SNOMED CT New Zealand Extension PRODUCTION Release Notes - October 2020

SNOMED CT New Zealand Extension PRODUCTION Release Notes - October 2020

 

Date

20201001

Version

1.0

Release Status

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 can be easily deployed via the free, open source SNOMED CT terminology server Snowstorm from SNOMED International.

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 Hui Tuwhera on Yammer.

Background

This document provides a summarized description of the content changes included in the October 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 July 2020 International Edition release.

Content development activity

Summary

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

New and updated content

Concept statistics

The SNOMED NZ National Release Centre promoted 23 new concepts and these are available in the SNOMED CT July 2020 International Edition release.

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

Total number of concepts

23

Clinical finding (finding)

1

Disease (disorder)

3

Environment (environment) 

10

Occupation (occupation)

2

Procedure (procedure)

3

Qualifier value (qualifier value)

3

Situation with explicit context (situation)

1

Refer to Appendix 1, Table 1.1 to view the 23 new concepts.

 

There are 33 new concepts in this release.

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

Total number of concepts

33

Assessment scales (assessment scale)

2

Occupation (occupation)

3

Procedure (procedure)

9

Qualifier value (qualifier value)

7

SNOMED CT Model Component (metadata)

2

Situation with explicit context (situation)

10

Refer to Appendix 1, Table 2.1 to view the 33 new concepts.

Description statistics 

The SNOMED NZ NRC promoted 2 new descriptions to SNOMED International. These are available in the SNOMED International Edition July 2020 release.

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

SNOMED CT Concept ID (SCTID)

SNOMED CT Fully Specified Name (FSN)

New Description

276875006

Vulval intraepithelial neoplasia grade 3 (disorder)

Vulval HSIL (high grade squamous intraepithelial lesion)

788587000

Assessment using Griffith Mental Development Scale (procedure)

Griffith assessment

 

There are 3 new descriptions in this release.

Table 4 New descriptions in the SNOMED NZ Extension October 2020 release

SNOMED CT Concept ID (SCTID)

SNOMED CT Fully Specified Name (FSN)

New description

SNOMED CT Concept ID (SCTID)

SNOMED CT Fully Specified Name (FSN)

New description

282752000

Injury of eye region (disorder)

Eye injury

39346000

Excision of lesion of conjunctiva (procedure)

Conjunctival excision

440149009

Infiltration of episcleral space using local anesthetic (procedure)

Sub tenon injection

Reference sets

There are 25 reference sets in the October 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 October 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

 

 155

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 October 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 priority

Unable to locate Jira server for this macro. It may be due to Application Link configuration.

Technical notes

 No additional technical notes for this release.

Appendix 1

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

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Semantic Tag

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Semantic Tag

860603002

Episiotomy wound (disorder)

Disorder

846680003

Functional hypogonadotropic hypogonadism (disorder)

Disorder

846604005

Osteomyelitis of sternum (disorder)

Disorder

846608008

Chiropractic clinic (environment)

Environment

846609000

Community pharmacy (environment)

Environment

846610005

Community occupational therapy clinic (environment)

Environment

846611009

Community dental clinic (environment)

Environment

846614001

Community family planning clinic (environment)

Environment

846613007

Community physiotherapy (environment)

Environment

846664008

Community radiology (environment)

Environment

846665009

Community chiropractic clinic (environment)

Environment

846612002

Osteopathy clinic (environment)

Environment

846666005

Prison health center (environment)

Environment

860691008

Uses drug-eluting contraceptive implant (finding)

Finding

840583002

Allied health assistant (occupation)

Occupation

840584008

Allied health student (occupation) 

Occupation

846662007

Education about administration of insulin using insulin pump (procedure) 

Procedure

860788002

Ocrelizumab therapy (procedure)

Procedure

860602007

Postpartum excision of uterus (procedure)

Procedure

860646004

History of postpartum excision of uterus (situation)

Situation

840587001

Aerospace medical service (qualifier value)

Qualifier value

840586005

Neonatal service (qualifier value)

Qualifier value

840585009

Postnatal service (qualifier value)

Qualifier value

 

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

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Semantic tag

SNOMED CT Concept ID

(SCTID)

SNOMED CT Fully Specified Name (FSN)

Semantic tag

54391000210109

PREDICT cardiovascular disease version 2018 primary prevention equations (assessment scale)

Assessment scale

54401000210107

PREDICT cardiovascular disease version 2019 primary prevention equations (assessment scale)

Assessment scale

50931000210104

New Zealand nephrology reference set (foundation metadata concept)

Foundation Metadata concept 

50941000210107

New Zealand ophthalmology reference set (foundation metadata concept)

Foundation Metadata concept

50921000210101

Maori healthcare assistant (occupation)

Occupation

50861000210103

Maori healthcare professional (occupation)

Occupation

50871000210109

Vision and hearing technician (occupation)

Occupation

50951000210105

Antenatal subsequent blood tests (procedure)

Procedure

50961000210108

Antenatal first blood tests (procedure)

Procedure

54341000210100

Growth factor primary prophylaxis (procedure)

Procedure

54331000210108

Growth factor prophylaxis (procedure)

Procedure

54351000210102

Growth factor secondary prophylaxis (procedure)

Procedure

51861000210106

Injection of aflibercept (procedure)

Procedure

51871000210100

Injection of bevacizumab (procedure)

Procedure

51851000210108

Injection of ranibizumab (procedure)

Procedure

50911000210106

Referral to Maori health assistant (procedure)

Procedure

54411000210109

Antenatal service (qualifier value)

Qualifier value

54451000210108

Intellectual disability hospital level residential respite service (qualifier value)

Qualifier value

54441000210105

Intellectual disability residential care hospital level service (qualifier value)

Qualifier value

54461000210106

Intellectual disability residential care service (qualifier value)

Qualifier value

54421000210104

Maori health service (qualifier value)

Qualifier value

50901000210109

Once for one time (qualifier value)

Qualifier value

54431000210102

Pediatric hematology service (qualifier value)

Qualifier value

50881000210106

Coronavirus disease 19 caused by severe acute respiratory syndrome coronavirus 2 confirmed using clinical diagnostic criteria (situation)

Situation

54361000210104

Growth factor primary prophylaxis recommended (situation)

Situation

54371000210105

Growth factor secondary prophylaxis recommended (situation)

Situation

54271000210101

Hydration not recommended (situation)

Situation

54261000210107

Hydration recommended (situation)

Situation

54311000210101

Irradiated blood components not recommended (situation)

Situation

54301000210103

Irradiated blood components recommended (situation)

Situation

54291000210102

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