Gemscript - dm+d changes (September 2021)
Cegedim Healthcare Solutions has been notified of some forthcoming changes planned to be made to the NHS Dictionary of Medicines and Device (dm+d) maintained by the NHS Business Services Authority (NHSBSA).
These are SNOMED CT changes to concepts at the following levels:
• Pharmaceutical form
• Route of administration
• Unit of measure
• Virtual Therapeutic Moiety (VTM)
These changes will be made available from the dm+d release on 6th September 2021 and are listed as follows:
Pharmaceutical forms – To be inactivated:
• 17309711000001108 Cutaneous patch (qualifier value)
• 14955111000001100 Emulsion for infusion (qualifier value)
• 385186005 Enema (qualifier value)
• 17644011000001108 Gel for injection (qualifier value)
• 35367511000001105 Homeopathic ointment (qualifier value)
• 3092311000001108 Inhalation gas (product)
• 385210002 Inhalation vapor (qualifier value)
• 427609008 Modified release drops dose form (qualifier value)
• 385197005 Nebulizer liquid (qualifier value)
• 37937005 Drug paste (qualifier value)
• 385222004 Injection powder (qualifier value)
• 15621311000001106 Powder for suspension for infusion (qualifier value)
• 385203008 Pressurised inhalation (qualifier value)
• 32860611000001109 Prolonged-release suspension for injection (qualifier value)
• 15850011000001106 Suspension for infusion (qualifier value)
Route of administration - New concepts added to the file:
• 58731000052100 Intestinal route (qualifier value)
• 372462000 Intracervical route (qualifier value)
• 58761000052107 Intracholangiopancreatic route (qualifier value)
• 58751000052109 Intraglandular route (qualifier value)
• 58771000052103 Intraportal route (qualifier value)
• 372472002 Ocular route (qualifier value)
• 58811000052103 Peritumoral route (qualifier value)
• 58821000052106 Posterior juxtascleral route (qualifier value)
• 58831000052108 Subretinal route (qualifier value)
Route of administration - To be inactivated:
• 19537211000001108 Intracervical route (qualifier value)
Unit of measure - To be inactivated:
• 10693311000001105 cell/microlitre (qualifier value)
• 10693411000001103 insert (qualifier value)
• 8090811000001104 kBq/ml (qualifier value)
• 3319711000001103 unit dose (qualifier value)
• 258666001 Unit (qualifier value)
Virtual Therapeutic Moiety (VTM) - To be inactivated:
• 422229007 Product containing selenium and vitamin E (medicinal product)
• 412563009 Product containing amphotericin B liposome (medicinal product)
• 333521006 Anthrax vaccine (product)
• 420773001 Product containing argipressin (medicinal product)
• 421712006 Product containing ascorbic acid and nicotinamide (medicinal product)
• 319357003 Product containing aspirin and isosorbide mononitrate (medicinal product)
• 323404007 Product containing benzathine benzylpenicillin (medicinal product)
• 424332006 Product containing sodium tetraborate (medicinal product)
• 346358004 Product containing bupivacaine and glucose (medicinal product)
• 79260009 Product containing calcium ascorbate (medicinal product)
• 6652001 Product containing calcium pantothenate (medicinal product)
• 346361003 Product containing calcium polystyrene sulfonate (medicinal product)
• 320933002 Product containing carbocisteine (medicinal product)
• 35736007 Cholera vaccine (product)
• 89519005 Product containing amoxicillin and clavulanate potassium (medicinal product)
• 108638004 Product containing colfosceril palmitate (medicinal product)
• 423825002 Product containing cranberries (medicinal product)
• 428188002 Product containing cytarabine liposome (medicinal product)
• 422993007 Product containing daunorubicin liposome (medicinal product)
• 317870009 Product containing dicobalt edetate (medicinal product)
• 423677005 Product containing diethylamine salicylate (medicinal product)
• 412373007 Diphtheria + pertussis + tetanus + Haemophilus influenzae type b vaccine (product)
• 414004005 Diphtheria + tetanus + pertussis + poliomyelitis + haemophilus influenzae b vaccine (product)
• 414005006 Diphtheria + tetanus + pertussis + poliomyelitis vaccine (product)
• 421245007 Diphtheria + pertussis + tetanus vaccine (product)
• 414006007 Diphtheria + tetanus + poliomyelitis vaccine (product)
• 350327004 Diphtheria + tetanus vaccine (product)
• 422078006 Product containing docusate sodium and glycerol (medicinal product)
• 418792004 Product containing doxorubicin liposome (medicinal product)
• 425045009 Product containing estradiol and medroxyprogesterone acetate (medicinal product)
• 36795002 Product containing piperazine estrone sulfate (medicinal product)
• 109125002 Product containing ethanolamine oleate (medicinal product)
• 422453004 Product containing ethyl morphine (medicinal product)
• 421025005 Product containing fluocortolone and fluocortolone hexanoate (medicinal product)
• 418213007 Product containing fluocortolone hexanoate and fluocortolone pivalate (medicinal product)
• 321669003 Product containing fluphenazine decanoate (medicinal product)
• 350367003 Product containing diethylstilbestrol diphosphate (medicinal product)
• 424892000 Product containing gadofosveset trisodium (medicinal product)
• 421879002 Product containing gamma-linolenic acid and vitamin E (medicinal product)
• 22168005 Product containing glycopyrronium bromide (medicinal product)
• 325281002 Product containing guar gum (medicinal product)
• 425021005 Product containing heme arginate (medicinal product)
• 333680004 Haemophilus influenzae Type b vaccine (product)
• 423912009 Haemophilus influenzae type b + Meningococcal group C vaccine (product)
• 321699007 Product containing haloperidol decanoate (medicinal product)
• 333702001 Hepatitis A+B vaccine (product)
• 333707007 Hepatitis A+typhoid vaccine (product)
• 14745005 Hepatitis A virus vaccine (product)
• 34689006 Hepatitis B virus vaccine (product)
• 417440006 Product containing human alpha1 proteinase inhibitor (product)
• 424519000 Human papillomavirus vaccine (product)
• 346497006 Product containing hydrocortisone and sodium fusidate (medicinal product)
• 46233009 Influenza virus vaccine (product)
• 350626003 Product containing inositol niacinate (medicinal product)
• 417535000 Product containing biphasic isophane insulin human (medicinal product)
• 417302009 Product containing biphasic isophane insulin porcine (medicinal product)
• 61153008 Measles, mumps and rubella vaccine (product)
• 386012008 Measles vaccine (product)
• 416688007 Product containing meglumine diatrizoate and sodium diatrizoate (medicinal product)
• 414307008 Product containing gadobenate dimeglumine (medicinal product)
• 404846007 Product containing gadopentetate dimeglumine (medicinal product)
• 109221002 Product containing iothalamate meglumine (medicinal product)
• 353929006 Product containing meglumine iotroxinate (medicinal product)
• 422069000 Meningococcal group C vaccine (product)
• 420261000 Meningococcal groups A+C+W135+Y vaccine (product)
• 421281005 Meningococcal A+C vaccine (product)
• 426360006 Product containing methoxy polyethylene glycol-epoetin beta (medicinal product)
• 408043009 Product containing methyl aminolevulinate (medicinal product)
• 109069007 Product containing methylprednisolone sodium succinate (medicinal product)
• 109131004 Product containing mycophenolate mofetil (medicinal product)
• 61650007 Product containing nicotinamide (medicinal product)
• 424828009 Product containing nicotinamide and riboflavin and vitamin B1 (medicinal product)
• 447064008 Product containing amlodipine and hydrochlorothiazide and olmesartan medoxomil (medicinal product)
• 423799007 Product containing hydrochlorothiazide and olmesartan medoxomil (medicinal product)
• 346606003 Product containing papaveretum and scopolamine hydrobromide (medicinal product)
• 422455006 Product containing pentosan polysulfate sodium (medicinal product)
• 350576006 Product containing phosphate (product)
• 329903000 Product containing piroxicam beta cyclodextrin (medicinal product)
• 333598008 Pneumococcal vaccine (product)
• 111164008 Poliovirus vaccine (product)
• 333339003 Product containing potassium permanganate (medicinal product)
• 449005 Product containing procaine benzylpenicillin (medicinal product)
• 424360008 Product containing pyridoxal phosphate (medicinal product)
• 36944009 Product containing vitamin B6 compound (product)
• 333606008 Rabies vaccine (product)
• 108662009 Product containing ranitidine bismuth citrate (medicinal product)
• 116077000 Rotavirus vaccine (product)
• 386013003 Rubella vaccine (product)
• 33234009 Smallpox vaccine (product)
• 24891006 Product containing sodium diatrizoate (medicinal product)
• 75366006 Product containing edetate calcium disodium (medicinal product)
• 324312006 Product containing sodium fusidate (medicinal product)
• 337373009 Product containing sodium iopodate (medicinal product)
• 25849001 Product containing sodium nitroprusside (medicinal product)
• 410918008 Product containing sodium oxybate (medicinal product)
• 329472001 Product containing sodium phenylbutyrate (medicinal product)
• 27085003 Product containing sodium polystyrene sulfonate (medicinal product)
• 38828006 Product containing sodium thiosulfate (medicinal product)
• 420704006 Product containing anhydrous lanolin and paraffin (medicinal product)
• 333621002 Tetanus vaccine (product)
• 333699008 Tick-borne encephalitis vaccine (product)
• 109068004 Product containing triamcinolone hexacetonide (medicinal product)
• 420538001 Tuberculosis vaccine (product)
• 89428009 Typhoid vaccine (product)
• 108729007 Varicella virus vaccine (product)
• 420420002 Product containing anhydrous lanolin (medicinal product)
• 56844000 Yellow fever vaccine (product)
• 421357000 Product containing anhydrous lanolin and zinc oxide (medicinal product)
• 398804008 Product containing undecylenic acid and zinc undecylenate (medicinal product)
• 321707006 Product containing zuclopenthixol decanoate (medicinal product)
The dm+d release on 6th September 2021 includes suitable replacements for all items being inactivated by that release. Consequently, the SNOMED CT changes to concepts listed above are perceived to have minimal impact on existing clinical workflows.
These changes will be included within a future Gemscript release planned to be deployed during October 2021.