Creation of SNOMED CT Code Set for Rick Hansen Spinal Cord Injury Registry (RHSCIR) Data Entry Forms

Abstract

The Rick Hansen Spinal Cord Injury (RHSCI) Institute granted this internship opportunity to the author, which began on May 25th and was extended to 10th December 2010. The author’s part of the project included the creation of a SNOMED CT code set for the Rick Hansen Spinal Cord Injury Registry (RHSCIR) data entry forms. This internship is a part of phase one of RHSCIR project. There were fifteen data entry forms plus an updated diagnosis form to be coded. The author used SNOMED CT coding software to begin the process. After the coding was done the author learned more regarding data exchange and the national RHSCIR database, which is the ultimate goal of phase one of the RHSCI Registry project. Finally, clinical statements were generated from coded value sets. The author formed a clinical statements library by assembling the clinical statements and a Health Level Seven International Clinical Document Architecture (HL7 CDA) was built for data sharing and data exchange.