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The accurate and consistent documentation of pathology assessments of malignant tumors (i.e., cancer) is essential for accurate cancer diagnosis and treatment information to support effective patient care. The use of a standardized terminology, such as SNOMED CT, is essential to improve the quality of this information. SNOMED CT is a comprehensive clinical terminology system used in the healthcare industry to standardize the description of clinical concepts.
The purpose of this SNOMED CT Implementation Guide for Cancer Synoptic Reporting is to provide a structured and comprehensive roadmap for the implementation of SNOMED CT in this field. The guide covers topics important for the implementation of clinical information systems facilitating high-quality, consistent and meaningful use of SNOMED CT in cancer synoptic reporting.
By adopting SNOMED CT, healthcare organizations can improve patient care, facilitate research, and promote collaboration between healthcare providers.
Targeted at both clinical users and technical implementers, this Implementation Guide will provide the necessary resources and guidance to ensure a successful SNOMED CT implementation in the field of cancer synoptic reporting.
Web browsable version: http://snomed.org/cancer
SNOMED CT Document Library: http://snomed.org/doc
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Contents
Executive Summary
1. Introduction
2. Use Cases
3. SNOMED CT Content
- 3.1 Scope of Cancer Synoptic Reporting
- 3.2 Observable Entity/Observation Pairs versus Clinical Findings
- 3.3 Observable Entity Defining Attributes Employed in this Project
4. Information Models and Terminology Binding
- 4.1 General Cancer Report Structure
- 4.2 Cancer Synoptic Reporting Protocol Sample Forms
- 4.3 SNOMED CT Bindings
5. Technical Application
Appendices
Previous Versions
Recent Updates
Overview
Content Tools
Apps