SNOMED Practice Lab Activity

Introduction to SNOMED

 SNOMED refers to Systemized Nomenclature of MEDicine. It contains a collection of a worldwide variety of organized clinical terminologies that defines unique codes. It provides relationships and cross map of various terminologies such as ICD 9, ICD 10, and LOINC (De, Chan, & Jones, 2011). It covers most of the medical terminologies. It explains disorders and findings that outline what was observed in details. It explains procedures based on what was done and reveals various events that took place. The platform of SNOMED shows substances and medications that were consumed or administered to the patient.

A website is a form of ontology the shows that a particular concept has a close relationship with other concepts. A similar concept may have several synonyms that extend variation of clinical names for example heart attack may refer to infarction of heart, and Myocardial infarction (Ian, 2016). The various concepts are divided into hierarchical units with each concept holding a particular clinical finding, disorder, procedure, substances as well as other terminologies.

The website is an interactive way of presenting disorders and their findings to get clear information about the patient’s conditions for easier analysis. Finding may refer to observations and judgment of patient’s physical, mental as well as social conditions. Examples of finding that can be inserted in the searching area include bleeding of gums and cough. Disorders presented on the searching area may include a subset of finding that may reveal an abnormal, physical or mental condition for a particular patient.   Examples of disorders include tuberculosis, and Angina, Class I (Ian, 2016).     

References

De, L. S., Chan, T., & Jones, S. (2011). Large complex terminologies: more coding choice, but harder to find data--reflections on introduction of SNOMED CT (Systematized Nomenclature of Medicine--Clinical Terms) as an NHS standard. Informatics in Primary Care, 19, 1, 3-5.

Ian A. (2016). An Introduction to SNOMED CT. Royal College of Surgeons workshop

  

Week 7

Terminologies, Vocabularies and Classifications Systems

Clinical vocabularies, terminologies, and coding systems are various lists of terms designed to describe unambiguous caring and treatment of patients. SNOMED CT covers diseases, treatments, diagnosis, drugs, findings, administrative items and operations (Open Clinical, 2016). The terminologies are highly significant in recording as well as reporting patients care at varying levels of details. The vocabularies provided by SNOMED CT are a system of names and corresponding explanations of their meanings. The vocabularies enable patients and caregivers to have an understanding of a disorder and its findings.  The classification of medical terms applied by SNOMED CT is a systematic organization of various things into classes that define various thesauruses which can be applied in medical field practice (Chute, 2000). The classifications are used to support searching operations in the bibliographic operations.

The many terms are necessary because SNOMED CT terms health professionals are capable of sending health-related data and information as well as receiving health data and information in the more simplified standard that can be understood and usable. The existence of many terminologies, vocabularies and classifications systems in SNOMED CT is a way of providing common clinical terminologies for effective and efficient description, classifying, as well as coding of medical terms and concepts (Open Clinical, 2016). The purpose of collecting multiple terminologies, vocabularies and classifications systems is to facilitate electronic data and information collection in areas of care. It facilitates retrieving of relevant data and information as well as knowledge to help health professionals in using the facilities in disease surveillance, clinical decisions support, and patient safety and reporting (Open Clinical, 2016).

References

Chute, C. G. (2000). Clinical Classification and Terminology: Some History and Current Observations. Journal of the American Medical Informatics Association : JAMIA, 7(3), 298–303.

Open Clinical (2016). Medical terminologies, nomenclatures, coding and classification systems: an introduction.  

Week 8

Point of Direction: Mapping ICD-10-CM/PCS Codes

The ICD-10-CM/PCS mapping table should be structured such that it has seven axes in which each axes describes specific aspect of procedure  

1	2	3	3	5	6	7
Section	Body System	Root Operator	Body part	Approach	Device	Qualifier

Example

Section Body system Operation	O U T	Medical and  surgical Female reproduction system Resection: cutting out off without replacement all of a body part
Body part	Approach		Device	Quantifier
Ovary right Ovary left Ovaries bilateral Fallopian tube right Fallopian tube left Fallopian tubes bilateral Uterus	Open Percutaneous edoscopic Via natural or artificial opening Via natural or artificial opening endoscopic Via natural or artificial opening  with Percutaneous endoscopic assistance		Z No Device	Z No Quantifier

The system should be capable of updating problem lists connected to encoded SNOMED CT. The various lists of disorders should be clear and precise such that ICD-10-PCS can use algorithms for evaluation of maps. The system should capture all elements, attributes, characteristics, and features required by patient’s man and physician (Kin, Julia, Filip, Arturo, & Anabela, 2017).  Features that should be assessed include refining output codes and capability of using alternative codes.

The benefits with the ICD-10-PCS are that the coding process is efficient. ICD-10-PCS facilitates effective and efficient coding reproductively with a detailed description. The ICD-10-PCS promotes operations of SNOMED CT through enhancing production of a list of materials and devices that can be applied in medicine and provision of quality analysis of diseases. The data and information in ICD-10-PCS can be reused for clinical data and information epidemiology. It can be applied for statistical purposes for further production of usable data and information. The ICD-10-PCS interface is divided into various concepts or basic units. It contains a numeric representation of that implement concept of unique identity number. The number can be used to represent and hold clinical information.    

The coding differences that require more research and investigation include a definition of the result in a way that suggests candidates using coded problem list. The system requires improvement on the degree of automating the ICD-10-cm to accommodate variations based on stored SNOMED. The system should allow textual advice to appear in case the device cannot generate required results or cant access database (Kin, Arabella, & Arturo, 2016). Such operations should be applied in case automated rules for particular analysis are not available thus calling for more research.

References

Concepts to ICD-10-PCS.

Kin W., Arabella D., & Arturo R. (2016).Mapping SNOMED CT Procedure

Kin W., Julia X., Filip A., Arturo R., & Anabela S., (2017). Developing a Map from SNOMED CT Procedure Concepts to ICD-10-PCS.

Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in Top Cheap Essay Writing Services. If you need a similar paper you can place your order from cheap reliable essay writing service services.