SNOMED CT Update
• Denise Downs
• Implementation and Education Lead
Points to Cover
• Background – SNOMED CT
• Note on dm+d
• Current Activity
• Possible Actions
What ?
• Standardised set of ‘commonly’ used clinical phrases that
nationally applicable
– Supports all healthcare specialisms
– Supports internationally leading specialists
• Can be used in paper and electronic records
– In electronic records is also coded
And more ...
• The standardised phrases are part of a managed
knowledge base
– Type of infectious disease
– Is-a procedure
– Is-a diagnosis
• Enables more sophisticated analytics, more intelligent
EHR systems, links to pathways, links to knowledge
resources, ...
Incorporates other
standards & scales:
• SNOMED CT incorporates existing standards & scales:
– Glasgow coma scale
– Assessment using arthritis hand function test
– Lung volume test
– Falls Risk Assessment Score for the Elderly (FRASE)
– Waterlow pressure sore
• Note. The Intellectual property needs to be owned by the NHS or the
user when used in practice.
Why?
• Standardised record keeping
• Communication between and amongst professions
• Communication between systems in consistent coded
format
• Single coded format supports decision support, business
processes, reporting, analysis, ...
Why? -Interoperable
• With an agreed structure, data can be passed from one system to
another and be ‘UNDERSTOOD’ by that system, but only if we use
structured records and a common terminology
Choose
and
Book
GP
makes
referral to
Trust
Discharge
summary
sent to
GP
Summary Care Record
Patient
summary
record
Contains allergies,
adverse reactions,
medications (current
repeat, discontinued
repeat, acute). Additional
information with patients
consent such as current
diagnoses e.g. diabetes,
asthma
This SCR
clinical data is
stored using
SNOMED CT
Provides consistent
recording and semantic
interoperability across a
mixed coding domain
dm+d
• NHS dictionary of medicines and devices
• Currently going through ISB process, expected to be a
full standard by the end of the year
• Planned to replace Read drugs
• Is harmonised with SNOMED CT – uses same concept
codes
• Implementation planned to be mandated 2017
• dm+d underpins EPS
– EPS R2 completed its 1millionth full transaction this
week (i.e the full process – prescribe, dispense,
reimburse)
Implementation
Progress
• Cerner Millenium, Lorenzo, Rio, SCR, EPS, Choose &
Book, Spine, ...
• Decision support systems such as First Databank
• Map of Medicine
• Business analytics software
• New standards and datasets will require SNOMED CT to
be addressed
Care planning
Ongoing work in
this area, new
update in April –
feedback
welcome
General principles for
practice
Record once
reference many
Share-ability
TRUE not similar
• Aim to only record once in the right place
• Potential to cite many times
• May be read in a different context to which
it is written
• Don’t use something close but untrue
• Qualify with free text don’t modify
College of Occupational
Therapists
• Subset in existence and under further development
• Expert Reference Group – training and workshops – to
support long term management of subset
• CPD for current professions
• HEI’s and pre-registration curriculum
• All led and promoted by COT
British Dietetic Association
• International standard, interest in harmonising with
SNOMED CT
• Some services interested in adopting in its SNOMED CT
format
• Possible national project coordinated through BDA
• Discussions ongoing
Others
• Renal
– Expert reference group and subset, into management
of subset
– Pressure on suppliers
• College of Emergency Medicine
– Subset in development
– Mapped to national HES codes
– Analysis of live SNOMED CT data and feedback to
emergency department in London
Actions?
• Communications from professional bodies in relation to
SNOMED CT
– In information strategy for AHPs
– Public Endorsement
• Requirements of suppliers?
• Feedback on care planning
• Next phase interest in similar activities to COT?
Learn more about SNOMED CT
Visit: Training & Resources on UKTC website
E-learning
Webinars
Case studies
Brochures and guides
SNOMED CT NHS network
Useful websites
UKTC website
• http://www.nhscfh.nhs.uk/uktc
Data Standards Helpdesk
• [email protected]
NHS Networks SNOMED CT
• http://www.networks.nhs.uk
www.networks.nhs.uk/nhs-networks/ snomed-ct/about-us
Denise Downs
[email protected]
0113 397 3971 / 3607
www.nhscfh.nhs.uk/uktc