SNOMED-CT and Project E-vitaTM Medical Records
Introduction
Project E-vitaTM utilises the power of SNOMED-CT
for encoding information in it's Electronic medical / patient records. Using advanced
techniques called AJAX gets the system to search the clinical terminology in the
background while the physician refines their search in the foreground. Saving you
time while coding.
Each and every clinical / medical encounter recorded against
a patients record can have optional clinical coding attached from either SNOMED-CT,
Diagnostic terms from ICD-10 / ICD-9 and also from procedure terminologies like
OPCS-4 or CPT for instance. More information on ICD / Procedure coding can be found
here.
What is SNOMED-CT?
SNOMED Clinical Terms (SNOMED CT) is a dynamic, scientifically
validated clinical health care terminology and infrastructure that makes health
care knowledge more usable and accessible. The SNOMED CT Core terminology provides
a common language that enables a consistent way of capturing, sharing and aggregating
health data across specialties, sites of care and International boundaries.
The SNOMED CT Core terminology contains over 364,400 health
care concepts with unique meanings organized into hierarchies. As of January 2005,
the fully populated table with unique descriptions for each concept contains more
than
984,000 descriptions . Approximately 1.45 million semantic relationships
exist to enable reliability and consistency of data retrieval. In
Project E-vitaTM it is available in English and German language
editions with the addition of the Spanish version due for 2006.
SNOMED-CT is a result of extensive collaboration between
two worldwide leaders in clinical terminology: SNOMED® International,
a division of the College of American Pathologists (CAP), and the United Kingdom’s
National Health Service (NHS). Drawing on many years of combined research, development
and health care leadership, SNOMED CT merges the content and structure of the CAP’s
SNOMED Reference Terminology® (SNOMED RT®) Version 1.0 with the NHS’ Clinical Terms
Version 3 (Read Codes). It builds on the experience of SNOMED users in over 40 countries.
From May 2007 the Intellectual Property Rights for SNOMED-CT have been transferred
to the
IHTSDO, an international "Not for profit" governing body based in Denmark.
Charts & Graphs
A Project E-vita physician can record pathology results
and observations encoded in SNOMED-CT directly against a patient's care record.
These details can be retrieved for viewing on special Tabs of the Electronic Patient
Record viewer, or displayed in Tables and charts. All graphs and charts can be exported
as PDF files or Excel