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The Role of SNOMED CT in Enhancing Interoperability and the Future of Electronic Health Records (EHRs) in the US

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This paper examines the significance of SNOMED CT (Systematized Nomenclature of Medicine—Clinical Terms) in improving interoperability and the quality of care within Electronic Health Records (EHR) and Health Information Exchange (HIE) systems. The document begins by highlighting the comprehensive nature of SNOMED CT, which offers over 340,000 concepts for detailed clinical documentation, thereby supporting more accurate diagnoses and effective clinical decision support systems. The paper then addresses why the United States primarily uses older, less detailed coding systems like ICD-10-CM and CPT for claims and reporting, rather than adopting SNOMED CT for patient data modeling. It compares the strengths and weaknesses of SNOMED CT against these existing codes and explores the potential future of SNOMED CT in the US. Finally, the document discusses the federal and state activities—such as developing policies, incentives, and technical support—necessary to overcome financial and institutional resistance and ultimately facilitate the adoption of SNOMED CT to harmonize US health data exchange with international standards.

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Uploaded on
November 11, 2025
Number of pages
7
Written in
2025/2026
Type
Essay
Professor(s)
Unknown
Grade
A+

Subjects

  • current

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SNOMED-CT AND EHR




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, Introduction

This paper focuses on the importance of achieving interoperability in healthcare

systems to enhance the quality and efficiency of existing care, patients’ lives, and the

exchange of information between various entities. SNOMED-CT ( http://www.ihtsdtn.org/ )

is perhaps the largest and most popular healthcare terminology to support the exchange of

EHR and HIE. Most countries have adopted SNOMED-CT EHRs; nevertheless, the US only

employs the ICD-10-CM (International Classification of Diseases, 10th Revision, Clinical

Modification) and the Current Procedural Terminology (CPT) coding systems for claim and

data reporting. This paper will compare the strengths and weaknesses of SNOMED-CT in

EHR and HIE systems, why ICD-10-CM and CPT are still used in the United States, the

future of SNOMED-CT in the EHR systems, and the federal and state activities needed for

adoption.

Benefits of SNOMED-CT

First, SNOMED-CT offers fine-grained data in clinical notes, allowing clinicians to

document patients' clinical data and treat them more effectively to achieve an accurate

diagnosis. Due to more than 340,000 concepts and terms, SNOMED-CT allows more detailed

modeling of patient state and treatment, resulting in a higher level of patient protection and

more effective clinical decision support systems (Fennelly et al., 2021). This also and

significantly contributes to building comprehensive terminology that allows for better and

seamless sharing and exchanging of data between various care providers and institutions, as

well as transitions of care across different settings, with a resultantly improved overall

population health.

Another is that its use in health data reduces the heterogeneity in electrical health

record systems, making the interpretation of the data standard. This is especially relevant in
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