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Read code options for NBSP clinical notes management

|Read code options |SNOMED CT fully specified|Concept ID |SNOMED CT synonym |Comments |ICD10 |

| |name | |(what would be seen on the screen) | | |

|Faecal occult blood test| |1015401000000102 | |The UK have mapped this to their own | |

|(479.00) | | | |code. We will need to ask that this get | |

| | | | |promoted to SNOMED CT international. | |

|Faecal occult blood: |Fecal occult blood: |167667006 |Faecal occult blood: negative | | |

|negative (4792.00) |negative (finding) | | | | |

|Faecal occult blood: |Occult blood in stools |59614000 |Faecal occult blood positive | | |

|positive (4794.00) |(finding) | | | | |

|Malig neop of colon |Malignant neoplasm of |363406005 |Malignant neoplasm of colon | |C18.0 |

|(B13.00) |colon (disorder) | | | |Malignant neoplasm of cecum |

|FH: Bowel cancer |Family history: Bowel |275109007 |FH: Bowel cancer | | |

|(1241.12) |cancer (situation) | | | | |

|Malig neop of rectum and|Malignant neoplasm of |187760008 |Malignant neoplasm of rectum, | |C20 |

|anus (B14.00) |rectum, rectosigmoid | |rectosigmoid junction and anus | |Malignant neoplasm of rectum |

| |junction and anus | | | | |

| |(disorder) | | | |10 |

| | | | | |C21 |

| | | | | |Malignant neoplasm of anus and anal canal|

|Malig neop intest tract |Malignant tumor of |363508008 |Malignant neoplasm of intestine | |C18.9 |

|unspec (B1z0.00): |intestine (disorder) | | | |Malignant neoplasm of colon, unspecified |

|Colonoscopy normal |Colonoscopy normal |313170008 |Colonoscopy normal | | |

|(3617.00) |(finding) | | | | |

|Colonoscopy abnormal |Colonoscopy abnormal |313172000 |Colonoscopy abnormal | | |

|(3618.00) |(finding) | | | | |

|Screening and Recall |Adult health screening |308425003 |Adult health screening recall |This could also be broken down into other| |

| |recall (procedure) | | |SNOMED terms for Adult screening – first | |

| | | | |recall, Adult screening – second recall, | |

| | | | |Adult screening – third recall. | |

| | | | |There is also a similar set for Breast | |

| | | | |screening recall (procedure). We may be | |

| | | | |able to request a new term for Bowel | |

| | | | |screening recall (procedure) if Adult | |

| | | | |health screening recall is not | |

| | | | |sufficient. | |

|Load screening term NBSP| | | |? Will need to discuss this further | |

|with FIT negative and | | | | | |

|positive outcomes | | | | | |

|Set recall for 27 months| | | |? Will need to discuss this further | |

|for FIT negative | | | | | |

|Set recall for FIT | | | |? Will need to discuss this further | |

|positive when | | | | | |

|colonoscopy result | | | | | |

|known, negative | | | | | |

|colonoscopy result is 5 | | | | | |

|years for return to NBSP| | | | | |

|screening | | | | | |

|Parent Concepts | |

|Parent Concepts |Download Relationships |

|       Parent/Child (Relationship Type) | |

|Colonic lesion (disorder) {67401000119103 , SNOMED-CT } Mass of colon (finding) {425711007 , SNOMED-CT } Polyp of large intestine (disorder) {399505005 , SNOMED-CT } |Other Relationships |

| |No other relationships present. |

|Child Concepts | |

|[pic]   | |

| | |

|Polyp of colon (disorder) {68496003 , SNOMED-CT } | |

|       Parent/Child (Relationship Type) | |

|Adenomatous polyp of colon (disorder) {428054006 , SNOMED-CT } Benign polyp of colon (disorder) {698019000 , SNOMED-CT } Polyp of ascending colon (disorder) {712979009| |

|, SNOMED-CT } Polyp of descending colon (disorder) {712728006 , SNOMED-CT } Polyp of sigmoid colon (disorder) {428472008 , SNOMED-CT } Polyp of transverse colon | |

|(disorder) {712730008 , SNOMED-CT } Pseudopolyposis of colon (disorder) {13025001 , SNOMED-CT } Serrated polyp of colon (disorder) {449855005 , SNOMED-CT } Villous | |

|adenoma of colon (disorder) {309084001 , SNOMED-CT } | |

Implications for recall?

Billable

10

C18.1

Malignant neoplasm of appendix

Billable

10

C18.2

Malignant neoplasm of ascending colon

Billable

10

C18.3

Malignant neoplasm of hepatic flexure

Billable

10

C18.4

Malignant neoplasm of transverse colon

Billable

10

C18.5

Malignant neoplasm of splenic flexure

Billable

10

C18.6

Malignant neoplasm of descending colon

Billable

10

C18.7

Malignant neoplasm of sigmoid colon

Billable

10

C18.8

Malignant neoplasm of overlapping sites of colon

Billable

10

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