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Management of concepts representing a type of needs were met

Added by Cathy Richardson on Apr 8, 2024

The International Edition of SNOMED CT currently has five <x> needs met (finding) concepts: •736691007 |Social needs met (finding)| •406530005 |Healthcare needs met by service (finding)| •736689004 |Total care needs met (finding)| •707744000 |Personal care needs met (finding)| •707743006 |Activity of daily living needs met (finding)| Looking at historical request information four concepts were part of a batch submitted by the UK in 2011. Definitions were not provided but a use care

Status: New 12 View 0 Comment Comments enabled In the category: Undefined

Specialist Community and Public Health Nursing Question

Added by Cathy Richardson on Jan 17, 2024

Requests have been received for the addition of new concepts to the Qualifier Value and Social Context hierarchies to represent the specialist community and public health nurse occupation and speciality. The concepts requested have been termed: Specialist community and public health nurse (occupation) and Community and public health nursing specialty (qualifier value) Is this an internationally recognised speciality? It appears to be in the UK: https://www.nmc.org.uk/standards/standards-for-

Status: In discussion 175 View 1 Comment Comments enabled In the category: Undefined

Comment Last contribution, Mar 5, 2024. All contributions

Mikko Härkönen

Hello, each country has its own legislation on who can work in the social and health professions. So I would see that this is a matter of the UK's own legislation.

Critical Care Nursing Questions

Added by Cathy Richardson on Jan 17, 2024

Requests have been received for the addition of new concepts to the Qualifier Value and Social Context hierarchies to represent the critical care nursing occupation and speciality. The concepts are termed: Critical care nurse (occupation) and Critical care nursing specialty (qualifier value). We can see this is an internationally recognised nursing speciality: https://acccn.com.au/ https://caccn.ca/ https://www.nzno.org.nz/groups/colleges_sections/colleges/new_zealand_college_of_critical_c

Status: In discussion 187 View 1 Comment Comments enabled In the category: Undefined

Comment Last contribution, Mar 3, 2024. All contributions

Zac Whitewood-Moores

https://cdn.ps.emap.com/wp-content/uploads/sites/3/2021/10/211020-Essential-critical-care-skills-1-what-is-critical-care-nursing1.pdf https://cdn.ps.emap.com/wp-content/uploads/sites/3/2021/10/211020-Essential-critical-care-skills-1-what-is-critical-care-nursing1.pdf Critical care typically covers the entire scope of enhanced care, Intensive Care predominantly covers Level 3 and High Dependency typically Level 2 although many Units now have beds that flex between level 2 and 3. The audit (in the UK) usually looks at the patient needs rather than the bed provision. I am no longer working actively in this area but this paper is relatively recent. Intensive care is a subtype of critical care.

Outpatient nursing report (record artifact)

Added by Francisco Jose Rodriguez Alcazar on Aug 31, 2021

Define to which area this concept can be applied

Status: In discussion 1106 View 6 Comment Comments disabled In the category: Undefined

Comment Last contribution, Sep 1, 2021. All contributions

Zac Whitewood-Moores

It largely depends on how nursing and multidisciplinary care is to be documented, 736375002 |Hemodialysis care plan (record artifact)| COULD be used if care is typically planned and evaluated, however if you wish to represent a report sent to primary care this may be less suitable. Many nations are now making full records available to other sectors of the healthcare system (and patients) and thus summary/discharge reports are becoming less critical. In addition a pre-coordinated representation for every service, health issue etc may be less scalable and probably undesirable too. Most services could use common structures in FHIR messages but this is why both international and national communities cannot consider terminology in isolation.

Goal finding concepts

Added by Cathy Richardson on Aug 10, 2021

At the July 2021 meeting following a request for input, the Nursing CRG discussed goal concepts. The Nutrition Group had had a finding concept added: 1162727003 |Goal discontinued (finding)|. Since this concept together with other current goal finding concepts 390800000 |Goal achievement finding (finding)| and subtypes was relevant to other domains including nursing, the Nursing group was asked to comment on this type of content. See: https://dailybuild.ihtsdotools.org/?perspective=fu

Status: In discussion 1285 View 4 Comment Comments enabled In the category: Undefined

Comment Last contribution, Aug 11, 2021. All contributions

Erica Culp

Thanks Cathy, I don't think there is a rush on including these goal attainments we discussed. I'll do some more digging and try and find current concepts that could be useful in describing those we discussed. zwhitewood that is great to hear and from my perspective I think that is the path forward . We have a bit more work to do here in Sweden before we are able to implement this strategy widespread but we do have a lot of new health care information system procurement that hopefully will make this possible in the future. I can say Swedish nurses are very interested in using SNOMED CT. Some that are currently using ICNP, have mentioned there is a lack of terms in regard to goal achievement; specifically involving the way they document them in their care plans. Which means incomplete data analysis reports of their patient care for evaluation and reporting. This may be something that we need to address in house until we have more advanced health information systems in place that can use the full power of SNOMED CT's DL.

Adherence vs. Compliance

Added by Cathy Richardson on Mar 25, 2021

Hi all, I am seeking input on the understanding and use of the terms adherence and compliance by nurses. Are they seen the same or different? If different, how would you define the two? Thank you.

Status: In discussion 3701 View 8 Comment Comments enabled In the category: Undefined

Comment Last contribution, Apr 13, 2021. All contributions

Cathy Richardson

Hi fraemaekers, Firstly, I am not sure if you are aware but twice a year we hold business meetings- in April and October. The April meetings are being held next week and given this the Nursing CRG will be meeting as part of those instead of its normal time slot. The meeting will be held on Tuesday 20th April 2000UTC and run for an hour and a half. The agenda will be posted very shortly. You can register (for free)for this and the other meetings we have via:https://snomed.eventsair.com/snomed-international-april-2021-business-meetings https://snomed.eventsair.com/snomed-international-april-2021-business-meetings This helps us with planning. There is a session for clinicians which igreen or jmillar could provide more details on. Adherence and Compliance: In this discussion we were focusing on a patient's adherence or compliance not that of a device. The question had been raised given the ICNP - SNOMED work currently underway and input had been gathered from nursing SME's amongst other sources to support the decision. The internal group I mentioned is predominately made up of Terminologists in the Internal Content Team plus a small number of SMEs. It includes our Head of Terminology. When we make content decisions we need to consider the international aspect as well as the fact these concepts may be used by different clinical domains. At this point in time the information we have did not support creating different concepts for these terms at the international level. We are aware that some do see them as different in meaning. Provision of input from SME's such as yourself is welcomed. You will also find some other topics in the discussion area on this site that are currently open for comment. At present the focus is on completing the ICNP - SNOMED work for the upcoming release. I am aware the adherence - compliance issue is broader than this and will be looking to set up a content issue to record the additional work required. I can post that link here when it is created. You would also be welcome to watch and comment on that issue. Kind regards, Cathy

Use of ICNP absence terms

Added by Cathy Richardson on Mar 25, 2021

As part of the ICNP work there are a number of terms relating to the absence of something where a new SNOMED concept would be required to represent the meaning. These include: • No Aggressive Behaviour • No Alcohol Abuse • No Aspiration • No Bleeding • No Complication During Child Delivery • No Confusion • No Deep Vein Thrombosis • No Denial • No Dizziness • No Drug Abuse • No Elopement • No Fall • No Fall-Related Injury • No Fatigue • No Hospital Acquired Complication • No

Status: In discussion 1368 View 3 Comment Comments enabled In the category: Undefined

Comment Last contribution, Apr 6, 2021. All contributions

Asta Thoroddsen

I also agree with Kathy and Nick

Query on meaning:106024000 |Finding of role relationship pattern (finding)|

Added by Cathy Richardson on Jan 18, 2021

The Chair of the Mental and Behavioural Health CRG and an internal Senior Terminologist are looking to clarify the meaning of the concept:106024000 |Finding of role relationship pattern (finding)|. It has 57 descendants. When looking online resources nursing references were coming up so this group is being approached to see if you are able to provide further information. Please post your comments below. Thank you.

Status: In discussion 786 View 5 Comment Comments enabled In the category: Undefined

Comment Last contribution, Feb 25, 2021. All contributions

Elaine Wooler

Thank you for looking at this. This came out of a content change request from the MABH CRG in relation to 118193001 |Role-related finding (finding)| to add the interprets value 405073004 |Role performance behavior (observable entity)|. The requester noticed the concept 106024000 |Finding of role relationship pattern (finding)| when looking for other content that could potentially have the same interprets value but did not understand the concept. I don't think the group will be suggesting any changes to this concept or subtypes modelling at this time but with a definition this can be noted and if changes are later suggested to improve the modelling of this hierarchy this could be done with the nursing group.

Diabetes content update - another call for SME input

Added by Jane Millar on Aug 1, 2018

This call for SMEs is being issued again because of issues around members of the CRG are receiving communications. SNOMED International is undertaking a review and update of Diabetes content in SNOMED CT. We are putting together a Task and Finish project group of SMEs to provide advice on current practice. Diabetes care is undertaken by a wide range of specialists and generalists with an interest as part of a multidisciplinary team. In order to ensure that we capture the electronic record

Status: New 1295 View 0 Comment Comments enabled In the category: Undefined

Diabetes content update - call for SME input

Added by Jane Millar on Jun 5, 2018

SNOMED International is undertaking a review and update of Diabetes content in SNOMED CT. We are putting together a Task and Finish project group of SMEs to provide advice on current practice. Diabetes care is undertaken by a wide range of specialists and generalists with an interest as part of a multidisciplinary team. In order to ensure that we capture the electronic record keeping requirements of the full team each domain/specialty must be adequately represented. It is anticipated t

Status: New 865 View 0 Comment Comments enabled In the category: Undefined

	Topic	Status	Author	Like	View	Replies	Creation date	Last Reply	Contributors	Category
Discussion	Management of concepts representing a type of needs were met	New	Cathy Richardson	0	View 12	Comment 0	$discPage.getCreationDate().getTime() Apr 8, 2024 23:27	0 -	0 -	Undefined
Discussion	Specialist Community and Public Health Nursing Question	In discussion	Cathy Richardson	1	View 175	Comment 1	$discPage.getCreationDate().getTime() Jan 17, 2024 02:51	Mar 5, 2024 07:46	1	Undefined
Discussion	Critical Care Nursing Questions	In discussion	Cathy Richardson	1	View 187	Comment 1	$discPage.getCreationDate().getTime() Jan 17, 2024 02:32	Mar 3, 2024 22:39	1	Undefined
Discussion	Outpatient nursing report (record artifact)	In discussion	Francisco Jose Rodriguez Alcazar	0	View 1106	Comment 6	$discPage.getCreationDate().getTime() Aug 31, 2021 05:42	Sep 1, 2021 15:27	6	Undefined
Discussion	Goal finding concepts	In discussion	Cathy Richardson	0	View 1285	Comment 4	$discPage.getCreationDate().getTime() Aug 10, 2021 07:13	Aug 11, 2021 16:09	4	Undefined
Discussion	Adherence vs. Compliance	In discussion	Cathy Richardson	0	View 3701	Comment 8	$discPage.getCreationDate().getTime() Mar 25, 2021 03:35	Apr 13, 2021 08:32	8	Undefined
Discussion	Use of ICNP absence terms	In discussion	Cathy Richardson	0	View 1368	Comment 3	$discPage.getCreationDate().getTime() Mar 25, 2021 00:37	Apr 6, 2021 12:46	3	Undefined
Question	Query on meaning:106024000 \|Finding of role relationship pattern (finding)\|	In discussion	Cathy Richardson	0	View 786	Comment 5	$discPage.getCreationDate().getTime() Jan 18, 2021 02:38	Feb 25, 2021 11:06	5	Undefined
Discussion	Diabetes content update - another call for SME input	New	Jane Millar	0	View 1295	Comment 0	$discPage.getCreationDate().getTime() Aug 1, 2018 22:07	0 -	0 -	Undefined
Discussion	Diabetes content update - call for SME input	New	Jane Millar	0	View 865	Comment 0	$discPage.getCreationDate().getTime() Jun 5, 2018 09:16	0 -	0 -	Undefined

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Discussion summary

Questions 2 Discussions 13 Replies 49 Contributors 22

Contributors (22)

Asta Thoroddsen

Number of accepted comment 0

Number of comment 2
Cathy Richardson

Number of accepted comment 0

Number of comment 7
Christine Spisla

Number of accepted comment 0

Number of comment 1
Dickon Weir-Hughes

Number of accepted comment 0

Number of comment 2
Erica Culp

Number of accepted comment 0

Number of comment 1
Elze de Groot

Number of accepted comment 0

Number of comment 1
Elaine Wooler

Number of accepted comment 0

Number of comment 1
Friso Raemaekers

Number of accepted comment 0

Number of comment 5
Francisco Jose Rodriguez Alcazar

Number of accepted comment 0

Number of comment 3
Gertrude Petersson

Number of accepted comment 0

Number of comment 1
Igor Bossenko

Number of accepted comment 0

Number of comment 1
Kathy Molstad

Number of accepted comment 0

Number of comment 2
Katrien Scheerlinck

Number of accepted comment 0

Number of comment 1
Lisa Anderson

Number of accepted comment 0

Number of comment 1
Mikko Härkönen

Number of accepted comment 0

Number of comment 1
Noreen Frisch

Number of accepted comment 0

Number of comment 3
Nick Hardiker

Number of accepted comment 0

Number of comment 2
Paula Anderson

Number of accepted comment 0

Number of comment 1
Renate Kieft

Number of accepted comment 1

Number of comment 2
Susan Matney

Number of accepted comment 0

Number of comment 2
Jerno Thys

Number of accepted comment 0

Number of comment 2
Zac Whitewood-Moores

Number of accepted comment 0

Number of comment 7

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Contributors (22)

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Jane Millar