Week5 Mapping

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American Public University *

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Medicine

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Jan 9, 2024

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Mapping Terminologies: SNOMED-CT Mapping Terminologies: SNOMED-CT Margaret McGee HIMA 460 Professor Bottone American Military University
Mapping Terminologies: SNOMED-CT Systematized Nomenclature of Medicine Clinical Terms, commonly known as SNOMED CT®, is the most comprehensive, multilingual clinical terminology in the world, encompassing more than 300,000 concepts, along with terms, synonyms, and definitions for human and non- human concepts (Dale Davidson Mary Rawson, 2022). SNOMED-CT is commonly used to code for diagnoses and symptoms, it also codes for other clinical data, such as signs and symptoms and diagnostic. SNOMED-CT consists of three core component types which are concepts, descriptions, and relationships. These three components can be arranged accordingly to meet any organization's primary and secondary needs. A distinctive clinical meaning represents the first component, concept. Identified by numeric machine identifiers. There are two descriptions to represent each concept. There are several benefits of SNOMED-CT including coding efficiency, accuracy, productivity, high quality healthcare content, etc. SNOMED-CT makes coding easier and more effective by providing accurate information. It also eliminates the time it takes to double check information’s accuracy. By producing high quality content SOMED- CT is clear to understand. SOMED- CT is not just a benefit to healthcare staff, but also to patients (also benefits patient’s safety.). The purpose of SNOMED-CT is to provide the best and most effective method for medical terminology to be communicated within the world market. From a financial standpoint this is also important because of minimizing errors in the EMR. These are just a few examples to explain why and how SOMED- CT is beneficial. There are many requirements which must be met before EMR records can be effective, and SOMED-CT answers this problem. Electronic health records help improve patient and physician
Mapping Terminologies: SNOMED-CT communication and allow for relevant information. Contrary to popular belief, using the terminology isn't the way to benefit an organization. Clinical terminology must be utilized with an application. A classification has rules and standards to be followed when assigning codes, and often has an index directing to the correct code assignment. Classifications are used for statistics, epidemiology, audit, planning, financial billing and other use cases where amalgamated data is required. ICD-10 and ICPC are classifications as they have the characteristics noted above (SNOMED International, 2020). Terminology is a set of terms representing the system of concepts in a particular field. SNOMED CT is an international clinical reference terminology designed for use in electronic health records and other electronic health recordings. SNOMED CT is a structured list of health terms (known as concepts) that have definitions and relationships. Unlike a classification, a terminology allows the clinician to use natural medical vocabulary, and defining relationships such as the position in the SNOMED CT tree hierarchy determine the meaning. Compared to a classification, where elements are grouped into limited categories, SNOMED CT is large and comprehensive but can be broken down into specialty reference sets. Use of SNOMED CT in an electronic health record structures health data that may then be converted into meaningful information and manipulated automatically. SNOMED CT terms can be linked by mapping to classifications like ICD-10 and ICPC (SNOMED International, 2020) References
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Mapping Terminologies: SNOMED-CT Dale Davidson & Mary Rawson (MARCH 17, 2022) SNOMED CT: WHY IT MATTERS TO YOU Retrieved August 6, 2023, from https://www.wolterskluwer.com/en/expert-insights/snomed-ct- why-it-matters-to-you#:~:text=Systematized%20Nomenclature%20of%20Medicine%20Clinical,human %20and%20non%2Dhuman%20concepts . SNOMED International (July 9, 2020) What is the difference between a classification such as ICD-10 or ICPC and a terminology like SNOMED CT? Retrieved August 6, 2023 from https://ihtsdo.freshdesk.com/support/solutions/articles/4000144252-what-is-the-difference-between-a- classification-such-as-icd-10-or-icpc-and-a-terminology-like-snomed- SNOMED Concept (enter this term to search) SNOMED-CT Code ICD-10- CM Code ICD-10-CM Code Name Urinary incontinence 165232002 R32 Unspecified urinary incontinence Heartburn 16331000 R12 Heartburn Postoperative abdominal pain 1444000100000410 1 R10.9 Unspecified abdominal pain H/O: diabetes mellitus (history of diabetes) 161445009 Z86.39 Personal history of other endocrine, nutritional and metabolic disease Postpartum headache 103008008 O99.893 R51.9 Other specified diseases and conditions complicating puerperium complicating pregnancy, childbirth and the puerperium Headache