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This section provides an overview of:

  • Gloss
    Spacetrue
    tSNOMED CT
    features

  • Exploring 

    Gloss
    tSNOMED CT

  • Gloss
    Spacetrue
    tSNOMED CT
    design and development

  • Gloss
    Spacetrue
    tSNOMED CT
    Gloss
    tcomponents
     components and
    Gloss
    thierarchies

  • SNOMED CT characteristics
  • SNOMED CT supporting different languages
  • SNOMED CT products and services

Why is this important?

An awareness of

Gloss
tSNOMED CT
 features, 
Gloss
tcomponents
, characteristics and products provides an initial foundation on which to build greater understanding. It also informs discussions leading to decisions about adoption, implementation and use of this terminology.

What is this?

SNOMED CT Features

Gloss
tSNOMED CT
:

  • Is the most comprehensive, multilingual clinical healthcare terminology in the world.
  • Is a resource with comprehensive, scientifically validated clinical content.
  • Enables consistent, processable representation of clinical content in

    Gloss
    telectronic health records.

  • Is mapped to other international standards.
  • Is already used in more than fifty countries.

When implemented in software applications,

Gloss
Spacetrue
tSNOMED CT
can be used to represent clinically relevant information consistently, reliably and comprehensively as an integral part of producing electronic health information.

Implementation requires an understanding of the way that

Gloss
tSNOMED CT
 content is represented by
Gloss
tcomponents
 and supported by
Gloss
treference sets
 (Refsets).

Exploring SNOMED CT

While reading the guide, you may find it useful to explore the content of

Gloss
tSNOMED CT
. You can do this using one of a range of online
Gloss
Spacetrue
tbrowsers
listed on our web site at http://snomed.org/browsers. Note that the listed
Gloss
tbrowsers
 are not endorsed by
Gloss
tSNOMED International
 and they should only be used to a get feel for the content and structure of the terminology. It is useful to experiment with several different
Gloss
tbrowsers
 as they vary in the way they present particular features of the terminology.

...

SNOMED CT is a core clinical healthcare terminology that contains

Gloss
Spacetrue
tconcepts
with unique meanings and formal logic based definitions organized into
Gloss
thierarchies
.
Gloss
tSNOMED CT
 content is represented using three types of
Gloss
tcomponents
:

  • Gloss
    tConcepts
     representing clinical meanings that are organized into hierarchies.

  • Gloss
    Spacetrue
    tDescriptions
    which link appropriate human readable
    Gloss
    tterms
     to
    Gloss
    tconcepts.

  • Gloss
    tRelationships
     which link each concept to other related
    Gloss
    tconcepts.

These

Gloss
tcomponents
 are supplemented by
Gloss
treference sets
, which provide additional flexible features and enable configuration of the terminology to address different requirements.

Page break

Concepts

Gloss
Spacetrue
tSNOMED CT concepts
represent clinical thoughts, ranging from |abscess| to |zygote|. Every
Gloss
tconcept
 has a unique numeric
Gloss
tconcept identifier
. Within each
Gloss
Spacetrue
thierarchy,
Gloss
Spacetrue
tconcepts
are organized from the general to the more detailed. This allows detailed clinical data to be recorded and later accessed or aggregated at a more general level.

Descriptions

Gloss
Spacetrue
tSNOMED CT descriptions
link appropriate human readable terms to
Gloss
tconcepts
. A
Gloss
tconcept
 can have several associated
Gloss
tdescriptions
, each representing a
Gloss
tsynonym
 that describes the same clinical concept. Each
Gloss
ttranslation
 of
Gloss
tSNOMED CT
 includes an additional set of
Gloss
tdescriptions
, which link
Gloss
tterms
 in another
Gloss
tlanguage
 to the same
Gloss
tSNOMED CT concepts
. Every
Gloss
tdescription
 has a unique numeric
Gloss
tdescription identifier.

Relationships

Gloss
tSNOMED CT relationships
 link concepts to other
Gloss
tconcepts
 whose meaning is related in some way. These
Gloss
trelationships
 provide formal definitions and other properties of the
Gloss
tconcept
. One type of
Gloss
Spacetrue
trelationship
is the
Gloss
t|is a| relationship
 which relates a
Gloss
Spacetrue
tconcept
to more general
Gloss
tconcepts
. These
Gloss
t|is a| relationships
GlosTermis a
 define the
Gloss
Spacetrue
thierarchy
of
Gloss
tSNOMED CT concepts.

  • For example, the

    Gloss
    tconcepts
     |bacterial pneumonia| and |viral pneumonia| both have an |is a| relationship to |infective pneumonia| which has an |is a| relationship to the more general
    Gloss
    tconcept
     |pneumonia|.

Other types of

Gloss
trelationships
 represent aspects of the meaning of a
Gloss
tconcept.

  • For example, the

    Gloss
    tconcept
     |viral pneumonia| has a |causative agent| relationship to the
    Gloss
    tconcept
    |virus| and a |finding site|
    Gloss
    Spacetrue
    trelationship
    to the
    Gloss
    tconcept
     |lung|.

Every

Gloss
trelationship
 has a unique numeric
Gloss
Spacetrue
trelationship
Gloss
tidentifier.

Reference sets

Gloss
tReference sets
(Refsets) are a flexible standard approach used by
Gloss
tSNOMED CT
 to support a variety of requirements for customization and enhancement of
Gloss
tSNOMED CT
. These include the representation of
Gloss
tsubsets
, language preferences for use of particular
Gloss
tterms
 and
Gloss
tmapping
 from or to other code systems. Every
Gloss
treference set
 has a unique numeric
Gloss
tconcept identifier.

SNOMED CT Hierarchies

Gloss
tSNOMED CT concepts
 are organized in hierarchies. Within a
Gloss
Spacetrue
thierarchy
Gloss
Spacetrue
tconcepts
range from the more general to the more detailed. Related
Gloss
tconcepts
 in the
Gloss
Spacetrue
thierarchy
are linked using the |is a| relationship.

...

SNOMED CT Characteristics - Comprehensive, Scalable and Flexible

Gloss
Spacetrue
tSNOMED CT
has a broad coverage of health related topics. It can be used to describe a patient's medical history, the details of an orthopedic procedure, the spread of epidemics, and much more. At the same time, the terminology has an unmatched depth, which enables clinicians to record data at the appropriate level of granularity.

Specific applications tend to focus on a restricted set of

Gloss
tSNOMED CT
, such as
Gloss
tconcepts
 related to ophthalmology. These
Gloss
tsubsets
 can be used to present relevant parts of the terminology, depending on the clinical context and local requirements. This means for example, that a drop down list to select diagnoses in an
Gloss
telectronic health record
 in a mental health facility can be tailored to that setting. Similarly,
Gloss
tsubsets
 can be defined for problem lists for physician specialties or to provide appropriate medication lists for nurses in community care.

When individual jurisdictions have needs beyond those that can be reflected in a global terminology, perhaps due to requirements in local legislation, they can develop local or national

Gloss
textensions
. Thus, even though
Gloss
tSNOMED CT
 is global in scope, it can be adapted to each country's or areas requirements.
Gloss
tSNOMED CT
 maps work to provide explicit links to health related classifications and coding schemes in use around the world, e.g.
Gloss
tstatistical classifications
 such as
Gloss
Spacetrue
t ICD-9-CM,
Gloss
tICD-10
, and
Gloss
tICD-O3
. Maps to or from several national code systems are also available from, or under development, by
Gloss
tMembers
. Maps to or from clinical domain specific code systems are also maintained by specialty groups with which
Gloss
tSNOMED International
 has collaborative agreement. Maps facilitate reuse of
Gloss
tSNOMED CT
 based clinical data for other purposes, such as reimbursement or statistical reporting.

...

Supporting Different Languages

Gloss
tSNOMED CT
 is a multinational, multilingual terminology. It has a built-in framework to manage different
Gloss
tlanguages
 and
Gloss
tdialects
. The
Gloss
tInternational Release
 includes a set of language independent
Gloss
tconcepts
 and
Gloss
trelationships
. Today,
Gloss
tSNOMED CT
 is available in US English, UK English, Spanish, Danish and Swedish. Partial
Gloss
ttranslations
 into Canadian French, Lithuanian, and several other
Gloss
tlanguages
 are currently taking place, and further
Gloss
Spacetrue
tlanguage
Gloss
Spacetrue
ttranslations
are being planned by
Gloss
Spacetrue
tMembers.
The basic objective of any
Gloss
Spacetrue
tSNOMED CT
Gloss
ttranslation
 is to provide accurate representations of
Gloss
tSNOMED CT concepts
 in a way that is understandable, usable, and safe.
Gloss
Spacetrue
tTranslation
must be
Gloss
tconcept
 based. Translators need to analyse
Gloss
Spacetrue
tconcepts
based on the
Gloss
tfully specified name
 and take account of its position within the
Gloss
thierarchy
, its
Gloss
tdescriptions
, and its
Gloss
trelationships
 to other
Gloss
tconcepts
. This enables a meaningful
Gloss
ttranslation
 of a
Gloss
tconcept
 based on phrases that are well used and clearly understood in all countries.
Gloss
tSNOMED International
 maintains guidelines and other materials to support countries undertaking translations.

SNOMED CT Products and Services

Gloss
tMembers
 and organizations covered by the SNOMED CT
Gloss
tAffiliate License
 have access to a range of products and services, including:

  • SNOMED CT terminology files consisting of:
    • Gloss
      tConcepts

    • Gloss
      tDescriptions

    • Gloss
      tRelationships

  • Gloss
    Spacetrue
    tDerivative
    works that help in the uptake and use of
    Gloss
    tSNOMED CT
    , including
    Gloss
    tReference Sets
     that support:

    • Identification of

      Gloss
      Spacetrue
      tsubsets
      of SNOMED CT content

    • Gloss
      tLanguage
       or
      Gloss
      tdialect
       preferences for use of particular 
      Gloss
      tdescriptions

    • Maps to other code systems and classifications
    • Other relevant

      Gloss
      tmetadata
       to support use of
      Gloss
      Spacetrue
      tSNOMED CT
      Gloss
      tcomponents.

  • Implementation guidance for successful use of

    Gloss
    tSNOMED CT
     including:

    • Implementation guidance
    • Translation guidance
    • Editorial guidance for content development
  • Access to services supporting submission of requests for changes or additions to content and documentation.
  • Participation in the global

    Gloss
    tSNOMED International
     community through an electronic collaborative space and meeting of special interest groups.

...