The main purpose of the Nursing Problem List Subset of SNOMED CT is to facilitate the use of SNOMED CT as the primary coding terminology for nursing problems used in care planning, problem lists or other summary level clinical documentation.
The use of a common list of SNOMED CT concepts will maximize data interoperability among institutions. However, local problem list vocabularies often need to be expanded to satisfy specific user needs. Users should check to see if SNOMED CT contains terminology for concepts they need to fulfill their local requirements and use case. Institutions that use their own problem list vocabularies are encouraged to map them to SNOMED CT with a focus on the Nursing Problem List concepts to facilitate data interoperability.
To find the most appropriate SNOMED CT concepts for each problem list term, the following guidelines are used:
– Only “Fully Specified Name” SNOMED CT atoms are included. Each SNOMED CT concept has a UMLS Concept unique identifier (id) that has at least one term (atom) from at least one nursing vocabulary.
– Only active SNOMED CT concepts are included.
– Most concepts are chosen from the SNOMED CT clinical finding hierarchy.
For each SNOMED CT concept in the subset, the corresponding UMLS CUI is listed. Through this, users can have access to resources available in the UMLS such as additional synonyms (beyond those present in SNOMED CT itself), text definitions for many terms, and corresponding codes in other terminologies.
A new version of the subset will be published for each new International SNOMED CT and the UMLS release. Newly retired SNOMED CT concepts will be flagged and additional concepts may be added if appropriate.