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History:
The Systematized Nomenclature of Pathology, also known as SNOP, was conceived in the late 1950s. This was done by the College of American Pathologists Committee on Nomenclature and Classification of Disease under the direction of Dr. Arthur Wells, with the aid of the American Chemical Society. SNOP was first published in 1965. 2 SNOP provided a morphology code which means a code based on the form and structure of an organism or one of its' parts. This included two sections, on neoplasms and a completely new, highly detailed topography code to cover the whole body. When being made an agreement was made that American Chemical Society could use the SNOP's sections and publish these with their own topography codes. 1 The book was based on four coding axes: topography(physical/natural features), morphology(structure/form), etiology(causes), and function. 4 This was used to describe specimens and was the basis for a comprehensive vocabulary of clinical medicine. It was immediately used in English-speaking countries and translated into numerous languages. In 1971 a French version of SNOP was created. 3
Two examples of the book.
Steps After SNOP Originated:
Since SNOP's inception in 1965 5 :
* SNOMED . 1974
* SNOMED II . 1979
* SNOMED Version 3.0 . 1993
* LOINC(Logical Observation Identifiers Names and Codes) codes integrated into SNOMED . 1997
* SNOMED Version 3.5 . 1998
* SNOMED RT . 2000
* SNOMED CT (SNOMED RT + CTV3) . First release January 2002
* SNOMED CT Spanish Edition . April 2002
* SNOMED CT German Edition - April 2003
The first major evolution from SNOP to SNOMED occurred in 1975. A trial edition with nomenclature that extended to all medicine was published and distributed for evaluation and testing in 250 test groups representing various health care settings. Today, SNOMED International, the third edition of SNOMED, has gained acceptance internationally and is used by both the private and public sectors. This includes the Centers for Disease Control and Prevention and the Department of Veterans Affairs. 2
Dr B. Barkman, Sr. Gabrielle Tanguay, Dr Roger A. Côté, Lise Bernier, Dr Marc Lavallée, Dr Léo Cousineau
Dr. Roger Coté helped extend SNOP beyond pathology, and it evolved into the Systematized Nomenclature of Medicine (SNOMED). SNOMED contained a broad array of clinical terms crossing all specialties of medicine and significantly expanded its use within healthcare environments. 5
References:
1 http://training.se er.cancer.gov/module_coding_primary/unit01_hist_bkgrnd01.html
2 http://www.ncvhs.hhs.gov/97041616.htm
3 http://infranet.uwaterloo.ca/infranet/s200311.ht m
4 http://www.mihandbook.stanford.edu/gl ossary/us/dsc1032us.htm
5 http://www.snomed.org/about/History_Summary.html< /a>
6 http://infranet.uwaterloo.c a/inftalks/2003-2004/2003-11-26/default.pdf