The Ministry of Health is moving towards improved recording of emergency department visits by district health boards. As a key part of this, we are introducing standard SNOMED CT reference sets for chief presenting complaint, diagnosis and procedure/investigation concepts in emergency care.
The three reference sets are available as Excel spreadsheets from here or they can be downloaded from the SNOMED Member Licensing and Distribution Service as tab-delimited files in the SNOMED NZ Extension.
We invite your comments and suggestions on the reference sets as they continue to develop. A clinical advisory group meets every six months to decide the content of each new release, working with the Ministry’s SNOMED National Release Centre.
We acknowledge the work by emergency medicine specialists at Nelson-Marlborough DHB to develop the presenting complaint and diagnosis reference sets used since 2013. The procedure reference set was also developed by New Zealand emergency care specialists.
This change is supported by the Australasian College of Emergency Medicine.
Several DHBs are working with the Ministry as early adopters of the reference sets, implementing them in their own ED information systems. Their experiences and documentation will be shared as other DHBs prepare for implementation.
The National Non-Admitted Patients Collection (NNPAC) has been extended to capture SNOMED-coded presenting complaint, diagnosis and procedure details for ED visits. The first DHBs will be able to submit ED visit information in this format to NNPAC from July 2019. All DHBs are expected to capture and submit data in this format by 2021.
The National Collections Annual Maintenance Project (NCAMP) for 2019 introduces these changes for early adopters.
For all other DHBs, the Annual Plan Guidelines for 2019/20 requires a plan on how they will implement the change and begin submitting SNOMED-coded data to NNPAC by 2021.