Back to CIHI’s SNOMED CT CA to classifications maps
The use of SNOMED CT (Systematized Nomenclature of Medicine — Clinical Terms) within electronic medical records (EMRs) allows for improved data collection of clinical information in primary care. To support the integration and flow of this information, CIHI has developed the Pan-Canadian Health Concern Value Set (PHCVS). The PHCVS is a subset of concepts from the Canadian edition of SNOMED CT (SNOMED CT CA) and supports a structured, standardized pan-Canadian approach to the collection of primary health care data.
The concepts within this value set have been mapped to ICD-10-CA, ICD-9 and the Canadian Emergency Department Diagnosis Shortlist (CED-DxS).
When implemented in point-of-care systems, the standardized value set and the maps to ICD-10-CA, ICD-9 and CED-DxS will enable the generation of comparable primary health care EMR data and will support performance measurement for clinical and health system use.
The maps support direct submission of data to CIHI using ICD-10-CA and help meet physician billing requirements, facilitated by the inclusion of maps to ICD-9. The maps also support data collection for facilities that wish to use the maps in an emergency department setting.
A resource to support implementation of the Pan-Canadian Health Concern Value Set can be found under Resource material.
Licensing requirements
The use of CIHI refset maps requires licensing agreements for both ICD-10-CA (from CIHI) and SNOMED CT (from Canada Health Infoway).
ICD-10-CA is available at no charge to Core Plan subscribers or for purchase by non–Core Plan clients. To request a user licence for ICD-10-CA, contact the CIHI Order Desk at help@cihi.ca.
To access SNOMED CT, an implementer must create a Canada Health Infoway account and confirm acceptance, annually, of the Terms of Use and Licence Agreements. Once a licence agreement is in place, release package files are made available for download by Canada Health Infoway to Canadian organizations at no cost via the Terminology Gateway.
Create a Canada Health Infoway account
Release and maintenance schedule
The maps will be updated to align with the new version releases for
- SNOMED CT CA
- ICD-10-CA
- CED-DxS
Pan-Canadian Health Concern Value Set (PHCVS), and CIHI SNOMED CT CA to ICD-10-CA Map — Public Submission Form
The Pan-Canadian Health Concern Value Set (PHCVS) and the CIHI SNOMED CT CA to ICD-10-CA Map will be updated to align with the release of SNOMED CT CA. Use this form to request changes to the maps for the next version update.
Highlights
Benefits of using the maps include
- Standardized data exchange, promoting streamlined information sharing across health care systems
- Support for interoperability between the primary care EMR and health care systems
- Identifying local and national needs for access to services and health care
- Improving research and treatment plan development
- Identifying areas of disease outbreak for population health monitoring
- Providing a clear picture of chronic disease across Canada
Resource material
Vendor Implementation Guide
Informs vendors and interested parties of the availability of the CIHI SNOMED CT Refsets, describes use cases and provides guidance on key considerations for implementation in an EHR/EMR system.
Featured materials
Maps for primary care
The PHCVS maps are now available through our vendor resource page and eStore.
Pilot testing opportunities
Interested in an exciting opportunity to test the PHCVS to see how it can improve your data collection needs?
Acknowledgements
The Canadian Institute for Health Information (CIHI) wishes to acknowledge and thank the following individuals and organizations for their contributions to the PHCVS.
- British Columbia Health Information Standards Standing Committee (HISSC)
- British Columbia Core Dataset Working Group (BC CDWG)
- Dr. Bill Clifford
- Dr. Ray Simkus
- Mukesh Kashyap, Project Lead/Senior Business Analyst, Health Information and Interoperability Standards, B.C. Ministry of Health
- Fred Melindy, Director, eDOCSNL, Newfoundland and Labrador Centre for Health Information
- Sisira De Silva, EHR Informatics Consultant, HEALTHeNL Program, Newfoundland and Labrador Centre for Health Information