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TimestampDocument NameDomainPage/Section/Line ReferencePurpose of UsePurpose of Use (cleared)Degree of RequirementDetails of Use and CommentsSubmitter Name
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TF Vol 2 Patient Care CoordinationPage 188, chapter 6.3.4.21, "Vital Signs Organizer", sub-chapter 6.3.4.21.5 Categorizing information elements Categorizing information elementsRequiredThe Coded Vital Signs template requires the use of SNOMED CT code 46680005 (Vital Signs) as a fixed value to categorize observations to be vital signs.
For the actual code of a specific vital sign (Respiration rate, Heart beat, etc.) another terminology is used (LOINC).

<code code='46680005' displayName='Vital signs'
codeSystem='2.16.840.1.113883.6.96'
codeSystemName='SNOMED CT'/>
The <code> element shall be recorded as shown above to indicate that this organizer captures information about patient vital signs. 		Juergen Brandstaetter
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TF Vol 2 Patient Care CoordinationPage 158, chapter 6.3.4.14, "Problem Entry", sub-chapter 6.3.4.14.7 Categorizing information elements Categorizing information elements RecommendedThe Discharge diagnosis template recommends certain SNOMED CT codes to roughly categorize observations whether they are diagnosis, symptoms, findings, etc.
For the actual clinical documentation of the observation any terminology may used.

64572001 Condition
418799008 Symptom
404684003 Finding
409586006 Complaint
248536006 Functional limitation
55607006 Problem
282291009 Diagnosis 		Juergen Brandstaetter
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TF Vol 2 Patient Care CoordinationPage 159 ff, chapter 5.3.4.14, "Problem Entry", sub-chapter 6.3.4.14.11 Indicating "no information" Indicating "no information"RequiredThe Discharge diagnosis template requires the use of certain SNOMED CT codes for indicating when there is no information.

396782006 Past Medical History Unknown
407559004 Family History Unknown
160243008 No Significant Medical History
160245001 No current problems or disability
409137002 No Known Drug Allergies
160244002 No Known Allergies
64970000 Substance Type Unknown
Juergen Brandstaetter
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3/5/2012 23:07:49TFLaboratory 0noneNoneOptionalLab Domain does not require SNOMED-CT terminology.Sondra Renly & François Macary
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3/6/2012 9:43:00General conclusion on all documents of AP domainAnatomic PathologyNoneOptionalSNOMED CT is optional throughout AP domain. However we have a correction to bring to APSR supplement, which contains 3 wrong wordings implying that SNOMED CT is required. See detail belowFrançois Macary
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3/6/2012 9:43:00TF Vol 1Anatomic Pathologypage 7/1.4/#228 ; 1.4.3/#240 ;listed among available standards ; general considerationCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00TF Vol 2Anatomic Pathologypage 8/1.6/#288 ; 1.6.3/#300 ;
page 10/1.9.2/#378 ;		listed among available standards ; general consideration ;
open issue : vocabulary to be chosen		Coding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00TF Vol 2Anatomic Pathologypage 31/3.9/#966 ;One possible source terminology for observation valuesCoding clinical termsOptional"SNOMED CT is one possible terminology usable for coded observation values (of type CE). This terminology is not enforced by the IHE Anatomic Pathology Technical Framework since an important number of countries do not have a SNOMED CT license"François Macary
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3/6/2012 9:43:00Supplement ARPHAnatomic Pathologypage 6/Open issue ARPH12/#148Various issues associated with usage of SNOMED CTCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement ARPHAnatomic Pathologypage 14/3.1.2.2/#358 ; 3.1.2.3/#380a possible coding system for observation identifiers and valuesCoding clinical termsOptionalFrançois Macary
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3/6/2012 9:43:00Supplement ARPHAnatomic Pathologypage 16/3.1.5.2/#438a possible coding system for diagnostic (topography and morphology)Coding clinical termsOptionalFrançois Macary
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3/6/2012 9:43:00Supplement ARPHAnatomic Pathologypage 38/3.8/#842a possible coding system for specimen typeCoding clinical termsOptionalFrançois Macary
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3/6/2012 9:43:00Supplement ARPHAnatomic Pathologypage 46/3.10/#1070a possible coding system for observation valuesCoding clinical termsOptionalFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 8/closed issue APSR03/#288a possible terminologyCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 10/closed issue APSR14/#359PathLex built-in terminology introduced as a workaround SNOMED CTCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 16/4/#499a possible terminologyCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 30/5.2/#872one of the usable terminologiesCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 46/6.2.4.1.2/#1335 & #1341An example of usage of SNOMED CT to code a surgical procedure and anatomic target siteCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 59/6.2.5.6.2/#1790 & #1806 & #1811An example of usage of SNOMED CT to code a specimen type and a histologic typeCoding clinical termsNoneFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 70/6.2.6.5.3/#2108 & #2112 & #2119 Value sets for specimen collection act, target site and specimen typeCoding clinical termsRequiredThis is an error in the supplement. These 3 value sets V1, V2, V4 imply that SNOMED CT is required whereas the rest of the supplement says it is not. We'll correct this wording through a CPFrançois Macary
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3/6/2012 9:43:00Supplement APSRAnatomic Pathologypage 79/6.2.6.9.2/#2320 & #2350Example of SNOMED CT coding for a histologic type and for a method of ancillary techniqueCoding clinical termsNoneFrançois Macary
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3/14/2012Supplement General Eye Evaluation Public Comment Eye Carepage 36/6.3.3.5.1 (all observable entities) Coding clinical termsCategorizing information elementsRequiredAn ocular observation entry shall use a SNOMED CT Observable Entity hierarchy (363787002) code to identify the observable entity that is the basis for the observation. Flora Lum
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3/14/2012Supplement General Eye Evaluation Public Comment Eye Carepage 37/6.3.3.4.1 (all method codes)Coding clinical termsCoding clinical terms RecommendedSNOMED CT Procedure Hierarchy (71388002) is preferred for method codes; however, other code sets may be used, if desired.Flora Lum
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3/14/2012Supplement General Eye Evaluation Public Comment Eye Carepage 37/6.3.3.4.1 (all interpretation codes)Coding clinical termsCoding clinical terms RecommendedThe SNOMED CT Clinical Findings hierarchy (404684003) is preferred for interpretation codes, however, other code sets may be used, if desired (e.g., ICD-10).Flora Lum
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3/14/2012 22:33:04TF Vol 2Patient Care Deviceline 1808, 2130Coding clinical termsCoding clinical termsOptionalIn general in the PCD transactions, the preferred code for clinical terms is Medical Device Communications Nomenclature, ISO/IEEE 11073-10101. If no term in the standard fits, a term that is in the Rosetta Terminology Mapping and has been submitted for standardization is the second, choice, then by local agreement a LOINC term may be used, or, finally, if none of these is available and SNOMED CT has a suitable term, it may be used by local agreement. In the specific case of Universal Service ID, OBR-4, codes from SNOMED CT may be used optionally when they are deemed to give the best fit to the desired concept, but they are never required.John Rhoads
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3/27/2012TF Vol 2Cardiologysection 4.2.3, section 4.4.2.1Coding clinical termsCoding clinical termsRequiredreference DICOM context groups for DICOM stress protocols, stages and Echo Cardiography views that use SNOMED codes. approx. 35 codes. In addition IHE is based on DICOM as an underlying standard. As such we and many other IHE Domains make extensive use both explicitly and IMPLICITLY of many SNOMED-CT terms. This usage is covered under the DICOM-SNOMED-CT global agreement and as such wil nt be extensively documented herein !!!!Tom Doan
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3/27/2012CIRC Supplement (TI)Cardiologyalmost all sections of the supplementCoding clinical termsCoding clinical termsRequiredwe make approx. 200 references, 80% duplicated from their use in DICOM p 16Tom Dolan
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3/27/2012CATH-CDA Profile Supplement (public comment)Cardiologyalmost all sections of the supplementCoding clinical termsCoding clinical termsRequiredwe will make also about 200-220 references, 80% duplicated from their use in DICOM p 16Tom Dolan
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3/27/2012EPRC-CDR Profile Supplement (public comment)Cardiologyalmost all sections of the supplementCoding clinical termsCoding clinical termsRequiredwe will make also about 180 references, 80% duplicated from their use in DICOM p 16Tom Dolan
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3/27/2012REWF Supplement ( TI)Cardiologysection 4.7Coding clinical termsCoding clinical termsRequired4 SNOMED-CT references made - also based on DICOMTom Dolan
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3/27/2012Stress Supplement ( TI)Cardiologysection 4.2.6Coding clinical termsCoding clinical termsRequired4 unique to this profile - all based on DICOMTom Dolan
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HMW PharmacyNoneNoneNo usage of SNOMED CT terms at allJürgen Brandstätter
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CMPD PharmacyNoneNoneNo usage of SNOMED CT terms at allJürgen Brandstätter
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PRE PharmacyNoneNoneRefers to PCC templates using SNOMED CT:
-) Coded Vital Signs
-) Active Problems
-) Resolved Problems
-) Allergies
Jürgen Brandstätter
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PADV PharmacyNoneNoneNo usage of SNOMED CT terms at allJürgen Brandstätter
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DIS PharmacyNoneNoneRefers to PCC templates using SNOMED CT:
-) Coded Vital Signs
-) Active Problems
-) Resolved Problems
-) Allergies
Jürgen Brandstätter
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6/20/2012Radiation OncologyNoneNoneNo usage of SNOMED CT terms at allSidrah Abdul
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