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Terms in this set (22)
SNOMED-CT is a clinical terminology. What does SNOMED-CT stand for
Systematized Nomenclature of Medicine - Clinical Terms
Explain briefly what a clinical terminology is
A clinical terminology is a structured collection of descriptive terms for use in
These terms describe the care and treatment of patients and cover areas like diagnoses, symptoms, surgical procedures, treatments and
medicines as well as terms used for healthcare administration
Name the link mechanism between SNOMED-CT and the ICD-10 and OPCS-
4.7 classifications that are essential to support the derivation of statistical data
from clinical data
#Give 8 benefits of using SNOMED-CT and electronic patient records (EPR) in the
Controlled vocabulary - less chance of misunderstandings between
2. Consistent terminology across all care domains.
3. Precise recording of clinical information.
5. EPR reduces storage costs.
6. EPR can be accessed in many places at the same time.
7. EPR is quickly transferred.
8. EPR is legible as it is not dependant on hand-written notes.
9. More efficient search for patient records.
10. Point of care decision support.
11. Monitoring adverse reactions to treatment.
12. Automatic identification of patient risk factors.
13. Monitor response to treatment.
What is the SNOMED CT UK Drug Extension comprised of
• NHS dictionary of medicines and devices derived content
• Clinical Terms Version 3 derived content
• Some additional unique content.
What is SNOMED CT
an organised collection of standardised clinical phrases,
that when used in patient records provide for consistent understanding
across the healthcare domains. When used in software systems, data
coded using the appropriate SNOMED CT terms allows for the data to be
transferred seamlessly between systems and enables features such as
decision support and clinical alerts.
Who manages and maintains SNOMED CT
International Health Terminology Standards Development Organisation
In the UK?
the UK Terminology Centre
Why are the classification cross-maps important and name the two main data warehouses that hold the data
The link between the terminologies and the classifications is essential to
support the derivation of management data from clinical information
systems and is fundamental to the production of statistical data used by
the Department of Health to produce Hospital Episode Statistics (HES)
and support the Secondary Uses Service (SUS)
Cross-maps are the link between SNOMED CT and the Classifications ICD-
10 and OPCS-4.
Name the sources of standards, rules or conventions
incorporated using cross-maps?
The UK NHS Information Standards
UK Clinical Coding Standards
ICD-10 and OPCS-4 Standards
Rules and conventions of ICD-10 and OPCS-4
Rules and conventions of the Classifications
Describe the two known reasons (use cases) for the essential link between
SNOMED CT and the Classifications ICD-10 and OPCS-4?
To support NHS Information Flows (however described, e.g. able to fulfil the mandated requirement for the collection and reporting of Admitted Patient
To support NHS Financial Flows (however described, e.g. provide the
underlying data for Payment by Results (PbR)).
Name the three most common descriptions of a concept found within
Fully Specified Name
Name potential benefits, for a clinician, of SNOMED CT
Easier access to information
User friendly for clinicians
A developing national standard
Ability to search records for clinical information
Name the two types of 'relationships' that a SNOMED CT concept can have
Which SNOMED CT 'relationship' is also described as a parent/child relationship
An IS_A relationship
. The cross-maps between SNOMED CT and the Classifications ICD-10 and
OPCS-4 are semi-automated. What does this allow the coding professional to include in the final target codes assigned
the three key properties of a SNOMED CT concept
The anchors of meaning
Terms used to express the meanings of the concepts in human language
Concept to Concept links to express information in computer-processable language
the key feature of a 'Fully Specified Name' in SNOMED CT
It provides a unique/unambiguous name for a concept
Facts about SnoMed CT
Is the clinical terminology chosen to underpin the Electronic Patient Record
Supports informed decision making
The UK Edition of SNOMED CT includes both the international and UK specific content
Cross-maps in SNOMED CT are described as being semi-automated. What does this allow the coding professional to do
This allows for inclusion of context in the final target code(s) assigned
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