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Date

20231001

Document Version

1.0

Release Status

PRODUCTION

© 2024 International Health Terminology Standards Development Organisation.  All rights reserved.  SNOMED CT® was originally created by the College of American Pathologists.

This document forms part of the SNOMED CT® New Zealand Extension release distributed by International Health Terminology Standards Development Organisation, trading as SNOMED International, and is subject to the SNOMED CT® Affiliate License, details of which may be found at https://www.snomed.org/snomed-ct/get-snomed

No part of this document may be reproduced or transmitted in any form or by any means, or stored in any kind of retrieval system, except by an Affiliate of SNOMED International in accordance with the SNOMED CT® Affiliate License. Any modification of this document (including without limitation the removal or modification of this notice) is prohibited without the express written permission of SNOMED International.

Any copy of this document that is not obtained directly from SNOMED International [or a Member of SNOMED International] is not controlled by SNOMED International, and may have been modified and may be out of date. Any recipient of this document who has received it by other means is encouraged to obtain a copy directly from SNOMED International [or a Member of SNOMED International. Details of the Members of SNOMED International may be found at http://www.snomed.org/members/].







Page At A Glance

Introduction

Te Whatu Ora - Health New Zealand works with health agencies and their industry partners to develop SNOMED CT® reference sets, maps, language reference sets and other content for digital health solutions in Aotearoa New Zealand.

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

The content can be downloaded from our member licensing and distribution service, viewed online using the SNOMED CT browser or accessed via FHIR® API using the NZ Health Terminology Service

We welcome your feedback and participation. For more information about SNOMED CT implementation in New Zealand, see our website or join our standards channel at ehealthforum.nz.

Background

This document provides a summarized description of the content changes included in the October 2023 production release of the SNOMED NZ Extension package.

It also includes technical notes detailing any known issues.

This SNOMED NZ Extension package is dependent upon and should therefore be consumed in conjunction with the SNOMED CT International Edition July 2023 release.

Content development activity

Summary

Content from the SNOMED CT International Edition July 2023 release has been incremented, using additional components for use in New Zealand. 

The October 2023 release includes updates to the previously released content in the SNOMED NZ Extension and introduces some new content.

This release includes new content in the following areas.

Assistance and preferences 

The assistance and preferences reference set identifies the types of assistance requirements or preferences a person may have in order to access health services.

Common patient friendly terms 

This reference set covers the most common health conditions and interventions, each with equivalent New Zealand English and te reo Māori consumer and whānau friendly terms.

Female pelvic surgical mesh injury

This reference set provides clinicians with a standard set of diagnosis codes to capture injuries and complications due to the implantation of surgical mesh to treat female stress urinary incontinence and pelvic organ prolapse. The set is developed and maintained by the New Zealand Female Pelvic Mesh Service.

Oral health

This reference set identifies coded terms to be captured in an oral health information system to support community oral health services, Māori oral health services and hospital dental services.

Rheumatic fever

This reference set relates to the diagnosis and management of rheumatic fever related conditions, including acute rheumatic fever and rheumatic heart disease. The reference set underpins standardised care plans and case management records, enabling nationally-consistent management of cases, reducing the risk of severe rheumatic heart disease and improving health outcomes.

CanShare

Te Aho o Te Kahu (Cancer Control Agency) has produced a collection of 298 CanShare reference sets for Aotearoa. These reference sets provide standard sets of SNOMED CT concepts to use for recording, sharing and querying cancer data . They are designed to support a range of cancer data, including histology, topography, grading, staging, scoring, treatment intents, disease response and cancer streams.

The October 2023 NZ SNOMED CT edition includes 226 new CanShare reference sets and 15 updated reference sets in the following areas:

  • Cancer histologies for haematolymphoid, breast, thoracic, female genital, digestive and genitourinary tumours, based on the WHO Classification of Tumours 5th edition.
  • Topographies for recording the body location of a cancer. This includes a maximal set of body locations, a high-level set of commonly used body locations, and body locations for specific thoracic and breast cancers.
  • Grading systems and their values for haematolymphoid and breast cancers.
  • Staging systems and their values for haematolymphoid, breast and thoracic cancers
  • Prognostic scoring systems and their values for haematolymphoid cancers.
  • Cancer groupings to support clinical workflows.
  • Data that supports systemic anti-cancer therapy treatment plans, including basis of diagnosis, treatment intent, disease response, dose forms, dose units, and ancillary studies for breast tumours.

New and updated content

Concept statistics

The SNOMED NZ National Release Centre promoted 6 new concepts to the SNOMED CT International Edition January 2023 release.

Table 1. New concepts in the SNOMED International January 2023 release by hierarchy

Total number of concepts6
Procedure (procedure)3
Qualifier value (qualifier value)3


There are 951 new concepts in our October 2023 release.

Table 2. New concepts in the SNOMED NZ Extension October 2023 release by hierarchy

Total number of concepts

951

Body structure (body structure)

12

Clinical finding (finding)

76

Disease (disorder)

81

Foundation metadata concept (foundation metadata concept)

223

Morphologically abnormal structure (morphologic abnormality)

207

Observable entity (observable entity)

29

Occupation (occupation)

4

Person (person)

1

Physical object (physical object)

1

Procedure (procedure)

100

Qualifier value (qualifier value)

143

Regimes and therapies (regime/therapy)

57

Situation with explicit context (situation)

11

Staging and scales (staging scale)

5

Substance (substance)

1


Description statistics 

The SNOMED NZ NRC promoted 1 new descriptions to the SNOMED International Edition January 2023 release.

There are 3777 new descriptions in our October 2023 release.

For a statistical breakdown of the content of the SNOMED NZ Extension and the October 2023 release please visit release statistics site.


Reference sets

There are 369 reference sets in the October 2023 release including 231 new reference sets. The new reference sets cover assistance and preference, common patient friendy terms, female pelvic surgical mesh, rheumatic fever, oral health and CanShare reference sets.

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

The New Zealand reference set list is available in Appendix 1, table 1.1.

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 October 2023 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


 157

New Zealand English language reference set (foundation metadata concept)

271000210107


1285430

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

281000210109


159

New Zealand CanShare language reference set (foundation metadata concept)

231621000210105

3842

Maps

Five maps between SNOMED CT and other code systems are contained in the October 2023 release.

Map Name

SNOMED CT Concept ID (SCTID)

Members

ACC translation table map (foundation metadata concept)

401000210101

12794

MSD translation table map (foundation metadata concept)

411000210104

58133

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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Notice of changes to the International Edition release schedule

The SNOMED CT International Edition has moved to a monthly release cycle. These more frequent releases of SNOMED CT will realize several benefits, including:

  • The potential to be able to get content changes into the terminology in a shorter time frame.
  • The fostering of better interoperability, as a result of entities being able to consume release content that is more aligned with other organizations.
  • The prevention of circular dependencies that occur in longer projects, due to the move towards smaller, more manageable authoring projects.
  • More automated validation services, as a result of the inherent removal of the Alpha/Beta stages in the Release cycle.

Whilst most users will continue unaffected (as they can simply continue to download the releases every 6 months as always), this transition will necessarily involve a few changes to process/packages:

  • Delta files have been removed from releases of the SNOMED CT International Edition and SNOMED NZ Extension. A Delta Generation service will be provided for those who need it. The Delta Generation Tool allows users to create their own Delta between two fixed release dates - you can find it here:
  • The ICD-O/ICD-10 Maps will continue to be published in each Monthly International Edition release package (in line with that month's content) for the foreseeable future, unless we experience issues with the new process in Production, and they need to be removed at a later date.

The first monthly Release of the SNOMED CT International Edition was published on the 28th February 2022 with the Delta files having been removed, and therefore they will be removed from the New Zealand Extension from the April 2022 Release onwards.

Please note - While the SNOMED CT International Edition is moving to monthly releases, the New Zealand Extension of SNOMED CT will remain on the current bi-annual release schedule of April and October for 2023.

Changes to the Identifier file format

In line with the proposals documented here:  https://confluence.ihtsdotools.org/mag/snomed-international-proposal-to-change-the-rf2-identifier-file-specification - the New Zealand Extension Release will from now on include the following changes to the format of the Identifier files:

  • < identifierSchemeId    alternateIdentifier    effectiveTime    active    moduleId    referencedComponentId           ...to
  • > alternateIdentifier    effectiveTime    active    moduleId    identifierSchemeId    referencedComponentId

These improvements are introduced in the October 2023 New Zealand Extension release, and will be used in all future New Zealand Extension releases until further notice.

Appendix 1

Table 1.1 Reference sets in the SNOMED NZ Extension October 2023 release

SNOMED CT Concept ID

(SCTID)

SNOMED CT Preferred Term

Members

351000210106New Zealand adverse reaction manifestation refset1886
253701000210108New Zealand AJCC breast clinical M category reference set3
253531000210106New Zealand AJCC breast clinical N category reference set11
253741000210106New Zealand AJCC breast clinical stage group reference set9
253491000210106New Zealand AJCC breast clinical T category reference set16
253721000210100New Zealand AJCC breast pathological M category reference set1
253551000210100New Zealand AJCC breast pathological N category reference set16
253751000210109New Zealand AJCC breast pathological stage group reference set9
253511000210104New Zealand AJCC breast pathological T category reference set16
253771000210101New Zealand AJCC chronic or small lymphocytic lymphoma stage group reference set5
253651000210101New Zealand AJCC clinical M category reference set15
253471000210107New Zealand AJCC clinical N category reference set19
253681000210106New Zealand AJCC clinical stage group reference set140
253451000210104New Zealand AJCC clinical T category reference set39
253601000210102New Zealand AJCC cutaneous B-cell or T-cell lymphoma (non-MF/SS) pathological T category reference set10
253251000210103New Zealand AJCC grade reference set9
253711000210105New Zealand AJCC haematology clinical M category reference set2
253541000210103New Zealand AJCC haematology clinical N category reference set9
253501000210101New Zealand AJCC haematology clinical T category reference set11
253831000210108New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) clinical M category reference set2
253621000210105New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) clinical N category reference set5
253581000210105New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) clinical T category reference set10
253851000210102New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) pathological M category reference set1
253641000210104New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) pathological N category reference set5
253821000210106 New Zealand AJCC haematology mycosis fungoides or sezary syndrome clinical M category reference set2
253611000210100New Zealand AJCC haematology mycosis fungoides or sezary syndrome clinical N category reference set9
253571000210108New Zealand AJCC haematology mycosis fungoides or sezary syndrome clinical T category reference set8
253841000210100New Zealand AJCC haematology mycosis fungoides or sezary syndrome pathological M category reference set1
253631000210107New Zealand AJCC haematology mycosis fungoides or sezary syndrome pathological N category reference set9
253591000210107New Zealand AJCC haematology mycosis fungoides or sezary syndrome pathological T category reference set8
253731000210103New Zealand AJCC haematology pathological M category reference set1
253561000210102New Zealand AJCC haematology pathological N category reference set9
253521000210109New Zealand AJCC haematology pathological T category reference set11
263581000210104New Zealand AJCC haematology stage group reference set17
253761000210107New Zealand AJCC Hodgkin or non-Hodgkin lymphoma stage group reference set7
253801000210103New Zealand AJCC mycosis fungoides or sezary syndrome stage group reference set10
253781000210104New Zealand AJCC paediatric Hodgkin lymphoma stage group reference set7
253791000210102New Zealand AJCC paediatric non-Hodgkin lymphoma stage group reference set4
253661000210103New Zealand AJCC pathological M category reference set13
253481000210109New Zealand AJCC pathological N category reference set20
253691000210108New Zealand AJCC pathological stage group reference set139
253461000210101New Zealand AJCC pathological T category reference set38
253811000210101New Zealand AJCC plasma cell myeloma stage group reference set3
297441000210100New Zealand AJCC thoracic clinical M category reference set5
297301000210107New Zealand AJCC thoracic clinical N category reference set5
297281000210106New Zealand AJCC thoracic clinical T category reference set13
298261000210104New Zealand AJCC thoracic grade reference set5
297501000210104New Zealand AJCC thoracic lung clinical M category reference set5
297411000210101New Zealand AJCC thoracic lung clinical N category reference set5
297351000210108New Zealand AJCC thoracic lung clinical T category reference set13
297531000210109New Zealand AJCC thoracic lung pathological M category reference set4
297471000210105New Zealand AJCC thoracic lung pathological N category reference set5
297381000210103New Zealand AJCC thoracic lung pathological T category reference set13
297321000210104New Zealand AJCC thoracic lung stage group reference set14
297511000210102New Zealand AJCC thoracic malignant pleural mesothelioma clinical M category reference set2
297421000210106New Zealand AJCC thoracic malignant pleural mesothelioma clinical N category reference set4
297361000210106New Zealand AJCC thoracic malignant pleural mesothelioma clinical T category reference set6
297541000210101New Zealand AJCC thoracic malignant pleural mesothelioma pathological M category reference set1
297481000210107New Zealand AJCC thoracic malignant pleural mesothelioma pathological N category reference set4
297391000210101New Zealand AJCC thoracic malignant pleural mesothelioma pathological T category reference set6
297331000210102New Zealand AJCC thoracic malignant pleural mesothelioma stage group reference set6
297451000210102New Zealand AJCC thoracic pathological M category reference set4
297431000210108New Zealand AJCC thoracic pathological N category reference set5
297291000210108New Zealand AJCC thoracic pathological T category reference set13
297271000210109New Zealand AJCC thoracic stage group reference set17
297491000210109New Zealand AJCC thoracic thymus clinical M category reference set4
297401000210103New Zealand AJCC thoracic thymus clinical N category reference set4
297341000210105New Zealand AJCC thoracic thymus clinical T category reference set8
297521000210107New Zealand AJCC thoracic thymus pathological M category reference set3
297461000210104New Zealand AJCC thoracic thymus pathological N category reference set4
297371000210100New Zealand AJCC thoracic thymus pathological T category reference set8
297311000210109New Zealand AJCC thoracic thymus stage group reference set6
72671000210109New Zealand alcohol consumption reference set 3
421000210109New Zealand ambulance clincial impression refset176
303431000210106New Zealand assistance and preferences reference set (foundation metadata concept)17
61241000210100New Zealand biological substance common allergen reference set207
302791000210105New Zealand cancer acute leukaemia cancer type reference set3
253671000210109New Zealand cancer AJCC cancer staging manual edition reference set2
294731000210107New Zealand cancer Ann Arbor lymphoma stage reference set4
301761000210107New Zealand cancer basis of diagnosis reference set11
302721000210107New Zealand cancer B-cell lymphoid cancer type reference set11
302571000210104New Zealand cancer B-cell lymphoid substream reference set3
302771000210106New Zealand cancer B-cell lymphoma cancer type reference set8
294801000210107New Zealand cancer Binet staging for CLL stage reference set3
294931000210105New Zealand cancer BL-IPI prognostic score reference set3
253151000210108New Zealand cancer breast topography reference set9
302801000210109New Zealand cancer chronic leukaemia cancer type reference set2
302691000210104New Zealand cancer CNS cancer type reference set2
294831000210102New Zealand cancer CNS status in acute lymphoblastic leukaemia lymphoma prognostic score reference set4
294951000210104New Zealand cancer CNS-IPI for large B-cell lymphoma prognostic score reference set3
302831000210104New Zealand cancer colorectal cancer type reference set2
253111000210109New Zealand cancer data absent reason reference set5
294871000210100New Zealand cancer DIPSS+ for myelofibrosis prognostic score reference set4
253301000210109New Zealand cancer ECOG status reference set6
294821000210104New Zealand cancer ELN standardised reporting for genetic alteration in AML prognostic score reference set4
302651000210106New Zealand cancer endocrine and/or neuroendocrine cancer type reference set19
302521000210103New Zealand cancer endocrine and/or neuroendocrine substream reference set4
302911000210100New Zealand cancer endocrine cancer type reference set3
253331000210104New Zealand cancer ER expression reference set3
294891000210101New Zealand cancer EUTOS prognostic score for CML prognostic score reference set2
294911000210103New Zealand cancer FLIPI prognostic score reference set3
294721000210105New Zealand cancer follicular lymphoma grade reference set4
302621000210102New Zealand cancer gastrointestinal cancer type reference set10
302511000210108New Zealand cancer gastrointestinal substream reference set4
303331000210100New Zealand cancer genitourinary (non-prostate) cancer type reference set7
302641000210108New Zealand cancer genitourinary cancer type reference set8
302961000210103New Zealand cancer genitourinary substream reference set4
294741000210104New Zealand cancer GHSG Hodgkin treatment stratification stage reference set3
253281000210108New Zealand cancer grading system reference set4
302871000210102New Zealand cancer gynaecological cancer type reference set7
302711000210102New Zealand cancer haematology cancer type reference set24
302491000210101New Zealand cancer haematology stream reference set7
302561000210105New Zealand cancer haematology substream reference set12
302881000210100New Zealand cancer head and neck cancer type reference set10
302841000210107New Zealand cancer hepatopancreaticobiliary cancer type reference set3
253351000210105New Zealand cancer HER2 expression reference set4
296931000210100New Zealand cancer high level topography reference set93
294881000210103New Zealand cancer Hodgkin lymphoma International Prognostic Score reference set6
294971000210107New Zealand cancer IELSG (International Extranodal Lymphoma Study Group) prognostic score reference set3
294861000210106New Zealand cancer International Prognostic Score for thrombosis in ET prognostic score reference set3
294921000210108New Zealand cancer IPI prognostic score reference set4
294961000210101New Zealand cancer IPSS for Waldenstrom Macroglobulinemia prognostic score reference set3
294851000210108New Zealand cancer IPSS-M for MDS prognostic score reference set6
294841000210105New Zealand cancer IPSS-R for MDS prognostic score reference set5
253241000210101New Zealand cancer laterality reference set5
302741000210101New Zealand cancer leukaemia cancer type reference set5
302591000210100New Zealand cancer leukaemia substream reference set2
302631000210100New Zealand cancer lower gastrointestinal cancer type reference set4
302731000210109New Zealand cancer lymphoma cancer type reference set11
302601000210105New Zealand cancer lymphoma substream reference set4
302851000210105New Zealand cancer male genital cancer type reference set4
294771000210109New Zealand cancer Mayo staging for AL (amyloidosis) stage reference set3
302941000210104New Zealand cancer melanoma cancer type reference set3
294901000210100New Zealand cancer MIPI prognostic score reference set3
302751000210103New Zealand cancer myeloproliferative cancer type reference set7
302661000210109New Zealand cancer neuroendocrine cancer type reference set16
302891000210103New Zealand cancer neuroendocrine GEP cancer type reference set9
302901000210102New Zealand cancer neuroendocrine non-GEP cancer type reference set7
302531000210101New Zealand cancer neuroendocrine substream reference set2
294751000210101New Zealand cancer NK/T-cell non-Hodgkin lymphoma treatment stratification stage reference set2
302821000210101New Zealand cancer non-Hodgkin lymphoma cancer type reference set10
253261000210100New Zealand cancer Nottingham Combined grade reference set4
253271000210106New Zealand cancer nuclear grade of DCIS grade reference set4
253121000210104New Zealand cancer observation reference set56
294981000210109New Zealand cancer PIT prognostic score reference set5
302781000210108New Zealand cancer plasma cell cancer type reference set2
253341000210107New Zealand cancer PR expression reference set3
253321000210101New Zealand cancer prognostic scoring system reference set17
294791000210108New Zealand cancer Rai staging for CLL stage reference set5
253291000210105New Zealand cancer recurrence type reference set5
294781000210106New Zealand cancer revised Mayo staging 2012 for AL (amyloidosis) stage reference set4
294811000210109New Zealand cancer revised TNM-B staging for cutaneous T-cell lymphoma stage reference set7
294761000210103New Zealand cancer R-ISS for multiple myeloma stage reference set3
253131000210102New Zealand cancer SACT basis of diagnosis reference set2
297751000210107New Zealand cancer service reference set4
302681000210101New Zealand cancer skin and/or melanoma cancer type reference set6
302551000210107New Zealand cancer skin and/or melanoma substream reference set2
302931000210107New Zealand cancer skin cancer type reference set4
302671000210103New Zealand cancer soft tissue and/or bone cancer type reference set8
302541000210109New Zealand cancer soft tissue and/or bone substream reference set2
302921000210105New Zealand cancer soft tissue cancer type reference set7
294941000210102New Zealand cancer Sokal index for CML prognostic score reference set3
302611000210107New Zealand cancer solid tumour cancer type reference set79
302481000210103New Zealand cancer solid tumour stream reference set12
302501000210106New Zealand cancer solid tumour substream reference set23
253311000210106New Zealand cancer staging system reference set12
297761000210105New Zealand cancer stream reference set19
297771000210104New Zealand cancer substream reference set35
302761000210100New Zealand cancer T/NK-cell lymphoid cancer type reference set3
302581000210102New Zealand cancer T/NK-cell lymphoid substream reference set2
302811000210106New Zealand cancer T/NK-cell lymphoma cancer type reference set3
302951000210101New Zealand cancer thoracic cancer type reference set7
296951000210106New Zealand cancer thorax lung topograpy reference set5
296961000210109New Zealand cancer thorax pleura topograpy reference set1
296941000210108New Zealand cancer thorax thymus topograpy reference set1
294701000210102New Zealand cancer thorax topography reference set7
253141000210105New Zealand cancer topography reference set868
297871000210108New Zealand cancer type reference set 103
294711000210100New Zealand cancer unknown site topography reference set1
302701000210104New Zealand cancer upper gastrointestinal cancer type reference set3
302861000210108New Zealand cancer urinary system cancer type reference set4
253361000210108New Zealand CanShare cancer treatment intent10
253871000210105New Zealand CanShare haematology treatment intent5
253861000210104New Zealand CanShare medical oncology treatment intent6
253421000210108New Zealand CanShare SACT dose unit25
91000210107New Zealand cardiology reference set63
61251000210102New Zealand chemical substance common allergen reference set619
191000210102New Zealand child developmental services reference set137
241000210102New Zealand child health assessment reference set186
471000210108New Zealand clinical specialty reference set157
263811000210108New Zealand common patient friendly terms reference set158
61271000210105New Zealand common pharmaceutical dose form reference set12
61281000210107New Zealand common pharmaceutical dose frequency reference set12
61291000210109New Zealand common pharmaceutical dose unit reference set11
61231000210108New Zealand COVID-19 adverse event from immunisation reference set60
261000210101New Zealand disability reference set95
61261000210104New Zealand edible substance common allergen reference set419
61000210102New Zealand emergency care diagnosis reference set1466
71000210108New Zealand emergency care presenting complaint reference set158
321000210102New Zealand emergency care procedure reference set74
141000210106New Zealand endocrinology reference set263
263311000210103New Zealand family planning reference set (foundation metadata concept)257
299111000210100New Zealand female pelvic surgical mesh injury reference set (foundation metadata concept)41
181000210104New Zealand general paediatric reference set442
131000210103New Zealand general surgery reference set97
101000210108New Zealand gynaecology reference set148
263301000210100New Zealand health consumer information reference set 83
451000210100New Zealand health occupation reference set103
461000210102New Zealand health service type reference set255
501000210102New Zealand laboratory order reference set955
72621000210105New Zealand maternity Apgar score reference set 33
72631000210107New Zealand maternity complementary therapies reference set 21
72601000210102New Zealand maternity complications reference set 34
72611000210100New zealand maternity disorders reference set 50
72661000210103New Zealand maternity family history reference set 12
72591000210107New Zealand maternity findings reference set 171
72581000210105New Zealand maternity mode of delivery reference set 5
72571000210108New Zealand maternity outcomes reference set 7
72541000210103New Zealand maternity previous complications reference set 49
72551000210100New Zealand maternity previous disorders reference set65
72531000210106New Zealand maternity previous findings reference set 42
72521000210109New Zealand maternity previous mode of delivery reference set 10
72511000210104New Zealand maternity previous outcomes reference set 9
72501000210101New Zealand maternity previous procedures reference set 21
72561000210102New Zealand maternity procedures reference set 59
72641000210104New Zealand maternity screening and tests reference set31
72651000210101New Zealand maternity substances reference set 13
391000210104New Zealand microorganism reference set18563
50931000210104New Zealand nephrology reference set (foundation metadata)99
72691000210108New Zealand non-medicinal drug reference set 16
72681000210106New Zealand non-medicinal drug use reference set 6
251000210104New Zealand notifiable disease reference set97
50941000210107New Zealand ophthalmology reference set64
301951000210106New Zealand oral health reference set (foundation metadata concept)74
192081000210101New Zealand priority score reference set (foundation metadata concept)7
251621000210109New Zealand purchase unit code S00008 minor operation reference set (foundation metadata concept)71
251631000210106 New Zealand purchase unit code S25006 ear, nose and throat minor operation reference set (foundation metadata concept)62
251641000210103New Zealand purchase unit code S30008 gynecology minor procedure reference set (foundation metadata concept)34
251651000210100 New Zealand purchase unit code S40008 eye procedure reference set (foundation metadata concept)47
251661000210102New Zealand purchase unit code S60007 plastic surgery minor procedure reference set (foundation metadata concept)18
121531000210107New Zealand radiology procedures reference set 914
192071000210103New Zealand referral status reference set (foundation metadata concept)7
303391000210104New Zealand rheumatic fever reference set (foundation metadata concept)30
121000210100New Zealand rheumatology reference set126
297811000210104New Zealand SACT acute lymphoblastic leukemia disease response reference set9
297791000210100New Zealand SACT acute myeloid leukemia disease response reference set 11
302971000210109New Zealand SACT amyloidosis disease response reference set 4
297841000210103New Zealand SACT chronic lymphocytic leukemia and/or small lymphocytic lymphoma disease response reference set 6
297831000210106New Zealand SACT chronic myeloid leukemia disease response reference set6
253401000210100New Zealand SACT disease response reference set27
253411000210103New Zealand SACT dose adjustment reason reference set18
263511000210105New Zealand SACT dose form  reference set3
303001000210107New Zealand SACT ER expression reference set2
302981000210106New Zealand SACT HER2 expression reference set2
297861000210102New Zealand SACT lymphoma (non small lymphocytic) disease response reference set 5
297781000210102New Zealand SACT medical oncology disease response reference set4
297851000210100New Zealand SACT myelodysplastic syndrome disease response reference set 8
297801000210101New Zealand SACT myleoma disease response reference set 11
253371000210102New Zealand SACT overall discontinue reason reference set11
253381000210100New Zealand SACT patient factor discontinue reason reference set9
302991000210108New Zealand SACT PR expression reference set2
253441000210102New Zealand SACT route of administration reference set24
253391000210103New Zealand SACT toxicity discontinue reason reference set15
121521000210105New Zealand severe acute respiratory syndrome coronavirus 2 symptoms reference set19
481000210105New Zealand site of care reference set9
72731000210103New Zealand smoking intervention reference set 5
72741000210106New Zealand smoking status reference set 4
441000210103New Zealand surgical complication reference set147
192091000210104New Zealand suspicion of cancer reference set (foundation metadata concept4
72721000210100New Zealand vaping status reference set 7
303021000210104New Zealand WHO classification of tumours breast benign histology reference set33
300131000210109New Zealand WHO classification of tumours breast epithelial histology reference set54
300141000210101New Zealand WHO classification of tumours breast fibroepithelial tumour and/or hamartoma histology reference set7
300181000210108New Zealand WHO classification of tumours breast haematolymphoid histology reference set6
253221000210107New Zealand WHO classification of tumours breast histology reference set91
303041000210105New Zealand WHO classification of tumours breast in situ carcinoma histology reference set6
303031000210102New Zealand WHO classification of tumours breast invasive carcinoma histology reference set38
300161000210100New Zealand WHO classification of tumours breast mesenchymal histology reference set20
303061000210106New Zealand WHO classification of tumours breast neuroendocrine histology reference set6
300151000210103New Zealand WHO classification of tumours breast tumour of nipple histology reference set3
303051000210108New Zealand WHO classification of tumours breast uncertain and/or borderline histology reference set4
300071000210107New Zealand WHO classification of tumours digestive system anal canal histology reference set9
300051000210104New Zealand WHO classification of tumours digestive system appendix histology reference set13
300061000210101New Zealand WHO classification of tumours digestive system colon and/or rectum histology reference set10
300091000210106New Zealand WHO classification of tumours digestive system gallbladder and/or extrahepatic bile duct histology reference set15
300111000210102New Zealand WHO classification of tumours digestive system haematolymphoid histology reference set22
296921000210102New Zealand WHO classification of tumours digestive system histology reference set145
300081000210109New Zealand WHO classification of tumours digestive system liver and/or intrahepatic bile duct histology reference set18
300121000210107New Zealand WHO classification of tumours digestive system mesenchymal histology reference set37
300021000210108New Zealand WHO classification of tumours digestive system oesophagus histology reference set16
300101000210104New Zealand WHO classification of tumours digestive system pancreas histology reference set27
300041000210102New Zealand WHO classification of tumours digestive system small intestine and/or ampulla histology reference set6
300031000210105New Zealand WHO classification of tumours digestive system stomach histology reference set16
300221000210104New Zealand WHO classification of tumours female genital fallopian tube histology reference set15
300251000210108New Zealand WHO classification of tumours female genital gestational trophoblastic disease histology reference set10
300301000210102New Zealand WHO classification of tumours female genital haematolymphoid histology reference set6
294681000210104New Zealand WHO classification of tumours female genital histology reference set247
300321000210105New Zealand WHO classification of tumours female genital melanocytic lesion histology reference set6
300311000210100New Zealand WHO classification of tumours female genital mesenchymal tumour of lower genital tract histology reference set36
300291000210101New Zealand WHO classification of tumours female genital neuroendocrine histology reference set6
300201000210107New Zealand WHO classification of tumours female genital ovary histology reference set84
300211000210109New Zealand WHO classification of tumours female genital peritoneum histology reference set27
300261000210106New Zealand WHO classification of tumours female genital uterine cervix histology reference set36
300241000210105New Zealand WHO classification of tumours female genital uterine corpus histology reference set34
300231000210102New Zealand WHO classification of tumours female genital uterine ligament histology reference set8
300271000210100New Zealand WHO classification of tumours female genital vagina histology reference set30
300281000210103New Zealand WHO classification of tumours female genital vulva histology reference set31
296991000210104New Zealand WHO classification of tumours haematolymphoid acute leukaemia histology reference set49
297021000210101New Zealand WHO classification of tumours haematolymphoid acute leukaemia of mixed or ambiguous lineage histology reference set8
297031000210104New Zealand WHO classification of tumours haematolymphoid acute lymphoblastic leukaemia histology reference set16
297041000210107New Zealand WHO classification of tumours haematolymphoid acute myeloid leukaemia histology reference set29
297121000210102New Zealand WHO classification of tumours haematolymphoid amyloidosis histology reference set1
263341000210102New Zealand WHO classification of tumours haematolymphoid B-cell histology reference set89
297091000210103New Zealand WHO classification of tumours haematolymphoid B-cell lymphoma histology reference set46
297201000210102New Zealand WHO classification of tumours haematolymphoid Burkitt lymphoma histology reference set1
296981000210101New Zealand WHO classification of tumours haematolymphoid chronic leukaemia histology reference set7
297001000210109New Zealand WHO classification of tumours haematolymphoid chronic lymphocytic leukaemia histology reference set1
297011000210106New Zealand WHO classification of tumours haematolymphoid chronic myeloid leukaemia histology reference set1
297171000210103New Zealand WHO classification of tumours haematolymphoid cutaneous T-cell lymphoma histology reference set10
297221000210105New Zealand WHO classification of tumours haematolymphoid diffuse large B-cell lymphoma histology reference set5
297061000210108New Zealand WHO classification of tumours haematolymphoid essential thrombocythaemia histology reference set1
297161000210109New Zealand WHO classification of tumours haematolymphoid extranodal NK/T-cell lymphoma histology reference set1
297241000210104New Zealand WHO classification of tumours haematolymphoid follicular lymphoma histology reference set4
263331000210105New Zealand WHO classification of tumours haematolymphoid histiocytic dendritic cell neoplasm histology reference set12
297191000210104New Zealand WHO classification of tumours haematolymphoid Hodgkin lymphoma histology reference set7
296971000210103New Zealand WHO classification of tumours haematolymphoid leukaemia histology reference set56
297071000210102New Zealand WHO classification of tumours haematolymphoid lymphoma histology reference set73
297251000210101New Zealand WHO classification of tumours haematolymphoid lymphoplasmacytic lymphoma histology reference set1
297231000210107New Zealand WHO classification of tumours haematolymphoid mantle cell lymphoma histology reference set3
297151000210106New Zealand WHO classification of tumours haematolymphoid mastocytosis histology reference set8
297141000210108New Zealand WHO classification of tumours haematolymphoid myelodysplastic syndrome histology reference set15
297131000210100New Zealand WHO classification of tumours haematolymphoid myelofibrosis histology reference set3
263321000210108New Zealand WHO classification of tumours haematolymphoid myeloid proliferation or neoplasm histology reference set79
297111000210107New Zealand WHO classification of tumours haematolymphoid myeloma histology reference set1
297101000210105New Zealand WHO classification of tumours haematolymphoid NK/T-cell lymphoma histology reference set27
299421000210101New Zealand WHO classification of tumours haematolymphoid non-Hodgkin lymphoma histology reference set67
297181000210101New Zealand WHO classification of tumours haematolymphoid peripheral T-cell lymphoma histology reference set11
297081000210100New Zealand WHO classification of tumours haematolymphoid plasma cell neoplasm histology reference set13
297051000210105New Zealand WHO classification of tumours haematolymphoid polycythaemia vera histology reference set1
297211000210100New Zealand WHO classification of tumours haematolymphoid primary CNS lymphoma histology reference set1
297261000210103New Zealand WHO classification of tumours haematolymphoid small lymphocytic lymphoma histology reference set1
263361000210101New Zealand WHO classification of tumours haematolymphoid stroma-derived histology reference set6
263351000210104New Zealand WHO classification of tumours haematolymphoid T/NK-cell histology reference set42
253231000210109New Zealand WHO classification of tumours haematolymphoid tumour histology reference set227
253211000210102New Zealand WHO classification of tumours histology reference set873
300191000210105New Zealand WHO classification of tumours male breast histology reference set3
299541000210106New Zealand WHO classification of tumours thoracic ectopic tumor of thyroid and parathyroid origin histology reference set6
299501000210108New Zealand WHO classification of tumours thoracic heart histology reference set20
294691000210102New Zealand WHO classification of tumours thoracic histology reference set173
299461000210108New Zealand WHO classification of tumours thoracic lung histology reference set73
299521000210100New Zealand WHO classification of tumours thoracic mediastinum germ cell histology reference set9
299531000210103New Zealand WHO classification of tumours thoracic mediastinum haematolymphoid histology reference set11
299511000210105New Zealand WHO classification of tumours thoracic mesenchymal thorax histology reference set39
299481000210100New Zealand WHO classification of tumours thoracic non small cell lung histology reference set26
299471000210102New Zealand WHO classification of tumours thoracic pleura histology reference set6
299491000210103New Zealand WHO classification of tumours thoracic small cell lung histology reference set2
299451000210105New Zealand WHO classification of tumours thoracic thymus histology reference set29
300431000210101New Zealand WHO classification of tumours urinary and/or male genital haematolymphoid histology reference set4
300331000210107New Zealand WHO classification of tumours urinary and/or male genital histology reference set246
300341000210104New Zealand WHO classification of tumours urinary and/or male genital kidney histology reference set55
300441000210109New Zealand WHO classification of tumours urinary and/or male genital melanocytic lesion histology reference set2
300421000210103New Zealand WHO classification of tumours urinary and/or male genital mesenchymal histology reference set43
300411000210108New Zealand WHO classification of tumours urinary and/or male genital neuroendocrine histology reference set9
300401000210106New Zealand WHO classification of tumours urinary and/or male genital penis and/or scrotum histology reference set17
300361000210103New Zealand WHO classification of tumours urinary and/or male genital prostate histology reference set15
300371000210109New Zealand WHO classification of tumours urinary and/or male genital seminal vesicle histology reference set4
300391000210108New Zealand WHO classification of tumours urinary and/or male genital testicular adnexa histology reference set22
300381000210106New Zealand WHO classification of tumours urinary and/or male genital testis histology reference set42
300351000210101New Zealand WHO classification of tumours urinary and/or male genital urinary tract histology reference set45

Draft Amendment History


Version

Date

Editor

Comments

0.1

  

Andrew AtkinsonInitial draft created
0.2

 

Lea MiharsaReviewed
1.0

 

Alastair KenworthyFinal draft




Approvals


Final Version

Date

Approver

Comments

0.1

 

Lea MiharsaReviewed
1.0

 

Alastair KenworthyApproved
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