Recording COVID-19

Information for recording COVID-19 in a patient's health record.

Last updated: 30 June 2020

This information is for GPs, hospital clinicians and their software industry partners. It should be used to record details of COVID-19 in the affected patient's health record.

You should use the SNOMED CT codes in the table below to record exposure to someone meeting both the clinical and higher index of suspicion criteria or a confirmed or probable COVID-19 case. If you have non-SNOMED-enabled software, use the specified equivalent codes.

Further SNOMED CT concepts for coding COVID-19 symptoms, signs, complications, testing and surveillance are in development and available as pre-release content. We encourage early use of the new content to build knowledge of the virus. See the COVID-19 SNOMED CT Draft Guide published by SNOMED International for further information and the chance to review and contribute to revisions of the guide as it develops.

Concept SNOMED CT code Medtech code Profile code ICD-10-AM
Confirmed COVID-19 840539006 @MT0.02 COVID19-1 U07.1
Probable COVID-19 50881000210106 @MT0.04    U07.2
Meets clinical and higher index of suspicion criteria 840544004 @MT0.03 COVID19-2 Z03.8

The new SNOMED concepts and terms are included in the SNOMED CT International Edition March 2020 release except for new concept Probable COVID-19, which should be added separately.

Medtech32, Medtech Evolution, Intrahealth Profile, MyPractice and Best Practice Software systems should be configured to use their respective code sets.

If you are using hospital software that doesn't support SNOMED CT, then you should use the ICD-10-AM codes. 

Community-based assessment data collection

See the publication HISO 10082:2020 COVID-19 Community Based Assessment Data Standard and the related Community Based Assessment Data File Specification for the data collection requirements around patient assessment and sample taking for COVID-19.

This includes all assessments performed in fixed and mobile community-based assessment centres, hospital emergency departments, general practice, ambulance and other workplace and community settings.

Coding for COVID-19 laboratory tests

The March 2020 update to the NZ Pathology Observation Code Sets (NZPOCS) adds a set of COVID-19 test codes and descriptions for laboratories to code test results. See the LOINC website for more information about the new codes.

Contact standards@health.govt.nz if you need more information.

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