snomed ct update denise downs implementation and education lead
TRANSCRIPT
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
GP makes referral to
Trust
Discharge summary
sent to GP
Choose and
Book
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
• Aim to only record once in the right place• Potential to cite many times
Record once
reference many
• May be read in a different context to which it is writtenShare-ability
• Don’t use something close but untrue• Qualify with free text don’t modify
TRUE not similar
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 CTVisit: Training & Resources on UKTC website
E-learning
Webinars
Case studies
Brochures and guides
SNOMED CT NHS network
Useful websites
• http://www.nhscfh.nhs.uk/uktc
UKTC website
Data Standards Helpdesk
• http://www.networks.nhs.uk
NHS Networks SNOMED CT
Denise Downs
0113 397 3971 / 3607
www.nhscfh.nhs.uk/uktc
www.networks.nhs.uk/nhs-networks/ snomed-ct/about-us