Transcript SNOMED - Public Health Data Standards Consortium PHDSC

SNOMED CT®
Collaborative efforts
Standards Facilitate Collaboration
Public Health Data Standards
March 17-18, 2004
Bethesda, Maryland
Marjorie Rallins, DPM
Director Clinical Editors
SNOMED® International
Copyright © 2004 College of American Pathologists
Outline of presentation
• Meeting the Challenge
• Efforts towards collaboration
• Opportunities to participate
Copyright © 2004 College of American Pathologists
Meeting the Challenge
Copyright © 2004 College of American Pathologists
Automating health information can
improve our ability to:
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Monitor and respond to trends & problems in the health of
populations
Expand our knowledge of diseases, treatments and
outcomes
Reduce errors
– eliminate errors of omission via reminders
– eliminate errors of commission via alerts
Manage costs
– eliminate redundant testing and investigation
– eliminate redundant coding, code once, use many times
Copyright © 2004 College of American Pathologists
What is the need?
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Automated systems requires clinical data that:
– is recorded at the appropriate level of detail
• not forced to be either too general or too specific
– is consistent over time and across boundaries
– can be transmitted without loss of meaning
– can be aggregated at more general levels,
and along multiple different perspectives
– can be interpreted by automated systems
Copyright © 2004 College of American Pathologists
Need for Interoperability
Data
Collection
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Data Sharing •
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Retrieval & •
Aggregation •
Electronic Medical Record
Case Report Form
Registries
Messaging
Reporting
Analysis, Knowledge management
Alerts & Response
Copyright © 2004 College of American Pathologists
Need clinical terminology
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Standardizes clinical information
Features and functions that support
interoperability
Copyright © 2004 College of American Pathologists
SNOMED CT Characteristics
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Comprehensive content coverage
Concepts, descriptions (synonyms), relationships,
hierarchies
Multiple levels of granularity
Reference properties
Interface properties
Disorders, Findings, Procedures & Interventions
Anatomy, Devices, Chemicals, Drugs
Organisms, Environments, Occupations, Events
Produced and owned by the College of American
Pathologists (CAP)
Copyright © 2004 College of American Pathologists
Structure to Support Mapping, Convergence,
Interoperability
Message Specific Codes
Diagnoses & Procedure Codes
• CDT-2/ SNODENT
• CPT-4
• HCPCS
• ICD-9-CM
• ICD-10
• ICD-10-AM
• ICD-10-CM (future)
• ICD-10-PCS
• ICIDH-2
• OPCS-4 (UK)
• NCPDP
• IEEE
• HL7
• X12N
SNOMED Clinical Terms
Nursing Codes
• PNDS
• NANDA
• NIC
• NMMDS
• NOC
• OMAHA
• PCDS
• ICNP
• HHCC
Drug Codes
Clinically Specific Codes
Legend
Blue = Existing relationship with SNOMED CT,
integration/ mapping/ extension
• DICOM
• DSM IV
• Gabrieli
• LOINC
• MEDCIN
• MedDRA
• SNOMED RT
• Clinical Terms V3
• First Data Bank
• Multum
• NDC (US)
• UK Drugs
Copyright © 2004 College of American Pathologists
Efforts towards collaboration
Copyright © 2004 College of American Pathologists
Development with a collaborative focus
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Guiding principles developed with a collaborative
focus
– Development of content must include diverse
clinical groups, specialties
Content decisions by consensus
Distributed development environment, across
geographic boundaries
Copyright © 2004 College of American Pathologists
National Library of
Medicine Agreement
Copyright © 2004 College of American Pathologists
NLM basis for agreement
with SNOMED
“. . . wishes to incorporate SNOMED into the
UMLS Metathesaurus under terms that
facilitate the use of SNOMED in
– health information creation,
– dissemination,
– exchange
– research in the U.S.”
July 2003 announcement
Copyright © 2004 College of American Pathologists
What is included in NLM
agreement
• Core Content
– Concepts & codes
– Descriptions & codes
– Relationships
– History table
– ICD-9 CM mapping
Copyright © 2004 College of American Pathologists
Collaborations with
Consolidate Health
Informatics (CHI) Initiative
Copyright © 2004 College of American Pathologists
Collaborations with CHI
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Interact with CHI working groups
The Consolidated Health Informatics (CHI)
Initiative recommended and endorsed
SNOMED CT as the terminology of choice
for the domains of anatomy, nursing,
diagnosis and problems, and non-lab
interventions and procedures
Copyright © 2004 College of American Pathologists
Collaborations with CDC
Copyright © 2004 College of American Pathologists
CDC cooperative grant
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Standardized Reporting and Encoding of
Surgical Pathology Report.
– The objectives of this initiative include
the continuing validation of the scope
and granularity of SNOMED for
encoding, retrieving and electronically
communicating information in a surgical
pathology report
Copyright © 2004 College of American Pathologists
CDC infectious disease
reporting
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Collaborations to integrate infectious
disease and agents in SNOMED to
support infectious disease reporting
Copyright © 2004 College of American Pathologists
Collaborations with
Anesthesia Patient Safety
Foundation
Copyright © 2004 College of American Pathologists
Anesthesia Patient Safety
Foundation
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Five year collaboration agreement to
enhance the anesthesia content currently
available in SNOMED CT Core content.
This standardized clinical data set will
support documentation in the operating
room, improving data collection and
analysis to reduce anesthetic errors and
improve patient safety
Copyright © 2004 College of American Pathologists
Other efforts towards
collaboration
Copyright © 2004 College of American Pathologists
National Committee for
Vital Health Statistics
(NCVHS) Recommendation
recommended SNOMED CT as the
general core terminology to support the
patient medical record information (PMRI).
Copyright © 2004 College of American Pathologists
ANSI Approval
Copyright © 2004 College of American Pathologists
ANSI Approval
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CAP, an American National Standards
Institute (ANSI) Standards Developer
Organization (SDO) received ANSI
approval for the Healthcare Terminology
Structure standard.
This standard specifies a standard file
structure for use in distributing healthcare
terminology.
Copyright © 2004 College of American Pathologists
Open process for
collaboration/participation
Copyright © 2004 College of American Pathologists
Opportunities to Participate
Technical
Steering
Committee
Implementation
Steering
Committee
Editorial Steering
Committee &
Working Groups
Copyright © 2004 College of American Pathologists
Summary
• SNOMED’s goal:
•Ensure healthcare knowledge is more
usable and accessible worldwide,
across clinical specialties and sites of
care.
Copyright © 2004 College of American Pathologists
Summary
•Realized through continued
collaboration
Copyright © 2004 College of American Pathologists
Thank you!
Marjorie Rallins, DPM
SNOMED Division, College of American
Pathologists
[email protected]
Copyright © 2004 College of American Pathologists
Thank you!
Marjorie Rallins, DPM
SNOMED Division, College of American
Pathologists
[email protected]
Copyright © 2004 College of American Pathologists