Connecting CCC to SNOMED CT and LOINC in a Terminology Server

Abstract

Introduction/Aims. Systemized Nomenclature of Medicine Clinical Terms (SNOMED CT) and Logical Observations Names and Codes (LOINC) have been mandated as the terminologies to use when messaging coded data between settings. Specifically, SNOMED CT has been mandated as the terminology to use when messaging coded problems and LOINC has been mandated for outcome measures. Nursing process data is key to providing a complete clinical picture of the patient. The Clinical Care Classification (CCC) is a nursing terminology recognized by the American Nurses Association. It contains nursing care components that provide the framework for classifying nursing diagnoses, interventions and outcomes. There are 21 care components for diagnosis and interventions. Under the care components are specific nursing diagnoses, interventions, and outcomes that must be linked to SNOMED CT and LOINC for messaging. The 3M Healthcare data dictionary (HDD) is a terminology server that houses the wide range of standard terminologies required to document clinical care, including SNOMED CT and LOINC. This project used the HDD as the terminology server to organize the CCC data and link to SNOMED CT and LOINC to facilitate interoperability between systems.