National Clinical Terminology Service Registration Terms
User Registration
Individual
Choose this option if you are an individual and wish to use the NCTS resources for your own personal use, or you are a member of an Organisation that has already registered to use the NCTS.
Organisation
Choose this option if you are an individual and wish to use the NCTS resources for your own personal use, or you are a member of an Organisation that has already registered to use the NCTS.
By registering to access and/or download the Registration Content, you agree to be bound by the Registration Terms outlined below. All registered users will be required to answer a short Statement of Usage survey annually each June as a condition of continued access to the Registration Content.
These are the terms (Registration Terms) under which users can register on the National Clinical Terminology Service (NCTS) website found at www.healthterminologies.gov.au (Website) to access and download certain terminology products and tools (Registration Content). By registering to access and/or download the Registration Content, you agree to be bound by these Registration Terms. The Australian Digital Health Agency (the Agency) may amend these Registration Terms from time to time and without notice to you. If you continue to access the Registration Content you are deemed to have accepted the Registration Terms, as amended.
Other parts of the Website may have specific terms and conditions of use which apply in addition to these Registration Terms, and by accessing those parts of the Website, you also agree to those additional terms and conditions of use.
Individual
By registering to access and/or download the Registration Content, you will be able to access and/or download (where applicable) the Registration Content which contains Agency developed products and third party developed products from time to time, including:
the Australian National Terminology release comprising the International Release of SNOMED CT® 1 together with the Australian national extensions (e.g. SNOMED CT AU) and any Australian national derivatives (e.g. Australian Medicines Terminology); some third party terminology products licensed to the Agency by third parties;
This release is maintained against the November 2025 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/20251130
Inclusions
This release contains the following content, accessible from the NCTS website:
Status
Name and version
New
SNOMED CT-AU 30 November 2025 (RF2 FULL)
New
SNOMED CT-AU30 November 2025(RF2 SNAPSHOT)
New
SNOMED CT-AU 30 November 2025 (RF2 ALL)
New
SNOMED CT-AU Release Note 30 November 2025 (this document)
New
AMT CSV 20251130
New
AMT TSV 20251130
New
TSV format reference sets v20251130
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.
In addition to the modelling of new products, based on the 1 December 2025 PBS and RPBS schedule, a number of other products have been modelled in this release.
SCT-AU
Requested Content
Request submissions for new concepts and descriptions have been added in this release from National Health Services Directory, The Royal College of Pathologists of Australasia and Queensland Health.
Reference Set
Requested Content
Request submission for new reference set from Commonwealth Scientific and Industrial Research Organisation.
Reference Set
Requested Content
Request submission for new reference sets from Sparked.
Future changes
Terminology
Category/ID
Description
SCT-AU
EDRS
With 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.
The core Concept, Description and Relationship files have been updated to include the November 2025 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 November 2025 SNOMED CT International Release.
If you have any questions or concerns feel free to contact us by emailing help@digitalhealth.gov.au.
This release is maintained against the October 2025 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/20251031
Inclusions
This release contains the following content, accessible from the NCTS website:
Status
Name and version
New
SNOMED CT-AU 31 October 2025 (RF2 FULL)
New
SNOMED CT-AU31 October 2025(RF2 SNAPSHOT)
New
SNOMED CT-AU 31 October 2025 (RF2 ALL)
New
SNOMED CT-AU Release Note 31 October 2025 (this document)
New
AMT CSV 20251031
New
AMT TSV 20251031
New
TSV format reference sets v20251031
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.
In addition to the modelling of new products, based on the 1 November 2025 PBS and RPBS schedule, a number of other products have been modelled in this release.
SCT-AU
Requested Content
Request submissions for new concepts and descriptions have been added in this release from Queensland Health.
Reference Set
Requested Content
Request submissions for new reference sets from Sparked.
Future changes
Terminology
Category/ID
Description
SCT-AU
EDRS
With 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.
The core Concept, Description and Relationship files have been updated to include the October 2025 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 October 2025 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 /
RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources 31 October 2025 release note
RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources 31 October 2025 release note
Oct 24, 2025
Release summary: RCPA – Pathology Terminology and Information Models and draft FHIR reference set resources for RCPA release bundle v20251031 (EP-4192:2025)
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:
Status
Name
Description
Updated
RCPA SPIA Chemical Pathology Blood Gases Terminology Reference Set October 2025
Provides 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.
Updated
RCPA SPIA Chemical Pathology Reporting Terminology Reference Set October 2025
Provides 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.
Updated
RCPA SPIA Haematology Transfusion Reporting Terminology Reference Set October 2025
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.
Updated
RCPA SPIA Immunopathology Reporting Terminology Reference Set October 2025
Provides 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.
Updated
RCPA SPIA Microbiology Serology Molecular Reporting Terminology Reference Set October 2025
Provides 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.
Updated
RCPA SPIA Requesting Pathology Terminology October 2025
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 Change
RCPA SPIA Andrology Information Model April 2025
Provides 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 Change
RCPA Top 50 Priority Tests for SPIA adoption December 2024
The 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 Gastric Cancer Report Information Model Terminology April 2025
Provides 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 Change
RCPA SPIA Anatomical Pathology Cervical Cancer FHIR mapping December 2024
Provides 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 2024
Provides 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 2024
Provides 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 2024
Provides 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 2024
Provides 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 Prostate Cancer Radical Information Model Terminology December 2024
Provides 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 Change
RCPA SPIA Anatomical Pathology Generic Surgical Pathology Report Information Model Terminology December 2024
Provides 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 2024
Provides 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 Cytopathology Information Model Terminology December 2024
Provides 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 Change
RCPA SPIA Genetic Pathology Information Model Terminology December 2024
Provides 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 Change
RCPA SPIA Microbiology Subset of Organisms December 2024
Provides 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 Change
RCPA SPIA Urine Microbiology Information Model Terminology and Salmonella Information Model Terminology December 2024
Provides 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.
No Change
RCPA SPIA Preferred Units Table December 2024
Provides 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 SPIA Requesting Allergens Terminology Reference Set December 2024
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.
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
This release is maintained against the September 2025 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/20250930
Inclusions
This release contains the following content, accessible from the NCTS website:
Status
Name and version
New
SNOMED CT-AU 30 September 2025 (RF2 FULL)
New
SNOMED CT-AU30 September 2025(RF2 SNAPSHOT)
New
SNOMED CT-AU 30 September 2025 (RF2 ALL)
New
SNOMED CT-AU Release Note 30 September 2025 (this document)
New
AMT CSV 20250930
New
AMT TSV 20250930
New
FHIR Value Sets v20250930
New
TSV format reference sets v20250930
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.
In addition to the modelling of new products, based on the 1 October 2025 PBS and RPBS schedule, a number of other products have been modelled in this release.
SCT-AU
Requested Content
Request submissions for new concepts and descriptions have been added in this release from Queensland Health.
Reference Set
Requested Content
Request submissions for new reference sets from Sparked.
Future changes
Terminology
Category/ID
Description
SCT-AU
EDRS
With 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.
The core Concept, Description and Relationship files have been updated to include the September 2025 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 September 2025 SNOMED CT International Release.
If you have any questions or concerns feel free to contact us by emailing help@digitalhealth.gov.au.
This release is maintained against the August 2025 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/20250831
Inclusions
This release contains the following content, accessible from the NCTS website:
Status
Name and version
New
SNOMED CT-AU 31 August 2025 (RF2 FULL)
New
SNOMED CT-AU31 August 2025(RF2 SNAPSHOT)
New
SNOMED CT-AU 31 August 2025 (RF2 ALL)
New
SNOMED CT-AU Release Note 31 August 2025 (this document)
New
AMT CSV 20250831
New
AMT TSV 20250831
New
FHIR Code Systems v20250831
New
FHIR Concept Maps v20250831
New
FHIR Value Sets v20250831
New
TSV format reference sets v20250831
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.
In addition to the modelling of new products, based on the 1 September 2025 PBS and RPBS schedule, a number of other products have been modelled in this release.
SCT-AU
Requested Content
Request submissions for new concepts and descriptions have been added in this release from Bariatric Surgery Registry and Healthdirect.
Future changes
Terminology
Category/ID
Description
SCT-AU
EDRS
With 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.
The core Concept, Description and Relationship files have been updated to include the August 2025 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 August 2025 SNOMED CT International Release.
If you have any questions or concerns feel free to contact us by emailing help@digitalhealth.gov.au.