Introduction
The International Classification of Nursing Practice (ICNP) Reference Set is a product agreed as part of a collaboration agreement between the International Council of Nurses (ICN) and the International Health Terminology Standards Organisation (IHTSDO), trading as SNOMED International. ICNP content has been incorporated into SNOMED CT and is being released as a reference set by SNOMED International on behalf of ICN. This production release is based on ICNP 2019 as was the release in October 2021plus additional content requested by ICN.
Background
ICN and SNOMED International have worked together since 2006 to advance terminology harmonisation and foster interoperability in health information systems. This work resulted in the release of an equivalence table between the International Classification for Nursing Practice (ICNP®) and SNOMED Clinical Terms (SNOMED CT®) for nursing diagnoses and an equivalence table between ICNP and SNOMED CT for nursing interventions which were released 6 monthly until 2018. It also resulted in the SNOMED CT Nursing Activities Reference Set and SNOMED CT Nursing Health Issues Reference Set which were released until October 2021. No further releases of these reference sets are planned.
ICN initiated a review of its role in health informatics globally, enabling them to develop a strategy for supporting nursing globally. It is this review which lead to the new agreement between ICN and SNOMED International, with the following key components:
- ICNP 2019 incorporated into SNOMED CT
- SNOMED International to maintain and distribute ICNP as a SNOMED reference set on behalf of ICN
- ICN to retain ownership of ICNP – SNOMED International to retain ownership of SNOMED CT
- ICN to continue to lead on ICNP clinical development over time and its quality assurance through ICN governance processes
- Free for use in SNOMED International member countries and licensed by ICN in non-member countries
ICN has established the ICNP Editorial Board through which decisions on the content of ICNP are made. The ICNP Editorial Board has put in place a mechanism for requesting changes and additions to ICNP reference set - for more information please contact icnp@icn.ch.
Motivation
The key drivers for this approach are:
- To ensure that nursing remains connected to the wider health information landscape globally
- To ensure that SNOMED CT continues to adequately reflect global nursing practice
- To ensure that information collected using ICNP can link to SNOMED CT encoded records and be shared with other healthcare professionals to support the care of individuals
- To capture nursing care in a standardised way thus avoiding local mapping which will lead to inconsistency
- To facilitate the sharing of ICNP-based information in a standardised way to support delivery of patient care, usage for research purposes and participation in health policy making
The ICNP, and therefore this reference set, is a terminology that enables nurses to describe and report their practice in a systematic way. The resulting information is used to support care and effective decision-making, and to inform nursing education and health policy.
As ICNP is intended for use by and for nurses, ICN has been able to focus attention on the development of ICNP specifically for nursing practice. This has resulted in a rich and comprehensive resource that nurses can use to describe and report in detail the things that they assess (diagnoses e.g. nausea) and the things that they do (interventions e.g. counselling). The potential benefits of a consistent approach to capturing nursing data are far-reaching. However, nurses do not practice in isolation, they practice alongside many other disciplines. One of the potential risks of a specific nursing-focus is that nursing will be somehow disconnected from a larger health information landscape, hence the integration of ICNP into SNOMED CT.
Future releases
Design
The decisions about additions and changes to SNOMED ICNP reference set is released October 2022 as planned. It has been agreed with ICN that the next release of the SNOMED ICNP reference set will be April 2024 and then annually in April. This supports changes to the release cycles of derivatives at SNOMED International and will also allow ICN a further period to collect and agree additions to ICNP which are being proposed by users through the ICNP Editorial Board. This heralds the start of an annual update cycle by ICN, ensuring that the ICNP refset remains current and in line with global nursing practice.
It should be noted that the content of the ICNP refset (October 2022) will be included in the free for use Global Patient Set which will be issued in October 2022 by SNOMED International, replacing the Nursing Health Issues and Nursing Activities reference sets.
Design
The decisions about additions and changes to SNOMED CT as a result of the incorporation of ICNP 2019 into SNOMED CT has been directed by the advice given by subject matter experts from both organisations and also members of ICNP Editorial Board at ICN. To ensure fit with international requirements and other sources of terminology, the SNOMED International Nursing Clinical Reference Group has also provided advise and expertise.
This work provided an opportunity for ICN to review and make decisions about the content of ICNP 2019.
Versions
The version of ICNP used in this reference set is the May 2019 release.
The version of SNOMED CT used is the January 2024 International Release.
Content
The 2024 International Classification of Nursing Practice (ICNP) Reference Set is comprised of XXXX active concepts from the SNOMED CT Clinical Finding, Procedure and Situation with Explicit Context hierarchies. Changes to the membership of the reference set for the 2024 release include both replacements for inactivated concepts, additions of new synonyms as well as the addition of new concepts. The table below details the changes.
CT as a result of the incorporation of ICNP 2019 and additional content into SNOMED CT has been directed by the advice given by subject matter experts from both organisations and also members of ICNP Editorial Board at ICN. To ensure fit with international requirements and other sources of terminology, the SNOMED International Nursing Clinical Reference Group has also provided advise and expertise.
This work provided an opportunity for ICN to review and make decisions about the content of ICNP 2019 and additional content.
Versions
The version of ICNP used in this reference set is the May 2019 release plus additional content requested by ICN.
The version of SNOMED CT used is the January 2024 International Release.
Content
The 2024 International Classification of Nursing Practice (ICNP) Reference Set is comprised of 2120 active concepts from the SNOMED CT Clinical Finding, Procedure and Situation with Explicit Context hierarchies. Changes to the membership of the reference set for the 2024 release includes replacements for inactivated concepts as well as the addition of new concepts. The table below details the changes.
Concept | Status | Replaced by | Status of Replacement concept(s) |
---|
103693007 |Diagnostic procedure (procedure)| | Concept inactivated - no longer an active reference set member | 386053000 |Evaluation procedure (procedure)| | New refset member |
1144845004 |Risk of suicide decreased (finding)| | Concept inactivated - no longer an active reference set member | 394687007 |At low risk for suicide (finding)| | New refset member |
16386004 |Dry skin (finding |
Concept | Status |
---|
386053000 |Evaluation procedure (procedure)| | New member |
103693007 |Diagnostic procedure (procedure)| | Concept inactivated - no longer an active reference set member |
394687007 |At low risk for suicide (finding52475004 |Xeroderma (disorder)| | New refset member |
1144845004 |Risk of suicide decreased (finding191816009 |Drug dependence (disorder)| | Concept inactivated - no longer an active reference set member |
52475004 Xeroderma Substance dependence (disorder)| | New refset member |
16386004 Dry skin Thirst symptom (finding)| | Concept inactivated - no longer an active reference set member |
1254812006 Substance dependence disorderfinding)| | New refset member |
191816009 Drug dependence disorderprocedure)| | Concept inactivated - no longer an active reference set member | 1230126004 |Performing dressing activity for full body of subject (procedure)| | New refset member |
199312002 |Finding related to risk factor in pregnancy 399122003 |Swallowing problem (finding)| | Concept inactivated - no longer an active reference set member |
289159000 Thirst finding Difficulty swallowing (finding)| | New refset member |
249475006 |Thirst symptom (finding402863005 |Venous stasis ulcer of leg (disorder)| | Concept inactivated - no longer an active reference set member |
1230126004 |Performing dressing activity for full body of subject (procedure1237117000 |Venous ulcer of lower leg (disorder)| | New refset member |
313332003 Dressing patient procedurefinding)| | Concept inactivated - no longer an active reference set member |
| No replacement |
370773004 |Administration of prescribed medications and solutions (procedure409043003 |Infertility risk (finding)| | Concept inactivated - no longer an active reference set member |
370774005 |Administration of prescribed medications based on arterial blood gas results (procedure)| | Concept inactivated - no longer an active reference set member |
288939007 |Difficulty swallowing 1269478006 |At increased risk for male infertility (finding)| 1269477001 |At increased risk for female infertility (finding)| | New refset member |
399122003 |Swallowing problem
New refset member |
409044009 |Contraception risk (finding)| | Concept inactivated - no longer an active reference set member |
1237117000 |Venous ulcer of lower leg (disorder1279828000 |At increased risk for disorder due to contraceptive use (finding)| | New refset member |
402863005 |Venous stasis ulcer of leg (disorder409046006 |Perinatal risk (finding)| | Concept inactivated - no longer an active reference set member |
409041001 |Reproductive 1269553009 |At increased risk for perinatal disorder (finding)| | New refset member |
409048007 |Labor risk (finding)| | Concept inactivated - no longer an active reference set member |
1269478006 1269476005 |At increased risk for |
male infertility complication during labor and delivery (finding)| | New refset member |
1269477001 At increased for female infertility 409043003 |Infertility risk (finding)| | New member | Concept inactivated - no longer an active reference set member |
1279828000 1269476005 |At increased risk for |
disorder due to contraceptive use complication during labor and delivery (finding)| | New refset member |
409044009 Contraception Postpartum risk (finding)| | Concept inactivated - no longer an active reference set member |
1269553009 1269562006 |At increased risk for |
perinatal postpartum disorder (finding)| | New refset member |
409046006 |Perinatal risk (finding410304007 |Relaxation/breathing techniques education, guidance, and counseling (procedure)| | Concept inactivated - no longer an active reference set member |
1269476005 |At increased risk for complication during labor and delivery (finding1284867003 |Education about relaxation technique (procedure)| | New refset member |
409048007 |Labor risk (finding443999008 |Risk of exposure to communicable disease (situation)| | Concept inactivated - no longer an active reference set member |
409049004 Delivery risk (findingAt increased risk of exposure to communicable disease (finding)| | New refset member |
52651000119105 |At risk of unplanned pregnancy (situation)| | Concept inactivated - no longer an active reference set member |
1269562006 1286875007 |At increased risk for |
postpartum disorder unplanned pregnancy (finding)| | New refset member |
409050004 Postpartum At risk of intimate partner abuse (finding)| | Concept inactivated - no longer an active reference set member |
1284867003 |Education about relaxation technique (procedure22791000175108 |At increased risk of intimate partner violence (finding)| | New refset member |
410304007 |Relaxation/breathing techniques education, guidance, and counseling 710976005 |Maintaining ventilation (procedure)| | Concept inactivated - no longer an active reference set member |
1296884009 |At increased risk of exposure to communicable disease (finding)| | New member |
443999008 |Risk of exposure to communicable disease (situation)| | Concept inactivated - no longer an active reference set member |
1286875007 |At increased risk for unplanned pregnancy (finding)| | New member |
52651000119105 |At risk of unplanned pregnancy (situation40617009 |Artificial ventilation (regime/therapy)| 266700009 |Assisted breathing (regime/therapy)| 11140008 |Respiratory assist, manual (procedure)| | New refset member New refset member New refset member |
710986006 |Monitoring drug withdrawal (regime/therapy)| | Concept inactivated - no longer an active reference set member |
22791000175108 |At increased risk of intimate partner violence (finding1254959003 |Monitoring substance withdrawal (regime/therapy)| | New refset member |
706892001 |At risk of intimate partner abuse (finding713103003 |Giving encouragement to be urinary continent (procedure)| | Concept inactivated - no longer an active reference set member |
40617009 |Artificial ventilation (regime/therapy)| | New member |
266700009 |Assisted breathing (regime/therapy)| | New member |
11140008 |Respiratory assist, manual (procedure)| | New member |
710976005 |Maintaining ventilation (procedure
| No replacement |
713105005 |Giving encouragement to be bowel continent (procedure)| | Concept inactivated - no longer an active reference set member |
1254959003 |Monitoring substance withdrawal (regime/therapy)| | New member |
710986006 |Monitoring drug withdrawal (regime/therapy
| No replacement |
87502001 |At risk for imbalanced body temperature (finding)| | Concept inactivated - no longer an active reference set member |
713103003 |Giving encouragement to be urinary continent (procedure
| No replacement |
199312002 |Finding related to risk factor in pregnancy (finding)| | Concept inactivated - no longer an active reference set member |
713105005 |Giving encouragement to be bowel continent
| No replacement |
370773004 |Administration of prescribed medications and solutions (procedure)| | Concept inactivated - no longer an active reference set member | 18629005 |Administration of drug or medicament (procedure)| | Existing refset member |
87502001 |At risk for imbalanced body temperature (finding370774005 |Administration of prescribed medications based on arterial blood gas results (procedure)| | Concept inactivated - no longer an active reference set member |
77248004 |Infection control procedure 18629005 |Administration of drug or medicament (procedure)| |
New 1263932002 |Education about sleep (procedure13197004 |Uses contraception (finding)| | New refset member |
386342003 |Kangaroo care (regime/therapy
|
|
282298003 |Able to balance (finding)| | New refset member |
13197004 |Uses contraception
|
|
871870009 |Able to demonstrate health literacy (finding)| | New refset member |
1237094009 |Informing health care professional of presence of implantable cardiac device (procedure
|
|
300199007 |Able to hear (finding)| | New refset member |
225285007 |Giving oral fluid (procedure
|
|
301570003 |Able to mobilize using mobility aids (finding)| | New refset member |
713607003 |Enhancement of
|
|
706954003 |Able to perform intermittent urethral self- |
efficacy procedurefinding)| | New refset member |
737856008 |Management of vaginal blood loss (procedure
|
|
705075002 |Able to see (finding)| | New refset member |
1177155004 |Assessment of side effects of medication (procedure
|
|
609328004 |Allergic disposition (finding)| | New refset member |
384762007 Transportation procedure procedurefinding)| | New refset member |
282298003 |Able to balance
|
|
424167000 |At increased risk for unstable blood glucose level (finding)| | New refset member |
871870009 |Able to demonstrate health literacy
|
|
715238005 |At increased risk of electrolyte imbalance (finding)| | New refset member |
300199007 Able to hear Frailty (finding)| | New refset member |
301570003 Able to mobilize using mobility aids Bereavement due to life event (finding)| | New refset member |
706954003 |Able to perform intermittent urethral self-catheterization
|
|
131148009 |Bleeding (finding)| | New refset member |
705075002 |Able to see
|
|
48782003 |Delivery normal (finding)| | New refset member |
609328004 |Allergic disposition
|
|
871869008 |Difficulty demonstrating health literacy (finding)| | New refset member |
87486003 Aphasia Difficulty passing urine (finding)| | New refset member |
424167000 |At increased risk for unstable blood glucose level
|
|
3006004 |Disturbance of consciousness (finding)| | New refset member |
715238005 |At increased risk of electrolyte imbalance
|
|
288784001 |Does communicate needs and wishes (finding)| | New refset member |
74506000 |Bereavement due to life event
|
|
129882008 |Dysfunctional coping using self defense mechanisms (finding)| | New refset member |
|
|
300463007 |Efficient emptying of urinary bladder (finding)| | New refset member |
131148009 Bleeding Feeling safe (finding)| | New refset member |
48782003 Delivery normal Fully conscious (finding)| | New refset member |
871869008 |Difficulty demonstrating health literacy
|
|
418363000 |Itching of skin (finding)| | New refset member |
102835006 |Difficulty passing urine
|
|
278040002 |Loss of hair (finding)| | New refset member |
3006004 |Disturbance of consciousness
|
|
405273008 |Manic mood (finding)| | New refset member |
288784001 |Does communicate needs and wishes (
|
|
123640000 |Mucous membrane dryness (finding)| | New refset member |
129882008 |Dysfunctional coping using self defense mechanisms
|
|
169961004 |Normal birth (finding)| | New refset member |
449892005 |Feeling safe
|
|
45332005 |Normal capillary filling (finding)| | New refset member |
271591004 |Fully conscious
|
|
271720007 |Normal intracranial pressure (finding)| | New refset member |
418363000 |Itching of skin
|
|
162081000 |Not constipated (finding)| | New refset member |
278040002 |Loss of hair
|
|
301146007 |Peripheral pulse palpable (finding)| | New refset member |
405273008 |Manic mood
|
|
228151002 |Personal care disability (finding)| | New refset member |
123640000 |Mucous membrane dryness
|
|
764816006 |Physically prepared to undergo surgery (finding)| | New refset member |
169961004 |Normal birth
|
|
161047009 |Poor adaptation to disability (finding)| | New refset member |
45332005 |Normal capillary filling
|
|
301179007 |Poor venous access (finding)| | New refset member |
271720007 |Normal intracranial pressure
|
|
47295007 |Psychomotor agitation (finding)| | New refset member |
162081000 |Not constipated
|
|
416751004 |Reduced drugs misuse (finding)| | New refset member |
301146007 |Peripheral pulse palpable
|
|
286688002 |Splitting - mental defense mechanism (finding)| | New refset member |
228151002 |Personal care disability
|
|
226077000 |Therapeutic diet (finding)| | New refset member |
764816006 |Physically prepared to undergo surgery
|
|
110483000 |Tobacco user (finding)| | New refset member |
161047009 |Poor adaptation to disability
|
|
418107008 |Unconscious (finding)| | New refset member |
301179007 |Poor venous access
|
|
95930005 |Victim of neglect (finding)| | New refset member |
47295007 Psychomotor agitation Weight steady (finding)| | New refset member |
416751004 Reduced drugs misuse Xerostomia (finding)| | New refset member |
286688002 |Splitting - mental defense mechanism (finding
|
|
65971000052100 |Acute psychosis (disorder)| | New refset member |
226077000 |Therapeutic diet (finding
|
|
432843002 |Acute rejection of cardiac transplant (disorder)| | New refset member |
110483000 Tobacco user findingdisorder)| | New refset member |
418107008 Unconscious findingdisorder)| | New refset member |
95930005 Victim of neglect findingdisorder)| | New refset member |
271398006 |Weight steady (finding
|
|
266154004 |Candidiasis of mouth and esophagus (disorder)| | New refset member |
65971000052100 Acute psychosis Cardiac arrhythmia (disorder)| | New refset member |
87715008 |Xerostomia (finding
|
|
213151004 |Heart transplant failure and rejection (disorder)| | New refset member |
432843002 |Acute rejection of cardiac transplant
|
|
213152006 |Heart-lung transplant failure and rejection (disorder)| | New refset member |
17226007 Adjustment disorder Hematemesis (disorder)| | New refset member |
781474001 Allergic Inflammatory disorder (disorder)| | New refset member |
271737000 |Anemia
|
|
262890007 |Injury of urinary tract proper (disorder)| | New refset member |
266154004 |Candidiasis of mouth and esophagus
|
|
2901004 |Melena (disorder)| | New refset member |
698247007 Cardiac arrhythmia Neuropathy (disorder)| | New refset member |
213151004 |Heart transplant failure and rejection (disorder
|
|
75478009 |Poisoning (disorder)| | New refset member |
213152006 |Heart-lung transplant failure and rejection
|
|
33910007 |Postoperative infection (disorder)| | New refset member |
8765009 Hematemesis Postoperative wound infection (disorder)| | New refset member |
128139000 Inflammatory Psychotic disorder (disorder)| | New refset member |
262890007 |Injury of urinary tract proper
|
|
46742003 |Skin ulcer (disorder)| | New refset member |
2901004 Melena Transplanted organ rejection (disorder)| | New refset member |
386033004 |Neuropathy (disorder
|
|
386502009 |Acid-base regulation: metabolic acidosis (procedure)| | New refset member |
75478009 |Poisoning (disorder
|
|
431695009 |Administration of drug or medicament to skin via topical route (procedure)| | New refset member |
33910007 |Postoperative infection (disorder
|
|
386351006 |Administration of drug or medicament via enteral tube (procedure)| | New refset member |
58126003 |Postoperative wound infection (disorder
|
|
406172003 |Administration of drug or medicament via nasal route (procedure)| | New refset member |
69322001 |Psychotic disorder (disorder
|
|
386353009 |Administration of drug or medicament via ophthalmic route (procedure)| | New refset member |
46742003 |Skin ulcer (disorder
|
|
386359008 |Administration of drug or medicament via oral route (procedure)| | New refset member |
213148006 |Transplanted organ rejection (disorder
|
|
225286008 |Alternating the patient's position (procedure)| | New refset member |
386502009 |Acid-base regulation: metabolic acidosis
|
|
386516004 |Anticipatory guidance (procedure)| | New refset member |
431695009 |Administration of drug or medicament to skin via topical route
|
|
14766002 |Aspiration (procedure)| | New refset member |
386351006 Administration of drug or medicament via enteral tube Assessment and interpretation of higher cerebral function, aphasia testing (procedure)| | New refset member |
406172003 Administration of drug or medicament via nasal route Assessment of need for interpreter (procedure)| | New refset member |
386353009 Administration of drug or medicament via ophthalmic route Assessment of self medication (procedure)| | New refset member |
386359008 |Administration of drug or medicament via oral route
|
|
1177155004 |Assessment of side effects of medication (procedure)| | New refset member |
225286008 |Alternating the patient's position
|
|
428211000124100 |Assessment of substance use (procedure)| | New refset member |
386516004 |Anticipatory guidance
|
|
20565007 |Bathing patient in shower (procedure)| | New refset member |
14766002 Aspiration Bilirubin measurement (procedure)| | New refset member |
64374001 |Assessment and interpretation of higher cerebral function, aphasia testing
|
|
30381006 |Bleeding precautions (procedure)| | New refset member |
473207004 |Assessment of need for interpreter
|
|
170190000 |Child examination: fontanel (procedure)| | New refset member |
443693006 |Assessment of self medication
|
|
400921004 |Corneal light reflex test (procedure)| | New refset member |
428211000124100 |Assessment of substance use
|
|
243067002 |Counseling about coping strategies (procedure)| | New refset member |
20565007 |Bathing patient in shower
|
|
736601004 |Demonstration of inhaler technique (procedure)| | New refset member |
302787001 |Bilirubin measurement
|
|
167197004 |Digestive function tests (procedure)| | New refset member |
30381006 |Bleeding precautions
|
|
182882002 |Drug intake observed (procedure)| | New refset member |
New member | 170190000 |Child examination: fontanel
|
|
171047005 |Drugs of addiction education (procedure)| | New refset member |
400921004 |Corneal light reflex test
|
|
1263932002 |Education about sleep (procedure)| | New refset member |
243067002 Counseling about coping strategies Education about sleep hygiene behavior (procedure)| | New refset member |
736601004 Demonstration of inhaler technique Enhancement of self-efficacy (procedure)| | New refset member |
167197004 |Digestive function tests
|
|
225991001 |Ensuring mobility aid available (procedure)| | New refset member |
182882002 Drug intake observed Epilation (procedure)| | New refset member |
171047005 |Drugs of addiction education
|
|
1269479003 |Female perineal care management (procedure)| | New refset member |
439035007 |Education about sleep hygiene behavior
|
|
276026009 |Fluid balance regulation (procedure)| | New refset member |
225991001 |Ensuring mobility aid available
|
|
390906007 |Follow-up encounter (procedure)| | New refset member |
1449002 Epilation Functional assessment (procedure)| | New refset member |
1269479003 |Female perineal care management
|
|
225285007 |Giving oral fluid (procedure)| | New |
member276026009 |Fluid balance regulation (procedure)| | New member |
390906007 |Follow-up encounter (procedure)| | New member |
12894003 |Functional assessment (procedure)| | New refset member |
|
|
225885004 |Health assessment (procedure)| | New refset member |
|
|
110462006 |Health technology assessment procedure (procedure)| | New refset member |
|
|
84100007 |History taking (procedure)| | New refset member |
|
|
171410002 |Individual general health examination (procedure)| | New refset member |
|
|
310866003 |Informing patient (procedure)| | New refset member |
|
|
225103006 |Intermittent urethral catheterization (procedure)| | New refset member |
371586004 |Learning assessment
|
|
77248004 |Infection control procedure (procedure)| | New refset member |
1269480000 Male perineal care management (procedureInforming health care professional of presence of implantable cardiac device (procedure)| | New refset member |
|
|
371586004 |Learning assessment (procedure)| | New refset member |
|
|
1269480000 |Male perineal care management (procedure)| | New refset member |
|
|
737856008 |Management of vaginal blood loss (procedure)| | New refset member |
|
|
271347000 |Measurement of ketones in urine using dipstick (procedure)| | New refset member |
|
|
396073008 |Medication administration assessment (procedure)| | New refset member |
|
|
410265008 |Medication administration education, guidance, and counseling (procedure)| | New refset member |
|
|
385796006 |Medication prefill preparation (procedure)| | New refset member |
|
|
58707002 |Oral hygiene education (procedure)| | New refset member |
|
|
104847001 |Oxygen saturation measurement (procedure)| | New refset member |
|
|
71192002 |Peritoneal dialysis (procedure)| | New refset member |
|
|
398636004 |Physical activity assessment (procedure)| | New refset member |
|
|
431182000 |Placing subject in prone position (procedure)| | New refset member |
|
|
1230179009 |Positioning subject in lateral decubitus position (procedure)| | New refset member |
|
|
1230176002 |Positioning subject in supine position (procedure)| | New refset member |
|
|
275826003 |Preventing injury (procedure)| | New refset member |
|
|
1172583004 |Promotion of sleep hygiene (procedure)| | New refset member |
|
|
228620008 |Provision of communication aid (procedure)| | New refset member |
|
|
444894008 |Provision of stoma care equipment (procedure)| | New refset member |
|
|
445075008 |Request for language interpreter service (procedure)| | New refset member |
|
|
410305008 |Rest/sleep education, guidance, and counseling (procedure)| | New refset member |
|
|
444686003 |Restriction of oral fluid (procedure)| | New refset member |
|
|
182836005 |Review of medication (procedure)| | New refset member |
|
|
133916000 |Role clarification (procedure)| | New refset member |
|
|
430880004 |Self-confidence enhancement (procedure)| | New refset member |
|
|
1234812003 |Shaving of hair (procedure)| | New refset member |
|
|
226060000 |Stress management (procedure)| | New refset member |
|
|
225337009 |Suicide risk assessment (procedure)| | New refset member |
|
|
384762007 |Transportation procedure (procedure)| | New refset member |
|
|
386329003 |Treatment of hypothermia (procedure)| | New refset member |
|
|
169251004 |Ultrasonography of urinary bladder (procedure)| | New refset member |
|
|
252908007 |Urinary frequency volume chart (procedure)| | New refset member |
|
|
386494000 |Visitation facilitation (procedure)| | New refset member |
|
|
225074002 |Application of lubricant to lips (regime/therapy)| | New refset member |
|
|
225316001 |Bedrest (regime/therapy)| | New refset member |
|
|
385715006 |Cardiac care (regime/therapy)| | New refset member |
|
|
225356004 |Care of equipment and devices (regime/therapy)| | New refset member |
|
|
386262008 |Dysreflexia management (regime/therapy)| | New refset member |
|
|
386275008 |Electrolyte monitoring (regime/therapy)| | New refset member |
|
|
792805006 |Fasting (regime/therapy)| | New refset member |
|
|
113148007 |Fluid intake encouragement (regime/therapy)| | New refset member |
|
|
76168009 |Group psychotherapy (regime/therapy)| | New refset member |
|
|
410390008 |Growth/development surveillance (regime/therapy)| | New refset member |
|
|
386342003 |Kangaroo care (regime/therapy)| | New refset member |
|
|
225417009 |Intermittent observation (regime/therapy)| | New refset member |
|
|
386369002 |Newborn monitoring (regime/therapy)| | New refset member |
|
|
386279002 |Peripheral embolus care (regime/therapy)| | New refset member |
|
|
423687009 |Peripheral intravenous catheter care (regime/therapy)| | New refset member |
|
|
443425001 |Preparation for procedure (regime/therapy)| | New refset member |
|
|
386397008 |Providing presence (regime/therapy)| | New refset member |
|
|
423785008 |Provision of interpreter/translator services (regime/therapy)| | New refset member |
|
|
182809008 |Renal function monitoring (regime/therapy)| | New refset member |
|
|
243117007 |Sibling support (regime/therapy)| | New refset member |
|
|
386451005 |Substance use treatment: overdose (regime/therapy)| | New refset member |
|
|
61420007 |Tube feeding of patient (regime/therapy)| | New refset member |
|
|
386485006 |Unilateral neglect care (regime/therapy)| | New refset member |
|
|
388962008 |Weight maintenance regimen (regime/therapy)| | New refset member |
|
|
871480003 |No psychosis present (situation)| | New refset member |
|
|
860635002 |No anemia present (situation)| | New refset member |
|
|
401187007 |No itch (situation)| | New refset member |
|
|
314529007 |Medication review due (situation)| | New refset member |
|
|
Obtaining the reference set
This reference set covers content of ICNP 2019 and additional content requested by ICN and is published as a Production release in October 2022May 2024. It should be noted that SNOMED International is not providing an equivalence table as part of the 2022 2024 release. For further information regarding a human readable version of the current equivalence table please contact icnp@icn.ch
Access within SNOMED international member countries is provided by the Member National Release Centre in each country, via the relevant Member page. Users of ICNP in non-member countries need to gain a licence from ICN in the first instance, unless they are also SNOMED CT Affiliates in which case they will be able to access the files using their MLDS accounts. Please contact info@snomed.organdicnp@icn.chfor more information if required.
Feedback
Feedback should be sent jointly to info@snomed.org and icnp@icn.ch. Feedback should include any issues relating to implementation, suggestions for future content inclusion or general comments regarding the subset.
Technical Notes
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.
RF2 Delta files removed from the package
Delta files have been removed from both International and Managed Service release packages, and are now being removed from all Derivative products in line with this new Standard.
The Delta files have therefore been removed from this 2022 ICNP Nursing Practice Release package. Please contact support@snomed.org if you have any questions about these improvements.
After consultation in 2023, SNOMED International are in the process of migrating the Metadata components for Derivative product from the International Edition to the Derivative release packages themselves.
These Derivatives are solely single refsets/maps, and so don’t mean anything to end users without the supporting terms and other components from the International content. The nature of these products is therefore such that we necessarily create Derivative packages that are inherently dependent on the relevant International Edition content. Previously, therefore, we have always created the metadata components (refset/module concepts, descriptions, relationships, etc) in the International Edition release packages, with the Derivative products being dependent on the relevant International content.
Whilst this dependency on the International content would continue, the transition would include the metadata components in the Derivative packages themselves, rather than in the International Edition packages – this will involve:
- Inactivation (but not complete removal) of the current components in the International Edition
- Activation of the Metadata components in each of the Derivative release packages
The consensus is that moving the Metadata components into the Derivative packages will bring benefits to both the Derivative maintainers, and also to the end users who will no longer need to pull this particular data down from the dependent International Edition in order to use the Derivative products. It enables maintainers to move to a more efficient model of hosting the Derivative content in termServer branches, rather than importing Delta files from external tools.
Therefore in this ICNP Refset release, we are including the following components in the Derivative release package:
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maintainers to move to a more efficient model of hosting the Derivative content in termServer branches, rather than importing Delta files from external tools.
Therefore in this ICNP Refset release, we are including the relevant metadata components in the following files in the Derivative release package:
- sct2_Concept_ICNPSnapshot_INT_20240101.txt
- sct2_Description_ICNPSnapshot-en_INT_20240101.txt
- der2_cRefset_ICNPLanguageSnapshot-en_INT_20240101.txt
- sct2_Relationship_ICNPSnapshot_INT_20240101.txt
- sct2_sRefset_OWLExpressionICNPSnapshot_INT_20240101.txt
Notice of changes to the ICNP Release package
In line with the new implementation of Annotations, two new refsets have been added to the International Edition Release package, from December 2023 onwards:
- der2_scsRefset_ComponentAnnotationStringValueSnapshot_INT_20231201.txt
- der2_sscsRefset_MemberAnnotationStringValueSnapshot_INT_20231201.txt
The latest version of the ICNP release is based upon the January 2024 International Edition, and therefore these Annotations file types will also be included in the ICNP release package from the January 2024 ICNP release onwards, until further notice:
- der2_scsRefset_ICNPComponentAnnotationStringValueFull_INT_20240101.txt
- der2_scsRefset_ICNPComponentAnnotationStringValueSnapshot_INT_20240101.txt
- der2_sscsRefset_ICNPMemberAnnotationStringValueFull_INT_20240101.txt
- der2_sscsRefset_ICNPMemberAnnotationStringValueSnapshot_INT_20240101.txt
These refset files are empty for the January 2024 ICNP release, whilst content is being authored for future editing cycles.
In addition to this, we have standardised the naming convention of the OWL Axiom files, in order to align them to the International standards:
- Old: sct2_sRefset_ICNPOWLExpressionSnapshot_INT.txt
- New: sct2_sRefset_OWLExpressionICNPSnapshot_INT.txt