READ2 to SNOMED-CT Reporting Guide

Gary Watkins Updated by Gary Watkins

SNOMED-CT (referred to as SNOMED throughout this document) is the clinical vocabulary used for electronic health records worldwide.

For customers in England the full SNOMED library will be initially restricted to only the terms that have been approved for use in Primary Care in England by NHS Digital. You can see more guidance from NHS Digital about the implementation of SNOMED on their website:

https://digital.nhs.uk/data-and-information/publications/statistical/mi-snomed-code-usage-in-primary-care

Considerations

Transition to using SNOMED does not need to be done in parallel with the clinical system.

When changing this setting, the pre-defined Filing and Clinical Codes lists, and the Filing and Intellisense Templates will be cleared of all READ2 codes. These MUST be re-built using the SNOMED codes and there is a MAPPING Tool available to help you.

This guide will take you through the steps required to ensure your current configuration has the READ2 coding as expected and allows you to takes steps to rectify if required, before using the mapping tool, and is to be used in conjunction with the READ2 to SNOMED Mapping Guide.

Please read through both documents thoroughly before you start.

Reporting on existing READ2 codes

To find all the codes that are currently in use within the Filing and Intellisense Templates, and the Pre- defined Filing and Clinical Codes lists, you need to run the following reports.

If you do not create these reports, when you switch to SNOMED, you will have no reference of the original READ2 codes that have previously been used within these templates & lists.

 

Access the Reports App from the Home screen

(Please see the separate Reports guide, if you have not accessed reports before)

Intellisense templates

Within Reports, choose System Configuration, Intellisense templates, and run the report.

 

 You may want to export and save the results to Excel.

Filing templates

Within Reports, choose System Configuration, Filing, Templates, and run the report.

Filing and Clinical codes in Predefined list

Within Reports, choose System Configuration, Clinical Codes in Pre-defined List, and run the report. 

Please keep these reports safe as these are your only reference to the READ2 coding that was previously used.

 

 A note on Abbreviations

Considerations to be aware if you have created a list of abbreviations for clinical coding

You may have configured Docman to respond to abbreviations for clinical coding terms that you use locally. For example, using “MIA” as an abbreviation for Acute Myocardial Infarction.

These settings do not map the abbreviation to the code, they simply allow the system to search for the key word (i.e. MIA) that you have associated with the code (Acute Myocardial Infarction).

Since there is no mapping as such, as you switch over to SNOMED, the principle still applies. The system will search for the key word within the SNOMED coding structure, rather than READ2.

There is no report available for these abbreviations. Please revisit this section, once the switch to SNOMED is complete.

How did we do?

Contact