Making the EHR Meaningful, Comprehensive Content for Clinical Recording, Retrieval and Reporting
SNOMED CT aims to improve patient care through the development of systems to accurately record health care encounters.
As the most comprehensive clinical terminology in use around the world, the implementation and adoption of SNOMED CT can enable a multitude of benefits for health systems globally.
Electronic Health Record (EHR) The use of an Electronic Health Record (EHR) improves communication and increases the availability of relevant and critical clinical information. When clinical information is stored in a way that allows meaning-based retrieval, the benefits are greatly increased. These benefits range from increased opportunities for real time decision support to more accurate retrospective reporting for research, data analytics, precision medicine and management.
Benefits to individuals SNOMED CT enabled clinical health records benefit individuals by: Enabling clinical information to be recorded consistently, Enabling support systems to check the record and provide real-time advice, Supporting the sharing of appropriate information with others involved in delivering care, allowing the understanding of the information in a common way by all providers, Allowing accurate and comprehensive analysis that identify patients who require follow-up or changes of treatment, Removing language barriers – SNOMED CT enables multilingual use
Benefits to populations SNOMED CT enabled clinical health records benefit populations by: Facilitating early identification of emerging health issues, monitoring of population health and agile response to changing clinical practices, Enabling accurate access to relevant information, reducing costly duplications and errors, Enabling the delivery of relevant data to support clinical research and contribute evidence for future improvements in treatment, Enhancing audits of care delivery with options for detailed analysis of clinical records to investigate outliers and exceptions
Evidence-based healthcare SNOMED CT enabled health records inform evidence-based health care decisions by: Enabling links between clinical records and clinical guidelines, Enhancing the quality of care, Reducing costs of duplicative testing and treatment, Limiting the frequency and impact of adverse healthcare, Raising the cost-effectiveness and quality of care
Maintaining the quality of SNOMED CT is of core importance and rigorously undertaken by the SNOMED International; Benefits of SNOMED CT in electronic care records are:
• vital information can be shared consistently within and across health and care settings
• Expert personnel: Experienced authors, clinical backgrounds, across varied domains
• comprehensive coverage and greater depth of details and content for all clinical specialities and professionals
• it includes diagnosis and procedures, symptoms, family history, allergies, assessment tools, observations, devices
• Guidance and training: Editorial and mapping guidelines, customer guidance
• clinical decision making is supported
• it facilitates analysis to support more extensive clinical audit and research
• reduced risk of misinterpretations of the record in different care setting
• SNOMED and SNOMED CT are registered trademarks of SNOMED International and was originally created by the College of American Pathologists
• Collaboration: Alignment with standards, SME groups, stakeholders
• Process: Automated rules validation, pattern evaluation
SNOMED International engages in processes to undertake a broader examination across all hierarchies.
Throughout the world dedicated health professionals work
hard to provide high quality care to a growing population
with an ever-wider range of health needs. Despite these best
efforts, avoidable deaths and injuries occur, as busy
practitioners miss key information about their patients or
overlook evolving standards of best practice. The use of an
Electronic Health Record (EHR) is a significant step forward.
It improves communication and increases the availability of
relevant information.
Moving from paper to electronic documents is only part of
the solution. The remaining challenge is to identify and link
key facts in oceans of relevant data. A clinically validated,
semantically rich, controlled terminology, like SNOMED CT,
helps to make an EHR meaningful. Using SNOMED CT to
represent clinical information allows meaning-based
retrieval of information. A SNOMED CT enabled EHR can be
used to identify key facts, presenting opportunities to
reduce the risks of errors of omission or commission.
SNOMED CT is the global clinical terminology that adds
processable meaning to an Electronic Health Record (EMR) or Electronic Medical Record (EMR). By enabling effective, meaningful representation of clinical information, it plays a pivotal role in world-wide endeavors to deliver cost-effective, high-quality healthcare. SNOMED CT is a valuable component of the EHR. It has been developed and validated by clinical, technical and terminological experts. Realization of its potential benefits
depends on implementation, deployment and practical use. With our expert team and our professional services we can help you with:
• Implementation and Deployment of SNOMED CT in your EHR/EMR
• Design SNOMED CT enabled applications (EMR/EHR)
• Guidance and training
• Integration of Terminology Services SNOMED CT into your Current Clinical Record System, EMR/EHR
• Implement SNOMED CT for Patient summary, problem list, allergies, past medical history, signs and symptoms, Drug reactions, Chief complaint, Diagnoses and more
• Analytics and Reporting
• Maintenance
• Cross-Map: mappings to other terminologies/classifications such as ICD-10 (AM/CM), ICPC2, LOINC, CPT
• Complete End-to-End Support for successfull SNOMED CT Adoption
• Design and Development for effective use of SNOMED CT
• Enhancing and Using Country specific Extensions that meet national and local requirements
• Support you with Epidemiology and Clinical Research
• Commitment to deliver robust system with necessary performance
• Required SNOMED CT logical design (As per your requirements) not just an ordinary code system
• Training for clinical users and users involved in reporting and analysis of EHR/EMR data