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

• datastandards@nhs.net

Data Standards Helpdesk

• http://www.networks.nhs.uk

NHS Networks SNOMED CT

Denise Downs

Denise.downs@nhs.net

0113 397 3971 / 3607

www.nhscfh.nhs.uk/uktc  

www.networks.nhs.uk/nhs-networks/ snomed-ct/about-us