ICF versus SNOMED-CT

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  • Heidi Anttila 5 months ago

    Does anyone know what is exactly the relation between the SNOMED-CT Terminology and the ICF?

    I need to to know as Finland is going to take into use the SNOMED-CT Problem list consisting of 6500 terms, and we also have the ICF with over 1600 well-defined categories. Has anyone tried to find links or done mapping between the two? 

  • Huib Ten Napel 5 months ago

    As far as I know there is no formal relation between ICF and Snomed CT. In earlier years there has been an attempt to link the ICIDH 2 beta version to Snomed, so you might find some similar terms there.

    The FDRG should be informed if there had been an execise to link ICF to Snomed, but this has not happened yet. Jane Millar could be approached to ask if there will be any action taken on this. Since the work on 'mapping' ICD to Snomed CT has no progress, I do not expect that any action to 'map' ICF to Snomed CT will be undertaken.

    I have tried to find some similar concepts for ICF terms in Snomed CT, but that is hard to do, specially because they are problem-terms as you say.

    In principle you should not talk about mapping at all, because mapping is something you do using a Reference Terminology, where both systems 'map' to some similar formal concepts with clear agreed definitions. The quality of the 'map' will than be in terms 'closeness' of similar meaning of concepts, but this should be done in a formalized environment, and not in peoples heads.

    There is no Reference terminology available at the moment (Snomed CT is not a Reference Terminology, although it claims to be one), so the only thing you can say when you can find a term from ICF in Snomed CT, that there is a cross-reference or a bridge coding between the two terms. Still, when you find some similar terms, you need to ask yourself if the concept is the same, or only the terms are the same. This represents different kinds of knowledge - concept to concept or term to term.

    I hope that Finland is not going to do an exercise on its own to try to 'link' ICF to Snomed CT? In Seoel we talked about the situation that some countries are doing these kind of exercises between ICD and Snomed CT, which leads to chaos. This kind of work needs to be centralized and coordinated buy the two stakeholders: WHO and Snomed International.

  • Catherine Sykes 1 month ago

    There is an article that relates to this discussion.

    Possibilities and Implications of Using the ICF and Other Vocabulary Standards in Electronic Health Records 

    Daniel J. Vreeman, Christophe Richoz 

    Physiotherapy Research International (2015) 20(4) 210-219

    Abstract

    There is now widespread recognition of the powerful potential of electronic health record (EHR) systems to improve the health-care delivery system. The benefits of EHRs grow even larger when the health data within their purview are seamlessly shared, aggregated and processed across different providers, settings and institutions. Yet, the plethora of idiosyncratic conventions for identifying the same clinical content in different information systems is a fundamental barrier to fully leveraging the potential of EHRs. Only by adopting vocabulary standards that provide the lingua franca across these local dialects can computers efficiently move, aggregate and use health data for decision support, outcomes management, quality reporting, research and many other purposes. In this regard, the International Classification of Functioning, Disability, and Health (ICF) is an important standard for physiotherapists because it provides a framework and standard language for describing health and health-related states. However, physiotherapists and other health-care professionals capture a wide range of data such as patient histories, clinical findings, tests and measurements, procedures, and so on, for which other vocabulary standards such as Logical Observation Identifiers Names and Codes and Systematized Nomenclature Of Medicine Clinical Terms are crucial for interoperable communication between different electronic systems. In this paper, we describe how the ICF and other internationally accepted vocabulary standards could advance physiotherapy practise and research by enabling data sharing and reuse by EHRs. We highlight how these different vocabulary standards fit together within a comprehensive record system, and how EHRs can make use of them, with a particular focus on enhancing decision-making. By incorporating the ICF and other internationally accepted vocabulary standards into our clinical information systems, physiotherapists will be able to leverage the potent capabilities of EHRs and contribute our unique clinical perspective to other health-care providers within the emerging electronic health information infrastructure. Copyright © 2013 John Wiley & Sons, Ltd.

     

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