Standards search

Guidelines for Digital Microscopy in Anatomical Pathology and Cytology

Category
Guideline
Organisation
RCPA
Type
Standard
Version
2
Access
Open
Status
Active
Created
Feb-20
This document describes the guidelines for the safe implementation of digital microscopy into diagnostic laboratories in Australia. It also provides an understanding of the potential factors to be considered when implementing digital microscopy systems for diagnostic use in anatomical pathology and cytology.

Iron Studies Standardised Reporting Protocol

Category
Standard
Organisation
RCPA
Type
Standard
Version
Second edition
Access
Open
Status
Active
Created
Nov-21
This protocol contains recommendations and guidelines for pathologists and pathology laboratories for preparing structured reports for iron studies.

Point of Care Testing: Elements of a Quality Framework

Category
Guideline
Organisation
RCPA
Type
Standard
Access
Open
Status
Active
Created
Jun-14
This document presents a quality framework to support organisations intending to provide point-of-care testing (POCT). The framework also addresses accreditation requirements and provides a structured approach to creating and maintaining processes and procedures for implementing a quality system in a POCT service.

RCPA Manual – Pathology Tests

Category
Supplementary Resource
Organisation
RCPA
Type
Standard
Access
Open
Status
Active
This resource lists most routinely requested pathology tests available to clinicians.

RCPA Manual – Clinical Presentations and Diagnoses

Category
Supplementary Resource
Organisation
RCPA
Type
Standard
Access
Open
Status
Active
This resource presents pathology tests in the context of patient presentations and suspect diagnoses which give rise to the need for diagnostic information.

ACT Reportable Schedule 4 medications reference set

Category
Reference Sets
Organisation
SNOMED
ID
1568041000168105
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the identification of the Australian Medicines Terminology Trade Product Unit of Use, Containered Trade Product Pack, Medicinal Product Pack and Medicinal Product Unit of Use concepts associated with the Schedule 4 medicines that are monitored by the ACT Health Canberra Script Real-Time Prescription Monitoring solution.

Adverse reaction agent reference set

Category
Reference Sets
Organisation
SNOMED
ID
142321000036106
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the accurate recording of the most common agents that may be responsible for causing adverse reactions. It can be used where developers are implementing the Australian Digital Health Agency clinical information models containing the Substance/Agent data element or the Adverse Reaction Detailed Clinical Model Specification.

Adverse reaction type reference set

Category
Reference Sets
Organisation
SNOMED
ID
11000036103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of the type of adverse reaction experienced, as determined by the clinician. It has been developed for those who are implementing the Adverse Reaction Detailed Clinical Model Specification.

Anatomical location name reference set

Category
Reference Sets
Organisation
SNOMED
ID
105891000036102
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of anatomical locations. It has been developed for those implementing the Australian Digital Health Agency-developed detailed clinical models.

Anatomical site reference set

Category
Reference Sets
Organisation
SNOMED
ID
6021000036108
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to describe human anatomical sites. It can be used within implementations of the Pathology Result Report Structured Document Template. It also supports a wide variety of uses that require human anatomical sites to be described.

Assertion of absence reference set

Category
Reference Sets
Organisation
SNOMED
ID
1234411000168107
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of clinical judgements that broadly assert a procedure has not been done or broadly assert the absence of a finding. It can be used within any implementation that requires negative assertions to be made for an observation.

Australian emergency department reference set

Category
Reference Sets
Organisation
SNOMED
ID
1244621000168103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of reasons for presentation, presenting problems and diagnoses within emergency department settings in Australia. It supersedes and expands on the content of the earlier Emergency Department Reference Set (EDRS) suite.

Australian Medicines Terminology, CSV, TSV

Category
Standard
Organisation
SNOMED
Type
Standard
Access
Open
Status
Active
These Comma Separated Values (CSV) and Tab Separated Values (TSV) files contain columns for SNOMED CT identifiers and the preferred terms of all 7 notable concept classes in the Australian Medicines Terminology, and rows for every active product in the Australian Medicines Terminology.

Black Triangle Scheme reference set

Category
Reference Sets
Organisation
SNOMED
ID
1514151000168100
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the identification of the Australian Medicines Terminology Trade Product Unit of Use and Containered Trade Product Pack concepts associated with medicines for which reporting of adverse events is encouraged under the Black Triangle Scheme.

Body structure foundation reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570061000036105
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of anatomical structures in Australian e-health implementations.

Calendar day and month reference set

Category
Reference Sets
Organisation
SNOMED
ID
745311000168107
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of days and months in SNOMED format.

Cardiovascular finding reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570381000036103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of cardiovascular findings in SNOMED format.

Change status reference set

Category
Reference Sets
Organisation
SNOMED
ID
669181000168104
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set contains terminology that indicates whether a change has been made to a medication or if a recommendation for change has been made.

Change type reference set

Category
Reference Sets
Organisation
SNOMED
ID
15071000036100
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of changes to medication instructions, including whether instructions have been cancelled, suspended or modified.

Clinical finding foundation reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570071000036102
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of clinical findings and disorders in Australian e-health implementations.

Clinical finding grouper exclusion reference set

Category
Reference Sets
Organisation
SNOMED
ID
171991000036103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set allows developers to constrain existing reference sets by excluding clinically nonspecific concepts that could be distracting to the end user.

Clinical manifestation reference set

Category
Reference Sets
Organisation
SNOMED
ID
142341000036103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of clinical manifestations of adverse reactions.

Collection procedure reference set

Category
Reference Sets
Organisation
SNOMED
ID
231000036106
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of methods for the collection of pathology specimens.

Containered trade product pack reference set

Category
Reference Sets
Organisation
SNOMED
ID
929360051000036108
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set contains terminology to describe the packaged medication product that is supplied for direct patient use, including details of the container type to be recorded in a health record.

Days of the week reference set

Category
Reference Sets
Organisation
SNOMED
ID
852631000168103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to support the recording of days of the week.

Degree of hearing loss reference set

Category
Reference Sets
Organisation
SNOMED
ID
955611000168108
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of degrees of hearing loss (mild, moderate and severe).

Disease caused by microorganism or bacterial toxin reference set

Category
Reference Sets
Organisation
SNOMED
ID
1203181000168101
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of diseases that are caused by microorganisms or bacterial toxins, including vaccine-preventable diseases.

Dose based prescribing dose form reference set

Category
Reference Sets
Organisation
SNOMED
ID
722081000168108
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to support the recording of dose form for dose-based prescribing.

Dose instruction verb reference set

Category
Reference Sets
Organisation
SNOMED
ID
810311000168105
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set contains terminology to support the recording of commonly used dosing imperative fragments (e.g. ‘administer’, ‘chew’, ‘inject’) within a dose syntax.

Dose qualifier reference set

Category
Reference Sets
Organisation
SNOMED
ID
773111000168109
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set contains terminology to support the recording of commonly used dose qualifiers of dose instruction (e.g. ‘after breakfast’, ‘before procedure’, ‘until finished’).

Dose unit of measure reference set

Category
Reference Sets
Organisation
SNOMED
ID
775371000168103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides commonly used dose units of measure for clinical systems that include medicine management (e.g. ‘mg’, ‘mL’, ‘tablet’, ‘capsule’).

Dose unit reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570641000036102
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology for the Dose Unit data element within the Medication Instruction and Action Detailed Clinical Model (DCM) and the Adverse Reaction DCM.

Drug prophylaxis reference set

Category
Reference Sets
Organisation
SNOMED
ID
1184831000168105
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of prophylactic drug therapy.

Emergency department diagnosis reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570481000036109
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to support recording of diagnosis in emergency department settings in Australia.

Emergency department reason for presenting reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570511000036102
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to support recording of presenting problems in emergency department settings in Australia.

Emergency department reference set

Category
Reference Sets
Organisation
SNOMED
ID
171881000036108
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set is a superset of the Emergency Department Reference Set (EDRS) suite. It provides terminology to support recording of presenting problems and diagnoses in emergency department settings in Australia.

Environment or geographical location foundation reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570081000036100
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to support recording of information about types of environments or named locations such as countries, states and regions in Australian e-health implementations.

Event foundation reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570091000036103
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to support recording of information related to occurrences (excluding procedures and interventions) in Australian e-health implementations.

Exclusion statement reference set

Category
Reference Sets
Organisation
SNOMED
ID
71000036109
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set provides terminology to record global statements about the absence or exclusion of information from within a patient record. It can be used within implementations of various detailed clinical models containing the Global Statement data element.

Expression Template Language

Category
Specification
Organisation
SNOMED
Type
Standard
Access
Open
Status
Active
This resource provides the formal syntax for SNOMED CT expression templates (v1.1.1). The syntax is derived by combining Compositional Grammar v2.4, Template Syntax v1.1.1 and Expression Constraint Language v1.4.

Fracture finding reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570391000036101
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports the recording of fracture findings in Australian e-health implementations.

NRC Frequently Asked Questions

Category
User guide
Organisation
SNOMED
Type
Standard
Access
Open
Status
Active
New SNOMED International members can find standing up their National Release Centre (NRC) challenging. This user guide aims to supplement existing onboarding materials and provide a quick reference to common questions. It also provides guidance on where a new NRC should focus its efforts given each country’s unique needs and assists with communications.

Imaging procedure reference set

Category
Reference Sets
Organisation
SNOMED
ID
32570361000036108
Type
Standard
Version
20241231
Access
Open
Status
Active
This reference set supports recording of imaging procedures in Australian e-health implementations.

Standards Catalogue Home

Explore the Standards Catalogue