We want to use SCT in our new EHR (Millennium) but need to report diagnoses in ICD-10 SE for statistics, reimbursement etc.
What different options are there for doing this? Can we do it within M? Should we do it outside M? Is there any software to support this? Please share your experiences of this (good or bad) so we can make a wise choice of way forward.
Great thanks in advance!
1 Comment
Jeffrey Chen
That's also something has been done by NSW Health in Australia. I'm not working in the public hospital system for many years but believe the diagnosis will be pick up by clinician from the SNOMED CT list in Cerner and other eMR systems. The SNOMED CT concept id will be mapped to ICD-10-AM code then generate AR-DRG code for hospital funding (Activity-Based Funding). The process is done through the medical record department (now called health information service).
Also, NSW Health has its own data warehouse system (called health information exchange) which get all sorts of information from electronic systems including Cerner. Then the collaborated data can be used for QA, dashboard, reporting, and research purpose.
To answer your question:
1, SNOMED CT to ICD-10 mapping should be able done inside or outside Cerner. The information may need to be transferred to a separate system or data warehouse for grouping. The choice depends on your system infrastructure.
2, As you need a diagnosis reference set in Cerner, the tool to generate the SNOMED CT reference set is required. Otherwise, you may use an existing diagnosis reference set from any NRC. You may also need a mapping tool as the SNOMED CT to ICD-10 SE may not available, and you also need to maintain the updates. I believe SNOW OWL MQ is the recommended tool for those purposes.