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snomed ct

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Kathy Romig

on 14 November 2012

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Transcript of snomed ct

What does it do? SNOMED CT provides the core general terminology for the electronic health record (EHR) and contains more than 311,000 active concepts with unique meanings and formal logic-based definitions organized into hierarchies. When implemented in software applications, SNOMED CT can be used to represent clinically relevant information consistently, reliably and comprehensively as an integral part of producing electronic health records. What is SNOMED CT? Systematized Nomenclature of Medicine -Clinical Terms SNOMED CT Tara Kays & Kathy Romig What is it used for? •It captures clinical information at the level of detail needed for the provision of healthcare

•Through sharing data it can reduce the need to repeat health history at each new encounter with a healthcare professional

•Information can be recorded by different people in different locations and combined into simple information views within the patient record

•Use of a common terminology decreases the potential for differing interpretation of information Applications for SNOWMED CT •Electronic Health Record Systems
•Computerized Provider Order Entry CPOE such as E-Prescribing or Laboratory Order Entry
•Catalogues of clinical services; e.g., for Diagnostic Imaging procedures
•Knowledge databases used in clinical decision support systems (CDSS)
•Remote Intensive Care Unit Monitoring
•Laboratory Reporting
•Emergency Room Charting
•Cancer Reporting
•Genetic Databases A systematically organized computer processable collection of medical terms providing codes, terms, synonyms and definitions covering diseases, findings, procedures, microorganisms, substances, etc. It allows a consistent way to index, store, retrieve, and aggregate clinical data across specialties and sites of care. Who uses it? Clinicians

The end users of EHRs

System developers & vendors / suppliers

System implementers

Hospitals, clinics, laboratories, etc

Policy makers (government, professions, etc)

Researchers More Uses... •Electronic recording in a common way reduces errors and can help to ensure completeness in recording all relevant data

•Standardized information makes analysis easier, supporting quality, cost effective practice, research and future clinical guideline development

•A clinical terminology allows a health care provider to identify patients based on specified coded information, and more effectively manage screening, treatment and follow up References Hebda, T., & Czar, P. (2013). Handbook of Informatics for Nurses & Healthecare Professionals (5thth ed., pp. 267-268). Pittsburgh, PA: Pearson.

(n.d.). In International Health Terminology Standards Development Organization. Retrieved October 31, 2012, from http://www.ihtsdo.org/about-ihtsdo/

Snomed CT (n.d.). In Wikipedia The Free Encyclopedia. Retrieved October 31, 2012, from http://en.wikipedia.org/wiki/SNOMED_CT
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