News and events / RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources 31 March 2026 release note

RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources 31 March 2026 release note

Release summary: RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources for RCPA release bundle v20260331 (EP-4304:2026)

This end product contains terminology and information model resources and draft FHIR reference set resources, developed and owned by the Royal College of Pathologists of Australasia (RCPA).[1]

These resources have been developed as part of the National Pathology Terminology and Information Standardisation Plan. More information about development and reviews can be accessed on the RCPA website.

Please note: these resources are now labelled as SPIA (Standards for Pathology Informatics in Australia), having previously been known as APUTS (Australian Pathology Units and Terminology Standards).

Disclaimer

The Australian Digital Health Agency (the Agency) provides the information in this release note (“Information”) available in good faith but on an “as is” basis without any representation or warranty as to its accuracy or completeness. The Agency also makes this end product (“Product”) available in accordance with the RCPA Pathology Terminology and Information Models Terms of Use v1.0, which can be found in the same package where you downloaded this release note. The Agency does not accept any responsibility and, to the extent permitted by law, excludes all liability in connection with any use or inability to use the Information or the Product. As the Information or Product is of a general nature only, it is up to any person using or wishing to use the Information or Product to ensure that they are accurate, complete and suitable for the circumstances of their use.

[1] The copyright for the terminology and information model resources is owned by The Royal College of Pathologists of Australasia (RCPA).

Audience

The audience for this end product includes those involved in pathology informatics standards development, the implementation of standards related to terminology, information and units by pathology practices and their customers, and structured reporting of carcinoma.

Release rationale

This package contains an updated version of the Requesting Pathology Terminology Reference Set and draft Structured Pathology Reporting of Cancer FHIR Reference Sets.


This release includes:

UpdatedRCPA SPIA Requesting Pathology Terminology March 2026Provides a set of terms for requesting pathology in Australia, along with their associated SNOMED CT codes. It is intended to provide a request terminology reference set for the most commonly requested terms used in both public and private practice.
No Change RCPA SPIA Chemical Pathology Reporting Terminology Reference Set February 2026Provides a set of terms for reporting chemical pathology in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting chemical pathology test results, which can be used in the electronic communication of a pathology report. Additionally, this reference set provides implementation guidance on whether it is safe for tests from different laboratories or from the same laboratory over time to be reported on the same line in a cumulative report or as points in the same line on a graph.
No Change RCPA SPIA Haematology Transfusion Reporting Terminology Reference Set February 2026 Provides a set of terms for reporting haematology in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting haematology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Requesting Allergens Terminology Reference Set February 2026 Provides a set of terms for requesting allergens in Australia, along with their associated SNOMED CT codes. It is intended to enable the requesting of the majority of allergens commonly found in Australia, with the specific terms and codes enhancing the context of information provided to laboratory staff and clinicians.
No ChangeRCPA SPIA Anatomical Pathology Gastric Cancer Report Information Model Terminology December 2025Provides a set of terms for gastric cancer reporting in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting on gastric cancer, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Anatomical Pathology Prostate Cancer Radical Information Model Terminology December 2025Provides a set of terms for prostate cancer (radical prostatectomy) reporting in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting on prostate cancer (radical prostatectomy), which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Andrology Information Model December 2025Provides a set of terms for reporting andrology tests in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting andrology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Chemical Pathology Blood Gases Terminology Reference Set December 2025Provides a set of terms for requesting and reporting blood gases in Australia, along with their associated codes. Specifically, it provides terms for requesting and reporting blood gases from 8 different specimens, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Cytopathology Information Model Terminology December 2025Provides a set of terms for reporting cytopathology in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting cytopathology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Genetic Pathology Information Model Terminology December 2025Provides a set of terms for genetic reporting in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting genetics, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Immunopathology Reporting Terminology Reference Set December 2025Provides a set of terms for reporting immunopathology in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting immunopathology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Microbiology Serology Molecular Reporting Terminology Reference Set December 2025Provides a set of terms for reporting microbiology serology and molecular tests in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting microbiology serology and molecular test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Microbiology Subset of Organisms December 2025Provides a set of terms for reporting microbiology organisms in Australia, along with their associated SNOMED CT codes. Specifically, it provides Preferred Terms for reporting microbiology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Preferred Units Table December 2025Provides a list of preferred units and UCUM terms used commonly in pathology reporting. It was created to provide a convenient file of preferred units to assist with implementations.
No Change RCPA Top 50 Priority Tests for SPIA adoption December 2024The Royal College of Pathologists of Australasia (RCPA) has been contracted by the Australian Digital Health Agency (ADHA) to collate pathology requesting data from a range of sources with the intent to develop a Priority Tests/panels for Standardised Pathology Informatics in Australia (SPIA) adoption which any laboratory can utilise as a starting point to begin the SPIA Implementation process. The details of how this data was sourced can be found here: https://www.rcpa.edu.au/Library/Practising-Pathology/PTIS/Top-50-Priority-Tests-Panels-for-SPIA-adoption
No Change RCPA SPIA Anatomical Pathology Cervical Cancer FHIR mapping December 2024Provides a set of terms for reporting Cervical cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Colorectal Cancer FHIR mapping December 2024Provides a set of terms for reporting Colorectal cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Endometrial Cancer FHIR mapping December 2024Provides a set of terms for reporting Endometrial cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Ovary Fallopian Tube Cancer FHIR mapping December 2024Provides a set of terms for reporting Ovarian or Fallopian tube cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Polypectomy FHIR mapping December 2024Provides a set of terms for reporting Polypectomies in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Generic Surgical Pathology Report Information Model Terminology December 2024Provides a set of terms for reporting surgical pathology in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Chemical Pathology Harmonised Reference Intervals tables December 2024Provides a list of Harmonised Reference intervals (HRI) for 18 common chemical pathology analytes with separate ranges applied to paediatric and adult samples. The HRIs were developed to reduce confusion surrounding inconsistencies associated with flagging of abnormal results and the comparison of results from various laboratories within Australia. The HRI can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Urine Microbiology Information Model Terminology and Salmonella Information Model Terminology December 2024Provides a mindmap overview of the RCPA model for microbiology reports where salmonella is identified, including referral to reference laboratory, and notifications to public health registries. This also contains a mindmap overview of the RCPA model for reporting the results of Urine microscopy, culture and sensitivities. It details the relevant data elements and their LOINC codes to be used, along with any specific result codes.

Recommended reading

The NCTS document library provides an extensive list of introductory and technical documentation to support your use of terminology products and tools. You can find out more by visiting Learn on our website.

Key guidance includes:

  • Introduction to SNOMED CT-AU presentation and webinar
  • SNOMED CT‑AU Australian Technical Implementation Guide
  • SNOMED CT Starter Guide (SNOMED International)
  • SNOMED CT Technical Implementation Guide (SNOMED International)

Additional documentation specifically supporting the use of these terminology sets can be found in the following locations:

SPIA Document Library

  • SPIA Standards for Pathology Informatics in Australia v3.0 (previously known as APUTS Standards and Guidelines).
  • SPIA Terminology and Codes Requesting Pathology
  • SPIA Reporting Terminology and Codes Anatomical Pathology
  • SPIA Reporting Terminology and Codes Chemical Pathology
  • SPIA Reporting Terminology and Codes Cytopathology
  • SPIA Reporting Terminology and Codes Genetic Pathology
  • SPIA Reporting Terminology and Codes Haematology
  • SPIA Reporting Terminology and Codes Immunopathology
  • SPIA Reporting Terminology and Codes Microbiology

LOINC Document Library

  • LOINC User’s Guide
  • RELMA Manual

SPRC Cancer Protocols Library

Support
For further support or to provide feedback, please email help@digitalhealth.gov.au

News and events / SNOMED CT-AU 31 March 2026 release note

SNOMED CT-AU 31 March 2026 release note

Release summary: SNOMED CT-AU v20260331

Clinical terminology v20260331

This release is maintained against the March 2026 SNOMED CT International Edition.

The LOINC release version available from the National Terminology Server is version 2.82.

Identifying the version of this release of SNOMED CT-AU

When using codes from this release (for example, in clinical documents, maps, or terminology servers) the following string should be used to identify the version of this release:
http://snomed.info/sct/32506021000036107/version/20260331

Inclusions

This release contains the following content, accessible from the NCTS website:

StatusName and version
NewSNOMED CT-AU 31 March 2026 (RF2 FULL)
NewSNOMED CT-AU 31 March 2026 (RF2 SNAPSHOT)
NewSNOMED CT-AU 31 March 2026 (RF2 ALL)
NewSNOMED CT-AU Release Note 31 March 2026 (this document)
NewAMT CSV 20260331
New AMT TSV 20260331
NewFHIR Code Systems v20260331
NewFHIR Value Sets v20260331
NewTSV format reference sets v20260331

Change summary

This section summarises the changes in this release and provides notice about planned future work. Changes made to resolve data issues will be listed if the potential impact on systems or patient care exceeds a threshold determined by an internal risk matrix assessment.

For more information about any of these changes, please contact help@digitalhealth.gov.au.

Content

TerminologyCategory/IDDescription
AMTRequested ContentIn addition to the modelling of new products, based on the 1 April 2026 PBS and RPBS schedule, a number of other products have been modelled in this release.
SCT-AURequested Content Request submissions for new concepts and descriptions have been added in this release from Sparked.

Future changes

TerminologyCategory/IDDescription
AMT Content quality improvementRemediation work is underway to align existing medicinal cannabis concepts with a standardised terminology approach informed by the NCTS Medicinal Cannabis Terminology User Group consultations. These updates will be incorporated into future releases.
SCT-AU EDRSWith the release of the new Australian emergency department reference set as of January 2019, there are plans to deprecate the original Emergency Department Reference (EDRS) set in a forthcoming release. Current users of the EDRS will be consulted prior to confirming the deprecation date.

Upcoming releases

The upcoming release schedule will be as follows:

  • Tuesday 28 April 2026
  • Wednesday 27 May 2026
  • Friday 26 June 2026
News and events / Important information – March 2026

Important information – March 2026


The core Concept, Description and Relationship files have been updated to include the March 2026 International SNOMED CT Release.

Consequently, all reference sets provided in the previous release have been updated accordingly. Specific content developments and improvements have been inherited from the March 2026 SNOMED CT International Release.

If you have any questions or concerns feel free to contact us by emailing help@digitalhealth.gov.au.

LOINC

The LOINC release version 2.82 is now available from the National Terminology Server.

Related

News and events / Event information – February 2026

Event information – February 2026

The NCTS team is running a hands‑on workshop that will cover how clinical terminology is used in Allied Health software. Most of the day will focus on guided activities such as retrieving terms from a FHIR Terminology Server (Ontoserver), writing ECL queries for advanced searches, and applying terminology in front‑end mock‑ups. Short presentations will cover the National Clinical Terminology Service, new SNOMED CT‑AU content for Allied Health, and approaches for integrating terminology‑compliant systems with Smart Forms.

Date: Monday 23 March 2026
Time: 9:00am – 5:00pm (AEST)
Location: CSIRO – Herston, Australian eHealth Research Centre, Level 7, 296 Herston Rd, Herston QLD 4006

Content includes:

  • Core terminology concepts (CodeSystems, ValueSets, SNOMED CT structure)
  • Using the NCTS, SNOMED CT‑AU, LOINC, and the Shrimp visualiser
  • Ontoserver FHIR API operations (lookup, validation, ontology navigation)
  • Writing and testing ECL queries and creating ValueSets
  • Managing integration issues and handling unknown codes
  • Applying terminology services to UI workflows, including type‑ahead search and validation

Registration is essential by close of business, Thursday 12 March 2026.

Click here to register.

News and events / SNOMED CT-AU 28 February 2026 release note

SNOMED CT-AU 28 February 2026 release note

Release summary: SNOMED CT-AU v20260228

Clinical terminology v20260228

This release is maintained against the February 2026 SNOMED CT International Edition.

The LOINC release version available from the National Terminology Server is version 2.81.

Identifying the version of this release of SNOMED CT-AU

When using codes from this release (for example, in clinical documents, maps, or terminology servers) the following string should be used to identify the version of this release:
http://snomed.info/sct/32506021000036107/version/20260228

Inclusions

This release contains the following content, accessible from the NCTS website:

StatusName and version
NewSNOMED CT-AU 28 February 2026 (RF2 FULL)
NewSNOMED CT-AU 28 February 2026 (RF2 SNAPSHOT)
NewSNOMED CT-AU 28 February 2026 (RF2 ALL)
NewSNOMED CT-AU Release Note 28 February 2026 (this document)
NewAMT CSV 20260228
New AMT TSV 20260228
NewFHIR Code Systems v20260228
NewFHIR Value Sets v20260228
New TSV format reference sets v20260228

Change summary

This section summarises the changes in this release and provides notice about planned future work. Changes made to resolve data issues will be listed if the potential impact on systems or patient care exceeds a threshold determined by an internal risk matrix assessment.

For more information about any of these changes, please contact help@digitalhealth.gov.au.

Content

TerminologyCategory/IDDescription
AMTRequested ContentIn addition to the modelling of new products, based on the 1 March 2026 PBS and RPBS schedule, a number of other products have been modelled in this release.
AMTLEMIThe List of Excluded Medicinal Items (LEMI) reference set has been updated to reflect alignment with AIP principles for all medicines, rather than being limited to PBS medicines.
SCT-AURequested ContentRequest submissions for new concepts and descriptions have been added in this release from eHealth New South Wales and Healthdirect.
SCT-AURequested Content Request submissions for new concepts and descriptions have been added in this release from Sparked.

Future changes

TerminologyCategory/IDDescription
AMT Content quality improvementRemediation work is underway to align existing medicinal cannabis concepts with a standardised terminology approach informed by the NCTS Medicinal Cannabis Terminology User Group consultations. These updates will be incorporated into future releases.
SCT-AU EDRSWith the release of the new Australian emergency department reference set as of January 2019, there are plans to deprecate the original Emergency Department Reference (EDRS) set in a forthcoming release. Current users of the EDRS will be consulted prior to confirming the deprecation date.

Upcoming releases

The upcoming release schedule will be as follows:

  • Friday 27 March 2026
  • Tuesday 28 April 2026
  • Wednesday 27 May 2026

News and events / RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources 28 February 2026 release note

RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources 28 February 2026 release note

Release summary: RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources for RCPA release bundle v20260228 (EP-4278:2026)

This end product contains terminology and information model resources and draft FHIR reference set resources, developed and owned by the Royal College of Pathologists of Australasia (RCPA).[1]

These resources have been developed as part of the National Pathology Terminology and Information Standardisation Plan. More information about development and reviews can be accessed on the RCPA website.

Please note: these resources are now labelled as SPIA (Standards for Pathology Informatics in Australia), having previously been known as APUTS (Australian Pathology Units and Terminology Standards).

Disclaimer

The Australian Digital Health Agency (the Agency) provides the information in this release note (“Information”) available in good faith but on an “as is” basis without any representation or warranty as to its accuracy or completeness. The Agency also makes this end product (“Product”) available in accordance with the RCPA Pathology Terminology and Information Models Terms of Use v1.0, which can be found in the same package where you downloaded this release note. The Agency does not accept any responsibility and, to the extent permitted by law, excludes all liability in connection with any use or inability to use the Information or the Product. As the Information or Product is of a general nature only, it is up to any person using or wishing to use the Information or Product to ensure that they are accurate, complete and suitable for the circumstances of their use.

[1] The copyright for the terminology and information model resources is owned by The Royal College of Pathologists of Australasia (RCPA).

Audience

The audience for this end product includes those involved in pathology informatics standards development, the implementation of standards related to terminology, information and units by pathology practices and their customers, and structured reporting of carcinoma.

Release rationale

This package contains an updated version of the Requesting Pathology Terminology Reference Set and draft Structured Pathology Reporting of Cancer FHIR Reference Sets.


This release includes:

UpdatedRCPA SPIA Chemical Pathology Reporting Terminology Reference Set February 2026Provides a set of terms for reporting chemical pathology in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting chemical pathology test results, which can be used in the electronic communication of a pathology report. Additionally, this reference set provides implementation guidance on whether it is safe for tests from different laboratories or from the same laboratory over time to be reported on the same line in a cumulative report or as points in the same line on a graph.
UpdatedRCPA SPIA Haematology Transfusion Reporting Terminology Reference Set February 2026 Provides a set of terms for reporting haematology in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting haematology test results, which can be used in the electronic communication of a pathology report.
UpdatedRCPA SPIA Requesting Allergens Terminology Reference Set February 2026 Provides a set of terms for requesting allergens in Australia, along with their associated SNOMED CT codes. It is intended to enable the requesting of the majority of allergens commonly found in Australia, with the specific terms and codes enhancing the context of information provided to laboratory staff and clinicians.
UpdatedRCPA SPIA Requesting Pathology Terminology February 2026 Provides a set of terms for requesting pathology in Australia, along with their associated SNOMED CT codes. It is intended to provide a request terminology reference set for the most commonly requested terms used in both public and private practice.
No ChangeRCPA SPIA Anatomical Pathology Gastric Cancer Report Information Model Terminology December 2025Provides a set of terms for gastric cancer reporting in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting on gastric cancer, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Anatomical Pathology Prostate Cancer Radical Information Model Terminology December 2025Provides a set of terms for prostate cancer (radical prostatectomy) reporting in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting on prostate cancer (radical prostatectomy), which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Andrology Information Model December 2025Provides a set of terms for reporting andrology tests in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting andrology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Chemical Pathology Blood Gases Terminology Reference Set December 2025Provides a set of terms for requesting and reporting blood gases in Australia, along with their associated codes. Specifically, it provides terms for requesting and reporting blood gases from 8 different specimens, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Cytopathology Information Model Terminology December 2025Provides a set of terms for reporting cytopathology in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting cytopathology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Genetic Pathology Information Model Terminology December 2025Provides a set of terms for genetic reporting in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for reporting genetics, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Immunopathology Reporting Terminology Reference Set December 2025Provides a set of terms for reporting immunopathology in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting immunopathology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Microbiology Serology Molecular Reporting Terminology Reference Set December 2025Provides a set of terms for reporting microbiology serology and molecular tests in Australia, along with their associated codes and preferred units. Specifically, it provides Preferred Terms and units for reporting microbiology serology and molecular test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Microbiology Subset of Organisms December 2025Provides a set of terms for reporting microbiology organisms in Australia, along with their associated SNOMED CT codes. Specifically, it provides Preferred Terms for reporting microbiology test results, which can be used in the electronic communication of a pathology report.
No ChangeRCPA SPIA Preferred Units Table December 2025Provides a list of preferred units and UCUM terms used commonly in pathology reporting. It was created to provide a convenient file of preferred units to assist with implementations.
No Change RCPA Top 50 Priority Tests for SPIA adoption December 2024The Royal College of Pathologists of Australasia (RCPA) has been contracted by the Australian Digital Health Agency (ADHA) to collate pathology requesting data from a range of sources with the intent to develop a Priority Tests/panels for Standardised Pathology Informatics in Australia (SPIA) adoption which any laboratory can utilise as a starting point to begin the SPIA Implementation process. The details of how this data was sourced can be found here: https://www.rcpa.edu.au/Library/Practising-Pathology/PTIS/Top-50-Priority-Tests-Panels-for-SPIA-adoption
No Change RCPA SPIA Anatomical Pathology Cervical Cancer FHIR mapping December 2024Provides a set of terms for reporting Cervical cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Colorectal Cancer FHIR mapping December 2024Provides a set of terms for reporting Colorectal cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Endometrial Cancer FHIR mapping December 2024Provides a set of terms for reporting Endometrial cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Ovary Fallopian Tube Cancer FHIR mapping December 2024Provides a set of terms for reporting Ovarian or Fallopian tube cancer in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Polypectomy FHIR mapping December 2024Provides a set of terms for reporting Polypectomies in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Anatomical Pathology Generic Surgical Pathology Report Information Model Terminology December 2024Provides a set of terms for reporting surgical pathology in Australia, along with their associated codes. Specifically, it provides a structured report model and Preferred Terms for surgical pathology reporting, which can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Chemical Pathology Harmonised Reference Intervals tables December 2024Provides a list of Harmonised Reference intervals (HRI) for 18 common chemical pathology analytes with separate ranges applied to paediatric and adult samples. The HRIs were developed to reduce confusion surrounding inconsistencies associated with flagging of abnormal results and the comparison of results from various laboratories within Australia. The HRI can be used in the electronic communication of a pathology report.
No Change RCPA SPIA Urine Microbiology Information Model Terminology and Salmonella Information Model Terminology December 2024Provides a mindmap overview of the RCPA model for microbiology reports where salmonella is identified, including referral to reference laboratory, and notifications to public health registries. This also contains a mindmap overview of the RCPA model for reporting the results of Urine microscopy, culture and sensitivities. It details the relevant data elements and their LOINC codes to be used, along with any specific result codes.

Recommended reading

The NCTS document library provides an extensive list of introductory and technical documentation to support your use of terminology products and tools. You can find out more by visiting Learn on our website.

Key guidance includes:

  • Introduction to SNOMED CT-AU presentation and webinar
  • SNOMED CT‑AU Australian Technical Implementation Guide
  • SNOMED CT Starter Guide (SNOMED International)
  • SNOMED CT Technical Implementation Guide (SNOMED International)

Additional documentation specifically supporting the use of these terminology sets can be found in the following locations:

SPIA Document Library

  • SPIA Standards for Pathology Informatics in Australia v3.0 (previously known as APUTS Standards and Guidelines).
  • SPIA Terminology and Codes Requesting Pathology
  • SPIA Reporting Terminology and Codes Anatomical Pathology
  • SPIA Reporting Terminology and Codes Chemical Pathology
  • SPIA Reporting Terminology and Codes Cytopathology
  • SPIA Reporting Terminology and Codes Genetic Pathology
  • SPIA Reporting Terminology and Codes Haematology
  • SPIA Reporting Terminology and Codes Immunopathology
  • SPIA Reporting Terminology and Codes Microbiology

LOINC Document Library

  • LOINC User’s Guide
  • RELMA Manual

SPRC Cancer Protocols Library

Support
For further support or to provide feedback, please email help@digitalhealth.gov.au

News and events / Important information – February 2026

Important information – February 2026


The core Concept, Description and Relationship files have been updated to include the February 2026 International SNOMED CT Release.

Consequently, all reference sets provided in the previous release have been updated accordingly. Specific content developments and improvements have been inherited from the February 2026 SNOMED CT International Release.

If you have any questions or concerns feel free to contact us by emailing help@digitalhealth.gov.au.

News and events / SNOMED CT-AU 31 January 2026 release note

SNOMED CT-AU 31 January 2026 release note

Release summary: SNOMED CT-AU v20260131

Clinical terminology v20260131

This release is maintained against the January 2026 SNOMED CT International Edition.

The LOINC release version available from the National Terminology Server is version 2.81.

Identifying the version of this release of SNOMED CT-AU

When using codes from this release (for example, in clinical documents, maps, or terminology servers) the following string should be used to identify the version of this release:
http://snomed.info/sct/32506021000036107/version/20260131

Inclusions

This release contains the following content, accessible from the NCTS website:

StatusName and version
NewSNOMED CT-AU 31 January 2026 (RF2 FULL)
NewSNOMED CT-AU 31 January 2026 (RF2 SNAPSHOT)
NewSNOMED CT-AU 31 January 2026 (RF2 ALL)
NewSNOMED CT-AU Release Note 31 January 2026 (this document)
NewAMT CSV 20260131
New AMT TSV 20260131
NewTSV format reference sets v20260131
New FHIR Value Sets v20260131

Change summary

This section summarises the changes in this release and provides notice about planned future work. Changes made to resolve data issues will be listed if the potential impact on systems or patient care exceeds a threshold determined by an internal risk matrix assessment.

For more information about any of these changes, please contact help@digitalhealth.gov.au.

Content

TerminologyCategory/IDDescription
AMTRequested ContentIn addition to the modelling of new products, based on the 1 February 2026 PBS and RPBS schedule, a number of other products have been modelled in this release.
AMTLEMIThe List of Excluded Medicinal Items (LEMI) covers only PBS and RPBS medicines and doesn’t capture all items that may be exempt from Active Ingredient Prescribing (AIP). Work, in consultation with the Australian Government Department of Health, Disability and Ageing, is underway to update the LEIM reference set so it aligns with AIP principles for all medicines, not just those on the PBS.
SCT-AURequested Content Request submissions for new concepts and descriptions have been added in this release from eHealth New South Wales and The Royal College of Pathologists of Australasia.
Reference Set Requested Content Request submission for new reference sets from Sparked.

Future changes

TerminologyCategory/IDDescription
SCT-AU EDRSWith the release of the new Australian emergency department reference set as of January 2019, there are plans to deprecate the original Emergency Department Reference (EDRS) set in a forthcoming release. Current users of the EDRS will be consulted prior to confirming the deprecation date.

Upcoming releases

The upcoming release schedule will be as follows:

  • Wednesday 25 February 2026
  • Friday 27 March 2026
  • Tuesday 28 April 2026
News and events / Important information – January 2026

Important information – January 2026


The core Concept, Description and Relationship files have been updated to include the January 2026 International SNOMED CT Release.

Consequently, all reference sets provided in the previous release have been updated accordingly. Specific content developments and improvements have been inherited from the January 2026 SNOMED CT International Release.

If you have any questions or concerns feel free to contact us by emailing help@digitalhealth.gov.au.