New Zealand Edition of SNOMED CT

The ambulance clinical impression reference set includes the concepts paramedics use to represent clinical impressions in the national ePRF system.

This reference set is maintained by the ambulance sector.

• 421000210109 New Zealand ambulance clinical impression reference set

The alcohol consumption reference set is used to record the status of alcohol consumption. 

• 72671000210109 New Zealand alcohol consumption reference set

The adverse reaction manifestation reference set represents the most commonly encountered manifestations of allergic reactions and other adverse reactions at a level of detail for adverse reaction reporting and personal health records. The refset is maintained by the HISO adverse reaction reporting standard working group.

The adverse event from immunisation reference set is a subset of the above that is used to record reactions to vaccines, such as in the COVID-19 immunisation register.

• 351000210106 New Zealand adverse reaction manifestation reference set
• 61231000210108 New Zealand COVID-19 adverse reaction event from immunisation reference set

These reference sets are needed in patient record systems to indicate the substance suspected to have caused an adverse reaction.

• 61241000210100 New Zealand biological substance common allergen reference set
• 61251000210102 New Zealand chemical substance common allergen reference set
• 61261000210104 New Zealand edible substance common allergen reference set

HealthShare has led the development of these reference sets, in collaboration with DHBs, for the Midland clinical portal project.

The disability reference set identifies the types of disability that may be recorded about a person and their needs.

The Ministry of Health manages this reference set.

• 261000210101 New Zealand disability reference set

Three reference sets provide emergency department clinicians with a standard set of concepts for chief presenting complaint, diagnosis and procedures.

DHBs submit SNOMED-coded ED visit data to the National Non-Admitted Patient Collection (NNPAC). NCAMP 2020 introduced this requirement for all DHBs from 1 July 2021.

A national ED clinical information reference group meets every six months to oversee the content of these refsets and their use.

• 61000210102 New Zealand emergency care diagnosis reference set
• 71000210108 New Zealand emergency care presenting complaint reference set
• 321000210102 New Zealand emergency care procedure reference set

This reference set includes needs and recommendations concepts used in Gateway child assessments. There are plans to extend the reference set to other parts of the assessment.

The Ministry of Health is working with Oranga Tamariki to develop this content.

• 241000210102 New Zealand child health assessment reference set

The health service type, occupation, clinical specialty and site of care reference sets have been created for consistency in recording health workforce and service delivery information, including clinical document metadata.

These reference sets enumerate health service types (eg clinical pharmacology service, endoscopy service), professional occupations (eg obstetrician, clinical pharmacist, dietitian, audiologist), clinical specialties (eg obstetrics and gynaecology, dietetics and nutrition, general practice) and sites of care (eg general practice premises, nursing home, hospital department).

• 471000210108 New Zealand clinical specialty reference set
• 451000210100 New Zealand health occupation reference set
• 461000210102 New Zealand health service type reference set
• 481000210105 New Zealand site of care reference set

The following reference sets provide the ability to capture relevant maternity details for a pregnant woman.

• 72621000210105 New Zealand maternity Apgar score reference set
• 72631000210107 New Zealand maternity complimentary therapies reference set
• 72601000210102 New Zealand maternity complications reference set
• 72611000210100 New Zealand maternity disorders reference set
• 72661000210103 New Zealand maternity family history reference set
• 72591000210107 New Zealand maternity findings reference set
• 72581000210105 New Zealand maternity mode of delivery reference set
• 72571000210108 New Zealand maternity outcomes reference set
• 72561000210102 New Zealand maternity procedures reference set
• 72641000210104 New Zealand maternity screening and tests reference set
• 72651000210101 New Zealand maternity substances reference set
• 72541000210103 New Zealand maternity previous complications reference set
• 72551000210100 New Zealand maternity previous disorders reference set
• 72531000210106 New Zealand maternity previous findings reference set
• 72521000210109 New Zealand maternity previous mode of delivery reference set
• 72511000210104 New Zealand maternity previous outcomes reference set
• 72501000210101 New Zealand maternity previous procedures reference set

The microorganism reference set is the agreed standard for microbiology and infection control and includes all microorganisms in the SNOMED CT International Edition.

HISO, the NZ Microbiology Network and the National Pathology and Laboratory Round Table are co-stewards of the reference set and its adoption.

• 391000210104 New Zealand microorganism reference set

This reference set is used to record the most encountered drugs not legally prescribed.

• 72691000210108 New Zealand non-medicinal drug reference set

This reference set is used to record the status of the use of drugs not legally prescribed.

• 72681000210106 New Zealand non-medicinal drug use reference set

The nine reference sets released so far include the most common presenting reason and diagnosis concepts used in cardiology, gynaecology, rheumatology, endocrinology, general surgery,  ophthamology, nephrology, general paediatric and child development outpatient services.

The reference sets are defined at a suitable level of detail for outpatient services and may be extended in future for other purposes. These reference sets use the standard terms of the SNOMED CT International Edition for the moment. New Zealand preferences for new or different terms per concept will be introduced in a later release.

The Ministry of Health is working with recognised sector groups to develop and maintain these reference sets.

• 91000210107 New Zealand cardiology reference set
• 191000210102 New Zealand child developmental services reference set
• 141000210106 New Zealand endocrinology reference set
• 181000210104 New Zealand general paediatric reference set
• 131000210103 New Zealand general surgery reference set
• 101000210108 New Zealand gynaecology reference set
• 50931000210104 New Zealand nephrology reference set
• 50941000210107 New Zealand ophtalmology reference set
• 121000210100 New Zealand rheumatology reference set
• 192091000210104 New Zealand suspicion of cancer reference set

The notifiable disease reference set identifies all notifiable diseases in New Zealand. The reference set may be extended for reporting disease subtypes.

The Ministry of Health works with ESR to manage this reference set.

• 251000210104 New Zealand notifiable disease reference set

New Zealand common pharmaceutical dose form reference set. Needed in prescribing and patient record systems to record the dose form (eg, capsule) of a medicine or vaccine.

New Zealand common pharmaceutical dose frequency reference set. Needed in prescribing and patient record systems to record the dose frequency (eg, once a day) of a medicine or vaccine.

New Zealand common pharmaceutical dose unit reference set. Needed in prescribing and patient record systems to record the dose unit (eg, mg) in the strength or dose quantity of a medicine or vaccine.

• 61271000210105 New Zealand common pharmaceutical dose form reference set
• 61281000210107 New Zealand common pharmaceutical dose frequency reference set.
• 61291000210109 New Zealand common pharmaceutical dose unit reference set

The radiology procedures reference set has been developed by the Te Manawa Taki project to deliver a radiology e-ordering solution for hospitas in the central North Island. The refset provides a standard coded term for recording each radiology procedure. The refset can be used and extended by other implementers of radiology ordering systems around the country.

• 121531000210107 New Zealand radiology procedures reference set

The referral reference sets include concepts that can be used at point of care to capture details of a referral.

This reference set identifies the status of referral request in the receiving organisation.

• 192071000210103 New Zealand referral status reference set.

The following reference set identifies the clinical priority score that is assigned by a clinician to indicate the relative urgency of a referral.

• 192081000210101 New Zealand priority score reference set

COVID-19 symptoms reference set has been created to capture COVID symptoms identified by the Ministry of Health. This can be used for capturing symptoms when someone is undergoing a COVID-19 related assessment or test.

• 121521000210105 New Zealand severe acute respiratory syndrome coronavirus 2 symptoms reference set 

The smoking reference set is the standard set of coded terms for recording smoking status for anyone smoking, trying to quit smoking or ex-smoking.

The vaping status reference set is the standard set of coded terms for recording vaping status for anyone vaping, trying to give up vaping or ex-vaping.

The New Zealand smoking intervention reference set is the standard set of coded terms for recording smoking cessation support offered to individuals.

These reference sets support Smokefree Aotearoa 2021 

The Ministry of Health maintains this reference set.

• 72741000210106 New Zealand smoking status reference set
• 72721000210100 New Zealand vaping status reference set
• 72731000210103 New Zealand smoking intervention reference set

The surgical complications reference set includes clinical findings and disorders related to general surgery.

Thanks to Canterbury DHB and their industry partners for the content and their commitment to this work.

A clinical governance group meets regularly to further develop this refset and others for surgical information.

• 441000210103 New Zealand surgical complication reference set

To support laboratory test ordering, the pathology test request reference set developed by the Royal College of Pathologists of Australasia (RCPA) is included in this release.

• 501000210102 New Zealand laboratory order reference set

This unidirectional map from READ v2 to SNOMED CT is provided to aid migration to SNOMED CT in primary care.

We acknowledge NHS Digital for the source data for this map, made available to us under an Open Government Licence. Our version of the map was updated most recently from the NHS Digital data migration release dated October 2018. 

This map associates NZ Medicines Terminology medicinal product concepts to SNOMED CT concepts. There one-to-one mappings from NZMT concepts to equivalent SNOMED CT concepts where they exist, and many-to-one mappings from NZMT concepts to somewhat less specific SNOMED CT concepts otherwise.

This map is an RF2 version of the equivalent map maintained and documented in NZ Universal List of Medicines releases.

The version of the map included here comes from the NZULM February 2020 release.

This unidirectional map from SNOMED CT to READ v2 is used and maintained by ACC to help process SNOMED-coded personal injury claims. The table includes some content from the NHS Digital primary care refset equivalence tables.

This language reference set has preferred terms, synonyms and correct spellings for all concepts in the SNOMED CT NZ Edition. It is derived from the GB English language refset included with the SNOMED International Edition, and covers the terms included in the SNOMED NZ Extension.

This language reference set has patient and consumer friendly terms in NZ English covering the most common health conditions and interventions. The reference set is intended for use in consumer-facing applications, including patient portals and personal health apps.

THINK Hauora has led the development of this content, working with the Ministry of Health.

This language reference set has patient and consumer friendly terms in te reo Māori covering the most common health conditions and interventions. The reference set is intended for use in consumer-facing applications, including patient portals and personal health apps. The first version in October 2020 is offered for trial use and comment.

We acknowledge Te Tihi o Ruahine and THINK Hauora, who have led the development of this content.