<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="approach-site-codes"/>
  <meta>
    <lastUpdated value="2026-04-01T11:29:14.669+00:00"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      
      
      <p>The value set to instantiate this attribute should be drawn from a terminologically robust code system that consists of or contains site of administration concepts.</p>
      
      
      <p>Possible sources include:</p>
      
      
      <ul>
        
        
        <li>SNOMED CT - selected children of SCTID:91723000 &quot;anatomical structure&quot; (note: there would need to be considerable selection 
          of concepts as the full child subset would be too big and too detailed for use)</li>
        
        
        <li>ISO 11239 - Intended site</li>
        
        
        <li>NCIt - selected children of NCIt concept C74444456 &quot;anatomical location&quot; (note: this is the SDTM location concepts; 
          it would also need subsetting to provide a usable set of medication administration)
          Note: to avoid confusion with other attributes in this resource concepts that are pre-coordinated with method and/or 
          route of administration (e.g.  &quot;rub into left hand&quot; where &quot;rub in&quot; is the method or &quot;IV into left subclavian vein&quot; where &quot;IV&quot; is the route) should not be used in this value set</li>
      
      
      </ul>
      
      
      <p>SNOMED CT is being used here as the example terminology.</p>
      
      
      <p>Note: to avoid confusion with other attributes in this resource concepts that are pre-coordinated with method and/or 
        route of administration (e.g.  &quot;rub into left hand&quot; where &quot;rub in&quot; is the method or &quot;IV into left subclavian vein&quot; where &quot;IV&quot; is the route) should not be used in this value set
      </p>
      
      
      <p>This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org</p>  
    
    
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fhir"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/>
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.3.346"/>
  </identifier>
  <version value="6.0.0-ballot4"/>
  <name value="SNOMEDCTAnatomicalStructureAdministrationSites"/>
  <title value="SNOMED CT Anatomical Structure for Administration Site Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-04-01T11:29:14+00:00"/>
  <publisher value="HL7 International / FHIR Infrastructure"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fiwg"/>
    </telecom>
  </contact>
  <description value="This value set includes Anatomical Structure codes from SNOMED CT - provided as an exemplar."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <copyright value="This resource includes content from SNOMED Clinical Terms® (SNOMED CT®) which is copyright of the International Health Terminology Standards Development Organisation (IHTSDO). Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org"/>
  <compose>
    <include>
      <system value="http://snomed.info/sct"/>
      <filter>
        <property value="concept"/>
        <op value="is-a"/>
        <value value="91723000"/>
      </filter>
    </include>
  </compose>
</ValueSet>