What is the NZULM?
The New Zealand Universal List of Medicines (NZULM) is a service to provide hospital and community health care practitioners with a consolidated view of relevant information from:
The PHARMAC Pharmaceutical Schedule;
Medsafe Licensing; and
The New Zealand Medicines Terminology (NZMT) (based on the SNOMED CT international medicines terminology).
The information provided is authoritative and up to date, designed to be seamlessly and easily accessed, and intended to be universally used throughout the health system.
Within the NZULM are three primary sources of data: the NZMT, the Pharmaceutical Schedule and the Medsafe Registration database. These three data sources provide four sets of data as the Pharmaceutical Schedule includes both the Community Schedule and the Hospital Medicines List (HML). These four datasets have relationships at the lowest level. In the NZMT this is the CTPP (Containered Trade Product Pack) table. In the Community Schedule this is the ps_pack table. In the HML this is the hml_pack table. In the Medsafe files this is the ms_package table.
Some of the terms and abbreviations in this document may require further explanation.
Terms
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Meaning
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AMT
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This is an abbreviation for the Australian Medicines Terminology, a SNOMED-CT terminology database.
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CTPP
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This is a concept table in the NZMT – the Containered Trade Product Pack, representing the physical product able to be dispensed.
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MHM
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This is a relationship table in the NZMT – the MPP Has MPUU, which holds the relationship between an MPP record and an MPUU record.
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MP
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This is a concept table in the NZMT – the Medicinal Product, containing the generic names of medicinal substances.
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MPP
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This is a concept table in the NZMT – the Medicinal Product Pack, representing a generic substance with a certain formulation, a specific dose form, and a specific pack size.
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MPUU
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This is a concept table in the NZMT – the Medicinal Product Unit of Use, representing an individual dose of a medicine described using the generic substance name rather than the brand name.
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NZMT
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This is an abbreviation for the New Zealand Medicines Terminology, a SNOMED-CT-compliant terminology database.
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sctid
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This is an abbreviation for SNOMED CT ID. In NZMT tables it is the ID field. In other tables it is referred to as sctid e.g. ms_package.nzmt_sctid.
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Section 29
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This is the section of the Medicines Act that allows clinicians to prescribe medicines not registered for sale in NZ to patients on compassionate grounds.
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THT
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This is a relationship table in the NZMT – the TPP Has TPUU, which holds the relationship between a TPP record and a TPUU record.
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TP
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This is a concept table in the NZMT – the Trade Product table, containing brand names for products.
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TPP
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This is a concept table in the NZMT – the Trade Product Pack, representing a branded product with a certain formulation, a specific dose form, and a specific pack size.
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TPUU
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This is a concept table in the NZMT - the Trade Product Unit of Use, representing a single dose of a specific formulation of a branded product (unless the product is presented as a continuous dosage form, e.g. liquid or cream).
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The Logical Relationship Diagram
This diagram shows the various relationships between the various tables (CTPP, MPUU, ps_pack, hml_pack, ms_package, ms_substance and substance). CTPP and ps_pack have a relationship through the pharmacode via the ctpp_pharmacodes table. CTPP and ms_package have a relationship through the CTPP id and the ms_package nzmt_sctid columns. Both CTPP and MPUU have a relationship with hml_pack through the pharmacy_subsidy_code via the nzmt_pharmac_subsidy_codes table. Substance and ms_substance have a relationship via the ms_substance_sct table.
The relationship between nzmt_pharmac_subsidy_codes and CTPP and MPUU is illustrative of the logical relationship. Nzmt_pharmac_subsidy_-codes is able to link any NZMT table to an hml_pack.pharmac_subsidy_code. While almost all of the hml_pack.pharmac_subsidy_codes are at either CTPP or MPUU level, there are some relationships with MPP records, where the subsidy code applies to a specific generic pack size. The pharmacy_subsidy_code is unique within nzmt_pharmac_subsidy_codes – a subsidy code links to only one NZMT record (at whatever level is appropriate). Multiple subsidy codes can link to the same NZMT sctid – this is likely to occur at MPUU level only, where the NZMT generic is less specific than the PHARMAC chemical/formulation combination.
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