To accelerate adoption of SNOMED CT, a supportive yet robust ecosystem is required. Followings parts are identified for building this necessary ecosystem in India:
- Free availability of technology tools
- Free accessibility of certain standard corpus, license, etc.
- Building awareness among all stakeholders
- Adding to skilled manpower pool
- Build confidence in vendors and users for adoption and ensure interoperability
Ministry of Health and Family Welfare (MoH&FW), Government of India established National Resource Centre for EHR Standards (NRCeS) tasked to provide free and open source software (FOSS) tools, free of cost training and support for SNOMED CT implementation to all interested stakeholders – public or private.
In a short time, the resource centre produced tools like; FOSS SNOMED Toolkit that provide complete object-oriented implementation and APIs for easy integration of SNOMED CT in existing or new software, SNOMED CT to ICD-10 mapping APIs, SNOMED CT refsets for use in public healthcare programs.
One and two day free training events for private and public organizations were conducted. Information and resources on SNOMED CT, licensing, trainings, events, etc. were made available through www.snomedctnrc.in.
Implementation support to the hospitals and vendors for integration approaches, technical queries, troubleshooting, etc. was provided through email@example.com. There are now a significant number of SNOMED CT implementations from Government as well as private sector.
Towards ensuring appropriate adoption, a pilot program to develop evaluation and certification of EHR (or its derivative) software applications and devices for compliance to notified EHR standards including SNOMED CT is also planned.
In each of these areas, more steps and resources will be taken up as overall maturity of systems increase.
90 Affiliate Licenses were issued in 2016/2017, bringing the total to 202 for India.