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This section provides an overview of:

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    tSNOMED CT
    features

  • Exploring

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    tSNOMED CT

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    tSNOMED CT
    design and development

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    tSNOMED CT
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    tcomponents
     components and
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    thierarchies

  • SNOMED CT characteristics
  • SNOMED CT supporting different languages
  • SNOMED CT products and services

Why is this important?

An awareness of

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tSNOMED CT
features, 
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tcomponents
, characteristics and products provides an initial foundation on which to build greater understanding. It also informs discussions leading to decisions about adoption, implementation and use of this terminology.

What is this?

SNOMED CT Features

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tSNOMED CT
:

  • Is the most comprehensive, multilingual clinical healthcare terminology in the world.
  • Is a resource with comprehensive, scientifically validated clinical content.
  • Enables consistent, processable representation of clinical content in

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    telectronic health records.

  • Is mapped to other international standards.
  • Is already used in more than fifty eighty countries.

When implemented in software applications,

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tSNOMED CT
can be used to represent clinically relevant information consistently, reliably and comprehensively as an integral part of producing electronic health information.

Implementation requires an understanding of the way that

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tSNOMED CT
content
 content is represented by Components and supported by Reference Sets
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tcomponents
 and supported by
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treference sets
 (Refsets).

Exploring SNOMED CT

While reading the guide, you may find it useful to explore the content of

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tSNOMED CT
. You can do this using one of a range of online
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tbrowsers
listed on our web site at http https://www.implementation.snomed.org/browsers. Note that the listed browsers are
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tbrowsers
 are not endorsed by IHTSDO and
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tSNOMED International
 and they should only be used to a get feel for the content and structure of the terminology. It is useful to experiment with several different browsers as
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tbrowsers
 as they vary in the way they present particular features of the terminology.


Gliffy Diagram
displayNameSNOMEDOverview
nameSNOMEDOverview
pagePin4

SNOMED CT Design and Development

SNOMED CT Components

SNOMED CT is a core clinical healthcare terminology that contains

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tconcepts
with unique meanings and formal logic based definitions organized into
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thierarchies
.
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tSNOMED CT
content
 content is represented using three types of component:
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tcomponents
:

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    tConcepts
     representing

    Concepts representing

    clinical meanings that are organized into hierarchies.

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    tDescriptions
    which link appropriate human readable

    terms to concepts.

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    tterms
     to
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    tconcepts.

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    tRelationships
     which

    Relationships which

    link each concept to other related

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    tconcepts.

These components are supplemented by Reference Sets

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tcomponents
 are supplemented by
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treference sets
, which provide additional flexible features and enable configuration of the terminology to address different requirements.

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Concepts

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tSNOMED CT concepts
represent clinical thoughts, ranging from |abscess| to |zygote|. Every concept has
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tconcept
 has a unique numeric
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tconcept identifier
. Within each
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thierarchy,
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tconcepts
are organized from the general to the more detailed. This allows detailed clinical data to be recorded and later accessed or aggregated at a more general level.

Descriptions

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tSNOMED CT descriptions
link appropriate human readable terms to
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tconcepts
. A concept can
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tconcept
 can have several associated
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tdescriptions
, each representing a synonym that
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tsynonym
 that describes the same clinical concept. Each translation of SNOMED CT includes
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ttranslation
 of
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tSNOMED CT
 includes an additional set of
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tdescriptions
, which link terms in another language to the same
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tterms
 in another
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tlanguage
 to the same
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tSNOMED CT concepts
. Every description has
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tdescription
 has a unique numeric
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tdescription identifier.

Relationships

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tSNOMED CT relationships
link
 link concepts to other concepts whose
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tconcepts
 whose meaning is related in some way. These relationships provide
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trelationships
 provide formal definitions and other properties of the
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tconcept
. One type of
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trelationship
is the |
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tis a
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|
relationship which relates a
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tconcept
to more general
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tconcepts
. These |is a| relationships define the hierarchy of
. These 
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tis a
GlosTermis a
relationships define the
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thierarchy
of
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tSNOMED CT concepts.

  • For example, the

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    tconcepts
     |bacterial pneumonia| and |viral pneumonia| both have an |is a| relationship to |infective pneumonia| which has an |is a| relationship to the more general
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    tconcept
     |pneumonia|.

Other types of relationships represent

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trelationships
 represent aspects of the meaning of a
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tconcept.

  • For example, the

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    tconcept
    |viral pneumonia| has a |causative agent| relationship to the
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    tconcept
    |virus| and a |finding site|
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    trelationship
    to the
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    tconcept
     |lung|.

Every relationship has

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trelationship
 has a unique numeric
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trelationship
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tidentifier.

Reference sets

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tReference sets
(Refsets) are a flexible standard approach used by
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tSNOMED CT
to
 to support a variety of requirements for customization and enhancement of
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tSNOMED CT
. These include the representation of
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tsubsets
, language preferences for use of particular terms and mapping from
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tterms
 and
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tmapping
 from or to other code systems. Every
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treference set
has
 has a unique numeric
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tconcept identifier.

SNOMED CT Hierarchies

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tSNOMED CT concepts
are
 are organized in hierarchies. Within a hierarchy, concepts
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thierarchy
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tconcepts
range from the more general to the more detailed. Related concepts in the hierarchy
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tconcepts
 in the
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thierarchy
are linked using the |is a| relationship.

  • Examples of some of the hierarchies include |clinical finding|, |procedure|, |observable entity|, |body structure| and |organism|.

SNOMED CT Characteristics - Comprehensive, Scalable and Flexible

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tSNOMED CT
has a broad coverage of health related topics. It can be used to describe a patient's medical history, the details of an orthopedic procedure, the spread of epidemics, and much more. At the same time, the terminology has an unmatched depth, which enables clinicians to record data at the appropriate level of granularity.

Specific applications tend to focus on a restricted set of

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tSNOMED CT
, such as concepts related
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tconcepts
 related to ophthalmology. These subsets can
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tsubsets
 can be used to present relevant parts of the terminology, depending on the clinical context and local requirements. This means for example, that a drop down list to select diagnoses in an
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telectronic health record
in
 in a mental health facility can be tailored to that setting. Similarly, subsets can
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tsubsets
 can be defined for problem lists for physician specialties or to provide appropriate medication lists for nurses in community care.

When individual jurisdictions have needs beyond those that can be reflected in a global terminology, perhaps due to requirements in local legislation, they can develop local or national

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textensions
. Thus, even though
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tSNOMED CT
is
 is global in scope, it can be adapted to each country's or areas requirements.
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tSNOMED CT
maps
 maps work to provide explicit links to health related classifications and coding schemes in use around the world, e.g.
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tstatistical classifications
such as
 such as
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t ICD-9-CM,
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tICD-10
, and
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tICD-O3
. Maps to or from several national code systems are also available from, or under development, by IHTSDO Members
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tMembers
. Maps to or from clinical domain specific code systems are also maintained by specialty groups with which IHTSDO has
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tSNOMED International
 has collaborative agreement. Maps facilitate reuse of
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tSNOMED CT
based
 based clinical data for other purposes, such as reimbursement or statistical reporting.

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Supporting Different Languages

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tSNOMED CT
is
 is a multinational, multilingual terminology. It has a built-in framework to manage different languages and dialects. The International Release includes
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tlanguages
 and
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tdialects
. The
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tInternational Release
 includes a set of language independent concepts and relationships. Today, SNOMED CT is available in US English, UK English, Spanish, Danish and Swedish. Partial translations into Canadian French, Lithuanian, and several other languages are currently taking place, and further language translations are being planned by IHTSDO Members.
The basic objective of any SNOMED CT translation is to provide accurate representations of SNOMED CT concepts in
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tconcepts
 and
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trelationships
. Today,
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tSNOMED CT
is available in many 
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tlanguages
that can be viewed in the SNOMED International SNOMED CT Browser. The basic objective of any
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tSNOMED CT
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ttranslation
 is to provide accurate representations of
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tSNOMED CT concepts
 in a way that is understandable, usable, and safe. Translations must be concept based
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tTranslation
must be
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tconcept
 based. Translators need to analyses concepts analyse
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tconcepts
based on the
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tfully specified name
and
 and take account of its position within the
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thierarchy
, its
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tdescriptions
, and its relationships to other concepts
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trelationships
 to other
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tconcepts
. This enables a meaningful translation of a concept based
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ttranslation
 of a
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tconcept
 based on phrases that are well used and clearly understood in all countries. The IHTSDO maintains
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tSNOMED International
 maintains guidelines and other materials to support countries undertaking translations.

SNOMED CT Products and Services

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tMembers
 and IHTSDO Members and organizations covered by the SNOMED CT
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tAffiliate License
have
 have access to a range of products and services, including:

...

  • SNOMED CT terminology files consisting of:
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      tConcepts

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      tDescriptions

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      tRelationships

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    tDerivative
    works that help in the uptake and use of
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    tSNOMED CT
    , including
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    tReference Sets

    that

     that support:

    • Identification of

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      tsubsets
      of SNOMED CT content

    • Language or dialect preferences for use of particular

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      tLanguage
       or
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      tdialect
       preferences for use of particular 
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      t

      descriptions

    • Maps to other code systems and classifications
    • Other relevant

      metadata to

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      tmetadata
       to support use of
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      tSNOMED CT
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      tcomponents.

  • Implementation guidance for successful use of

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    tSNOMED CT

    including

     including:

    • Implementation guidance
    • Translation guidance
    • Editorial guidance for content development
  • Access to services supporting submission of requests for changes or additions to content and documentation.
  • Participation in the global

    IHTSDO community

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    tSNOMED International
     community through an electronic collaborative space and meeting of special interest groups.