{
  "resourceType" : "ConceptMap",
  "id" : "GMSWGSGuideHPOTermsToSCT",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap GMSWGSGuideHPOTermsToSCT</b></p><a name=\"GMSWGSGuideHPOTermsToSCT\"> </a><a name=\"hcGMSWGSGuideHPOTermsToSCT\"> </a><p>Mapping from http://purl.obolibrary.org/obo/hp.owl to (not specified)</p><br/><p>Mapping from <code>http://purl.obolibrary.org/obo/hp.owl|20191108</code> to <code>http://snomed.info/sct|http://snomed.info/sct/83821000000107/version/20240605</code></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>HP:0001639</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>233873004</td></tr><tr><td>HP:0001644</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>399020009</td></tr><tr><td>HP:0001638</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>85898001</td></tr><tr><td>HP:0002721</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0040088</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0005368</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0012647</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0000518</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>128306009</td></tr><tr><td>HP:0000556</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>314407005</td></tr><tr><td>HP:0007754</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0005562</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>253883006</td></tr><tr><td>HP:0001407</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>85057007</td></tr><tr><td>HP:0002342</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>61152003</td></tr><tr><td>HP:0002187</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>31216003</td></tr><tr><td>HP:0010864</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>40700009</td></tr><tr><td>HP:0001263</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>224958001</td></tr><tr><td>HP:0001290</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0001508</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>54840006</td></tr><tr><td>HP:0001999</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>112630007</td></tr><tr><td>HP:0001939</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0000252</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>1829003</td></tr><tr><td>HP:0000256</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>19410003</td></tr><tr><td>HP:0000098</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>248328003</td></tr><tr><td>HP:0004322</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0002652</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0000365</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>15188001</td></tr><tr><td>HP:0003560</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>73297009</td></tr><tr><td>HP:0003198</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>129565002</td></tr><tr><td>HP:0002486</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>3434004</td></tr><tr><td>HP:0009830</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>302226006</td></tr><tr><td>HP:0100543</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0001257</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>221360009</td></tr><tr><td>HP:0002072</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>HP:0001332</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>15802004</td></tr><tr><td>HP:0001251</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>20262006</td></tr><tr><td>HP:0001272</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>95646004</td></tr><tr><td>HP:0001321</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>16026008</td></tr><tr><td>HP:0001250</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>91175000</td></tr></table></div>"
  },
  "url" : "https://fhir.nwgenomics.nhs.uk/ConceptMap/GMSWGSGuideHPOTermsToSCT",
  "version" : "2.2.0",
  "name" : "GMSWGSGuideHPOTermsToSCT",
  "title" : "GMS WGS Guide HPO Terms to SNOMED CT",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-09-20T05:53:36+00:00",
  "publisher" : "NHS North West Genomics",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.nwgenomics.nhs.uk/contact-us"
    }]
  }],
  "description" : "HPO (Human Phenotype Ontology) to SNOMED CT mapping for the 38 terms in\n[GMSWGSGuideHPOTermsVS](ValueSet-GMSWGSGuideHPOTermsVS.html) - see\n[Questionnaire-GMSWGSRareDisease](Questionnaire-GMSWGSRareDisease.html)'s\n`NOS/HPOTerm` item.\n\nBuilt against the Genomics England terminology server\n(https://re-docs.genomicsengland.co.uk/terminology_server/,\n`https://ontoserver.aws.gel.ac/fhir`), HPO release `20191108`. That server\nonly publishes a **SNOMED CT to HPO** `ConceptMap` (`sct-to-hpo`) by name,\nbut does support querying it in the HPO-to-SNOMED direction directly via\n`ConceptMap/sct-to-hpo/$translate?...&reverse=true` - see [nw-gmsa/Testing\nnotebook 13](https://github.com/nw-gmsa/Testing/blob/main/notebooks/13-snomed-to-hpo-genomic-clinical-indication.ipynb),\nwhich uses the same server and surfaced this parameter. An initial pass of\nthis ConceptMap missed that: it instead found a candidate SNOMED CT concept\nfor each HPO term (`ValueSet/$expand` free-text search under the Clinical\nfinding (`404684003`) subtree) and forward-verified it through\n`ConceptMap/sct-to-hpo/$translate` in the SNOMED-to-HPO direction - which\nundercounted, since a genuinely-mapped HPO term can have a mapped SNOMED\ncode that isn't the one a text search happens to surface (e.g. Cataract\n*is* mapped, to SNOMED `128306009`, not the `193570009` a plain text search\nreturns first). This version instead queries `reverse=true` directly for\nevery HPO code, with the `equivalence` value taken directly from that\nserver response (`equivalent` in every case found).\n\n**27 of the 38 terms resolved this way; the remaining 11 do not appear in\nthe server's `sct-to-hpo` map even via `reverse=true`** - so these are\ngenuinely absent from the server's curated map, not an artefact of the\nsearch methodology. Rather than assert an unverified equivalence,\nunresolved terms are recorded below with `equivalence = unmatched` and no\ntarget code.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "GB",
      "display" : "United Kingdom of Great Britain and Northern Ireland"
    }]
  }],
  "sourceUri" : "http://purl.obolibrary.org/obo/hp.owl",
  "group" : [{
    "source" : "http://purl.obolibrary.org/obo/hp.owl",
    "sourceVersion" : "20191108",
    "target" : "http://snomed.info/sct",
    "targetVersion" : "http://snomed.info/sct/83821000000107/version/20240605",
    "element" : [{
      "code" : "HP:0001639",
      "target" : [{
        "code" : "233873004",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001644",
      "target" : [{
        "code" : "399020009",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001638",
      "target" : [{
        "code" : "85898001",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0002721",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0040088",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0005368",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0012647",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0000518",
      "target" : [{
        "code" : "128306009",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0000556",
      "target" : [{
        "code" : "314407005",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0007754",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0005562",
      "target" : [{
        "code" : "253883006",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001407",
      "target" : [{
        "code" : "85057007",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0002342",
      "target" : [{
        "code" : "61152003",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0002187",
      "target" : [{
        "code" : "31216003",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0010864",
      "target" : [{
        "code" : "40700009",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001263",
      "target" : [{
        "code" : "224958001",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001290",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0001508",
      "target" : [{
        "code" : "54840006",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001999",
      "target" : [{
        "code" : "112630007",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001939",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0000252",
      "target" : [{
        "code" : "1829003",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0000256",
      "target" : [{
        "code" : "19410003",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0000098",
      "target" : [{
        "code" : "248328003",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0004322",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0002652",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0000365",
      "target" : [{
        "code" : "15188001",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0003560",
      "target" : [{
        "code" : "73297009",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0003198",
      "target" : [{
        "code" : "129565002",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0002486",
      "target" : [{
        "code" : "3434004",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0009830",
      "target" : [{
        "code" : "302226006",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0100543",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0001257",
      "target" : [{
        "code" : "221360009",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0002072",
      "target" : [{
        "equivalence" : "unmatched"
      }]
    },
    {
      "code" : "HP:0001332",
      "target" : [{
        "code" : "15802004",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001251",
      "target" : [{
        "code" : "20262006",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001272",
      "target" : [{
        "code" : "95646004",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001321",
      "target" : [{
        "code" : "16026008",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HP:0001250",
      "target" : [{
        "code" : "91175000",
        "equivalence" : "equivalent"
      }]
    }]
  }]
}