3.228 Capturing and reporting diagnosis: moving from ICD-10 to SNOMED-CT

Wheatley, Victoria, Burdon, Richard, Wesgate, Laura and Taubert, Mark ORCID: https://orcid.org/0000-0003-0454-5609 2024. 3.228 Capturing and reporting diagnosis: moving from ICD-10 to SNOMED-CT. Presented at: The 13th World Research Congress of the European Association for Palliative Care, Barcelona, Spain, 16 – 18 May 2024. EAPC Abstracts:Palliative Medicine. , vol.38 (S1) SAGE, p. 175. 10.1177/02692163241242338

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Abstract

Background/aims: Clinical Services in Wales must use SNOMED-CT to capture clinical diagnoses. SNOMED-CT’s complex hierarchies create new challenges when using clinically captured data for secondary uses. ICD-10, used previously to code diagnosis, supports a simpler hierarchy, with each diagnosis contained in only one ‘chapter’. In the context of designing new electronic record functionality, collaboration between clinicians and those leading relevant national programmes, with an iterative design process was used to develop a novel approach to reporting diagnoses from the clinically collected SNOMED-CT terms. Methods: Specialist Palliative Care Inpatient Units and Inpatient Hospices in Wales supplied details of the primary cause of death for consecutive recently deceased inpatients. Proof of concept work used non-malignant diagnoses only, as there was limited local experience of clinically meaningful and appropriately granular reporting of non-malignant diagnoses. A SNOMED-CT browser supported exploration of parent, grandparent etc. terms for each diagnosis. Testing continued until saturation, and findings were discussed as part of the iterative design process. A procedure to support useful categorisation of clinically captured SNOMED-CT diagnosis (disorder) terms was developed, encompassing both malignant and non-malignant conditions, and then tested on diagnosis codes prospectively collected by Specialist Palliative Care Teams in Wales. Results were compared to similar data from previous years, collected as ICD-10 codes, for teams whose clinical practice had not altered significantly. Results: The categorisation system for SNOMED-CT diagnosis terms will be discussed, along with comparison to previously collected ICD-10 data, as a ‘sense check’. Conclusions: Clinician captured SNOMED-CT diagnosis terms can be meaningfully used for reporting purposes, despite the complex relationships between relevant concepts.

Item Type:	Conference or Workshop Item (Poster)
Date Type:	Published Online
Status:	Published
Schools:	Medicine
Publisher:	SAGE
Date of Acceptance:	February 2024
Last Modified:	14 Jun 2024 16:00
URI:	https://orca.cardiff.ac.uk/id/eprint/169045

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