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This document forms part of the SNOMED CT® Nursing Health Issues refset package distributed by International Health Terminology Standards Development Organisation, trading as SNOMED International, and is subject to the SNOMED CT® Affiliate License, details of which may be found at https://www.snomed.org/snomed-ct/get-snomed
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Page At A Glance
1 Introduction
SNOMED CT is the most comprehensive and precise clinical health terminology product in the world, owned and distributed around the world by SNOMED International.
The SNOMED CT Nursing Health Issues Reference Set is the result of work carried out by the Nursing Refsets Clinical Project Group, a subgroup of the Nursing Clinical Reference Group, one of several Clinical Reference Groups working collaboratively to develop new and improve existing content in SNOMED CT.
2 Background
Nursing Health Issues has been defined as:
- representation of an issue related to the health of a subject of care as identified by one or more healthcare actors
EXAMPLES: A loss of weight, a heart attack, a drug addiction, an injury, dermatitis
The initial scope of the new references sets was informed by the previously published:
- Equivalence table between the International Classification for Nursing Practice (ICNP®) and SNOMED Clinical Terms (SNOMED CT®) for nursing diagnoses
The result is intended to support nursing care and enable effective decision-making, and provide information to inform nursing education and health policy.
3 Purpose
To provide a subset of frequently used SNOMED CT concepts for use in nursing practice within the following data fields:
- Nursing Health Issues
4 Content
The Nursing Health Issues Reference Set is comprised of 452 active concepts from the Clinical finding and Situation hierarchies.
4.1 Updates
The Nursing Health Issues Reference Set has been updated to reflect changes published in the July 2021 release of SNOMED CT as follows:
Concept ID | Status | Replaced with: |
|---|---|---|
| 129885005 | REPLACED BY association reference set (foundation metadata concept) | 1144524002 |
| 300916003 | POSSIBLY EQUIVALENT TO association reference set (foundation metadata concept) | 1003755004 |
| 54231004 | REPLACED BY association reference set (foundation metadata concept) | 39093002 |
| 54380006 | POSSIBLY EQUIVALENT TO association reference set (foundation metadata concept) | 1137675004 |
Given the current development of the International Classification for Nursing Practice Reference Set, the Nursing Health Issues Reference Set will not be maintained following this release.
5 Obtaining the Reference Sets
Access within SNOMED International member countries is provided by the Member National Release Centre in each country, via the relevant Member web page. Affiliates of SNOMED International in non-member countries can access the reference sets in SNOMED CT Release Format 2 (RF2) through their MLDS (Member Licensing & Distribution Service) account https://mlds.ihtsdotools.org. Please contact info@ihtsdo.org for more information if required.
6 Feedback
SNOMED International are keen to receive feedback on this product – from both a clinical content perspective and from an implementer's perspective. Feedback should be sent to info@ihtsdo.org. Feedback should include any issues relating to implementation and/or general comments regarding the Reference Sets.
7 Technical Notes
7.1 RF2 package format
The RF2 package convention dictates that it contains all relevant files, regardless of whether or not there is content to be included in each particular release. Therefore, the package contains a mixture of files which contain both header rows and content data, and also files that are intentionally left blank (including only a header record). The reason that these files are not removed from the package is to draw a clear distinction between:
- ...files that have been deprecated (and therefore removed from the package completely), due to the content no longer being relevant to RF2 in this or future releases, and
- ...files that just happen to contain no data in this particular release (and are therefore included in the package but left blank, with only a header record), but are still relevant to RF2, and could therefore potentially contain data in future releases.
This allows users to easily distinguish between files that have purposefully been removed or not, as otherwise if files in option 2 above were left out of the package it could be interpreted as an error, rather than an intentional lack of content in that release.
7.2 New files added to the RF2 package format for Derivative products
In order to bring the package format in line with the latest SNOMED International packaging conventions, several new files have been added to the 2021 derivative product release packages:
- > sct2_RelationshipConcreteValues_NursingHealthIssuesDelta_INT_20210731.txt
> sct2_RelationshipConcreteValues_NursingHealthIssuesFull_INT_20210731.txt
> sct2_RelationshipConcreteValues_NursingHealthIssuesSnapshot_INT_20210731.txt - > sct2_sRefset_NursingHealthIssuesOWLExpressionDelta_INT_20210731.txt
> sct2_sRefset_NursingHealthIssuesOWLExpressionFull_INT_20210731.txt
> sct2_sRefset_NursingHealthIssuesOWLExpressionSnapshot_INT_20210731.txt - > der2_ssccRefset_NursingHealthIssuesMRCMAttributeRangeDelta_INT_20210731.txt
> der2_ssccRefset_NursingHealthIssuesMRCMAttributeRangeFull_INT_20210731.txt
> der2_ssccRefset_NursingHealthIssuesMRCMAttributeRangeSnapshot_INT_20210731.txt - > der2_sssssssRefset_NursingHealthIssuesMRCMDomainDelta_INT_20210731.txt
> der2_sssssssRefset_NursingHealthIssuesMRCMDomainFull_INT_20210731.txt
> der2_sssssssRefset_NursingHealthIssuesMRCMDomainSnapshot_INT_20210731.txt - > der2_cRefset_NursingHealthIssuesMRCMModuleScopeDelta_INT_20210731.txt
> der2_cRefset_NursingHealthIssuesMRCMModuleScopeFull_INT_20210731.txt
> der2_cRefset_NursingHealthIssuesMRCMModuleScopeSnapshot_INT_20210731.txt - > der2_cissccRefset_NursingHealthIssuesMRCMAttributeDomainDelta_INT_20210731.txt
> der2_cissccRefset_NursingHealthIssuesMRCMAttributeDomainFull_INT_20210731.txt
> der2_cissccRefset_NursingHealthIssuesMRCMAttributeDomainSnapshot_INT_20210731.txt
These files will likely remain empty of content in this derivative product package, but are included to ensure consistency across the SNOMED International catalog of products.
Approvals
Final Version | Date | Approver | Comments |
|---|---|---|---|
| 1.0 |
| Jane Millar | Approved |
| 1.0 |
| Cathy Richardson | Approved |
Download .pdf here:
Draft Amendment History
Version | Date | Editor | Comments |
|---|---|---|---|
0.1 |
| Andrew Atkinson | Initial draft |
| 1.0 |
| Cathy Richardson | Final updates |