Kia ora,
At Te Whatu Ora Nelson Marlborough, we assign coding (Snomed) to allied health and outpatient activity for a group of allied health disciplines and I’m interested to know who else may do this? This is in addition to Snomed codes assigned at receipt of referral (referral reason). Anyone know of any agreed data sets / Snomed reference sets for activity coding for allied health? Has anyone collaborated on Snomed data sets for allied health?
I’m interested in the governance and standards of any such data sets and the review process for amendments. I receive periodic requests for new additions to our sets (e.g. occupational therapy wanting to review the data for care provision to clients for Long-Covid, requesting a Long-Covid code) and we do not have a clearly defined process for code selection.
Thanks for your comments and/or directing me in the right place to investigate further.
Nicola Hayman
Yes we use the HiSO AH data standard. I am referring to an extension to that, with recording the (main) type of activity provided at each intervention e.g. patient education, provision of equipment, multidisciplinary review, and even some clinical conditions e.g. long covid, chronic fatigue management.
Hi Nicola,
Love this! was something I hoped we would step into, but have had to put that onto a back burner for now as we focus on CCDM work. We certainly have a space in our electronic notes to code to this… it just hasn’t been tested yet.
I hoped that nationally we might have an allied health group to take this forward for a national governance and standard process - perhaps your question will be a good starting point to see if there is anyone else doing this to create a way to do this together! @charlt
I see that part isn’t really considered in the AH data standard. I think it would be worth looking at what is being done for ED - I think they have had presenting complaint for a while but are not doing a few additional SNOMED things as well as “SNOMEDafying” PC - albeit unevenly.
@alastairk should be able to give you a steer on this - I assume the options for data entry come from the full ref set but not sure - you may want to cut it down, but will depend on your user interface/application I think.
Apologies for coming late to the conversation, I’ve been wading through jet lag.
The AH Data set wasn’t set up with SNOMED ref sets at the time but it was certainly in the pipeline. Since then a lot of water has flowed under the bridge including the development of the national terminology service, which ultimately would ideally help us all to governance the application of SNOMED to existing standards.
@jon_herries I agree, @alastairk is the right person to speak to, @Nicola. It may be that the SNOMED coding you are talking to is the need for specific reference sets to be developed nationally that we could apply. However we need to start talking about how we organise ourselves so that we reduce duplication of effort…since we are likely to want to attribute SNOMED codes by service provision, profession specific or hopefully from a consumer centric perspective - by their journey.
I suggest @Nicola we raise this at the Digital Leadership Summit day coming up, the next AHST informatics meeting and see what Alastair comes back with. I may be wrong but this situation suggests there is a growing need for a nationally coordinated and focussed clinical partnership developing SNOMED ref sets…
Thanks @MarisavdB. Tautoko your comment and hope to see a national approach. Thought I’d put it out there to see what the interest levels are and to avoid any duplication of work.
Thanks Becky. Unfortunately I can’t progress this much at this time as I am now on parental leave. Very keen for Nelson Marlborough to be involved should this progress. The cover for my role whilst I am on leave is Helen McLauchlin (helen.mclauchlan@nmdhb.govt.nz). Thanks