OO_CR160_792
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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 20 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 20 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 20 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 20 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 20 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 20 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 20 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 20 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 20 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 Wound abscess Wound drainage Wound exudate Worm Wart Environmental, Water Environmental, Water (Ocean) Environmental, Water (Tap) WWO WWT The Lab Messaging Community of Practice (LabMCoP) has reviewed these and in light of the discussion, that the long term goal is to migrate this vocabulary from HL7 to an external coding system (SNOMED CT is proposed). The following recommendations were made: For the following terms used in HL70070, but missing from HL70487, where no SNOMED CT code exist: Table0070 Table0070 Table0487 Table0487 SPM.4 SPM.4 term Code Value Code Value DOSE Dose med leave out or substance RT Route of leave out medicine XXX To be leave out specified in another part of the message UMED Unknown medicine UMED Unknown medicine LNA Line arterial LNA Line arterial LNV Line venous LNV Line venous 122552005 Arterial blood specimen (specimen) 122555007 Venous blood specimen (specimen) DOSE and RT are not considered specimen, XXX is not appropriate, as the SPM segment should be the source of truth for this information and also where in the message is not indicated with this Page 10 of 20 code, leaving ambiguity. UMED was considered a valid specimen type for forensic and possibly chemistry testing. LNA and LNV, even though they have a related SNOMED CT term, would require the additional use of the SPM-7 field in addition to the SPM-4 to properly differentiate to other specimen types. Since not all systems currently support more than one field for specimen, the decision was made to add them to HL70487. For the following terms used in HL70070, but missing from HL70487, where a single SNOMED CT code exists that can be used instead: Table0070 Code AMN Table0070 Value Amniotic fluid Table0487 Code /Value use SNOMED CT SPM.4 SPM.4 term 119373006 Amniotic fluid specimen (specimen) BDY Whole body Bile fluid use SNOMED CT 91000009106 carcass specimen use SNOMED CT 119341000 Bile specimen (specimen) BLD Whole blood use SNOMED CT 258580003 Whole blood sample (specimen) BLDA Blood arterial use SNOMED CT 122552005 Arterial blood specimen (specimen) BLDCO Cord blood use SNOMED CT 122556008 Cord blood specimen (specimen) BLDV Blood venous use SNOMED CT 122555007 Venous blood specimen (specimen) BPH Basophils use SNOMED CT 119357000 CDM Cardiac muscle use SNOMED CT 119377007 Basophil specimen (specimen) myocardial specimen (specimen) CNL Cannula use SNOMED CT 119308003 CSF Cerebral spinal fluid use SNOMED CT 258450006 CUR Curettage use SNOMED CT 258419009 Curettings (specimen) CVM Cervical mucus use SNOMED CT 122577006 Cervical mucus specimen (specimen) CVX Cervix use SNOMED CT 119395005 Specimen from uterine cervix (specimen) DIAF Dialysis fluid use SNOMED CT 119360007 Dialysis fluid specimen (specimen) DUFL Duodenal fluid use SNOMED CT 122574004 Duodenal fluid specimen (specimen) EAR Ear use SNOMED CT 309165001 Ear sample (specimen) ENDC Endocardiu m use SNOMED CT 119378002 Endocardial specimen (specimen) BIFL Cannula specimen (specimen) Cerebrospinal fluid sample (specimen) Page 11 of 20 ENDM Endometriu m use SNOMED CT 119396006 Specimen from endometrium (specimen) EOS Eosinophils use SNOMED CT 119356009 Eosinophil specimen (specimen) EYE Eye use SNOMED CT 128164002 Tissue specimen from eye (specimen) FIB Fibroblasts use SNOMED CT 119333000 Fibroblast specimen (specimen) GEN Genital use SNOMED CT 119344008 Specimen from genital system (specimen) GENC Genital cervix use SNOMED CT 119395005 Specimen from uterine cervix (specimen) GENL Genital lochia use SNOMED CT 122579009 Genital lochia specimen (specimen) HAR Hair use SNOMED CT 119326000 Hair specimen (specimen) ISLT Isolate use SNOMED CT 119303007 Microbial isolate specimen (specimen) LYM Lymphocyt es use SNOMED CT 119353001 Lymphocyte specimen (specimen) MAC Macrophag es use SNOMED CT 119352006 Macrophage specimen (specimen) MAR Marrow use SNOMED CT 119359002 Bone marrow specimen (specimen) MAR Marrow use SNOMED CT 119359002 MEC Meconium use SNOMED CT 119340004 Bone marrow specimen (specimen) Meconium specimen (specimen) MILK Breast milk use SNOMED CT 119328004 mother's milk specimen (specimen) MLK Milk use SNOMED CT 119321005 Milk specimen (specimen) NAIL Nail use SNOMED CT 119327009 Nail specimen (specimen) NOS Nose (nasal passage) Pancreatic fluid use SNOMED CT 119388001 Specimen from internal nose (specimen) use SNOMED CT 119343002 Pancreatic fluid specimen (specimen) PAT Patient use SNOMED CT 91000009106 carcass specimen PLC Placenta use SNOMED CT 119403008 Specimen from placenta (specimen) PLR Pleural fluid (thoracente sis fld) use SNOMED CT 418564007 Pleural fluid specimen (specimen) PAFL Page 12 of 20 PMN Polymorph onuclear neutrophils Erythrocyte s use SNOMED CT 119355008 use SNOMED CT 119351004 SMN Seminal fluid use SNOMED CT 119347001 Seminal fluid specimen (specimen) SWT Sweat use SNOMED CT 122569007 TEAR Tears use SNOMED CT 122594008 Sweat specimen (specimen) Tears specimen (specimen) THRB Thrombocy te (platelet) use SNOMED CT 119358005 Platelet specimen (specimen) TISG Tissue gall bladder use SNOMED CT 122656001 Tissue specimen from gall bladder (specimen) TLGI Tissue large intestine Tissue lung use SNOMED CT 122643008 Tissue specimen from large intestine (specimen) use SNOMED CT 127458004 Specimen from lung (specimen) Tissue small intestine Ulcer use SNOMED CT 122638001 Tissue specimen from small intestine (specimen) use SNOMED CT 119369008 Specimen from ulcer (specimen) UMB Umbilical blood use SNOMED CT 122556008 Cord blood specimen (specimen) URNS Urine sediment use SNOMED CT 122567009 Urine sediment specimen (specimen) URTH Urethra use SNOMED CT 119393003 Specimen from urethra (specimen) USUB Unknown substance use SNOMED CT 119324002 Specimen of unknown material (specimen) WBC Leukocytes use SNOMED CT 122584003 Leukocyte specimen from patient (specimen) RBC TLNG TSMI ULC Polymorphonuclear neutrophil specimen (specimen) Erythrocyte specimen (specimen) As a next step we will reach out to the HL7 Terminology Authority to get clarity on the process of migrating HL7 tables to external coding systems, but that is outside this CR. 2 OPEN ISSUES How best to indicate to use SNOMED CT for concepts that are not officially in the table, but that folks are used to seeing in HL70070. After reaching out to HL7 Vocab WG and the HTA to resolve how best to indicate use of SNOMED CT for missing terms, besides the one we agreed to add, this was the recommendation received (paraphrased from the emails by Jim Case, Ted Klein and Rob McClure): … the immediate solution is to get the old terms that are NEEDED added to table 487. This is because the plan to address a migration to snomed needs to be developed ; users do note like mixed code system value sets ;there is no publication or transition plan for the tables yet. A stopgap would solve Page 13 of 20 the immediate problem with the least amount of pin for implementing. The plan to gap-fill the new tables with HL7 codes from the 0070 table as a stop-gap solution until we have a finalized approach for transitioning to SCT-only value sets and/or multi-code system value sets (that would have the resulting expansion sets described in tables such as 487/488.) Heather, this puts the ball back in HTA’s court to help HL7 clarify such policies. This includes getting feedback from IHTSDO on the licensing questions we described in our use cases in the HTA. 3 CHANGE REQUEST IMPACT: None known. 4 DOCUMENTATION CHANGES: In Chapter 2 C: 2.C.2.400 - 0487 - Specimen Type Table Metadata Table Steward V3 Harmonization V3 Equivalent Where used Status 0478 OO high priority TBD SPM-4 Active HL7 Table 0487 - Specimen Type Value ABS PELVA PERIA RECTA SCROA SUBMA SUBMX TSTES AIRS ALL AMP GASAN ASP ETA GASA NGASP TASP TTRA AUTP BX GSPEC SKBP CONE BITE CBITE DBITE HBITE IBITE RBITE BLEB Description Abscess Abscess, Pelvic Abscess, Perianal Abscess, Rectal Abscess, Scrotal Abscess, Submandibular Abscess, Submaxillary Abscess, Testicular Air Sample Allograft Amputation Antrum, Gastric Aspirate Aspirate, Endotrach Aspirate, Gastric Aspirate, Nasogastric Aspirate, Tracheal Aspirate, Transtracheal Autopsy Biopsy Biopsy, Gastric Biopsy, Skin Biospy, Cone Bite Bite, Cat Bite, Dog Bite, Human Bite, Insect Bite, Reptile Bleb Comment Condition Condition, Abscess & Body Part Condition Condition Condition Condition Condition Environment Tissue Tissue Tissue Aspirate Aspirate Aspirate Aspirate Aspirate Tissue Tissue Tissue Tissue Tissue Conditions Conditions Conditions Conditions Conditions Conditions Condition, Fluid/Tissue Page 14 of 20 Value BLIST BBL BPU HBLUD CSVR FBLOOD MBLD WB BOIL BON BOWL BRTH BRSH Description Blister Blood bag Blood product unit Blood, Autopsy Blood, Cell Saver Blood, Fetal Blood, Menstrual Blood, Whole Boil Bone Bowel contents Breath (use EXHLD) Brush EBRUSH BRUS GASBR BUB BULLA BRN CALC CARBU CAT CSITE CTP ANGI ARTC CVPT ETTP FOLEY HEMAQ HEMO IDC INTRD IVCAT MAHUR SCLV SPRP SWGZ VASTIP VENT GROSH HIC PORTA SPRPB TLC CLIPP COL CNJT LENS1 LENS2 CYST BCYST ICYST PILOC Brush, Esophageal Brushing Brushing, Gastric Bubo Bulla/Bullae Burn Calculus (=Stone) Carbuncle Catheter Catheter Insertion Site Catheter tip Catheter Tip, Angio Catheter Tip, Arterial Catheter Tip, CVP Catheter Tip, Endotracheal Catheter Tip, Foley Catheter Tip, Hemaquit Catheter Tip, Hemovac Catheter Tip, Indwelling Catheter Tip, Introducer Catheter Tip, IV Catheter Tip, Makurkour Catheter Tip, Subclavian Catheter Tip, Suprapubic Catheter Tip, Swan Gantz Catheter Tip, Vas Catheter Tip, Ventricular Catheter, Groshong Catheter, Hickman Catheter, Porta Cathether Tip, Suprapubic Cathether Tip, Triple Lumen Clippings Colostrum Conjunctiva Contact Lens Contact Lens Case Cyst Cyst, Baker's Cyst, Inclusion Cyst, Pilonidal Comment Condition, Fluid/Tissue Blood Blood Blood Transfusion Blood Blood Blood Condition Condition Product; Brush or brushing (these may be 2 separate entries as in a physical brush or a portion thereof vs the substance obtained after a surface has been brushed) Product Product Product Condition Condition Condition Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Device Condition Device Device Condition Condition Condition Page 15 of 20 Value RENALC DIA DISCHG DIV DRN HEV GTUBE GASD ILEO JP JEJU NASDR NGAST PND DRNGP RECT SUMP DRNG EARW EFFUS ELT ATTE AUTOA AUTOC EFF EEYE EFOD EISO EOTH Description Cyst, Renal Dialysate Discharge Diverticulum Drain Drain, Hemovac Drainage Tube, Drainage (Gastrostomy) Drainage, Gastric Drainage, Ileostomy Drainage, Jackson Pratt Drainage, Jejunal Drainage, Nasal Drainage, Nasogastric Drainage, Penile Drainage, Penrose Drainage, Rectal Drainage, Sump Drainage, Tube Ear wax (cerumen) Effusion Electrode Environment, Attest Environmental, Autoclave Ampule Environmental, Autoclave Capsule Environmental, Effluent Environmental, Eye Wash Environmental, Food Environmental, Isolette Environmental, Other Substance ESOI ESOS SPS STER ENVIR WWA DEION WWT FAW WWO EWHI EXUDTE FLT FIST FLUID FGA CSMY ACNFLD FLU CST HYDC IVFLD JNTFLD KIDFLD LSAC FLD Environmental, Soil Environmental, Solution (Sterile) Environmental, Spore Strip Environmental, Sterrad Environmental, Unidentified Substance Environmental, Water Environmental, Water (Deionized) Environmental, Water (Tap) Environmental, Water (Well) Environmental, Water (Ocean) Environmental, Whirlpool Exudate Filter Fistula Fluid Fluid, Abdomen Fluid, Cystostomy Tube Fluid, Acne Fluid, Body unsp Fluid, Cyst Fluid, Hydrocele Fluid, IV Fluid, Joint Fluid, Kidney Fluid, Lumbar Sac Fluid, Other Comment Condition Condition Condition Condition Device Device Condition Condition Condition Condition Condition Condition Condition Condition Condition Condition Condition Device Condition Environment Environment Environment Environment Environment Environment Environment Environment; (Substance is Known but not in code Table) Environment Environment Environment Environment Environment Environment Environment Environment Environment Environment Condition Fluid Fluid Fluid Fluid Fluid Fluid Fluid Fluid Fluid Fluid Fluid Page 16 of 20 Value PCFL RENC FRS SHUNF SNV GAST FUR GAS EXG IHG GENV GRAFT GRAFTS POPGS POPLG GRANU IMP INFIL INS IUD IT KELOI LAVG LAVGG LAVGP LAVPG LESN ORL PENIL LIQO LIQ MASS SMM MUCOS MUCUS NEDL NODUL CYN ORH PACEM PLAN PLAS PLB PPP PRP POL PROST PSC PUS PUST PUSFR QC3 RES SAL FSCLP CSCR Description Fluid, Pericardial Fluid, Renal Cyst Fluid, Respiratory Fluid, Shunt Fluid, synovial (Joint fluid) Fluid/contents, Gastric Furuncle Gas Gas, exhaled (=breath) Gas, Inhaled Genital vaginal Graft Graft Site Graft Site, Popliteal Graft, Popliteal Granuloma Implant Infiltrate Insect Intrauterine Device Intubation tube Lavage Lavage, Bronhial Lavage, Gastric Lavage, Peritoneal Lavage, Pre-Bronch Lesion Lesion, Oral Lesion, Penile Liquid, Other Liquid, Unspecified Mass Mass, Sub-Mandibular Mucosa Mucus Needle Nodule(s) Nodule, Cystic Other Pacemaker Plant Material Plasma Plasma bag Plasma, Platelet poor Plasma, Platelet rich Polyps Prosthetic Device Pseudocyst Pus Pus Pustule Quality Control Respiratory Saliva Scalp, Fetal Scratch, Cat Comment Fluid Fluid Fluid Condition Condition Condition Condition Condition Condition Device Condition Object Device (Common Usage) Product Product Product Product Product Condition Condition (Common Usage) Condition (Common Usage) Condition Condition Condition Condition Device Condition Condition Device Object Blood Blood Blood Blood Condition Device Condition Condition Condition Environment Condition (Ambiguous) Condition Condition Page 17 of 20 Value SECRE NSECR SER ASERU CSERU PLEVS TSERU SHUNT EXS SITE CVPS INCI NGS NEPH PIS PDSIT PDTS PINS POPLV SHU TRAC SKN TZANC GSOL ILLEG OTH UDENT USPEC SPRM SPT SPTC SPTT DCS SPUTIN SPUT1 SPUTSP STONE STL SUP SUTUR TISS TISU ACNE HERNI SCAR TRANS ETTUB GT TUBES IVTIP TUMOR DEC UR URT URC URINB Description Secretion(s) Secretion, Nasal Serum Serum, Acute Serum, Convalescent Serum, Peak Level Serum, Trough Shunt Shunt, External Site Site, CVP Site, Incision/Surgical Site, Naso/Gastric Site, Nephrostomy Site, Pacemaker Insetion Site, Peritoneal Dialysis Site, Peritoneal Dialysis Tunnel Site, Pin Site, Popliteal Vein Site, Shunt Site, Tracheostomy Skin Smear, Tzanck Solution, Gastrostomy Source of Specimen Is Illegible Source, Other Source, Unidentified Source, Unspecified Spermatozoa Sputum Sputum - coughed Sputum - tracheal aspirate Sputum, Deep Cough Sputum, Inducted Sputum, Simulated Sputum, Spontaneous Stone, Kidney Stool = Fecal Suprapubic Tap Suture Tissue Tissue ulcer Tissue, Acne Tissue, Herniated Tissue, Keloid (Scar) Transudate Tube, Endotracheal Tube, Gastric Tubes Tubing Tip, IV Tumor Ulcer, Decubitus Urine Urine catheter Urine clean catch Urine, Bladder Washings Comment Fluid/Secretion Condition Blood Blood Blood Blood Condition Condition Site Site Site Site Site Site Site Site Site Site Site Site Product Condition Condition Condition Condition Condition Product Object Tissue Tissue Tissue Condition Device Device Device Device Condition Condition Condition Page 18 of 20 Value URINC USCOP URINM URINN URINP RANDU VITF VOM WRT WASH WASI WAT WEN WICK WORM WND WNDA WNDD WNDE PUNCT UMED LNA LNV AMN BDY BIFL BLD BLDA BLDCO BLDV BPH CDM CNL CSF CUR CVM DIAF DUFL EOS FIB GENL HAR ISLT LYM MAC MAR MEC MILK MLK NAIL PAFL PLC PLR PMN RBC SMN Description Urine, Catheterized Urine, Cystoscopy Urine, Midstream Urine, Nephrostomy Urine, Pedibag Urine, Random Vitreous Fluid Vomitus Wart Wash Washing, e.g. bronchial washing Water Wen Wick Worm Wound Wound abscess Wound drainage Wound exudate Wound, Puncture Unknown Medicine Line arterial Line venous Amniotic fluid Whole body Bile Fluid Whole blood Blood arterial Cord blood Blood venous Basophils Cardiac muscle Cannula Cerebral spinal fluid Curretage Cervical Mucus Dialysis Fluid Duodenal fluid Eosinophils Fibroblasts Genital lochia Hair Isolate Lymphocytes Macrophages Marrow Meconium Breast milk Milk Nail Pancreatic fluid Placenta Pleural fluid (thoracentesis fluid) Polymorphonuclear neutrophils Erythrocytes Seminal fluid Comment Condition Condition Condition Condition Device Condition Tissue Product Product Tissue Object Condition for forensic and possibly chemistry testing Arterial blood collected via arterial line Venous blood collected via venous line Body submitted for autopsy / carcass submitted Uterine specimen obtained by curettage = Currettings Fluid used for dialysis – is a product Bone marrow Mother’s milk specimen Food specimen Finger or toe nail sample Page 19 of 20 Value SWT TEAR THRB URNS USUB WBC Description Sweat Tears Thrombocyte (platelet) Urine sediment Unkown substance Leukocytes Comment Page 20 of 20
