Charting With SNOMED CT

Charting

When you chart a service, in many cases you won’t see any differences from how you have used the chart previously. If the service you are charting has default SNOMED codes applied then this will happen in the background. You can inspect the applied SNOMED codes at any time by double clicking on the chart line to open up the Edit Chart Item window. In the top right of this screen you will see a button labelled Edit SNOMED Chart Items

Clicking the button will open a window showing the list of applied SNOMED codes.

Example of service with no SNOMED codes applied

Example of Service with SNOMED codes applied

If you have charted a service that applies to a tooth, or several teeth, you will see that EXACT has automatically added the SNOMED codes for those teeth. You can’t directly edit those codes, but if you do change the tooth/teeth for the service, they will be updated to reflect the change. Similarly, if the service has surfaces charted then the code for the surfaces will be automatically applied and updated if required.

If the practice has mapped SNOMED codes to the service and ticked one or more of them by default then you will see these default codes already in the list.

If you want to remove the existing SNOMED code use the remove button at the end of the line.

To add new codes start typing in the search box at the top of the screen, and then click on the Add button for the code you want from the choices made available to you. If the practice has decided on a subset of codes for a particular service, then you will only be able to select from those codes. If you would like to have a wider choice for that service, or have the choice narrowed further see the section above on Mapping. You may need to talk to your practice administrator if you don’t have permission to do it directly.

If the practice has not decided on a list of SNOMED codes for the service item, then you will be able to choose from the full list of included codes. As above, start typing to narrow the list and then click Add to attach it to this service.

Sometimes when you chart there won’t be any default SNOMED codes assigned to the service. When that happens a SNOMED Service Selector dialogue will appear.

Select from the list directly or type in a search term for the SNOMED code you want and then click on the Add button from the drop down. If you don’t want to add a SNOMED code to this item just click Cancel. When the list contains the items that you want, click OK.

If you find that you have to do this a lot, consider editing the SNOMED mapping for the service and setting a ‘Default in chart’ option. It may be necessary to add additional EXACT services so that you can achieve a one to one mapping.

Updates

The situation with SNOMED is still evolving. The code list and requirements are likely to change over the coming months, and the NHS may soon have guidance on how claim transmission should change to include the SNOMED codes.

EXACT now has the capability to take updates automatically overnight so that your practice can always remain up to date with the latest changes. Ask our support team about how to get hooked up to the new automated EXACT update process – this means you will never have to worry about EXACT being up to date again and you will maintain compliance with any updates to the SNOMED code list and associated requirements.