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Practice Fusion has chosen to make SNOMED CT codes and descriptions available for viewing in the user interface. As shown in the screen shot below, when recording a diagnosis a provider can examine the mappings between the user interface term, ICD-9, ICD-10 and SNOMED CT. This approach has received positive feedback from their users as it provides an additional layer of validation when selecting a concept to record in the patient’s health record. Since 2014, all diagnoses recorded in Practice Fusion’s EHRs have included the associated SNOMED CT codes.

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Adding a diagnosis in Practice Fusion’s EHR

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SNOMED CT is particularly useful for rare diseases, enabling expression of diagnoses requiring a high degree of specificity and which may not be sufficiently defined in ICD. For example, the screen shot below illustrates a CDS advisory that is triggered when clinical markers considered high-risk for

Concept
t274864009 |Pompe disease|
, are detected in the patient’s health record. Using the hierarchy of SNOMED CT, appropriate value sets were defined that help to identify those patients for which a GAA enzyme assay order should be considered to confirm the presence or absence of the diagnosis.

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CDS advisory for Pompe Disease

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