{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T02:40:58Z","timestamp":1787452858957,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T00:00:00Z","timestamp":1691539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Routine clinical coding of clinical outcomes in outpatient consultations still lags behind the coding of episodes of inpatient care. Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) offers an opportunity for standardised coding of key clinical information. Identifying the most commonly required SNOMED terms and grouping these into a reference set will aid future adoption in routine clinical care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To create a common endocrinology reference set to standardise the coding for outcomes of outpatient endocrine consultations, using a semi\u2010automated extraction of information from existing clinical correspondence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective review of data from an adult tertiary outpatient endocrine clinic between 2018 and 2019. A total of 1870 patients from postcodes within two regional areas of NHS Grampian (Aberdeen City and Aberdeenshire) attended the clinic. Following consultation, an automated script extracted each problem statement which was manually coded using the \u2018disorder\u2019 concepts from SNOMED CT (UK edition).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The review identified 298 relevant endocrine diagnoses, 99 findings and 142 procedures. There were a total of 88 (29.5%) commonly seen endocrine conditions (e.g., Graves' disease, anterior hypopituitarism and Addison's disease) and 210 (70.5%) less commonly seen endocrine conditions. Subsequently, consultant endocrinologists completed a survey regarding the common endocrine conditions; 28 conditions have 100% agreement, 25 have 90%\u201399% agreement, 31 have 50%\u201389% agreement and 4 have less than 59% agreement (which were excluded).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Automated text parsing of structured endocrine correspondence allowed the creation of a SNOMED CT reference set for common endocrine disorders. This will facilitate funding and planning of service provision in endocrinology by allowing more accurate characterisation of the patient cohorts needing specialist endocrine care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.14951","type":"journal-article","created":{"date-parts":[[2023,8,9]],"date-time":"2023-08-09T09:21:01Z","timestamp":1691572861000},"page":"343-349","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Creating a SNOMED CT reference set for common endocrine disorders based on routine clinic correspondence"],"prefix":"10.1111","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4939-9085","authenticated-orcid":false,"given":"Shao Hao Alan","family":"Yap","sequence":"first","affiliation":[{"name":"JJR Macleod Centre for Diabetes &amp; Endocrinology, Aberdeen Royal Infirmary Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sam","family":"Philip","sequence":"additional","affiliation":[{"name":"JJR Macleod Centre for Diabetes &amp; Endocrinology, Aberdeen Royal Infirmary Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex J.","family":"Graveling","sequence":"additional","affiliation":[{"name":"JJR Macleod Centre for Diabetes &amp; Endocrinology, Aberdeen Royal Infirmary Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakash","family":"Abraham","sequence":"additional","affiliation":[{"name":"JJR Macleod Centre for Diabetes &amp; Endocrinology, Aberdeen Royal Infirmary Aberdeen UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Downs","sequence":"additional","affiliation":[{"name":"National Services Edinburgh Scotland UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-0-8213-6262-4"},{"key":"e_1_2_10_3_1","unstructured":"SNOMED CT. National Library of Medicine. September 18 2019. Accessed March 02 2023.http:\/\/www.nlm.nih.gov\/research\/umls\/Snomed\/snomed_main.html"},{"key":"e_1_2_10_4_1","unstructured":"SNOMED CT. NHS England. Accessed March 02 2023.https:\/\/www.england.nhs.uk\/digitaltechnology\/digital-primary-care\/snomed-ct\/"},{"issue":"1","key":"e_1_2_10_5_1","first-page":"540","article-title":"Evaluation of SNOMED coverage of veterans health administration terms","volume":"107","author":"Penz JF","year":"2004","journal-title":"Stud Health Technol Inform"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.4065\/81.6.741"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/2042533313483719"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2011.08.013"},{"key":"e_1_2_10_9_1","first-page":"1","article-title":"Building SNOMED CT reference set for use as interface terminologies","volume":"6","author":"Hansen DP","year":"2011","journal-title":"Electron J Health Inform"},{"key":"e_1_2_10_10_1","unstructured":"SNOMED Atlassian Confluence. Practical Guide to Reference Sets. Accessed March 02 2023.https:\/\/confluence.ihtsdotools.org\/display\/DOCRFSPG\/Practical+Guide+to+Reference+Sets"},{"key":"e_1_2_10_11_1","unstructured":"National Record of Scotland. Annual Review Publication from 1996 to 2014. Accessed March 02 2023.https:\/\/www.nrscotland.gov.uk\/statistics-and-data\/statistics\/stats-at-a-glance\/registrar-generals-annual-review\/archive"},{"issue":"2","key":"e_1_2_10_12_1","first-page":"4","article-title":"Can SNOMED CT as implemented in New South Wales, Australia be used for road trauma injury surveillance in emergency departments?","volume":"42","author":"Mitchell RJ","year":"2013","journal-title":"Health inform Manag J"},{"key":"e_1_2_10_13_1","unstructured":"Rotherham NHS Foundation Trust Case Study. NHS Future. Accessed March 02 2023.https:\/\/future.nhs.uk\/SNOMEDCT\/view?objectId=52585157"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.7861\/futurehosp.4-2-126"},{"key":"e_1_2_10_15_1","unstructured":"Case study Sunderland SNOMED CT. NHS Future. Accessed March 02 2023.https:\/\/future.nhs.uk\/SNOMEDCT\/view?objectId=52585093"},{"key":"e_1_2_10_16_1","unstructured":"AndrewS DownsD. Collecting clinical information in outpatients; a pilot study using SNOMED CT Health and Social Care Information Centre.\u00a02015."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2012.09.006"},{"issue":"4","key":"e_1_2_10_18_1","first-page":"8","article-title":"Developing a national emergency department data reference set based on SNOMED CT","volume":"194","author":"Hansen DP","year":"2011","journal-title":"Med J Aust"},{"key":"e_1_2_10_19_1","first-page":"243","article-title":"A reference set of SNOMED terms for the structured representation of respiratory disorders of the newborn infant","volume":"150","author":"James AG","year":"2009","journal-title":"Stud Health Technol Inform"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2015.07.009"}],"container-title":["Clinical Endocrinology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cen.14951","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T12:56:32Z","timestamp":1719924992000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cen.14951"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,9]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1111\/cen.14951"],"URL":"https:\/\/doi.org\/10.1111\/cen.14951","archive":["Portico"],"relation":{},"ISSN":["0300-0664","1365-2265"],"issn-type":[{"value":"0300-0664","type":"print"},{"value":"1365-2265","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,9]]},"assertion":[{"value":"2023-03-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}