Archives: FAQs

Is the dm+d implementation being managed as part of the SNOMED programme or is there a separate programme? How do we engage in this?

There is no specific NHS Digital Programmes for the implementation of dm+d. However, the Implementation and Business Change (IBC) Team at NHS Digital potentially might  be able to help organisations adopt SNOMED CT and dm+d.  For example, support was provided to some organisations for ECDS implementation.  Email is office.ibc@nhs.net

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Is there a national programme to implement SNOMED codes in terms of engaging national system suppliers to add SNOMED into their systems and enabling GP systems to receive this data?

There has been  a number of SNOMED dependent programmes.  The Emergency Care Data Set (ECDS) has improved the collection of information in EC departments and is seen as an enabler for Transfer of Care discharge summaries.  SNOMED CT implementation in general practice commenced in April 2018.  The primary care SNOMED help desk is snomedprimarycare@nhs.net.  Other organisations including secondary care are meant to have adopted SNOMED CT by April 2020

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What does being SNOMED CT compliant mean?

Systems have to be able to send and receive data coded using the SNOMED CT terminology. In addition, there is a desire to improve data quality and consistency of recording across the NHS so it is also desirable for data entry to be based on selecting clinical terms from SNOMED CT.

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Our system isn’t compliant, what options do we have?

To be compliant you should have an EPR. If your system is a purchased system, then SNOMED CT can only be provided by the system supplier; you will need an upgrade or if you have re-procurement due then it needs to be part of these requirements. All the large EPR solutions providers know of the requirement to be SNOMED CT compliant and should be able to advise.

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Our system provides SNOMED CT but clinicians choose just to enter free text, what approaches have others used to encourage clinicians to record key data items in SNOMED CT?

Ensuring all staff have some training so that they can quickly find the terms they need, providing trainers who will shadow the clinician say in clinic so they ensure they quickly find the terms they need, providing things like reports so that if they do clinicians can quickly print out data for their professional clinical audits, getting junior doctors to utilise SNOMED CT in their clinical research so others can see the value, having champions in the organisation who illustrate benefits.

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The content of outpatient letters is dynamic and can vary enormously, therefore the headings required can vary enormously. This provides a challenge to ensure doctors dictate letters in order or headings and/or medical secretaries type the content in order of the headings. This will be extremely difficult to manage and will reduce the time it takes to type letters, risking increase in cost or missing the contracted 7 day turnaround. How have other trusts that have digital dictation systems achieved this?

 

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