England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework
0.1.0 - ci-build
England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-11-04 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/ConceptMap/palm-procedure-to-loinc> a fhir:ConceptMap ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "palm-procedure-to-loinc"] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap palm-procedure-to-loinc</b></p><a name=\"palm-procedure-to-loinc\"> </a><a name=\"hcpalm-procedure-to-loinc\"> </a><p>Mapping from <a href=\"ValueSet-palm-procedure.html\">PaLM Requestable Tests (SNOMED CT)</a> to <a href=\"http://hl7.eu/fhir/laboratory/2.1.0/ValueSet-lab-orderCodes-eu-lab.html\">Laboratory Order</a></p><br/><p>Mapping from <code>http://snomed.info/sct|http://snomed.info/sct/83821000000107/version/20250702</code> to <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a></p><table class=\"grid\"><tr><td colspan=\"2\"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan=\"2\"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan=\"2\"><b>Codes</b> from http://snomed.info/sct|http://snomed.info/sct/83821000000107/version/20250702</td><td/><td colspan=\"2\"><b>Codes</b> from <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-loinc.html\" title=\"http://loinc.org\">Logical Observation Identifiers, Names and Codes (LOINC)</a></td><td/></tr><tr><td style=\"border-right-width: 0px\">26604007</td><td style=\"border-left-width: 0px\">Full blood count</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-inexact\" title=\"inexact\">maps loosely to</a></td><td style=\"border-right-width: 0px\">57021-8</td><td style=\"border-left-width: 0px\">CBC W Auto Differential panel - Blood</td><td>An England FBC usually includes the white cell differential. Without it, 58410-2 CBC panel - Blood by Automated count. The LOINC panel members are not the same as a laboratory's FBC.</td></tr><tr><td style=\"border-right-width: 0px\">252167001</td><td style=\"border-left-width: 0px\">Urea and electrolytes</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-inexact\" title=\"inexact\">maps loosely to</a></td><td style=\"border-right-width: 0px\">24321-2</td><td style=\"border-left-width: 0px\">Basic metabolic 2000 panel - Serum or Plasma</td><td>No LOINC panel matches U&E (sodium, potassium, urea, creatinine, eGFR). The basic metabolic panel also has glucose, calcium, chloride and bicarbonate, and no eGFR.</td></tr><tr><td style=\"border-right-width: 0px\">26958001</td><td style=\"border-left-width: 0px\">Hepatic function panel</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-inexact\" title=\"inexact\">maps loosely to</a></td><td style=\"border-right-width: 0px\">24325-3</td><td style=\"border-left-width: 0px\">Hepatic function 2000 panel - Serum or Plasma</td><td>Same test, different members: the LOINC panel has AST and direct bilirubin. An England LFT is usually bilirubin, ALT, ALP, albumin and total protein, with GGT at some laboratories.</td></tr><tr><td style=\"border-right-width: 0px\">271244005</td><td style=\"border-left-width: 0px\">Measurement of serum lipid level</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-inexact\" title=\"inexact\">maps loosely to</a></td><td style=\"border-right-width: 0px\">24331-1</td><td style=\"border-left-width: 0px\">Lipid 1996 panel - Serum or Plasma</td><td>The LOINC panel is cholesterol, HDL, calculated LDL and triglyceride. An England lipid profile usually adds non-HDL cholesterol and the cholesterol/HDL ratio.</td></tr><tr><td style=\"border-right-width: 0px\">135842001</td><td style=\"border-left-width: 0px\">Serum C reactive protein level</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td style=\"border-right-width: 0px\">1988-5</td><td style=\"border-left-width: 0px\">C reactive protein [Mass/volume] in Serum or Plasma</td><td>The LOINC code is serum or plasma; the SNOMED CT concept is serum. High sensitivity CRP is a different code (30522-7).</td></tr><tr><td style=\"border-right-width: 0px\">371981000000106</td><td style=\"border-left-width: 0px\">Hb A1c (Haemoglobin A1c) measurement - IFCC (International Federation of Clinical Chemistry and Laboratory Medicine) standardised</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">59261-8</td><td style=\"border-left-width: 0px\">Hemoglobin A1c/Hemoglobin.total standardized per IFCC-RMP for CDT in Blood</td><td>IFCC standardised HbA1c, reported in mmol/mol.</td></tr><tr><td style=\"border-right-width: 0px\">47758006</td><td style=\"border-left-width: 0px\">Hepatitis B surface antigen measurement</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-broader-than-target\" title=\"source-is-broader-than-target\">is broader than</a></td><td style=\"border-right-width: 0px\">5195-3</td><td style=\"border-left-width: 0px\">Hepatitis B virus surface Ag [Presence] in Serum</td><td>The LOINC code is a qualitative (presence) test in serum; the SNOMED CT concept does not give the scale or specimen.</td></tr><tr><td style=\"border-right-width: 0px\">700152009</td><td style=\"border-left-width: 0px\">Human papilloma virus screening</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-broader-than-target\" title=\"source-is-broader-than-target\">is broader than</a></td><td style=\"border-right-width: 0px\">82675-0</td><td style=\"border-left-width: 0px\">Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection</td><td>High risk HPV as tested in NHS cervical screening. The LOINC code names the HPV types, specimen and method, so the right code depends on the assay.</td></tr><tr><td style=\"border-right-width: 0px\">113076002</td><td style=\"border-left-width: 0px\">Glucose tolerance test</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-broader-than-target\" title=\"source-is-broader-than-target\">is broader than</a></td><td style=\"border-right-width: 0px\">72171-2</td><td style=\"border-left-width: 0px\">Glucose tolerance 2 hours panel - Serum or Plasma</td><td>The 2 hour (75 g) oral glucose tolerance test. Gestational and other protocols have other LOINC panels.</td></tr><tr><td style=\"border-right-width: 0px; border-bottom-style: none\">401324008</td><td style=\"border-left-width: 0px; border-bottom-style: none\">Urinary microscopy, culture and sensitivities</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-broader-than-target\" title=\"source-is-broader-than-target\">is broader than</a></td><td style=\"border-right-width: 0px\">50554-5</td><td style=\"border-left-width: 0px\">Urinalysis microscopic panel [#/volume] - Urine by Automated count</td><td>No single LOINC order code for urine MC&S: it maps to microscopy, culture and susceptibility. Manual microscopy has other LOINC panels.</td></tr><tr><td style=\"border-right-width: 0px; border-top-style: none; border-bottom-style: none\"/><td style=\"border-left-width: 0px; border-top-style: none; border-bottom-style: none\"/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-broader-than-target\" title=\"source-is-broader-than-target\">is broader than</a></td><td style=\"border-right-width: 0px\">630-4</td><td style=\"border-left-width: 0px\">Bacteria identified in Urine by Culture</td><td>The culture part of urine MC&S.</td></tr><tr><td style=\"border-right-width: 0px; border-top-style: none\"/><td style=\"border-top-style: none; border-left-width: 0px\"/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-broader-than-target\" title=\"source-is-broader-than-target\">is broader than</a></td><td style=\"border-right-width: 0px\">29576-6</td><td style=\"border-left-width: 0px\">Bacterial susceptibility panel</td><td>The sensitivities part of urine MC&S.</td></tr></table></div>"
] ;
fhir:ConceptMap.url [ fhir:value "https://examplesihe.org.uk/ConceptMap/palm-procedure-to-loinc"] ;
fhir:ConceptMap.version [ fhir:value "0.1.0"] ;
fhir:ConceptMap.name [ fhir:value "PaLMProcedureToLOINC"] ;
fhir:ConceptMap.title [ fhir:value "PaLM Requestable Tests to LOINC Order Codes (illustrative)"] ;
fhir:ConceptMap.status [ fhir:value "draft"] ;
fhir:ConceptMap.experimental [ fhir:value "true"^^xsd:boolean] ;
fhir:ConceptMap.date [ fhir:value "2026-11-04"^^xsd:date] ;
fhir:ConceptMap.publisher [ fhir:value "Kevin Mayfield"] ;
fhir:ConceptMap.contact [
fhir:index -1 ;
fhir:ContactDetail.telecom [
fhir:index -1 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "https://github.com/KevinMayfield/PathologyAndLaboratory" ]
]
] ;
fhir:ConceptMap.description [ fhir:value "**Illustrative only.** Shows how the [PaLM Requestable Tests](ValueSet-palm-procedure.html) (SNOMED CT\nUK, refset `1853561000000109`) could be mapped to LOINC order codes in the HL7 Europe Laboratory\n`lab-orderCodes-eu-lab` value set (LOINC `ORDER_OBS` = Order or Both), the preferred binding for\n`ServiceRequest.code` in HL7 Europe Laboratory. It covers only the tests in the NHS England examples.\nIt is not a national map: NHS England is understood to be producing one (**To confirm**).\n\nLOINC panels follow US practice and their members are not the same as an England test profile (for\nexample an FBC or U&E), so most panel maps are `inexact`. Each laboratory decides the content of its\nown profiles."] ;
fhir:ConceptMap.jurisdiction [
fhir:index -1 ;
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
fhir:Coding.code [ fhir:value "GB" ] ;
fhir:Coding.display [ fhir:value "United Kingdom of Great Britain and Northern Ireland" ]
]
] ;
fhir:ConceptMap.sourceCanonical [
fhir:value "https://examplesihe.org.uk/ValueSet/palm-procedure" ;
fhir:link <https://examplesihe.org.uk/ValueSet/palm-procedure>
] ;
fhir:ConceptMap.targetCanonical [
fhir:value "http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab" ;
fhir:link <http://hl7.eu/fhir/laboratory/ValueSet/lab-orderCodes-eu-lab>
] ;
fhir:ConceptMap.group [
fhir:index -1 ;
fhir:ConceptMap.group.source [ fhir:value "http://snomed.info/sct" ] ;
fhir:ConceptMap.group.sourceVersion [ fhir:value "http://snomed.info/sct/83821000000107/version/20250702" ] ;
fhir:ConceptMap.group.target [ fhir:value "http://loinc.org" ] ;
fhir:ConceptMap.group.element [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "26604007" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Full blood count" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "57021-8" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "CBC W Auto Differential panel - Blood" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "inexact" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "An England FBC usually includes the white cell differential. Without it, 58410-2 CBC panel - Blood by Automated count. The LOINC panel members are not the same as a laboratory's FBC." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "252167001" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Urea and electrolytes" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "24321-2" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Basic metabolic 2000 panel - Serum or Plasma" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "inexact" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "No LOINC panel matches U&E (sodium, potassium, urea, creatinine, eGFR). The basic metabolic panel also has glucose, calcium, chloride and bicarbonate, and no eGFR." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "26958001" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Hepatic function panel" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "24325-3" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Hepatic function 2000 panel - Serum or Plasma" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "inexact" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "Same test, different members: the LOINC panel has AST and direct bilirubin. An England LFT is usually bilirubin, ALT, ALP, albumin and total protein, with GGT at some laboratories." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "271244005" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Measurement of serum lipid level" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "24331-1" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Lipid 1996 panel - Serum or Plasma" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "inexact" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "The LOINC panel is cholesterol, HDL, calculated LDL and triglyceride. An England lipid profile usually adds non-HDL cholesterol and the cholesterol/HDL ratio." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "135842001" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Serum C reactive protein level" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "1988-5" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "C reactive protein [Mass/volume] in Serum or Plasma" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "wider" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "The LOINC code is serum or plasma; the SNOMED CT concept is serum. High sensitivity CRP is a different code (30522-7)." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "371981000000106" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Hb A1c (Haemoglobin A1c) measurement - IFCC (International Federation of Clinical Chemistry and Laboratory Medicine) standardised" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "59261-8" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Hemoglobin A1c/Hemoglobin.total standardized per IFCC-RMP for CDT in Blood" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "IFCC standardised HbA1c, reported in mmol/mol." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "47758006" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Hepatitis B surface antigen measurement" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "5195-3" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Hepatitis B virus surface Ag [Presence] in Serum" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "narrower" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "The LOINC code is a qualitative (presence) test in serum; the SNOMED CT concept does not give the scale or specimen." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "700152009" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Human papilloma virus screening" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "82675-0" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Human papilloma virus 16+18+31+33+35+39+45+51+52+56+58+59+66+68 DNA [Presence] in Cervix by NAA with probe detection" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "narrower" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "High risk HPV as tested in NHS cervical screening. The LOINC code names the HPV types, specimen and method, so the right code depends on the assay." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "113076002" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Glucose tolerance test" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "72171-2" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Glucose tolerance 2 hours panel - Serum or Plasma" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "narrower" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "The 2 hour (75 g) oral glucose tolerance test. Gestational and other protocols have other LOINC panels." ]
]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.code [ fhir:value "401324008" ] ;
fhir:ConceptMap.group.element.display [ fhir:value "Urinary microscopy, culture and sensitivities" ] ;
fhir:ConceptMap.group.element.target [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "50554-5" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Urinalysis microscopic panel [#/volume] - Urine by Automated count" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "narrower" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "No single LOINC order code for urine MC&S: it maps to microscopy, culture and susceptibility. Manual microscopy has other LOINC panels." ]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "630-4" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Bacteria identified in Urine by Culture" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "narrower" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "The culture part of urine MC&S." ]
], [
fhir:index -1 ;
fhir:ConceptMap.group.element.target.code [ fhir:value "29576-6" ] ;
fhir:ConceptMap.group.element.target.display [ fhir:value "Bacterial susceptibility panel" ] ;
fhir:ConceptMap.group.element.target.equivalence [ fhir:value "narrower" ] ;
fhir:ConceptMap.group.element.target.comment [ fhir:value "The sensitivities part of urine MC&S." ]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/ConceptMap/palm-procedure-to-loinc.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/ConceptMap/palm-procedure-to-loinc.ttl> .
IG © 2026+ Kevin Mayfield.
Package uk.org.examplesihe.palm#0.1.0 based on FHIR 4.0.1.
Generated
2026-11-04
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