Change Request ID:
File Name:
Description:
Status:
Sponsoring Person
Sponsoring Business Unit
Date Originated:
OO CR160—792 HL70487 concept review
New Proposal
Riki Merrick
Contractor to APHL
2/6/2014
Date HL7 approved:
Backward Compatible:
Yes
Forward Compatible:
Yes
HL7 Status & Date
1 JUSTIFICATION DETAIL:
It seems that during the migration from use of HL7 table 70 in OBR-15 to HL7 table 487 in SPM-4
(HL7 v2.5 and up) several concepts were dropped – either intentionally or unintentionally - CSF
as the example that started this analysis.
Here is a comparison of concepts in both tables:
Table0070 Code
ABS
ACNE
ACNFLD
AIRS
ALL
AMN
AMP
ANGI
ARTC
ASERU
ASP
Table0487 Code
ABS
ACNE
ACNFLD
AIRS
ALL
Table0487 Value
Abscess
Tissue, Acne
Fluid, Acne
Air Sample
Allograft
AMP
ANGI
ARTC
ASERU
ASP
ATTE
Table0070 Value
Abscess
Tissue, Acne
Fluid, Acne
Air Sample
Allograft
Amniotic fluid
Amputation
Catheter Tip, Angio
Catheter Tip, Arterial
Serum, Acute
Aspirate
Environmental,
Autoclave Ampule
AUTOC
AUTP
BBL
BCYST
BDY
BIFL
BITE
BLD
BLDA
BLDC
Environment, Attest
Autopsy
Blood bag
Cyst, Baker's
Whole body
Bile fluid
Bite
Whole blood
Blood arterial
Blood capillary
AUTOC
AUTP
BBL
BCYST
Amputation
Catheter Tip, Angio
Catheter Tip, Arterial
Serum, Acute
Aspirate
Environmental,
Autoclave Ampule
Environmental,
Autoclave Capsule
Autopsy
Blood bag
Cyst, Baker's
BITE
Bite
ATTE
Page 1 of 10
BLDCO
BLDV
BLEB
BLIST
BOIL
BON
BOWL
BPH
BPU
BRN
BRO
BRSH
BRTH
BRUS
BUB
BULLA
BX
CALC
CARBU
CAT
CBITE
CDM
CLIPP
CNJT
CNL
COL
CONE
CSCR
CSERU
CSF
CSITE
CSMY
CST
CSVR
CTP
CUR
CVM
CVPS
CVPT
CVX
CYN
CYST
Cord blood
Blood venous
Bleb
Blister
Boil
Bone
Bowel contents
Basophils
Blood product unit
Burn
Bronchial
Brush
Breath (use EXHLD)
Brushing
Bubo
Bulla/Bullae
Biopsy
Calculus (=Stone)
Carbuncle
Catheter
Bite, Cat
Cardiac muscle
Clippings
Conjunctiva
Cannula
Colostrum
Biospy, Cone
Scratch, Cat
Serum, Convalescent
Cerebral spinal fluid
Catheter Insertion Site
Fluid, Cystostomy
Tube
Fluid, Cyst
Blood, Cell Saver
Catheter tip
Curettage
Cervical mucus
Site, CVP
Catheter Tip, CVP
Cervix
Nodule, Cystic
Cyst
BLEB
BLIST
BOIL
BON
BOWL
Bleb
Blister
Boil
Bone
Bowel contents
BPU
BRN
Blood product unit
Burn
BRSH
BRTH
BRUS
BUB
BULLA
BX
CALC
CARBU
CAT
CBITE
Brush
Breath (use EXHLD)
Brushing
Bubo
Bulla/Bullae
Biopsy
Calculus (=Stone)
Carbuncle
Catheter
Bite, Cat
CLIPP
CNJT
Clippings
Conjunctiva
COL
CONE
CSCR
CSERU
Colostrum
Biospy, Cone
Scratch, Cat
Serum, Convalescent
CSITE
CSMY
CST
CSVR
CTP
Catheter Insertion Site
Fluid, Cystostomy
Tube
Fluid, Cyst
Blood, Cell Saver
Catheter tip
CVPS
CVPT
Site, CVP
Catheter Tip, CVP
CYN
CYST
Nodule, Cystic
Cyst
Page 2 of 10
DBITE
DCS
DEC
DEION
DIA
DIAF
DISCHG
DIV
DOSE
DRN
DRNG
DRNGP
DUFL
EAR
EARW
EBRUSH
EEYE
EFF
EFFUS
EFOD
EISO
ELT
ENDC
ENDM
ENVIR
EOS
EOTH
ESOI
ESOS
ETA
ETTP
ETTUB
EWHI
EXG
EXS
Bite, Dog
Sputum, Deep Cough
Ulcer, Decubitus
Environmental, Water
(Deionized)
Dialysate
Dialysis fluid
Discharge
Diverticulum
Dose med or substance
Drain
Drainage, Tube
Drainage, Penrose
Duodenal fluid
Ear
Ear wax (cerumen)
Brush, Esophageal
Environmental, Eye
Wash
Environmental,
Effluent
Effusion
Environmental, Food
DBITE
DCS
DEC
DEION
DIA
Bite, Dog
Sputum, Deep Cough
Ulcer, Decubitus
Environmental, Water
(Deionized)
Dialysate
DISCHG
DIV
Discharge
Diverticulum
DRN
DRNG
DRNGP
Drain
Drainage, Tube
Drainage, Penrose
EARW
EBRUSH
EISO
ELT
Ear wax (cerumen)
Brush, Esophageal
Environmental, Eye
Wash
Environmental,
Effluent
Effusion
Environmental, Food
Environmental,
Isolette
Electrode
Environmental, Isolette
Electrode
Endocardium
Endometrium
Environmental,
Unidentified Substance
Eosinophils
Environmental, Other
Substance
Environmental, Soil
Environmental,
Solution (Sterile)
Aspirate, Endotrach
Catheter Tip,
Endotracheal
Tube, Endotracheal
Environmental,
Whirlpool
Exhaled gas (=breath)
Shunt, External
ENVIR
Environmental,
Unidentified Substance
EEYE
EFF
EFFUS
EFOD
EOTH
ESOI
ESOS
ETA
ETTP
ETTUB
EWHI
EXG
EXS
Environmental, Other
Substance
Environmental, Soil
Environmental,
Solution (Sterile)
Aspirate, Endotrach
Catheter Tip,
Endotracheal
Tube, Endotracheal
Environmental,
Whirlpool
Gas, exhaled (=breath)
Shunt, External
Page 3 of 10
EXUDTE
EYE
EXUDTE
Exudate
FAW
FBLOOD
FGA
Environmental, Water
(Well)
Blood, Fetal
Fluid, Abdomen
FIST
FLD
FLT
FLU
FLUID
FOLEY
FRS
FSCLP
FUR
GAS
GASA
GASAN
GASBR
GASD
GAST
Fistula
Fluid, Other
Filter
Fluid, Body unsp
Fluid
Catheter Tip, Foley
Fluid, Respiratory
Scalp, Fetal
Furuncle
Gas
Aspirate, Gastric
Antrum, Gastric
Brushing, Gastric
Drainage, Gastric
Fluid/contents, Gastric
GENV
GRAFT
GRANU
GROSH
GSOL
GSPEC
GT
GTUBE
HAR
HBITE
HBLUD
Exudate
Eye
Environmental, Water
(Well)
Blood, Fetal
Fluid, Abdomen
Fibroblasts
Fistula
Fluid, Other
Filter
Body fluid, unsp
Fluid
Catheter Tip, Foley
Fluid, Respiratory
Scalp, Fetal
Furuncle
Gas
Aspirate, Gastric
Antrum, Gastric
Brushing, Gastric
Drainage, Gastric
Gastric fluid/contents
Genital
Genital cervix
Genital lochia
Genital vaginal
Graft
Granuloma
Catheter, Groshong
Solution, Gastrostomy
Biopsy, Gastric
Tube, Gastric
Drainage Tube,
Drainage
(Gastrostomy)
Hair
Bite, Human
Blood, Autopsy
Genital vaginal
Graft Site
Granuloma
Catheter, Groshong
Solution, Gastrostomy
Biopsy, Gastric
Tube, Gastric
Drainage Tube,
Drainage
(Gastrostomy)
HEMAQ
HEMO
HERNI
HEV
Catheter Tip, Hemaquit
Catheter Tip, Hemovac
Tissue, Herniated
Drain, Hemovac
HEMAQ
HEMO
HERNI
HEV
FAW
FBLOOD
FGA
FIB
FIST
FLD
FLT
FLU
FLUID
FOLEY
FRS
FSCLP
FUR
GAS
GASA
GASAN
GASBR
GASD
GAST
GEN
GENC
GENL
GENV
GRAFT
GRANU
GROSH
GSOL
GSPEC
GT
GTUBE
HBITE
HBLUD
Bite, Human
Blood, Autopsy
Catheter Tip,
Hemaquit
Catheter Tip, Hemovac
Tissue, Herniated
Drain, Hemovac
Page 4 of 10
HIC
HYDC
IBITE
ICYST
HIC
HYDC
IBITE
ICYST
INTRD
ISLT
IT
IUD
IVCAT
IVFLD
IVTIP
JEJU
JNTFLD
Catheter, Hickman
Fluid, Hydrocele
Bite, Insect
Cyst, Inclusion
Catheter Tip,
Indwelling
Inhaled Gas
Drainage, Ileostomy
Source of Specimen Is
Illegible
Implant
Site, Incision/Surgical
Infiltrate
Insect
Catheter Tip,
Introducer
Isolate
Intubation tube
Intrauterine Device
Catheter Tip, IV
Fluid, IV
Tubing Tip, IV
Drainage, Jejunal
Fluid, Joint
JP
KELOI
KIDFLD
LAM
LAVG
LAVGG
LAVGP
LAVPG
LENS1
LENS2
LESN
LIQ
LIQO
LN
LNA
LNV
LSAC
LYM
Drainage, Jackson Pratt
Lavage
Fluid, Kidney
Lamella
Lavage, Bronhial
Lavage, Gastric
Lavage, Peritoneal
Lavage, Pre-Bronch
Contact Lens
Contact Lens Case
Lesion
Liquid NOS
Liquid, Other
Line
Line arterial
Line venous
Fluid, Lumbar Sac
Lymphocytes
JP
KELOI
KIDFLD
Intubation tube
Intrauterine Device
Catheter Tip, IV
Fluid, IV
Tubing Tip, IV
Drainage, Jejunal
Fluid, Joint
Drainage, Jackson
Pratt
Lavage
Fluid, Kidney
LAVG
LAVGG
LAVGP
LAVPG
LENS1
LENS2
LESN
LIQ
LIQO
Lavage, Bronhial
Lavage, Gastric
Lavage, Peritoneal
Lavage, Pre-Bronch
Contact Lens
Contact Lens Case
Lesion
Liquid, Unspecified
Liquid, Other
LSAC
Fluid, Lumbar Sac
IDC
IHG
ILEO
ILLEG
IMP
INCI
INFIL
INS
IDC
IHG
ILEO
ILLEG
IMP
INCI
INFIL
INS
INTRD
IT
IUD
IVCAT
IVFLD
IVTIP
JEJU
JNTFLD
Catheter, Hickman
Fluid, Hydrocele
Bite, Insect
Cyst, Inclusion
Catheter Tip,
Indwelling
Gas, Inhaled
Drainage, Ileostomy
Source of Specimen Is
Illegible
Implant
Site, Incision/Surgical
Infiltrate
Insect
Catheter Tip,
Introducer
Page 5 of 10
MAC
MAHUR
MAR
MASS
MBLD
MEC
MILK
MLK
MUCOS
MUCUS
NAIL
NASDR
NEDL
NEPH
NGASP
NGAST
NGS
NODUL
NOS
NSECR
ORH
ORL
OTH
PACEM
PAFL
PAT
PCFL
PDSIT
PDTS
PELVA
PENIL
PERIA
PILOC
PINS
PIS
PLAN
PLAS
PLB
PLC
PLEVS
Macrophages
Catheter Tip,
Makurkour
Marrow
Mass
Menstrual blood
Meconium
Breast milk
Milk
Mucosa
Mucus
Nail
Drainage, Nasal
Needle
Site, Nephrostomy
Aspirate, Nasogastric
Drainage, Nasogastric
Site, Naso/Gastric
Nodule(s)
Nose (nasal passage)
Secretion, Nasal
Other
Lesion, Oral
Source, Other
Pacemaker
Pancreatic fluid
Patient
Fluid, Pericardial
Site, Peritoneal Dialysis
Site, Peritoneal Dialysis
Tunnel
Abscess, Pelvic
Lesion, Penile
Abscess, Perianal
Cyst, Pilonidal
Site, Pin
Site, Pacemaker
Insetion
Plant Material
Plasma
Plasma bag
Placenta
Serum, Peak Level
MAHUR
Catheter Tip,
Makurkour
MASS
MBLD
Mass
Blood, Menstrual
MUCOS
MUCUS
Mucosa
Mucus
NASDR
NEDL
NEPH
NGASP
NGAST
NGS
NODUL
Drainage, Nasal
Needle
Site, Nephrostomy
Aspirate, Nasogastric
Drainage, Nasogastric
Site, Naso/Gastric
Nodule(s)
NSECR
ORH
ORL
OTH
PACEM
Secretion, Nasal
Other
Lesion, Oral
Source, Other
Pacemaker
PCFL
PDSIT
PIS
PLAN
PLAS
PLB
Fluid, Pericardial
Site, Peritoneal Dialysis
Site, Peritoneal Dialysis
Tunnel
Abscess, Pelvic
Lesion, Penile
Abscess, Perianal
Cyst, Pilonidal
Site, Pin
Site, Pacemaker
Insetion
Plant Material
Plasma
Plasma bag
PLEVS
Serum, Peak Level
PDTS
PELVA
PENIL
PERIA
PILOC
PINS
Page 6 of 10
PLR
PMN
PND
POL
POPGS
POPLG
POPLV
PORTA
PPP
PROST
PRP
PRT
PSC
PUNCT
PUS
PUSFR
PUST
QC3
RANDU
RBC
RBITE
RECT
RECTA
RENALC
RENC
RES
RT
SAL
SCAR
SCLV
SCROA
SECRE
SER
SHU
SHUNF
SHUNT
SITE
SKBP
SKM
Pleural fluid
(thoracentesis fld)
Polymorphonuclear
neutrophils
Drainage, Penile
Polyps
Graft Site, Popliteal
Graft, Popliteal
Site, Popliteal Vein
Catheter, Porta
Platelet poor plasma
Prosthetic Device
Platelet rich plasma
Peritoneal fluid
/ascites
Pseudocyst
Wound, Puncture
Pus
Pustule
Pus
Quality Control
Urine, Random
Erythrocytes
Bite, Reptile
Drainage, Rectal
Abscess, Rectal
Cyst, Renal
Fluid, Renal Cyst
Respiratory
Route of medicine
Saliva
Tissue, Keloid (Scar)
Catheter Tip,
Subclavian
Abscess, Scrotal
Secretion(s)
Serum
Site, Shunt
Fluid, Shunt
Shunt
Site
Biopsy, Skin
Skeletal muscle
PND
POL
POPGS
POPLG
POPLV
PORTA
PPP
PROST
PRP
Drainage, Penile
Polyps
Graft Site, Popliteal
Graft, Popliteal
Site, Popliteal Vein
Catheter, Porta
Plasma, Platelet poor
Prosthetic Device
Plasma, Platelet rich
PSC
PUNCT
PUS
PUSFR
PUST
QC3
RANDU
Pseudocyst
Wound, Puncture
Pus
Pustule
Pus
Quality Control
Urine, Random
RBITE
RECT
RECTA
RENALC
RENC
RES
Bite, Reptile
Drainage, Rectal
Abscess, Rectal
Cyst, Renal
Fluid, Renal Cyst
Respiratory
SAL
SCAR
Saliva
Tissue, Keloid (Scar)
Catheter Tip,
Subclavian
Abscess, Scrotal
Secretion(s)
Serum
Site, Shunt
Fluid, Shunt
Shunt
Site
Biopsy, Skin
SCLV
SCROA
SECRE
SER
SHU
SHUNF
SHUNT
SITE
SKBP
Page 7 of 10
SKN
SMM
SMN
SNV
SPRM
SPRP
SPRPB
SPS
SPT
SPTC
SPTT
SPUT1
SPUTIN
SPUTSP
STER
STL
STON
STONE
SUBMA
SUBMX
SUMP
SUP
SUTUR
SWGZ
SWT
TASP
TEAR
THRB
THRT
TISG
TISPL
TISS
TISU
TLC
TLGI
Skin
Mass, Sub-Mandibular
Seminal fluid
Synovial fluid (Joint
fluid)
Spermatozoa
Catheter Tip,
Suprapubic
Cathether Tip,
Suprapubic
Environmental, Spore
Strip
Sputum
Sputum - coughed
Sputum - tracheal
aspirate
Sputum, Simulated
Sputum, Inducted
Sputum, Spontaneous
Environmental, Sterrad
Stool = Fecal
Stone (use CALC)
Stone, Kidney
Abscess,
Submandibular
Abscess, Submaxillary
Drainage, Sump
Suprapubic Tap
Suture
Catheter Tip, Swan
Gantz
Sweat
Aspirate, Tracheal
Tears
Thrombocyte (platelet)
Throat
Tissue gall bladder
Tissue placenta
Tissue
Tissue ulcer
Cathether Tip, Triple
Lumen
Tissue large intestine
SKN
SMM
SNV
SPRM
SPRP
SPRPB
SPS
SPT
SPTC
SPTT
SPUT1
SPUTIN
SPUTSP
STER
STL
STONE
Skin
Mass, Sub-Mandibular
Fluid, synovial (Joint
fluid)
Spermatozoa
Catheter Tip,
Suprapubic
Cathether Tip,
Suprapubic
Environmental, Spore
Strip
Sputum
Sputum - coughed
Sputum - tracheal
aspirate
Sputum, Simulated
Sputum, Inducted
Sputum, Spontaneous
Environmental, Sterrad
Stool = Fecal
SWGZ
Stone, Kidney
Abscess,
Submandibular
Abscess, Submaxillary
Drainage, Sump
Suprapubic Tap
Suture
Catheter Tip, Swan
Gantz
TASP
Aspirate, Tracheal
TISS
TISU
Tissue
Tissue ulcer
Cathether Tip, Triple
Lumen
SUBMA
SUBMX
SUMP
SUP
SUTUR
TLC
Page 8 of 10
TLNG
TRAC
TRANS
TSERU
TSMI
TSTES
TTRA
TUB
TUBES
TUMOR
TZANC
UDENT
ULC
UMB
UMED
UR
URC
URINB
URINC
URINM
URINN
URINP
URNS
URT
URTH
USCOP
USPEC
USUB
VASTIP
VENT
VITF
VOM
WASH
WASI
WAT
WB
WBC
WEN
WICK
WND
Tissue lung
Site, Tracheostomy
Transudate
Serum, Trough
Tissue small intestine
Abscess, Testicular
Aspirate, Transtracheal
Tube NOS
Tubes
Tumor
Smear, Tzanck
Source, Unidentified
Ulcer
Umbilical blood
Unknown medicine
Urine
Urine clean catch
Urine, Bladder
Washings
Urine, Catheterized
Urine, Midstream
Urine, Nephrostomy
Urine, Pedibag
Urine sediment
Urine catheter
Urethra
Urine, Cystoscopy
Source, Unspecified
Unknown substance
Catheter Tip, Vas
Catheter Tip,
Ventricular
Vitreous Fluid
Vomitus
Wash
Washing, e.g. bronchial
washing
Water
Blood, Whole
Leukocytes
Wen
Wick
Wound
TRAC
TRANS
TSERU
Site, Tracheostomy
Transudate
Serum, Trough
TSTES
TTRA
Abscess, Testicular
Aspirate, Transtracheal
TUBES
TUMOR
TZANC
UDENT
Tubes
Tumor
Smear, Tzanck
Source, Unidentified
UR
URC
URINB
URINC
URINM
URINN
URINP
Urine
Urine clean catch
Urine, Bladder
Washings
Urine, Catheterized
Urine, Midstream
Urine, Nephrostomy
Urine, Pedibag
URT
Urine catheter
USCOP
USPEC
Urine, Cystoscopy
Source, Unspecified
VASTIP
WASI
WAT
WB
Catheter Tip, Vas
Catheter Tip,
Ventricular
Vitreous Fluid
Vomitus
Wash
Washing, e.g.
bronchial washing
Water
Blood, Whole
WEN
WICK
WND
Wen
Wick
Wound
VENT
VITF
VOM
WASH
Page 9 of 10
WNDA
WNDD
WNDE
WORM
WRT
WWA
WWT
Wound abscess
Wound drainage
Wound exudate
Worm
Wart
Environmental, Water
Environmental, Water
(Ocean)
Environmental, Water
(Tap)
XXX
To be specified in
another part of the
message
WWO
WNDA
WNDD
WNDE
WORM
WRT
WWA
WWO
WWT
Wound abscess
Wound drainage
Wound exudate
Worm
Wart
Environmental, Water
Environmental, Water
(Ocean)
Environmental, Water
(Tap)
2 OPEN ISSUES
Need to review for concepts that were dropped on purpose and htose dropped inadvertently –
CSF as the example that started this analysis.
3 CHANGE REQUEST IMPACT:
None known.
4 DOCUMENTATION CHANGES:
Page 10 of 10