Mapping Korean National Health Insurance Claim Codes for Laboratory Test to SNOMED CT

Stud Health Technol Inform. 2023 May 18:302:78-82. doi: 10.3233/SHTI230068.

Abstract

The aim of this study was to map Korean national health insurance claims codes for laboratory tests to SNOMED CT. The mapping source codes were 4,111 claims codes for laboratory test and mapping target codes were the International Edition of SNOMED CT released on July 31, 2020. We used rule-based automated and manual mapping methods. The mapping results were validated by two experts. Out of 4,111 codes, 90.5% were mapped to the concepts of procedure hierarchy in SNOMED CT. Of them, 51.4% of the codes were exactly mapped to SNOMED CT concepts, and 34.8% of the codes were mapped to SNOMED CT concepts as one-to-one mapping.

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

MeSH terms

  • National Health Programs
  • Republic of Korea
  • Software*
  • Systematized Nomenclature of Medicine*