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SNOMED CT is the approved clinical terminology for use in the NHS. It includes over 400,000 clinical terms that are coded, and arranged in a hierarchical structure. The first SNOMED OT subset includes the main published assessment tools used by occupational therapists.
SNOMED CT is the approved clinical terminology for use in the NHS. It includes over 400,000 clinical terms that are coded, and arranged in a hierarchical structure. The first SNOMED OT subset includes the main published assessment tools used by occupational therapists.
SNOMED CT is the approved clinical terminology for use in the NHS. It includes over 400,000 clinical terms that are coded, and arranged in a hierarchical structure. The first SNOMED OT subset includes the main published assessment tools used by occupational therapists.
Assessments used by occupational therapists The College of Occupational Therapists (COT) is developing sets of terms for use by occupational therapists (OTs) when recording patient information in electronic care records (ECR). These sets of terms will be incorporated into SNOMED CT as subsets. SNOMED CT is the approved clinical terminology for use in the NHS. SNOMED includes over 400,000 clinical terms that are coded, and arranged in a hierarchical structure. Further information about SNOMED can be found at: http://www.connectingforhealth.nhs.uk/systemsandservices/data/snomed Using SNOMED terms in patient records will help to ensure that patient data is recorded accurately and consistently throughout the NHS, and can also be used for secondary purposes, e.g. research, audit, commissioning and performance management. This is one of the essential information building blocks that will support OTs in routinely measuring, evaluating and demonstrating the effectiveness of their interventions with service users and carers. The first SNOMED OT subset includes the main published assessment tools used by occupational therapists. The list was produced using nominations from individual members and the COT specialist sections. Nominated assessments were included, with the exception of those nominated by only one member. The Assessments Subset has been incorporated into SNOMED and can now be used by IT system developers when customising their ECR systems for use by OTs. For example, the subset could be used as a drop-down list to enable the OT to quickly, accurately and consistently record the name of an assessment carried out with the patient and/or their carer(s). There will be an annual review of the Assessments Subset to ensure it is both comprehensive and usable in practice. This is a concern given that there are already 117 assessments in the subset, and some known candidates for additional assessments used with children, young people and paediatric services. There are many scores of assessments that are less widely used by OTs, e.g. some of the assessments used in research studies that are not used in routine practice. Including assessments that are rarely used would reduce the usability of the subset to the profession as a whole. OTs will still be able to search for, find and record the SNOMED term for assessment tools that are not in the subset. COT will provide additional guidance on the use of the subset, and searching for assessments not in the subset, once there is some experience of OTs using the subset in practice. In SNOMED, terms for assessment tools are grouped under assessment scales. Consequently the full term for each assessment scale, includes the term: assessment scale, e.g. Adolescent and/or adult sensory profile (assessment scale). To improve the readability of the following information, the term (assessment scale) has been omitted from the names of the assessment tools used by OT. Further information on the development of SNOMED subsets for OTs is available from: chris.austin@cot.co.uk 1
College of Occupational Therapists
SNOMED Subsets to support occupational therapy The first Subset:
Assessment tools used by occupational therapists
Name of the assessment tool
Adolescent and/or adult sensory profile Ages and stages questionnaire second edition Allen cognitive level screening tool Anorexia nervosa stages of change questionnaire Arnadottir occupational therapy activities of daily living neurobehavioral evaluation Arthritis hand function test Arthritis impact measurement scale Assessment of communication and interaction skill version 4.0 Assessment of motor and process skills Barriers to employment and coping efficacy scale Barthel index Bay area functional assessment Beck depression inventory Behavior assessment of the dysexecutive syndrome Berg balance scale Binary individualized outcome measure Brief pain coping inventory Brief pain inventory Bristol activities of daily living scale Bulimic investigation test - Edinburgh Canadian occupational performance measure Career interest test Chessington occupational therapy neurological assessment battery Child occupational self assessment version 2.1 Childhood health assessment questionnaire Clifton assessment procedures for the elderly Cognitive assessment of Minnesota Communication skills questionnaire Community dependency index
College of Occupational Therapists
Name of the assessment tool Comprehensive occupational therapy evaluation scale Dallas pain questionnaire Disabilities of the arm shoulder and hand outcome measurement Draw a person test Dynamometer pinch and gross grip scale Eating attitudes test Eating disorder examination Eating disorders inventory European league against rheumatism disease activity score 28 joint, response criteria scale Evaluation tool of children's handwriting Falls behavioural scale Falls efficacy scale Fatigue impact scale Frontal assessment battery Functional analysis of care environments assessment tool Functional assessment measure Functional capacity evaluation scale Functional test for the hemiparetic upper extremity Geriatric depression scale Grip ability test scale Hampshire assessment for living with others Hand volumeter test scale Health assessment questionnaire Home falls and accidents screening tool Hospital anxiety and depression scale Jamar dynamometer scale Jebsen hand function test Joint protection behaviour assessment questionnaire Joint protection knowledge assessment Kapandji thumb mobility scale Kohlman evaluation of living skills Large Allen cognitive level screening tool Lowenstein OT cognitive assessment
College of Occupational Therapists
Name of the assessment tool Mayer lifestyle questionnaire 1 Mayer lifestyle questionnaire 2 McGill pain chart questionnaire Melbourne assessment of unilateral upper limb function Methods time measurement Michigan hand outcomes questionnaire Middlesex elderly assessment of mental state Mini-mental state examination Moberg pick-up test Model of creative ability assessment scale Model of Human Occupation Screening Tool version 2.0 Modified health assessment questionnaire Modular arrangement of predetermined time standards scoring tool Neck disability index Nine hole peg test Obligatory exercise questionnaire Occupational case analysis interview and rating scale Occupational circumstances assessment interview and rating scale forensic mental health version 4.0 Occupational performance history interview Occupational self assessment version 2.2 Occupational therapy functional assessment compilation tool Occupational therapy interest checklist - United Kingdom Occupational therapy pool activity level Occupational therapy role checklist Occupational therapy sensory profile Occupational therapy task observation scale Oswestry disability index Oxford hip scale Pain self efficacy questionnaire Patient rated wrist evaluation scale Quality of upper extremity skills test scale Quick disabilities of the arm shoulder and hand outcome measurement Repeatable battery for the assessment of neuropsychological status
College of Occupational Therapists
Name of the assessment tool Rheumatoid arthritis work instability scale Rivermead behavioral memory test Rivermead perceptual assessment battery School function assessment Scleroderma health assessment questionnaire Semmes-Weinstein monofilament score Sensory integration and praxis test - Ayres Sensory integration inventory revised for individuals with developmental disabilities Sequential occupational dexterity assessment Social functioning scale Sollerman hand function test Stereognosis test scale Stirling eating disorders scale Valpar 17 pre-vocational readiness battery Visual analog pain scale Visual analog scale Volitional questionnaire version 4.1 Westcotes individualized outcome measure Westmead home safety assessment Work ability index Work environment impact scale version 2.0 Worker role interview version 10.0