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Date

20200401

Document Version

0.1

Release Status

PRE-PRODUCTION

Introduction

The Ministry of Health works with health and disability agencies and their industry partners to develop SNOMED CT® reference sets, maps, language reference sets and other content for digital health solutions in New Zealand.

The SNOMED CT New Zealand Extension - SNOMED NZ Extension, for short - packages these components for release every April and October, to be used with the latest SNOMED CT International Edition release.

The same content can be viewed online using the SNOMED CT browser and it is also available via standard terminology servers Terminz and Snochillies. Implementers also have the choice of free, open source SNOMED CT terminology server Snowstorm.

We welcome your feedback and participation. For more information about SNOMED CT implementation in New Zealand, see our website or join our SNOMED NZ Open Forum on Yammer.

The SNOMED NZ Extension is licensed under a Creative Commons Attribution 4.0 International License

The SNOMED NZ Extension is licensed under the Creative Commons Attribution 4.0 International licence. In essence, you are free to: share ie, copy and redistribute the material in any medium or format; adapt ie, remix, transform and build upon the material. You must give appropriate credit, provide a link to the licence and indicate if changes were made.







Page At A Glance


Background

This document provides a summarized description of the content changes included in the April 2020 production release of the SNOMED NZ Extension package.

It will also include technical notes detailing any known issues which have been identified. These are content or technical issues where the root cause is understood, and the fix has been discussed and agreed, but has yet to be implemented.

This SNOMED NZ Extension package is dependent upon, and should therefore be consumed in conjunction with the SNOMED CT March 2020 International Edition release dated 9 March 2020.

Content development activity

Summary

Content from the SNOMED CT March 2020 International Edition release has been incremented, using additional components for use in New Zealand. 

The April 2020 release includes updates to the previously released content in the SNOMED NZ Extension beta release.

New and updated content

Concept statistics

The SNOMED NZ National Release Centre promoted 49 new concepts and these are available in the SNOMED CT March 2020 International Edition release.

Table 1. New concepts in the SNOMED International March 2020 release by hierarchy

Total number of concepts

49

Clinical finding (finding)

5

Procedure (procedure)

7

Social context (social concept)

1

Situation with explicit context (situation)

9

Qualifier value (qualifier value)

27

 Refer to Appendix 1, Table 1.1 to view the 49 new concepts.


There are 53 new concepts in this release.

Table 2. New concepts in the SNOMED NZ Extension April 2020 release by hierarchy

Total number of concepts

53

Assessment scales (assessment scale)

7

Clinical finding (finding)

1

Procedure (procedure)

2

Observable entity (observable entity)

1

Qualifier value (qualifier value)

6

SNOMED CT Model Component (metadata)

34

Situation with explicit context (situation)

2

Refer to Appendix 1, Table 2.1 to view the 53 new concepts.

Description statistics 

The SNOMED NZ NRC promoted 12 new descriptions to SNOMED International. These are available in the SNOMED International Edition March 2020 release.

Table 3. New descriptions in the SNOMED International March 2020 release 

SNOMED CT Concept ID (SCTID)

SNOMED CT Fully Specified Name (FSN)

New Description

90361000119105

Behavioral insomnia of childhood (disorder)

Behavioral sleep problems

426284001

Chemical burn (disorder)

Caustic burn

429211000124107

Fetus affected by placental transfer of anticonvulsant (disorder)

Fetal anticonvulsant syndrome

66622006

Hypertrophy of both palatine AND pharyngeal tonsils (disorder)

Adenotonsillar hypertrophy

15218003

Intelligence test/Wechsler Intelligence Scale for Children (procedure)

WISC-Wechsler Intelligence Scale for children assessment

425810000

Mass of pancreas (finding)

Pancreatic mass

310063007

Obstretics service (qualifier value)

Maternity service

277843001

Problem behavior (finding)

Behavioural concern

254588001

Polyp of intestine (disorder)

Bowel polyp

197433003

Polyp of gallbladder (disorder)

Gallbladder polyp

425988004

Sensory integration disorder (disorder)

Sensory processing disorder

231543005 

Speech and language disorder (disorder)

Speech, language, communication disorder

Reference sets

There are 23 reference sets in the April 2020 release.

For more information about New Zealand reference sets, please visit our website.

The New Zealand reference set list is available in Appendix 1, table 3.1.

Language reference sets

Language reference sets are created to define preferred terms and synonyms associated with each concept. There are three language reference sets in the April 2020 release.

Language Reference Set Name

SNOMED CT Concept ID (SCTID)

Members

Maori [International Organization for Standardization 639-1 code mi] language reference set (foundation metadata concept)

291000210106

 

 0

New Zealand English language reference set (foundation metadata concept)

271000210107

 

1155061

New Zealand English patient friendly terms language reference set (foundation metadata concept)

281000210109

 

157

Maps

Five maps between SNOMED CT and other code systems are contained in the April 2020 release.

Map Name

SNOMED CT Concept ID (SCTID)

Members

ACC translation table map (foundation metadata concept)

401000210101

12795

MSD translation table map (foundation metadata concept)

411000210104

58134

NZMT medicinal product to SNOMED CT map (foundation metadata concept)

311000210107

2125

READ v2 to SNOMED CT map (foundation metadata concept)

31000210106

88273

SNOMED CT to READ v2 map (foundation metadata concept)

41000210103

66966

Technical notes

Known Issues 

Known Issues are content or technical issues where the root cause is understood, and the resolution has been discussed and agreed but has yet to be implemented.  This can be due to a number of reasons, from lack of capacity within the current editing cycle, to the risk of impact to the stability of SNOMED CT if the fix were to be deployed at that stage in the Product lifecycle.  

The following known issues were identified, and agreed to be resolved in the next editing cycle:

Key Summary Description P
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Technical notes

 No additional technical notes for this release.

Appendix 1

Table 1.1. New concepts in SNOMED CT International Edition March 2020 release

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Semantic Tag

788120007

Antenatal depression (disorder)

Disorder

817966005

Cystic fibrosis with DIOS - Distal Intestinal Obstructive Syndrome (disorder)

Disorder

816969006

Inefficient uterine action with oxytocin augmentation (disorder)

Disorder

816967008

Fetal distress due to augmentation of labor with oxytocin (disorder)

Disorder

789494008

central sensitization (finding)

Finding

788339009

Genetic consultation (Procedure)

Procedure

788587000

Assessment using Griffith Mental Development Scales (procedure)

Procedure

715911009

Assessment using Bayley Scales of Infant Development (procedure)

Procedure

816029007

Corneal collagen cross linking (procedure)

Procedure

792900002

Assessment for breast reconstruction (procedure)

Procedure

789789009

Traditional maori medicine (regime/therapy)

Regime/therapy

816968003

Labor and birth support (regime/therapy)

Regime/therapy

789543004

Sonographer (occupation)

Occupation

789544005

History of peripheral ischaemia (situation)

Situation

789475003

History of aneurysm of artery of trunk (situation)

Situation

789474004

History of aneurysm of peripheral artery (situation)

Situation

789064006

History of pain at rest due to peripheral vascular disease (situation)

Situation

789377005

Fetal exposure to antiepileptic drug (situation)

Situation

789642001

History of carotid artery stenosis (situation)

Situation

789775004

History of influenza (situation)

Situation

789776003

History of placental abruption (situation)

Situation

816150000

History of shoulder dystocia (situation)

Situation

788125002

Addiction service (qualifier value)

Qualifier value

788002001

Adult mental health service (qualifier value)

Qualifier value

789718008

Cardiology service (qualifier value)

Qualifier value

788127005

Child health service (qualifier value)

Qualifier value

788004000

Clinical genetics service (qualifier value)

Qualifier value

788121006

Clinical immunology and allergy service (qualifier value)

Qualifier value

788128000

Critical care medicine service (qualifier value)

Qualifier value

792847005

Emergency ambulance service (qualifier value)

Qualifier value

788007007

General practice service (qualifier value)

Qualifier value

788006003

Genetic laboratory service (qualifier value)

Qualifier value

788124003

Histopathology service (qualifier value)

Qualifier value

788001008

Infectious diseases service (qualifier service)

Qualifier value

792848000

Internal medicine service (qualifier value)

Qualifier value

788005004

Neurology service (qualifier value)

Qualifier value

788003006

Nephrology service (qualifier value)

Qualifier value

788009005

Nuclear medicine service (qualifier value)

Qualifier value

788008002

Oral and maxillofacial surgery service (qualifier service)

Qualifier value

789717003

Pediatric cardiology service (qualifier value)

Qualifier value

792849008

Pediatric clinical genetics service (qualifier value)

Qualifier value

789716007

Pediatric ear, nose and throat service (qualifier value)

Qualifier value

789715006

Pediatric respiratory therapy service (qualifier value)

Qualifier value

789714005

Pediatric rheumatology service (qualifier value)

Qualifier value

816075004

Prosthetics and orthotics service (qualifier value)

Qualifier value

788126001

Prosthetics service (qualifier service)

Qualifier value

788123009

Radiation oncology service (qualifier value)

Qualifier value

816074000

Respiratory medicine service (qualifier value)

Qualifier value

788122004

Sexual health service (qualifier value)

Qualifier value


Table 2.1. New concepts in the SNOMED NZ Extension April 2020 release

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Semantic tag

50671000210108

New Zealand cardiovascular disease risk assessment primary prevention equations (assessment scales)

Assessment scale

50681000210105

PREDICT cardiovascular disease version 2018.2 primary prevention equation for women age 30 to 74 years (assessment scale)

Assessment scale

50741000210105

PREDICT cardiovascular disease version 2018.2 primary prevention equation for men age 30 to 74 years (assessment scale)

Assessment scale

50701000210107

PREDICT cardiovascular version 2018.1 primary prevention equation for women with diabetes age to 30 to 74 years (assessment scale)

Assessment scale

50711000210109

PREDICT cardiovascular disease version 2018.1 primary prevention equation for men with diabetes age 30 to 74 years (assessment scale)

Assessment scale

50721000210104

PREDICT cardiovascular disease version 2018.1 primary prevention equation for women age 30 to 74 years (assessment scale)

Assessment scale

50761000210106

PREDICT cardiovascular version 2018.1 primary prevention equation for men age 30 to 74 years (assessment scale)

Assessment scale

381000210101

Accident Compensation Corporation sensitive claim (disorder)

Disorder

50791000210101

Delivery of placenta following caesarean section (procedure)

Procedure

50491000210105

Gestational diabetes mellitus screening (procedure)

Procedure

401000210101

ACC translation table map (foundation metadata concept)

Foundation Metadata concept

291000210106

Maori [International Organization for Standardization 639-1 code mi] language reference set (foundation metadata concept)

Foundation Metadata concept

411000210104

MSD translation table map (foundation metadata concept)

Foundation Metadata concept

351000210106

New Zealand adverse reaction manifestation reference set (foundation metadata concept)

Foundation Metadata concept

421000210109

New Zealand ambulance clinical impression reference set (foundation metadata concept)

Foundation Metadata concept

91000210107

New Zealand cardiology reference set (foundation metadata concept)

Foundation Metadata concept

191000210102

New Zealand child developmental services reference set (foundation metadata concept)

Foundation Metadata concept

241000210102

New Zealand child health assessment reference set (foundation metadata concept)

Foundation Metadata concept

471000210108

New Zealand clinical specialty reference set (foundation metadata concept)

Foundation Metadata concept

261000210101

New Zealand disability reference set (foundation metadata concept)

Foundation Metadata concept

61000210102

New Zealand emergency care diagnosis reference set (foundation metadata concept)

Foundation Metadata concept

71000210108

New Zealand emergency care presenting complaint reference set (foundation metadata concept)

Foundation Metadata concept

321000210102

New Zealand emergency care procedure reference set (foundation metadata concept)

Foundation Metadata concept

141000210106

New Zealand endocrinology reference set (foundation metadata concept)

Foundation Metadata concept

271000210107

New Zealand English language reference set (foundation metadata concept)

Foundation Metadata concept

281000210109

New Zealand English patient friendly terms language reference set (foundation metadata concept)

Foundation Metadata concept

181000210104

New Zealand general pediatric reference set (foundation metadata concept)

Foundation Metadata concept

131000210103

New Zealand general surgery reference set (foundation metadata concept)

Foundation Metadata concept

101000210108

New Zealand gynecology reference set (foundation metadata concept)

Foundation Metadata concept

451000210100

New Zealand health occupation reference set (foundation metadata concept)

Foundation Metadata concept

461000210102

New Zealand health service type reference set (foundation metadata concept)

Foundation Metadata concept

21000210109

New Zealand integrated care module (core metadata concept)

Foundation Metadata concept

501000210102

New Zealand laboratory order reference set (foundation metadata concept)

Foundation Metadata concept

11000210104

New Zealand maintained module (core metadata concept)

Foundation Metadata concept

391000210104

New Zealand microorganism reference set (foundation metadata concept)

Foundation Metadata concept

251000210104

New Zealand notifiable disease reference set (foundation metadata concept)

Foundation Metadata concept

121000210100

New Zealand rheumatology reference set (foundation metadata concept)

Foundation Metadata concept

50501000210100

New Zealand simple type reference Set (foundation metadata concept)

Foundation Metadata concept

481000210105

New Zealand site of care reference set (foundation metadata concept)

Foundation Metadata concept

51000210100

New Zealand smoking reference set (foundation metadata concept)

Foundation Metadata concept

441000210103

New Zealand surgical complication reference set (foundation metadata concept)

Foundation Metadata concept

311000210107

NZMT medicinal product to SNOMED CT map (foundation metadata concept)

Foundation Metadata concept

31000210106

READ v2 to SNOMED CT map (foundation metadata concept)

Foundation Metadata concept

41000210103

SNOMED CT to READ v2 map (foundation metadata concept)

Foundation Metadata concept

361000210109

Family history of cardiovascular disease in first degree relative less than 50 years of age (situation)

Situation

371000210103

No family history of cardiovascular disease in first degree relative less than 50 years of age (situation)

Situation


Table 3.1 Reference sets in the SNOMED NZ Extension April 2020 release

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Members

351000210106

New Zealand adverse reaction manifestation reference set (foundation metadata concept)

1887

421000210109

New Zealand ambulance clinical impression reference set (foundation metadata concept)

177

91000210107

New Zealand cardiology reference set (foundation metadata concept)

163

191000210102

New Zealand child developmental services reference set (foundation metadata concept)

137

241000210102

New Zealand child health assessment reference set (foundation metadata concept)

187

471000210108

New Zealand clinical specialty reference set (foundation metadata concept)

158

261000210101

New Zealand disability reference set (foundation metadata concept)

95

61000210102

New Zealand emergency care diagnosis reference set (foundation metadata concept)

1422

71000210108

New Zealand emergency care presenting complaint reference set (foundation metadata concept)

153

321000210102

New Zealand emergency care procedure reference set (foundation metadata concept)

73

141000210106

New Zealand endocrinology reference set (foundation metadata concept)

261

181000210104

New Zealand general paediatric reference set (foundation metadata concept)

439

131000210103

New Zealand general surgery reference set (foundation metadata concept)

96

101000210108

New Zealand gynaecology reference set (foundation metadata concept)

145

451000210100

New Zealand health occupation reference set (foundation metadata concept)

77

461000210102

New Zealand health service type reference set (foundation metadata concept)

101

501000210102

New Zealand laboratory order reference set (foundation metadata concept)

957

391000210104

New Zealand microorganism reference set (foundation metadata concept)

18768

251000210104

New Zealand notifiable disease reference set (foundation metadata concept)

96

121000210100

New Zealand rheumatology reference set (foundation metadata concept)

126

481000210105

New Zealand site of care reference set (foundation metadata concept)

8

51000210100

New Zealand smoking reference set (foundation metadata concept)

36

441000210103

New Zealand surgical complication reference set (foundation metadata concept)

147



Approvals


Final Version

Date

Approver

Comments

0.1


Terance Shird


0.1

   

Rory Davidson
1.0

23/03/2020

Lea Miharsa



Download .pdf here:






Draft Amendment History


Version

Date

Editor

Comments

0.1

02/03/2020

Andrew AtkinsonInitial draft created
1.0

 20/03/2020

Lea MiharsaFinal draft
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