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Transcript
Introduction to SNOMED CT
presented by Jo Oakes,
[email protected]
Agenda
•
•
•
•
•
Introduction
Where are we now and where are we going?
What does SNOMED CT look like?
SNOMED CT in more detail
Benefits and further resources
Introduction
‘Go-compare’
Key Messages
• We are seeing the biggest change in healthcare
that we’ve seen in years
– Care model is going to change
– Electronic records are driving improvements
in care
• Shared care
– Wherever the patient goes, the person
treating them should have access to key
information
Key Messages
• Analysis of patient data throughout
healthcare will be used to improve patient
care
• IT needed to support the growing
knowledge that helps personalised patient
care, e.g. NICE guidelines, stratified
medicine
• This will take time
Where are we now and where are we
going?
Where are we now – Primary care?
Where are we now – Secondary care?
Where are we now?
• Primary care and secondary care are not as well
joined up as they could be
Primary
Care
Secondary
Care
Strategy
• Aim for the NHS: Patient centred – patients can view
own records
• Actions:
– Interoperability – move data around electronically
– Record once, use many times
• All require a common standardised vocabulary
11
Framework for Action
• The National Information Board (NIB) document
“Personalised Health and Care 2020: A Framework for
Action”:
– endorses the move to adopt a single clinical terminology –
SNOMED CT – to support direct management of care
– will actively collaborate to ensure that all primary care
systems adopt SNOMED CT during the financial year of
2017 – 2018
12
Framework for Action
• The National Information Board (NIB):
– States the entire health system should adopt SNOMED CT
by April 2020
– During this time, we must also work with local authorities to
understand and address the implications of this for social
care.
13
Transfer of Care Initiative
Any Questions
Please put yourself on mute when not talking. Many Thanks
What does SNOMED CT look like?
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
Moorfields Eye Hospital – Open Eyes
software
SNOMED CT in Action
Click on the drop down
list to see a list of
common diagnoses
which are all SNOMED
CT terms
SNOMED CT in Action
Diagnosis can be
selected from a list of
common diagnoses
which are all SNOMED
CT terms
SNOMED CT in Action
Alternatively type in
what you are looking for
and a list of SNOMED
CT terms containing the
text will appear
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
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
NHS e-Referral Service
Making an Appointment
• GPs can use e-Referral to make appointments for
their patients who can then make their decision based
on choices such as ease of travel or nearest location
SNOMED CT in Action
The Clinical Term is selected
from a list of SNOMED CT
terms
SNOMED CT in Action
Type in the term to
be searched for
SNOMED CT in Action
A list of terms appears
SNOMED CT in Action
The selected term is shown
below with its parents and
children
SNOMED CT in Action
Select the required term
SNOMED CT in Action
The selected term then
appears in the Clinical
Term box
CSC Lorenzo
Type in what you are
looking for and then
click on the search
button
Select the
required
term
Select certainty
from the drop
down list
Find the term
you require
Select severity
from the drop
down list
Select severity
from the drop
down list
Type in the body
site and click to
search for it
Select body site
from the list
displayed
Select laterality
from the drop
down list
Select laterality
from the drop
down list
Click on add to add
the body site
Click on Finish to
complete save
Start to type the
procedure you are
looking for
Click on the search
button to display
the procedures
Click to use the
advanced search
Children of the term are
displayed allowing you to
select a more detailed term
Select the term to
display even more
detailed terms
Further terms are
displayed
Select the required
term
Click on Finish to
add it to the record
The other fields can be
completed in the same
way as for diagnosis
Click on Finish to
complete save
SNOMED CT in Applications
• SNOMED CT has been implemented in many
applications and as has been shown in the previous
slides should not make things complicated
• Clinicians should just see terms they are familiar with
using and not even realise they are SNOMED CT
terms
Any Questions
Please put yourself on mute when not talking. Many Thanks
SNOMED CT in more detail
SNOMED CT Content
Clinical
Findings
Causes of
Disease
Procedures
•
•
•
•
Disease and deformity – scar
Symptoms – difficulty breathing
Social – finding of walking aid use
Examination findings – tachycardia
• Forces – pressure change
• Events – road traffic accident
• Organisms – herpes simplex virus
•
•
•
•
Laboratory
Therapy
Clinical Investigation
Surgical procedure
SNOMED CT Content
Anatomy
Observations
Products
• Normal – knee joint
• Abnormal – ganglion cyst
• Lesions – bony callus
• Vital signs – blood pressure
• Body product observable – colour of urine
• Values - present
• Drugs – paracetamol
• Substances – latex
• Devices – bedpan
A Concept in SNOMED CT
Fully specified name: heart disease (disorder)
Preferred term: heart disease
Synonym: cardiac disorder
Synonym: cardiopathy
Synonym: morbus cordis
Synonym: disorder of heart
A concept in SNOMED CT
56265001
Fully specified name: heart
disease (disorder)
Preferred term: heart
disease
Synonym: cardiac disorder
Synonym: cardiopathy
Synonym: morbus cordis
Synonym: disorder of heart
Browser Demo
• SNOMED CT browser demo
A concept in SNOMED CT
Concept
Attributes
fully specified
name
preferred term
synonyms
Relationships
A concept in SNOMED CT
56265001
Fully specified name: heart
disease (disorder)
Preferred term: heart
disease
Synonym: cardiac disorder
Synonym: cardiopathy
Synonym: morbus cordis
Synonym: disorder of heart
Finding site: heart
structure
Is a – cardiac
finding
Is a – disorder of
mediastinum
Is a – disorder of
cardiovascular
system
Disease
Infectious disease
Disorder by body site
Infection by site
Disorder of trunk
Disorder of thorax
Bacterial infectious disease
Respiratory tract infection
Bacterial infection by site
Disorder of lung
Lower respiratory tract infection
Lung consolidation
Pneumonia
Bacterial respiratory infection
Infectious disease of lung
Infective pneumonia
Bacterial lower respiratory infection
Bacterial pneumonia
Success with SNOMED CT
Things are normally in the singular, e.g.
eye not eyes
When searching don’t always use full
words, e.g. diab would return both
diabetic and diabetes
Don’t enter words like “and”, “to” and “the”
Success with SNOMED CT
Use techniques similar to how you currently
search the internet and medical publications
Search for significant words and don’t worry
about the order, e.g. implant lumbar cath would
return implantation of lumbar epidural catheter
Try common abbreviations, e.g. PID for
prolapsed intervertebral disc
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
Why Subsets?
• In an ophthalmic theatre department
SNOMED CT
Procedures
Ophthalmic
procedures
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
Current Subsets Examples
Allergens
Diagnoses
Laterality
Radiology
procedures
Any Questions
Please put yourself on mute when not talking. Many Thanks
Benefits and further resources
Across Professions
• Across different specialisms:
orthopaedics, cardiology,
renal, microbiology,
histopathology ...
Cardiology
Across Professions
• Synonyms – same concept said in different ways to
support cross discipline working
Patient –
black eye
Nurse –
bruise of eye
Clinician –
contusion
of eye
Across Professions
• Across primary, secondary, community, social care,
mental health
Primary
Care
Mental
Health
Patient
Data
Community
Secondary
Care
Communication – “Connect all”
• Seamless transfer - coded information to be
electronically communicated - without mapping
Primary
Care
Mental
Health
SNOME
CT Data
Community
Secondary
Care
Communication – “Connect all”
• Translated into different languages: Spanish, French,
Swedish, Danish ... Work starting in Lithuanian, Polish
morphine allergy
morfin allergi
International
Suppliers in different countries using the same terminology
Potential for improved functionality of systems as supporting just one
terminology
Collaborative effort: more cost effective
Links with other international standards – eg. World Health
Organisation
How can I look at SNOMED CT?
• There are various free to use browsers available on
the market. Details of those that support the UK
Edition of SNOMED CT can be found in the UKTC:
• Free to use browsers
Learn more about SNOMED CT
Visit: Training and Resources on UKTC website
eLearning
Webinars
SNOMED CT NHS network
Documentation
Case studies
Any Questions
Please put yourself on mute when not talking. Many Thanks
UKTC Website
SNOMED CT Training and Resources
www.digital.nhs.uk
@nhsdigital
For
Information Standards Service Desk call 0300 303 4777 or email
[email protected]
[email protected]
0300 303 5678