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Introduction to SNOMED CT

Introduction to SNOMED CT . Why SNOMED CT? Features, Examples of Use & Benefits. Presented by Jo Oakes. Why SNOMED CT?. Electronic Patient Records. Why SNOMED CT?.

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Introduction to SNOMED CT

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  1. Introduction to SNOMED CT Why SNOMED CT? Features, Examples of Use & Benefits Presented by Jo Oakes

  2. Why SNOMED CT?

  3. Electronic Patient Records

  4. Why SNOMED CT? • SNOMED CT has been selected and approved as the terminology to be adopted by the NHS in England. It is the most comprehensive international terminology currently available and can be used across all care settings and all clinical domains.

  5. Interoperable With an agreed structure data can be passed from one system to another To achieve this we need to use structured records and a structured terminology • Patient visits GP • Discharge summary returned to GP • GP makes referral to Trust • SNOMED CT • Discharge Summary(may contain SNOMED CT) • Using Choose & Bookto make the referral • Diagnosis of patient recorded using SNOMED CT • Reason for referral is recorded using SNOMED CT • Clinician treats Patient

  6. SNOMED CT • The chosen terminology for the NHS England Use of Synonyms helps cater for different expressions with the same meaning

  7. Terminology / Classification Classifications are intended for population statistics and analysis.  Terminologies are designed to be used by clinicians in their recording of data in a patient record. Maps between SNOMED CT and the classifications are provided as part of the national product set to support classification coding.

  8. Any Questions Please put yourself on mute when not talking. Many Thanks

  9. SNOMED CT

  10. SNOMED CT – What is it? • SNOMED CT is a clinical terminology Systematized Nomenclature of Medicine (Clinical Terms)

  11. SNOMED CT – What is it? • SNOMED CT is a clinical terminology Systematized Nomenclature of Medicine (Clinical Terms) • Collection of names and words

  12. SNOMED CT – What is it? • SNOMED CT is a clinical terminology Systematized Nomenclature of Medicine (Clinical Terms) • Collection of names and words • Relevant to the field of medicine

  13. SNOMED CT – What is it? • SNOMED CT is a clinical terminology Systematized Nomenclature of Medicine (Clinical Terms) • Collection of names and words • Relevant to the field of medicine • Organised in a structured and logically consistent manner

  14. SNOMED CT – What is it? • SNOMED CT is a clinical terminology Systematized Nomenclature of Medicine (Clinical Terms) • Collection of names and words • Relevant to the field of medicine • Organised in a structured and logically consistent manner More ‘like’ a thesaurus than just a coding scheme

  15. SNOMED CT Content

  16. SNOMED CT Content

  17. Lung mild moderate severe inflammation infection exertional angina Clinical ‘utterances’ are a Concept in the terminology Blood pressure von Recklinghausen's bone disease Sitting Blood pressure toe finger ischaemic acute bacterial cough viral phlegm

  18. A Concept

  19. A Concept in SNOMED CT Preferred Term: Heart Disease Synonym: Cardiopathy Synonym: Disorder of Heart Synonym: MorbusCordis Synonym: Cardiac Disorder Synonym: Cardiac Diseases Synonym: Heart Diseases • Heart disease (disorder) 56265001 • Relationships • Is a cardiac finding • Is a disorder of mediastinum • Is a disorder of cardiovascular system • Finding site heart structure • Severity • Episodicity • Courses

  20. Disease Infectious disease Disorder by body site Infection by site Disorder of trunk Bacterial infectious disease Respiratory tract infection Disorder of thorax Bacterial infection by site Disorder of lung Lower respiratory tract infection Lung consolidation Bacterial respiratory infection Pneumonia Infectious disease of lung Infective pneumonia Bacterial lower respiratory infection Bacterial pneumonia

  21. Subsets What is a SUBSET? • SNOMED CT is extensive – it is supporting a common vocabulary for all healthcare specialisms, and all healthcare professionals, as well as keeping up to date with current practice • A subset is ‘smaller set of SNOMED CT ‘ that meets a particular requirement • A SNOMED CT subset can be a group of concepts, descriptions or relationships chosen for relevance under certain conditions or in certain contexts

  22. Subsets Why SUBSETS? • It is often desirable to constrain the SNOMED CT concepts available to a subset, say to help faster data entry – so for example, all possible performed procedures in a radiology department or a theatre department

  23. Subsets HOW APPLICATIONS USE SUBSETS • Supports easier navigation • Can be used to limit to specific SNOMED CT codes • Can act like a ‘favourites’ for the end user • Can be used nationally or locally –synchronised national releases • Access to subsets may be role based

  24. Current Subsets Examples

  25. Browser Demo • Examples of concepts in a browser

  26. Any Questions Please put yourself on mute when not talking. Many Thanks

  27. Examples of use

  28. Success with SNOMED CT

  29. What’s Recorded?

  30. What the Clinician Sees • Crohn’s Disease • 34000006

  31. Decision to Admit

  32. Allergies/ADRs

  33. Discharge Summary

  34. SNOMED CT in Action • The following sections contain screen shots from applications that use SNOMED CT • We are grateful for their kind permission to use these as without them it is sometimes difficult to envisage what SNOMED CT looks like in use

  35. Moorfields eye hospital – open eyes software

  36. SNOMED CT in Action Click on the drop down list to see a list of common diagnoses which are all SNOMED CT terms

  37. SNOMED CT in Action Diagnosis can be selected from a list of common diagnoses which are all SNOMED CT terms

  38. SNOMED CT in Action Alternatively type in what you are looking for and a list of SNOMED CT terms containing the text will appear

  39. SNOMED CT in Action The same can be done for procedures, select from a list of commonly used procedures which are all SNOMED CT terms

  40. SNOMED CT in Action You can also type in the procedure you are looking for and the list that appears will all be SNOMED CT terms

  41. Choose and book

  42. Making an Appointment • GPs can use Choose and Book to make appointments for their patients who can then make their decision based on choices such as ease of travel or nearest location

  43. SNOMED CT in Action The Clinical Term is selected from a list of SNOMED CT terms

  44. SNOMED CT in Action Type in the term to be searched for

  45. SNOMED CT in Action A list of terms appears

  46. SNOMED CT in Action The selected term is shown below with its parents and children

  47. SNOMED CT in Action The selected term then appears in the Clinical Term box

  48. Csclorenzo

  49. Type in what you are looking for and then click on the search button

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