him-112l-snomed
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West Los Angeles College *
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Course
110
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
8
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HIM 112L Snomed
Electronic Health Records Software Application (Hagerstown Community College)
Studocu is not sponsored or endorsed by any college or university
HIM 112L Snomed
Electronic Health Records Software Application (Hagerstown Community College)
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Knowledge Activity: SNOMED CT (Associate)
Student instructions
1.
If you have questons about this actvity, please contact your instructor for assistance.
2.
You will review the chart of
Melinda Goble
to complete this actvity. Your instructor has
provided you with a link to the
SNOMED CT (AS)
actvity. Click on
2: Launch EHR
to
review the patent chart and begin this actvity.
3.
Refer to the patent chart and any suggested resources to complete this actvity.
4.
Document your answers directly on this actvity document as you complete the actvity.
When you are fnished, you will save this actvity document to your device and upload
this actvity document with your answers to your Learning Management System (LMS).
Background
SNOMED CT, or the Systemized Nomenclature of Medicine Clinical Terms, is a clinical
terminology set used to record patent data to facilitate decision-making and analytcs. It strives
to be the global standard and has over 30 contributng member countries working to create a
common language to exchange health informaton clearly and accurately. SNOMED CT is specifc
and comprehensive, currently containing more than 300,000 medical concepts, divided into
hierarchies.[ CITATION SNO18 \l 1033 ]
Each concept is represented by an individual number and several concepts can be used
simultaneously to describe a complex conditon. By using numbers to represent medical
concepts, SNOMED CT provides a standard by which medical conditons and symptoms can be
referred to internatonally. SNOMED CT is designed to be managed by a computer. It's not just a
fat list of numbers and corresponding terms. It's a complex relatonship of concepts. These
concepts are shown in the image below.
EHR Go Knowledge Activity: SNOMED CT (Associate) HAK1008.2
1
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Image from Snow Owl User Guide [ CITATION Sno18 \l 1033 ]
SNOMED CT maps to other internatonal standards such as ICD-10. If SNOMED is not
implemented in the EHR, an online mapping tool can be used. You’ll be exploring the use of I-
MAGIC as part of this actvity, and many other optons exist.
SNOMED CT vs. ICD
SNOMED CT is diferent from ICD-10.
SNOMED CT is clinical terminology designed for direct use by healthcare providers
during the process of providing care. It is designed for input of problems, encounter
diagnosis, procedures, health history, and smoking status. SNOMED CT is more granular
and includes more than 300,000 concepts, 790,000 descriptons, 19 hierarchies, and
920,000 relatonships.
ICD codes, on the other hand, are designed to be used by coding professionals once the
episode of care (the encounter) is completed. The code captures the diagnosis or
problem. ICD codes are designed for output and billing. ICD-10 currently includes more
than 150,000 codes. [ CITATION Hel13 \l 1033 ]
SNOMED CT and Electronic Health Records
When talking about SNOMED CT in terms of use with an Electronic Health Record (EHR),
SNOMED CT improves communicaton and increases the availability of health informaton. If
clinical informaton is stored in the EHR in ways that allow consistent, meaning-based retrieval
(structured data entry), the benefts are greatly increased. The added benefts range from
increased opportunites for real-tme decision support to more accurate retrospectve reportng
for research and management.
EHR Go Knowledge Activity: SNOMED CT (Associate) HAK1008.2
2
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