As part of continuous review and development of SNOMED International products and services, we are collating information about the implementation of the ICNP to SNOMED CT equivalence tables for Nursing Diagnoses and Nursing Interventions. Specifically could you provide us with the following information:
1. Are you aware of any groups who are reviewing or have reviewed the tables with the intention of implementing them?
2. What knowledge/evidence can you provide regarding the implementation of either of the equivalence tables, including a description of the use case and any contact information
We would be grateful if you can provide this information by end of January 2018. Please provide information here on confluence so that it can be shared or send information to Collaboration Lead, Jane Millar, at jmi@snomed.org, and also contact her with any queries relating to this request.
Thank-you for your input and we will be happy to collate responses and share them with the group
1 Comment
Renate Kieft
Dear Mrs. Miller,
Here are my answers to the two questions about the review and implementation of the ICNP to SNOMED CT equivalency table. I hope that it is helpful.
In collaboration with the Dutch Ministry of Health, Welfare and Sport, stakeholders (e.g. the national competence centre for standardisation and eHealth (Nictiz), the Netherlands Federation of University Medical Centres and the Dutch Hospital Association) and professional organisations (e.g. the Dutch Nurses' Association), hereinafter referred to as the collaborating parties), collaborate to develop, construct and maintain unambiguous data for professionals involved in patient care, including nurses. This means that Dutch nurses and other professionals should transform various (nursing) data using different coding systems into a single common format to allow comparison and exchange of data.
The construction of unambiguous (nursing) data has been based on an information model also known as a detailed clinical model or a clinical building block and is established by the collaborating parties. A single clinical building block describes a certain clinical concept and the characteristics thereof that should (required data items) or could (optional data items) be recorded and in what way (e.g. physical quantities or predetermined coded values). One such clinical building block describes patient problems (i.e. diagnosis) including the required data item “problem name”. Nurses have developed a subset of patient problems, a list of nursing diagnoses based on the structure of the clinical building block and SNOMED CT. It means that the patient problems are coded based on SNOMED CT.
However, because the ICNP is a formal terminology for nursing practice, the SNOMED CT concepts that were equivalent to concepts from the ICNP were preferred in order to ensure that the terms accurately represented the nursing domain. The equivalency table was used to ensure that the SNOMED CT concepts matched consistently. In reviewing the concepts we found that the majority of the SNOMED CT concepts (95%) either match ICNP concepts from the equivalency table (55%) or have partial matches (with an ICNP focus) (40%). More information can be found at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5716238/. In conclusion, we reviewed the equivalence table, however not with the intention of implementing the table.
As described before, the development and implementation of unambiguous nursing data is based on SNOMED CT (instead of ICNP). At this moment two implementation projects are being set up focused on the exchange of nursing data between organisations (among which the SNOMED CT subset of patient problems) and to investigate a nursing decision support model (also based on the clinical building blocks and SNOMED CT).
Kind regards,
Renate Kieft MSc, PhD student
Advisor Dutch Nurses' Association (V&VN)
Verpleegkundigen & Verzorgenden Nederland (V&VN)
Churchilllaan 11, 3527 GV, Utrecht
Postbus 8212, 3503 RE, Utrecht
T. (030) 291 90 95
M. (06) 10 90 51 80
www.venvn.nl info@venvn.nl