Why would DSM-5, ICD-10-CM, SNOMED CT, and ICD-11-MMS be used to record opioid use disorder?  

Assignment: Answer Real world cases 5.1 and 5.2 questions; at least one page for each real world case; cite textbook. Please see chapter readings from textbook below

Real-World Case 5.1

The 2015 Edition EHR technology certification criteria state the following:

Smoking status: Enable a user to electronically record, change, and access the smoking status of a patient in accordance with the standard specified.

· 45 CFR 170.315(a)(11). Coded to one of the following SNOMED CT codes:

· Current everyday smoker. 449868002

· Current some day smoker. 428041000124106

· Former smoker. 8517006

· Never smoker. 266919005

· Smoker, current status unknown. 77176002

· Unknown if ever smoked. 266927001

· Heavy tobacco smoker. 428071000124103

· Light tobacco smoker. 428061000124105

Objective: Record smoking status for patients 13 years or older.

Measure: More than 85 percent of all unique patients 13 years old or older seen by the eligible professional or admitted to the eligible hospital’s or critical care hospital’s inpatient or emergency department during the EHR reporting period have smoking status records as structured data.

A quick reference for meeting the smoking status promoting interoperability requirement is ­included in the American Academy of Family Physicians (AAFP) Tobacco and Nicotine Cessation Toolkit. The AAFP supports the incorporation of tobacco cessation into EHR templates (AAFP 2015). The quick reference provides guidance on what should be included in a tobacco cessation EHR template.

Real World Case 5.1

1. Why would SNOMED CT be used to record the smoking status of a patient on an EHR template?

2. Why was ICD-10-CM not chosen as the system to capture smoking status?

3. Review the SNOMED CT codes. Which ones have a namespace identifier and an extension? What part of the identifier is the namespace and what part is the extension?

Real-World Case 5.2

Opioid use is a major concern for healthcare professionals and organizations worldwide. Even governmental agencies are becoming involved. For example, the National Institutes of Health launched the Helping to End Addiction Long-term as a way to speed scientific solutions to curtail the national opioid public health crisis. The accurate identification of opioid use disorder is important to the success of the research that will take place. DSM-5, ICD-10-CM, SNOMED CT, and in the future ICD-11-MMS are all possible ways to identify cases for research.

Real World Case 5.2

1.            Why would DSM-5, ICD-10-CM, SNOMED CT, and ICD-11-MMS be used to record opioid use disorder?  

2.             If you were helping with a research study on opioid use disorder and asked to identify what should be included from SNOMED CT, ICD-10-CM, and ICD-11-MMS for opioid use disorder, what would your report say?  

                Websites may be used to look up opioid use disorder:  

                SNOMED CT: https://browser.ihtsdotools.org/  

                ICD-10-CM: https://www.icd10data.com/  

                ICD-11-MMS: https://icd.who.int/browse11/l-m/en  

3.             Considering the same research study, what would you point out as changes in the classification for opioid use disorder between ICD-10-CM and ICD-11-MMS?