# SNOMED CT subsets/refsets

**URL:** https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237
**Category:** open forum
**Created:** [22 October 2017 14:38 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237 "2017-10-22T14:38:04Z")
**Posts on this page:** 10
**Page:** 1

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### Author: ![nick.booth](https://openhealthhub.org/user_avatar/openhealthhub.org/nick.booth/32/414_2.png) [@nick.booth](https://openhealthhub.org/u/nick.booth)
#### Post date: [22 October 2017 14:38 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/1 "2017-10-22T14:38:04Z")

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(Apologies for cross posting)  
Hi All, I am starting some work with clinicians in Newcastle upon Tyne Hospitals FT to tackle the issue of clinical coding and noting using SNOMED-CT. One early requirement we feel we need is a refset for cardiological diagnoses, and soon for procedures. Has anyone come across such refsets which we can share? We would be also interested in a collaborative approach,  
Nick

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### Author: ![marcochristoforou](https://openhealthhub.org/user_avatar/openhealthhub.org/marcochristoforou/32/357_2.png) [@marcochristoforou](https://openhealthhub.org/u/marcochristoforou)
#### Post date: [22 October 2017 16:13 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/2 "2017-10-22T16:13:28Z")

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Hi,  
I think you can get this from NHS Digital’s TRUD service, here…

[https://isd.digital.nhs.uk/trud3/user/guest/group/0/home](https://isd.digital.nhs.uk/trud3/user/guest/group/0/home)

Or you could try the API/database service here…

[www.nhs-data.uk](http://www.nhs-data.uk)

Regards,  
Marco

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### Author: ![mayfield.g.kev](https://openhealthhub.org/user_avatar/openhealthhub.org/mayfield.g.kev/32/648_2.png) [@mayfield.g.kev](https://openhealthhub.org/u/mayfield.g.kev)
#### Post date: [22 October 2017 16:31 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/3 "2017-10-22T16:31:32Z")

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Hope they’ve paid their SNOMED CT license?

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### Author: ![Tejal](https://openhealthhub.org/letter_avatar_proxy/v4/letter/t/b487fb/32.png) [@Tejal](https://openhealthhub.org/u/Tejal)
#### Post date: [23 October 2017 10:50 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/4 "2017-10-23T10:50:55Z")

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Thanks Marco for your reply.  
There’s no cardiology subset available on the TRUD unfortunately. We are hoping to get in touch with someone who may have developed or uses one locally so that we don’t reinvent the wheel.

Regards,  
Tejal

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### Author: ![marcochristoforou](https://openhealthhub.org/user_avatar/openhealthhub.org/marcochristoforou/32/357_2.png) [@marcochristoforou](https://openhealthhub.org/u/marcochristoforou)
#### Post date: [23 October 2017 18:35 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/5 "2017-10-23T18:35:45Z")

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Ah, right. Sorry I couldn’t help.  
Regards,  
Marco

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### Author: ![mike.bainbridge](https://openhealthhub.org/user_avatar/openhealthhub.org/mike.bainbridge/32/166_2.png) [@mike.bainbridge](https://openhealthhub.org/u/mike.bainbridge)
#### Post date: [23 October 2017 20:57 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/6 "2017-10-23T20:57:57Z")

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Weirdly I just heard of a new installation in Fiji Cardiology clinic yesterday using a reference set developed by a new New Zealand vendor. I’ll do some research wearing my SNOMED hat

Best wishes

Michael

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### Author: ![Tejal](https://openhealthhub.org/letter_avatar_proxy/v4/letter/t/b487fb/32.png) [@Tejal](https://openhealthhub.org/u/Tejal)
#### Post date: [24 October 2017 12:12 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/7 "2017-10-24T12:12:53Z")

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No problem, Marco.

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### Author: ![Tejal](https://openhealthhub.org/letter_avatar_proxy/v4/letter/t/b487fb/32.png) [@Tejal](https://openhealthhub.org/u/Tejal)
#### Post date: [24 October 2017 12:13 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/8 "2017-10-24T12:13:36Z")

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Thank you Mike, that would be brilliant!

Update: I am editing this post since I cannot post any more replies on this topic for now as I am a “new user”. (sorry Mike!)

@dion many thanks for your reply, that’s very helpful. I could kick myself for not thinking of this before!

Also, for anyone interested, we found “Cardiology Problem List subset” on [https://www.nlm.nih.gov/research/umls/Snomed/cmt.html](https://www.nlm.nih.gov/research/umls/Snomed/cmt.html) (it is listed in the 2016 subset release files).

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### Author: ![nick.booth](https://openhealthhub.org/user_avatar/openhealthhub.org/nick.booth/32/414_2.png) [@nick.booth](https://openhealthhub.org/u/nick.booth)
#### Post date: [24 October 2017 13:33 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/9 "2017-10-24T13:33:49Z")

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I notice that Malaysia is developing a cardiology refset. Is that your patch Mike?  
Nick

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### Author: ![dion](https://openhealthhub.org/letter_avatar_proxy/v4/letter/d/cab0a1/32.png) [@dion](https://openhealthhub.org/u/dion)
#### Post date: [27 October 2017 05:03 UTC](https://openhealthhub.org/t/snomed-ct-subsets-refsets/1237/10 "2017-10-27T05:03:46Z")

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There’s also a cardiovascular finding reference set that exists as part of the Australian SNOMED CT extension.

If you go to [https://www.healthterminologies.gov.au/access?content=fhirresources](https://www.healthterminologies.gov.au/access?content=fhirresources) you’ll see there is a “Cardiovascular finding reference set”. Once logged in (free to register) you can download it as a FHIR ValueSet expansion (or interact with the FHIR endpoint at [https://api.healthterminologies.gov.au/integration/v1/fhir](https://api.healthterminologies.gov.au/integration/v1/fhir)) or download it as a simple TSV file…or of course download the RF2 SNOMED CT-AU release…
