        "target": [
          {
            "code": "119335007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SPTT",
        "target": [
          {
            "code": "258609006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SPUT1",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "SPUTIN",
        "target": [
          {
            "code": "258610001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "SPUTSP",
        "target": [
          {
            "code": "119335007",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "STER",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "STL",
        "target": [
          {
            "code": "119339001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "STONE",
        "target": [
          {
            "code": "119350003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "64033007"
              }
            ]
          }
        ]
      },
      {
        "code": "SUBMA",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "5713008"
              }
            ]
          }
        ]
      },
      {
        "code": "SUBMX",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "4335006"
              }
            ]
          }
        ]
      },
      {
        "code": "SUMP",
        "target": [
          {
            "code": "446562005",
            "equivalence": "equivalent",
            "comment": "Historical term - consider what is being drained and indicate that in SPM-4 instead",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              }
            ]
          }
        ]
      },
      {
        "code": "SUP",
        "target": [
          {
            "code": "122575003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "58088002"
              }
            ]
          }
        ]
      },
      {
        "code": "SUTUR",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "SWGZ",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "TASP",
        "target": [
          {
            "code": "122877000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "129112001"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "44567001"
              }
            ]
          }
        ]
      },
      {
        "code": "TISS",
        "target": [
          {
            "code": "119376003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "TISU",
        "target": [
          {
            "code": "122593002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "TLC",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "TRAC",
        "target": [
          {
            "code": "438660002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "TRANS",
        "target": [
          {
            "code": "258538002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "TSERU",
        "target": [
          {
            "code": "119364003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "255588006"
              }
            ]
          }
        ]
      },
      {
        "code": "TSTES",
        "target": [
          {
            "code": "119371008",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "279572002"
              }
            ]
          }
        ]
      },
      {
        "code": "TTRA",
        "target": [
          {
            "code": "258480001",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "129112001"
              }
            ]
          }
        ]
      },
      {
        "code": "TUBES",
        "target": [
          {
            "code": "119310001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "TUMOR",
        "target": [
          {
            "code": "258435002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "TZANC",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "This is the name of a lab test. A skin sample is examined for viral inclusions."
          }
        ]
      },
      {
        "code": "UDENT",
        "target": [
          {
            "code": "123038009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "UR",
        "target": [
          {
            "code": "122575003",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "URC",
        "target": [
          {
            "code": "122880004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "URINB",
        "target": [
          {
            "code": "122575003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "78533007"
              }
            ]
          }
        ]
      },
      {
        "code": "URINC",
        "target": [
          {
            "code": "446846006",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "URINM",
        "target": [
          {
            "code": "258574006",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "225271002"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "431938005"
              }
            ]
          }
        ]
      },
      {
        "code": "URINN",
        "target": [
          {
            "code": "446277003",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "225109005"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "25990002"
              }
            ]
          }
        ]
      },
      {
        "code": "URINP",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "URT",
        "target": [
          {
            "code": "122565001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "USCOP",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "NEW specimenTERM 7",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "176178006"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "89837001"
              }
            ]
          }
        ]
      },
      {
        "code": "USPEC",
        "target": [
          {
            "code": "123038009",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "VASTIP",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "VENT",
        "target": [
          {
            "code": "119312009",
            "equivalence": "equivalent",
            "comment": "TBD in detail"
          }
        ]
      },
      {
        "code": "VITF",
        "target": [
          {
            "code": "258438000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "VOM",
        "target": [
          {
            "code": "122572000",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WASH",
        "target": [
          {
            "code": "440674008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WASI",
        "target": [
          {
            "code": "122609004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WAT",
        "target": [
          {
            "code": "119318008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WB",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Bloodbanking term ONLY now map to blood and the respective preservative"
          }
        ]
      },
      {
        "code": "WEN",
        "target": [
          {
            "code": "309075001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WICK",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "WND",
        "target": [
          {
            "code": "119365002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WNDA",
        "target": [
          {
            "code": "119366001",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WNDD",
        "target": [
          {
            "code": "122566000",
            "equivalence": "equivalent",
            "product": [
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "122462000"
              }
            ]
          }
        ]
      },
      {
        "code": "WNDE",
        "target": [
          {
            "code": "122568004",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WORM",
        "target": [
          {
            "code": "258618008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WRT",
        "target": [
          {
            "code": "309068002",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WWA",
        "target": [
          {
            "code": "119318008",
            "equivalence": "equivalent"
          }
        ]
      },
      {
        "code": "WWO",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "WWT",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "TBD"
          }
        ]
      },
      {
        "code": "CSITE",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "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": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "119295008"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "386144009"
              },
              {
                "property": "http://snomed.info/id/3006873018",
                "system": "http://snomed.info/sct",
                "value": "14766002"
              }
            ]
          }
        ]
      },
      {
        "code": "CLIPP",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen",
            "product": [
              {
                "property": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "119326000"
              }
            ]
          }
        ]
      },
      {
        "code": "SHU",
        "target": [
          {
            "equivalence": "unmatched",
            "comment": "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": "TypeModifier",
                "system": "http://snomed.info/sct",
                "value": "438660002"
              },
              {
                "property": "http://snomed.info/id/246380002",
                "system": "http://snomed.info/sct",
                "value": "257351008"
              }
            ]
          }
        ]
      }
    ]
  }
]

}