SNOMED CT New Zealand Extension PRODUCTION Release Notes - October 2023

SNOMED CT New Zealand Extension PRODUCTION Release Notes - October 2023

 

Date

20231001

Document Version

1.0

Release Status

PRODUCTION

 

 

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 concepts

6

Total number of concepts

6

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

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

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

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:

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

SNOMED CT Concept ID

(SCTID)

SNOMED CT Preferred Term

Members

351000210106

New Zealand adverse reaction manifestation refset

1886

253701000210108

New Zealand AJCC breast clinical M category reference set

3

253531000210106

New Zealand AJCC breast clinical N category reference set

11

253741000210106

New Zealand AJCC breast clinical stage group reference set

9

253491000210106

New Zealand AJCC breast clinical T category reference set

16

253721000210100

New Zealand AJCC breast pathological M category reference set

1

253551000210100

New Zealand AJCC breast pathological N category reference set

16

253751000210109

New Zealand AJCC breast pathological stage group reference set

9

253511000210104

New Zealand AJCC breast pathological T category reference set

16

253771000210101

New Zealand AJCC chronic or small lymphocytic lymphoma stage group reference set

5

253651000210101

New Zealand AJCC clinical M category reference set

15

253471000210107

New Zealand AJCC clinical N category reference set

19

253681000210106

New Zealand AJCC clinical stage group reference set

140

253451000210104

New Zealand AJCC clinical T category reference set

39

253601000210102

New Zealand AJCC cutaneous B-cell or T-cell lymphoma (non-MF/SS) pathological T category reference set

10

253251000210103

New Zealand AJCC grade reference set

9

253711000210105

New Zealand AJCC haematology clinical M category reference set

2

253541000210103

New Zealand AJCC haematology clinical N category reference set

9

253501000210101

New Zealand AJCC haematology clinical T category reference set

11

253831000210108

New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) clinical M category reference set

2

253621000210105

New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) clinical N category reference set

5

253581000210105

New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) clinical T category reference set

10

253851000210102

New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) pathological M category reference set

1

253641000210104

New Zealand AJCC haematology cutaneous B-cell or T-cell lymphoma (non-MF/SS) pathological N category reference set

5

253821000210106

 New Zealand AJCC haematology mycosis fungoides or sezary syndrome clinical M category reference set

2

253611000210100

New Zealand AJCC haematology mycosis fungoides or sezary syndrome clinical N category reference set

9

253571000210108

New Zealand AJCC haematology mycosis fungoides or sezary syndrome clinical T category reference set

8

253841000210100

New Zealand AJCC haematology mycosis fungoides or sezary syndrome pathological M category reference set

1

253631000210107

New Zealand AJCC haematology mycosis fungoides or sezary syndrome pathological N category reference set

9

253591000210107

New Zealand AJCC haematology mycosis fungoides or sezary syndrome pathological T category reference set

8

253731000210103

New Zealand AJCC haematology pathological M category reference set

1

253561000210102

New Zealand AJCC haematology pathological N category reference set

9

253521000210109

New Zealand AJCC haematology pathological T category reference set

11

263581000210104

New Zealand AJCC haematology stage group reference set

17

253761000210107

New Zealand AJCC Hodgkin or non-Hodgkin lymphoma stage group reference set

7

253801000210103

New Zealand AJCC mycosis fungoides or sezary syndrome stage group reference set

10

253781000210104

New Zealand AJCC paediatric Hodgkin lymphoma stage group reference set

7

253791000210102

New Zealand AJCC paediatric non-Hodgkin lymphoma stage group reference set

4

253661000210103

New Zealand AJCC pathological M category reference set

13

253481000210109

New Zealand AJCC pathological N category reference set

20

253691000210108

New Zealand AJCC pathological stage group reference set

139

253461000210101

New Zealand AJCC pathological T category reference set

38

253811000210101

New Zealand AJCC plasma cell myeloma stage group reference set

3

297441000210100

New Zealand AJCC thoracic clinical M category reference set

5

297301000210107

New Zealand AJCC thoracic clinical N category reference set

5

297281000210106

New Zealand AJCC thoracic clinical T category reference set

13

298261000210104

New Zealand AJCC thoracic grade reference set

5

297501000210104

New Zealand AJCC thoracic lung clinical M category reference set

5

297411000210101

New Zealand AJCC thoracic lung clinical N category reference set

5

297351000210108

New Zealand AJCC thoracic lung clinical T category reference set

13

297531000210109

New Zealand AJCC thoracic lung pathological M category reference set

4

297471000210105

New Zealand AJCC thoracic lung pathological N category reference set

5

297381000210103

New Zealand AJCC thoracic lung pathological T category reference set

13

297321000210104

New Zealand AJCC thoracic lung stage group reference set

14

297511000210102

New Zealand AJCC thoracic malignant pleural mesothelioma clinical M category reference set

2

297421000210106

New Zealand AJCC thoracic malignant pleural mesothelioma clinical N category reference set

4

297361000210106

New Zealand AJCC thoracic malignant pleural mesothelioma clinical T category reference set

6

297541000210101

New Zealand AJCC thoracic malignant pleural mesothelioma pathological M category reference set

1

297481000210107

New Zealand AJCC thoracic malignant pleural mesothelioma pathological N category reference set

4

297391000210101

New Zealand AJCC thoracic malignant pleural mesothelioma pathological T category reference set

6

297331000210102

New Zealand AJCC thoracic malignant pleural mesothelioma stage group reference set

6

297451000210102

New Zealand AJCC thoracic pathological M category reference set

4

297431000210108

New Zealand AJCC thoracic pathological N category reference set

5

297291000210108

New Zealand AJCC thoracic pathological T category reference set

13

297271000210109

New Zealand AJCC thoracic stage group reference set

17

297491000210109

New Zealand AJCC thoracic thymus clinical M category reference set

4

297401000210103

New Zealand AJCC thoracic thymus clinical N category reference set

4

297341000210105

New Zealand AJCC thoracic thymus clinical T category reference set

8

297521000210107

New Zealand AJCC thoracic thymus pathological M category reference set

3

297461000210104

New Zealand AJCC thoracic thymus pathological N category reference set

4

297371000210100

New Zealand AJCC thoracic thymus pathological T category reference set

8

297311000210109

New Zealand AJCC thoracic thymus stage group reference set

6

72671000210109

New Zealand alcohol consumption reference set 

3

421000210109

New Zealand ambulance clincial impression refset

176

303431000210106

New Zealand assistance and preferences reference set (foundation metadata concept)

17

61241000210100

New Zealand biological substance common allergen reference set

207

302791000210105

New Zealand cancer acute leukaemia cancer type reference set

3

253671000210109

New Zealand cancer AJCC cancer staging manual edition reference set

2

294731000210107

New Zealand cancer Ann Arbor lymphoma stage reference set

4

301761000210107

New Zealand cancer basis of diagnosis reference set

11

302721000210107

New Zealand cancer B-cell lymphoid cancer type reference set

11

302571000210104

New Zealand cancer B-cell lymphoid substream reference set

3

302771000210106

New Zealand cancer B-cell lymphoma cancer type reference set

8

294801000210107

New Zealand cancer Binet staging for CLL stage reference set

3

294931000210105

New Zealand cancer BL-IPI prognostic score reference set

3

253151000210108

New Zealand cancer breast topography reference set

9

302801000210109

New Zealand cancer chronic leukaemia cancer type reference set

2

302691000210104

New Zealand cancer CNS cancer type reference set

2

294831000210102

New Zealand cancer CNS status in acute lymphoblastic leukaemia lymphoma prognostic score reference set

4

294951000210104

New Zealand cancer CNS-IPI for large B-cell lymphoma prognostic score reference set

3

302831000210104

New Zealand cancer colorectal cancer type reference set

2

253111000210109

New Zealand cancer data absent reason reference set

5

294871000210100

New Zealand cancer DIPSS+ for myelofibrosis prognostic score reference set

4

253301000210109

New Zealand cancer ECOG status reference set

6

294821000210104

New Zealand cancer ELN standardised reporting for genetic alteration in AML prognostic score reference set

4

302651000210106

New Zealand cancer endocrine and/or neuroendocrine cancer type reference set

19

302521000210103

New Zealand cancer endocrine and/or neuroendocrine substream reference set

4

302911000210100

New Zealand cancer endocrine cancer type reference set

3

253331000210104

New Zealand cancer ER expression reference set

3

294891000210101

New Zealand cancer EUTOS prognostic score for CML prognostic score reference set

2

294911000210103

New Zealand cancer FLIPI prognostic score reference set

3

294721000210105

New Zealand cancer follicular lymphoma grade reference set

4

302621000210102

New Zealand cancer gastrointestinal cancer type reference set

10

302511000210108

New Zealand cancer gastrointestinal substream reference set

4

303331000210100

New Zealand cancer genitourinary (non-prostate) cancer type reference set

7

302641000210108

New Zealand cancer genitourinary cancer type reference set

8

302961000210103

New Zealand cancer genitourinary substream reference set

4

294741000210104

New Zealand cancer GHSG Hodgkin treatment stratification stage reference set

3

253281000210108

New Zealand cancer grading system reference set

4

302871000210102

New Zealand cancer gynaecological cancer type reference set

7

302711000210102

New Zealand cancer haematology cancer type reference set

24

302491000210101

New Zealand cancer haematology stream reference set

7

302561000210105

New Zealand cancer haematology substream reference set

12

302881000210100

New Zealand cancer head and neck cancer type reference set

10

302841000210107

New Zealand cancer hepatopancreaticobiliary cancer type reference set

3

253351000210105

New Zealand cancer HER2 expression reference set

4

296931000210100

New Zealand cancer high level topography reference set

93

294881000210103

New Zealand cancer Hodgkin lymphoma International Prognostic Score reference set

6

294971000210107

New Zealand cancer IELSG (International Extranodal Lymphoma Study Group) prognostic score reference set

3

294861000210106

New Zealand cancer International Prognostic Score for thrombosis in ET prognostic score reference set

3

294921000210108

New Zealand cancer IPI prognostic score reference set

4

294961000210101

New Zealand cancer IPSS for Waldenstrom Macroglobulinemia prognostic score reference set

3

294851000210108

New Zealand cancer IPSS-M for MDS prognostic score reference set

6

294841000210105

New Zealand cancer IPSS-R for MDS prognostic score reference set

5

253241000210101

New Zealand cancer laterality reference set

5

302741000210101

New Zealand cancer leukaemia cancer type reference set

5

302591000210100

New Zealand cancer leukaemia substream reference set

2

302631000210100

New Zealand cancer lower gastrointestinal cancer type reference set

4

302731000210109

New Zealand cancer lymphoma cancer type reference set

11

302601000210105

New Zealand cancer lymphoma substream reference set

4

302851000210105

New Zealand cancer male genital cancer type reference set

4

294771000210109

New Zealand cancer Mayo staging for AL (amyloidosis) stage reference set

3

302941000210104

New Zealand cancer melanoma cancer type reference set

3

294901000210100

New Zealand cancer MIPI prognostic score reference set

3

302751000210103

New Zealand cancer myeloproliferative cancer type reference set

7

302661000210109

New Zealand cancer neuroendocrine cancer type reference set

16

302891000210103

New Zealand cancer neuroendocrine GEP cancer type reference set

9

302901000210102

New Zealand cancer neuroendocrine non-GEP cancer type reference set

7

302531000210101

New Zealand cancer neuroendocrine substream reference set

2

294751000210101

New Zealand cancer NK/T-cell non-Hodgkin lymphoma treatment stratification stage reference set

2

302821000210101

New Zealand cancer non-Hodgkin lymphoma cancer type reference set

10

253261000210100

New Zealand cancer Nottingham Combined grade reference set

4

253271000210106

New Zealand cancer nuclear grade of DCIS grade reference set

4

253121000210104

New Zealand cancer observation reference set

56

294981000210109

New Zealand cancer PIT prognostic score reference set

5

302781000210108

New Zealand cancer plasma cell cancer type reference set

2

253341000210107

New Zealand cancer PR expression reference set

3

253321000210101

New Zealand cancer prognostic scoring system reference set

17

294791000210108

New Zealand cancer Rai staging for CLL stage reference set

5

253291000210105

New Zealand cancer recurrence type reference set

5

294781000210106

New Zealand cancer revised Mayo staging 2012 for AL (amyloidosis) stage reference set

4

294811000210109

New Zealand cancer revised TNM-B staging for cutaneous T-cell lymphoma stage reference set

7

294761000210103

New Zealand cancer R-ISS for multiple myeloma stage reference set

3

253131000210102

New Zealand cancer SACT basis of diagnosis reference set

2

297751000210107

New Zealand cancer service reference set

4

302681000210101

New Zealand cancer skin and/or melanoma cancer type reference set

6

302551000210107

New Zealand cancer skin and/or melanoma substream reference set

2

302931000210107

New Zealand cancer skin cancer type reference set

4

302671000210103

New Zealand cancer soft tissue and/or bone cancer type reference set

8

302541000210109

New Zealand cancer soft tissue and/or bone substream reference set

2

302921000210105

New Zealand cancer soft tissue cancer type reference set

7

294941000210102

New Zealand cancer Sokal index for CML prognostic score reference set

3

302611000210107

New Zealand cancer solid tumour cancer type reference set

79

302481000210103

New Zealand cancer solid tumour stream reference set

12

302501000210106

New Zealand cancer solid tumour substream reference set

23

253311000210106

New Zealand cancer staging system reference set

12

297761000210105

New Zealand cancer stream reference set

19

297771000210104

New Zealand cancer substream reference set

35

302761000210100

New Zealand cancer T/NK-cell lymphoid cancer type reference set

3

302581000210102

New Zealand cancer T/NK-cell lymphoid substream reference set

2

302811000210106

New Zealand cancer T/NK-cell lymphoma cancer type reference set

3

302951000210101

New Zealand cancer thoracic cancer type reference set

7

296951000210106

New Zealand cancer thorax lung topograpy reference set

5

296961000210109

New Zealand cancer thorax pleura topograpy reference set

1

296941000210108

New Zealand cancer thorax thymus topograpy reference set

1

294701000210102

New Zealand cancer thorax topography reference set

7

253141000210105

New Zealand cancer topography reference set

868

297871000210108

New Zealand cancer type reference set 

103

294711000210100

New Zealand cancer unknown site topography reference set

1

302701000210104

New Zealand cancer upper gastrointestinal cancer type reference set

3

302861000210108

New Zealand cancer urinary system cancer type reference set

4

253361000210108

New Zealand CanShare cancer treatment intent

10

253871000210105

New Zealand CanShare haematology treatment intent

5

253861000210104

New Zealand CanShare medical oncology treatment intent

6

253421000210108

New Zealand CanShare SACT dose unit

25

91000210107

New Zealand cardiology reference set

63

61251000210102

New Zealand chemical substance common allergen reference set

619

191000210102

New Zealand child developmental services reference set

137

241000210102

New Zealand child health assessment reference set

186

471000210108

New Zealand clinical specialty reference set

157

263811000210108

New Zealand common patient friendly terms reference set

158

61271000210105

New Zealand common pharmaceutical dose form reference set

12

61281000210107

New Zealand common pharmaceutical dose frequency reference set

12

61291000210109

New Zealand common pharmaceutical dose unit reference set

11

61231000210108

New Zealand COVID-19 adverse event from immunisation reference set

60

261000210101

New Zealand disability reference set

95

61261000210104

New Zealand edible substance common allergen reference set

419

61000210102

New Zealand emergency care diagnosis reference set

1466

71000210108

New Zealand emergency care presenting complaint reference set

158

321000210102

New Zealand emergency care procedure reference set

74

141000210106

New Zealand endocrinology reference set

263

263311000210103

New Zealand family planning reference set (foundation metadata concept)

257

299111000210100

New Zealand female pelvic surgical mesh injury reference set (foundation metadata concept)

41

181000210104

New Zealand general paediatric reference set

442

131000210103

New Zealand general surgery reference set

97

101000210108

New Zealand gynaecology reference set

148

263301000210100

New Zealand health consumer information reference set 

83

451000210100

New Zealand health occupation reference set

103

461000210102

New Zealand health service type reference set

255

501000210102

New Zealand laboratory order reference set

955

72621000210105

New Zealand maternity Apgar score reference set 

33

72631000210107

New Zealand maternity complementary therapies reference set 

21

72601000210102

New Zealand maternity complications reference set 

34

72611000210100

New zealand maternity disorders reference set 

50

72661000210103

New Zealand maternity family history reference set 

12

72591000210107

New Zealand maternity findings reference set 

171

72581000210105

New Zealand maternity mode of delivery reference set 

5

72571000210108

New Zealand maternity outcomes reference set 

7

72541000210103

New Zealand maternity previous complications reference set 

49

72551000210100

New Zealand maternity previous disorders reference set

65

72531000210106

New Zealand maternity previous findings reference set 

42

72521000210109

New Zealand maternity previous mode of delivery reference set 

10

72511000210104

New Zealand maternity previous outcomes reference set 

9

72501000210101

New Zealand maternity previous procedures reference set 

21

72561000210102

New Zealand maternity procedures reference set 

59

72641000210104

New Zealand maternity screening and tests reference set

31

72651000210101

New Zealand maternity substances reference set 

13

391000210104

New Zealand microorganism reference set

18563

50931000210104

New Zealand nephrology reference set (foundation metadata)

99

72691000210108

New Zealand non-medicinal drug reference set 

16

72681000210106

New Zealand non-medicinal drug use reference set 

6

251000210104

New Zealand notifiable disease reference set

97

50941000210107

New Zealand ophthalmology reference set

64

301951000210106

New Zealand oral health reference set (foundation metadata concept)

74

192081000210101

New Zealand priority score reference set (foundation metadata concept)

7

251621000210109

New 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

251641000210103

New 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

251661000210102

New Zealand purchase unit code S60007 plastic surgery minor procedure reference set (foundation metadata concept)

18

121531000210107

New Zealand radiology procedures reference set 

914

192071000210103

New Zealand referral status reference set (foundation metadata concept)

7

303391000210104

New Zealand rheumatic fever reference set (foundation metadata concept)

30

121000210100

New Zealand rheumatology reference set

126

297811000210104

New Zealand SACT acute lymphoblastic leukemia disease response reference set

9

297791000210100

New Zealand SACT acute myeloid leukemia disease response reference set 

11

302971000210109

New Zealand SACT amyloidosis disease response reference set 

4

297841000210103

New Zealand SACT chronic lymphocytic leukemia and/or small lymphocytic lymphoma disease response reference set 

6

297831000210106

New Zealand SACT chronic myeloid leukemia disease response reference set

6

253401000210100

New Zealand SACT disease response reference set

27

253411000210103

New Zealand SACT dose adjustment reason reference set

18

263511000210105

New Zealand SACT dose form  reference set

3

303001000210107

New Zealand SACT ER expression reference set

2

302981000210106

New Zealand SACT HER2 expression reference set

2

297861000210102

New Zealand SACT lymphoma (non small lymphocytic) disease response reference set 

5

297781000210102

New Zealand SACT medical oncology disease response reference set

4

297851000210100

New Zealand SACT myelodysplastic syndrome disease response reference set 

8

297801000210101

New Zealand SACT myleoma disease response reference set 

11

253371000210102

New Zealand SACT overall discontinue reason reference set

11

253381000210100

New Zealand SACT patient factor discontinue reason reference set

9

302991000210108

New Zealand SACT PR expression reference set

2

253441000210102

New Zealand SACT route of administration reference set

24

253391000210103

New Zealand SACT toxicity discontinue reason reference set

15

121521000210105

New Zealand severe acute respiratory syndrome coronavirus 2 symptoms reference set

19

481000210105

New Zealand site of care reference set

9

72731000210103

New Zealand smoking intervention reference set 

5

72741000210106

New Zealand smoking status reference set 

4

441000210103

New Zealand surgical complication reference set

147

192091000210104

New Zealand suspicion of cancer reference set (foundation metadata concept

4

72721000210100

New Zealand vaping status reference set 

7

303021000210104

New Zealand WHO classification of tumours breast benign histology reference set

33

300131000210109

New Zealand WHO classification of tumours breast epithelial histology reference set

54

300141000210101

New Zealand WHO classification of tumours breast fibroepithelial tumour and/or hamartoma histology reference set

7

300181000210108

New Zealand WHO classification of tumours breast haematolymphoid histology reference set

6

253221000210107

New Zealand WHO classification of tumours breast histology reference set

91

303041000210105

New Zealand WHO classification of tumours breast in situ carcinoma histology reference set

6

303031000210102

New Zealand WHO classification of tumours breast invasive carcinoma histology reference set

38

300161000210100

New Zealand WHO classification of tumours breast mesenchymal histology reference set

20

303061000210106

New Zealand WHO classification of tumours breast neuroendocrine histology reference set

6

300151000210103

New Zealand WHO classification of tumours breast tumour of nipple histology reference set

3

303051000210108

New Zealand WHO classification of tumours breast uncertain and/or borderline histology reference set

4

300071000210107

New Zealand WHO classification of tumours digestive system anal canal histology reference set

9

300051000210104

New Zealand WHO classification of tumours digestive system appendix histology reference set

13

300061000210101

New Zealand WHO classification of tumours digestive system colon and/or rectum histology reference set

10

300091000210106

New Zealand WHO classification of tumours digestive system gallbladder and/or extrahepatic bile duct histology reference set

15

300111000210102

New Zealand WHO classification of tumours digestive system haematolymphoid histology reference set

22

296921000210102

New Zealand WHO classification of tumours digestive system histology reference set

145

300081000210109

New Zealand WHO classification of tumours digestive system liver and/or intrahepatic bile duct histology reference set

18

300121000210107

New Zealand WHO classification of tumours digestive system mesenchymal histology reference set

37

300021000210108

New Zealand WHO classification of tumours digestive system oesophagus histology reference set

16

300101000210104

New Zealand WHO classification of tumours digestive system pancreas histology reference set

27

300041000210102

New Zealand WHO classification of tumours digestive system small intestine and/or ampulla histology reference set

6

300031000210105

New Zealand WHO classification of tumours digestive system stomach histology reference set

16

300221000210104

New Zealand WHO classification of tumours female genital fallopian tube histology reference set

15

300251000210108

New Zealand WHO classification of tumours female genital gestational trophoblastic disease histology reference set

10

300301000210102

New Zealand WHO classification of tumours female genital haematolymphoid histology reference set

6

294681000210104

New Zealand WHO classification of tumours female genital histology reference set

247

300321000210105

New Zealand WHO classification of tumours female genital melanocytic lesion histology reference set

6

300311000210100

New Zealand WHO classification of tumours female genital mesenchymal tumour of lower genital tract histology reference set

36

300291000210101

New Zealand WHO classification of tumours female genital neuroendocrine histology reference set

6

300201000210107

New Zealand WHO classification of tumours female genital ovary histology reference set

84

300211000210109

New Zealand WHO classification of tumours female genital peritoneum histology reference set

27

300261000210106

New Zealand WHO classification of tumours female genital uterine cervix histology reference set

36

300241000210105

New Zealand WHO classification of tumours female genital uterine corpus histology reference set

34

300231000210102

New Zealand WHO classification of tumours female genital uterine ligament histology reference set

8

300271000210100

New Zealand WHO classification of tumours female genital vagina histology reference set

30

300281000210103

New Zealand WHO classification of tumours female genital vulva histology reference set

31

296991000210104

New Zealand WHO classification of tumours haematolymphoid acute leukaemia histology reference set

49

297021000210101

New Zealand WHO classification of tumours haematolymphoid acute leukaemia of mixed or ambiguous lineage histology reference set

8

297031000210104

New Zealand WHO classification of tumours haematolymphoid acute lymphoblastic leukaemia histology reference set

16

297041000210107

New Zealand WHO classification of tumours haematolymphoid acute myeloid leukaemia histology reference set

29

297121000210102

New Zealand WHO classification of tumours haematolymphoid amyloidosis histology reference set

1

263341000210102

New Zealand WHO classification of tumours haematolymphoid B-cell histology reference set

89

297091000210103

New Zealand WHO classification of tumours haematolymphoid B-cell lymphoma histology reference set

46

297201000210102

New Zealand WHO classification of tumours haematolymphoid Burkitt lymphoma histology reference set

1

296981000210101

New Zealand WHO classification of tumours haematolymphoid chronic leukaemia histology reference set

7

297001000210109

New Zealand WHO classification of tumours haematolymphoid chronic lymphocytic leukaemia histology reference set

1

297011000210106

New Zealand WHO classification of tumours haematolymphoid chronic myeloid leukaemia histology reference set

1

297171000210103

New Zealand WHO classification of tumours haematolymphoid cutaneous T-cell lymphoma histology reference set

10

297221000210105

New Zealand WHO classification of tumours haematolymphoid diffuse large B-cell lymphoma histology reference set

5

297061000210108

New Zealand WHO classification of tumours haematolymphoid essential thrombocythaemia histology reference set

1

297161000210109

New Zealand WHO classification of tumours haematolymphoid extranodal NK/T-cell lymphoma histology reference set

1

297241000210104

New Zealand WHO classification of tumours haematolymphoid follicular lymphoma histology reference set

4

263331000210105

New Zealand WHO classification of tumours haematolymphoid histiocytic dendritic cell neoplasm histology reference set

12

297191000210104

New Zealand WHO classification of tumours haematolymphoid Hodgkin lymphoma histology reference set

7

296971000210103

New Zealand WHO classification of tumours haematolymphoid leukaemia histology reference set

56

297071000210102

New Zealand WHO classification of tumours haematolymphoid lymphoma histology reference set

73

297251000210101

New Zealand WHO classification of tumours haematolymphoid lymphoplasmacytic lymphoma histology reference set

1

297231000210107

New Zealand WHO classification of tumours haematolymphoid mantle cell lymphoma histology reference set

3

297151000210106

New Zealand WHO classification of tumours haematolymphoid mastocytosis histology reference set

8

297141000210108

New Zealand WHO classification of tumours haematolymphoid myelodysplastic syndrome histology reference set

15

297131000210100

New Zealand WHO classification of tumours haematolymphoid myelofibrosis histology reference set

3

263321000210108

New Zealand WHO classification of tumours haematolymphoid myeloid proliferation or neoplasm histology reference set

79

297111000210107

New Zealand WHO classification of tumours haematolymphoid myeloma histology reference set

1

297101000210105

New Zealand WHO classification of tumours haematolymphoid NK/T-cell lymphoma histology reference set

27

299421000210101

New Zealand WHO classification of tumours haematolymphoid non-Hodgkin lymphoma histology reference set

67

297181000210101

New Zealand WHO classification of tumours haematolymphoid peripheral T-cell lymphoma histology reference set

11

297081000210100

New Zealand WHO classification of tumours haematolymphoid plasma cell neoplasm histology reference set

13

297051000210105

New Zealand WHO classification of tumours haematolymphoid polycythaemia vera histology reference set

1

297211000210100

New Zealand WHO classification of tumours haematolymphoid primary CNS lymphoma histology reference set

1

297261000210103

New Zealand WHO classification of tumours haematolymphoid small lymphocytic lymphoma histology reference set

1

263361000210101

New Zealand WHO classification of tumours haematolymphoid stroma-derived histology reference set

6

263351000210104

New Zealand WHO classification of tumours haematolymphoid T/NK-cell histology reference set

42

253231000210109

New Zealand WHO classification of tumours haematolymphoid tumour histology reference set

227

253211000210102

New Zealand WHO classification of tumours histology reference set

873

300191000210105

New Zealand WHO classification of tumours male breast histology reference set

3

299541000210106

New Zealand WHO classification of tumours thoracic ectopic tumor of thyroid and parathyroid origin histology reference set

6

299501000210108

New Zealand WHO classification of tumours thoracic heart histology reference set

20

294691000210102

New Zealand WHO classification of tumours thoracic histology reference set

173

299461000210108

New Zealand WHO classification of tumours thoracic lung histology reference set

73

299521000210100

New Zealand WHO classification of tumours thoracic mediastinum germ cell histology reference set

9

299531000210103

New Zealand WHO classification of tumours thoracic mediastinum haematolymphoid histology reference set

11

299511000210105

New Zealand WHO classification of tumours thoracic mesenchymal thorax histology reference set

39

299481000210100

New Zealand WHO classification of tumours thoracic non small cell lung histology reference set

26

299471000210102

New Zealand WHO classification of tumours thoracic pleura histology reference set

6

299491000210103

New Zealand WHO classification of tumours thoracic small cell lung histology reference set

2

299451000210105

New Zealand WHO classification of tumours thoracic thymus histology reference set

29

300431000210101

New Zealand WHO classification of tumours urinary and/or male genital haematolymphoid histology reference set

4

300331000210107

New Zealand WHO classification of tumours urinary and/or male genital histology reference set

246

300341000210104

New Zealand WHO classification of tumours urinary and/or male genital kidney histology reference set

55

300441000210109

New Zealand WHO classification of tumours urinary and/or male genital melanocytic lesion histology reference set

2

300421000210103

New Zealand WHO classification of tumours urinary and/or male genital mesenchymal histology reference set

43

300411000210108

New Zealand WHO classification of tumours urinary and/or male genital neuroendocrine histology reference set

9

300401000210106

New Zealand WHO classification of tumours urinary and/or male genital penis and/or scrotum histology reference set

17

300361000210103

New Zealand WHO classification of tumours urinary and/or male genital prostate histology reference set

15

300371000210109

New Zealand WHO classification of tumours urinary and/or male genital seminal vesicle histology reference set

4

300391000210108

New Zealand WHO classification of tumours urinary and/or male genital testicular adnexa histology reference set

22

300381000210106

New Zealand WHO classification of tumours urinary and/or male genital testis histology reference set

42

300351000210101

New Zealand WHO classification of tumours urinary and/or male genital urinary tract histology reference set

45

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