Introducing the afternoon session on SNOMED CT implementation in New Zealand at the now legendary Fire and Ice Seminar held in Auckland on 24 July 2015. A series of TED style talks were presented.
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SNOMED CT for Trusted, Actionable Health Information
1.
2. Introducing SNOMED CT Alastair Kenworthy
Making a clinical impression David Bainbridge
SNOMED for CORE strength John Fountain
SNOMED alert Sarah Homan, Bryan Simpson
Read codes are dead Zeeman van der Merwe
Let’s get ontological Michael Lawley
SNOMED is bound to model Koray Atalag
SNOMED expo 2016 is go! Liara Tutina
3. FHIR is the promised
open API for connected health
4. SNOMED is the boundless descriptive
space where content is created
5. SNOMED is for trusted, actionable
information at point of care
7. Vitreous body structure
Disorder of vitreous body
History of vitreous floaters
(situation)
Vitreous floaters (disorder)
15013002
associated
finding
synonym
finding site
is a
Musca volitans
Making sense of SNOMED
14. New Zealand is an IHTSDO charter member
SNOMED is free to use here and in
26 other member countries
SNOMED online education is available
15.
16. Come to New Zealand and engage
with our health community
to develop and refine SNOMED CT
for the benefit of all peoples
Hon Dr Jonathan Coleman
Minister of Health, January 2015
18. Introducing SNOMED CT Alastair Kenworthy
Making a clinical impression David Bainbridge
SNOMED for CORE strength John Fountain
SNOMED alert Sarah Homan, Bryan Simpson
Read codes are dead Zeeman van der Merwe
Let’s get ontological Michael Lawley
SNOMED is bound to model Koray Atalag
SNOMED expo 2016 is go! Liara Tutina
Editor's Notes
SNOMED implementation is ramping up in New Zealand on the exciting news that in October 2016 delegates from 27 member countries will meet in Wellington for the IHTSDO annual conference. As host country this will be our chance to showcase Kiwi success in using SNOMED to power ambulance, emergency department, medication management, e-referral and clinical decision support applications. Trusted, Actionable Health Information is our conference theme as we help deliver on the promise that SNOMED becomes the global language of health care. The seminar is your chance to get involved.
Each of the slots is 15 minutes like a TED talk, with five minutes for questions from the audience.
As we heard during the morning session, New Zealand is one of the first countries in the world to endorse HL7 Fast Healthcare Interoperability Resources (FHIR) as an open API standard for connected health. Our electronic health record platform will have plug points serving a rich and trusted ecosystem of clinical apps and personal health apps.
SNOMED CT is the vast and unparalleled system of clinical terminology that we are using to capture meaningful information about the patient in the electronic health record. SNOMED is an open system that is growing rapidly as medical knowledge burgeons. SNOMED is our key information tool for enabling better patient outcomes, a more productive health system and a healthier population.
SNOMED is a tool for all points around the circle of care. The new national cancer health information strategy is founded on capturing high fidelity information at every contact and using it to provide optimal treatment in the public health system.
SNOMED CT is an interconnected system of over 400,000 clinical concepts and 1,000,000 terms. Concepts derive their meaning from their relationships with other concepts. Primitive concepts can be composed with one another to create ever more precise descriptions.
This slide provides an example showing how SNOMED concepts, terms and relationships can be used to represent the very common and usually benign condition of vitreous floaters in the eye that affect the field of vision. Ultimately, there may be an entry in the electronic medical record noting a history of vitreous floaters, linked to advice to the patient and any referral to an eye specialist.
Our first foray into SNOMED development was the New Zealand Medicines Terminology in about 2010. NZMT is technically a SNOMED national extension, borrowing from earlier work on the Australian Medicines Terminology. NZMT now underpins the national community e-prescription service and all hospital e-medication management solutions.
But emergency care is where we’ve made the greatest progress in the past couple of years. Emergency department clinical directors formed an EDIT to agree on a common set of functional requirements for ED information systems, and made SNOMED central to that. Dr Tom Morton and his ED colleagues at Nelson-Marlborough DHB adapted a SNOMED reference set from NeHTA in Australia to power the ED at a Glance clinical information system that they built. The system has been operating for 18 months and proves the workability of SNOMED in fast paced clinical environments.
Ambulance services are going one better and will begin rolling out a fully SNOMED enabled electronic patient report form later this year to the national fleet of over 600 vehicles.
The next step is to introduce SNOMED as a standard for more descriptive electronic referrals and clinical pathway navigation. This informs direct care but also enables measurement of the patient journey, wait times and unmet need.
Surgeons use a SNOMED enabled morbidity audit and logbook tool.
Other examples are:
- the national disability support service is using SNOMED
- national telehealth service will implement SNOMED
- SNOMED is now being implemented in new primary care information systems
There is no question that SNOMED will be a key part of our electronic health record future.
The Ministry of Health operates the SNOMED national release centre and distributes SNOMED in New Zealand. Not everyone realises that SNOMED is free to end users and vendors alike provided you are registered with us. SNOMED online education (again, it’s free) has been popular and 30 Kiwis have this year successfully completed the first course.
IHTSDO holds an annual conference and in October 2016 it will be held in New Zealand for the first time. Our theme for the conference and expo is ‘trusted, actionable health information’.
Don Sweete, IHTSDO CEO, visited New Zealand with Fleur McBriar, Events Manager, in March 2015 to kick the tyres ahead of a final decision on the conference. The IHTSDO subsequently endorsed the bid and it was confirmed by vote at the IHTSDO General Assembly meeting in Copenhagen in April 2015.
