SNOMED CT in General Practice systems Overview for Commissioners: Session 1 presented by Denise Downs, Senior Terminology Implementation Specialist
Agenda First of 2 sessions, Session 2 walks through SNOMED CT What is SNOMED CT Why change When and How Preparing for the transition Slides will be available 2
What is it? Sitting Blood pressure A national common vocabulary of Clinical phrases for electronic systems mild moderate severe acute angina exertional Blood pressure Lung ischaemic phlegm Read codes in electronic cough inflammation This will replace the current health and care systems von Recklinghausen's bone disease infection viral toe finger bacterial
Department of Health requirement 2001: SNOMED CT is the terminology of choice 2007: SNOMED CT is the mandated terminology 2011: SNOMED CT - ISB standard for terminology 2012: Power of Information 2014: Personalised Health and Care 2020 Action 2016: Dates for implementation under the act 4
Why Change? SNOMED CT in General Practice systems 5
Interoperable: Share and exchange coded data SNOMED CT
So, there are many reasons. Business: Currently we have three clinical vocabularies for EPRs, two in primary care we need ONE! Content for all healthcare, all specialties Potential to save time and money as electronic data exchange increases Technical: Today s technology Addresses shortfalls in Read Improve patient care! One will enable electronic data sharing and data exchange International: shared effort and supports activity such as rare diseases and genomics Will enable improved patient care through improved data analysis 8
When and How SNOMED CT in General Practice systems
SCCI standard SNOMED CT is a national standard under the Health and Social Care Act, sponsored by Department of Health. Implementation Guidance available. The standard has required implementation dates for providers of healthcare: Systems used by GP service providers must adopt SNOMED CT as the clinical terminology within the system before the 1 April 2018. SNOMED CT must be utilised in place of the Read codes before 1 April 2018. Secondary Care, Acute Care, Mental Health, Community systems, Dentistry and other systems used in the direct management of care of an individual must use SNOMED CT as the clinical terminology before 1 April 2020. Social Care is in scope of the standard but there are currently no required implementation dates. This is expected in a future update to the standard.
Transition to SNOMED CT Read v2 is now retired. CTV3 is used beyond primary care, retired on 1 st April 2018 Assurance and testing of principle clinical systems scheduled to be completed by December 2017 Last release of Read v2 General practice dual-coding SNOMED Apr 2016 F/Y 16/17 F/Y 17/18 1 Apr 2018 Last release of CTV3 11
Dual Coding Dual coding is the system adding Read codes in the background when the user is entering SNOMED CT Initially data entry restricted to a GP Subset Scope defined by those SNOMED CT descriptions will map back to a Read code One for Read v2 and one for CTV3 CTV3 Read v2 SNOMED CT 12
Implications and Preparing for the transition SNOMED CT in General Practice systems
Awareness of SNOMED Hierarchies are different;; codes are very different BUT text is very similar in many cases identical Gain familiarity with SNOMED CT through one of the internet browsers select UK Edition (Note. the NHS is a member country so can accept license) 14
Searches The way to write searches is different, particularly wrt Read v2 Time for a spring clean? Identify critical searches/reports? Undertake training Requirement for existing reports to continue to run. However, once you use content beyond the scope of Read, will need to re-look at these. 15
Some Read terms not in SNOMED CT See the Data Quality Guidance, check current data entry and recommendations Examples: NOS/NEC, other don t exist F52z. 00 Otitis media NOS maps to 65363002 Otitis media Q4z.. 15 Stillbirth NEC maps to 237364002 Stillbirth Terms beginning [SO] Site of relates to body structures in SNOMED CT, so no requirement for the SO 7N890 00 [SO]Cervical lymph node maps to 81105003 Cervical lymph node structure Terms beginning [M] Morphology is identified in SNOMED as a morphologic abnormality, so [M] not needed BBEJ. 00 [M]Intradermal naevus maps to 112681002 Intradermal naevus 16
All suppliers and analysis tools Check all your suppliers and any analysis tools impacted what are the plans for SNOMED CT. 17
NHS Digital Training & Education Resources Webinars for General Practice Introduction available weekly Writing Searches available May 2017 Exploring SNOMED CT for general practice - June Existing general Webinars on SNOMED CT Introduction to SNOMED CT (similar to GP Introduction) Finding Content in SNOMED CT Clinical Data Analytics Tool for analysis of SNOMED CT Education Resources: Q&A, Look-up SNOMED CT for Read code, guidance
Delen 19
Support National Programme web pages within GPSoC Ask questions NHS Networks Helpdesk: snomedprimarycare@nhs.net Training from suppliers System changes 20
Further Information on SNOMED CT SNOMED CT is managed in the UK by Terminology and Classifications within NHS Digital. (See resource library for documents such as Editorial Principles) SNOMED CT is an international standard managed by the organisation SNOMED International (previously known as the IHTSDO ) of which the UK is a member. 21
http://www.snomed.org/snomed-ct/education
www.digital.nhs.uk @nhsdigital enquiries@nhsdigital.nhs.uk 0300 303 5678