Schulz and colleagues have written a paper on harmonisation between SNOMED-CT and ICD following on from a previous paper. They describe the basis for an ontological framework including a taxonomy, a logical framework and clear definitions for top level classes within the ontology.
There follows a very neat description of statistical classifications and some of the necessary features of ICD which distinguish it from the ontological framework described. While on the surface that sounds problematic, they also justify the necessity of this arrangement in terms of the other functions of ICD.
SNOMED-CT and ICD serve different functions but the authors suggest a solution to harmonisation lies in a multi-layer architecture. This will be a development with profound consequences that may be gradually seen over decades.
Appendix A – Other Posts in the Series on Health Information Exchanges
Appendix B – Definition of Health Information Exchange
This is the definition of the Health Information Exchange that I use (Hersh et al, 2015)
‘Health information exchange (HIE), the electronic sharing of clinical information across the boundaries of health care organizations‘
Twitter: You can follow ‘The Amazing World of Psychiatry’ Twitter by clicking on this link.
TAWOP Channel: You can follow the TAWOP Channel on YouTube by clicking on this link.
Responses: If you have any comments, you can leave them below or alternatively e-mail email@example.com.
Disclaimer: The comments made here represent the opinions of the author and do not represent the profession or any body/organisation. The comments made here are not meant as a source of medical advice and those seeking medical advice are advised to consult with their own doctor. The author is not responsible for the contents of any external sites that are linked to in this blog.
Conflicts of Interest: *For potential conflicts of interest please see the About section.