Mapping Korean National Health Insurance Pharmaceutical Claim Codes to SNOMED CT

Stud Health Technol Inform. 2022 May 25:294:297-301. doi: 10.3233/SHTI220462.

Abstract

The objective of this study was to map pharmaceutical claim codes to SNOMED CT and thereby facilitate multicenter collaborative research and improve semantic interoperability. The claim codes were mapped to SNOMED CT using rule-based automated and manual methods. The maps were internally validated by terminologists and a pharmacist. Finally, 80% of all claim codes were mapped to the concepts of Pharmaceutical/biologic product hierarchy in SNOMED CT. Of them, 50.6% of the codes were exactly mapped to one clinical drug branch concept.

Keywords: National Health Insurance Reimbursement; Pharmaceuticals; Semantic interoperability; Systematized Nomenclature of Medicine Clinical Terms.

Publication types

  • Multicenter Study

MeSH terms

  • National Health Programs*
  • Pharmaceutical Preparations
  • Republic of Korea
  • Systematized Nomenclature of Medicine*

Substances

  • Pharmaceutical Preparations