Gain insight into the experiences of developing SNOMED CT for clinical based use cases.

Discussion items:

1. Introduction               
2. Experiences of the Belgium SNOMED Consortium          
3. French Translation Project Group – clinical experiences
4. Questions                    
5. Future clinical webinars

Objectives:

• To provide an overview and report on experiences from the One London project
• To discus the experiences of using SNOMED CT for clinical analytics with a Cerner hospital implementation

Discussion items:

1. Introduction               
2. One London project update         
3. Using SNOMED CT for analytics - experiences from a Cerner system user                       
4. Questions                    
5. Future clinical webinars

Presenters:

Karen Horridge (Disability Paediatrician - Sunderland & Chair, British Academy of Childhood Disability)

Using SNOMED-CT to articulate and make visible the multifaceted needs of disabled children: an opportunity to improve outcomes?

Srdan Prodanovic (Owner of ezDerm)

SNOMED in EZDERM - supporting dermatology requirements

The webinar provided the opportunity to view how SNOMED CT is being used to support clinicians. The presentations provided insight into the approaches taken, and gave an opportunity for discussion on the specific topic areas and the broader topic of clinical engagement.

Presenters:

• Riki Merrick, Lead terminologist, Association of Public Health Laboratories (APHL)
• Dr Wai Keong Wong, Chief Research Information Officer, Consultant Haematologist, University College London Hospital.

The focus of the presentations was the clinical application of SNOMED CT, focusing specifically on its use in public health and clinical research, and it drew upon the implementation experiences of both presenters

Discussion items:

1. Welcome
2. Standardized and complete Specimen details in the specimen cross-mapping table - Riki Merrick 
3. Deployment of the research candidate identification tool - Dr Wai Keong Wong
4. Questions/discussion

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Presenters:

Ian McNicoll
Co-Chair, openEHR Foundation
The use of SNOMED CT in openEHR data models

Peter Hendler
SNOMED International Clinical Lead, Americas
Leveraging SNOMED CT functionality to support analytics, focusing on COVID-19

The focus of the presentations was the clinical application of SNOMED CT, focusing specifically on it's use in openEHR and the use of SNOMED CT to support clinical analytics using COVID-19 as an example use case.

Further details can be found here: 2020-08-05 - Clinical Webinar

Presenters:

Monica Jones
Chief Data Officer HDRUK, Hub for cancer (DATA-CAN)
COVID and cancer - The use of real time data and open standards

Daniel Karlsson and Keng-Ling Wallin
Socialstyrelsen (The National Board of Health and Welfare, Sweden)
Clinical engagement in Sweden

Presentation files can be found here.

SNOMED for Clinicians

Chairs: Ian Green & Jane Millar

Keynote speaker: Dermot O’Riordan, consultant surgeon at West Suffolk NHS Foundation Trust (UK)

SNOMED International highly values clinical input into the development and maintenance of SNOMED CT. Clinical engagement ensures that the terminology meets both current and future clinical requirements. The session aims to provide an overview of clinical engagement and the work currently underway within SNOMED International and the broader clinical SNOMED CT community. 

The clinical day is broadly structured into three distinct sessions. The first will provide the overall context to clinical engagement, provide a review of work currently underway and the future direction of developments. The second session will comprise a series of clinical reference group (CRG) meetings, run in parallel.  These meetings will provide an opportunity to observe and partake in some of the clinical discussions currently underway. The final session will provide an opportunity for all the CRGs to report back to provide an overall view of the work of each group to the larger audience.

As we move to increased digitalisation of healthcare, clinicians’ ways of working will change, providing opportunities to improve healthcare delivery. The use of terminology and standards provides the building blocks to provide clinicians with actionable data, supporting clinicians and clinical practice. Dermot O’Riordan is a consultant surgeon at West Suffolk NHS Foundation Trust in the UK, where he was previously Medical Director and also Interim Chief Executive Officer. He is currently the Chief Clinical Information Officer and responsible for delivering the e-Care integrated electronic health record project, with Cerner. Dermot will discuss his views and opinions on the future challenges and opportunities based on his extensive experience.

Schedule:
13:00-15:00 UTC: SNOMED for Clinicians
15:00-15:30 UTC: Break
15:30-17:00 UTC: Concurrent CRG meetings (Zoom details coming soon)
17:00-17:30 UTC: Closing Clinical plenary

The focus of the session was on Primary Care, with two speakers - David Rocha (US) and Denise Downs (UK).

David Rocha presented on the use of SNOMED CT in a primary care setting to support and improve quality assurance. David works for a family practice in San Antonio, Texas which uses SNOMED CT to actively to monitor, improve and report on the care delivered.

Denise Downs presented on GP practice systems in England use SNOMED CT as the national terminology; this session covers that journey. Denise is the lead SME on the project will cover the approach and lessons learnt as well as advantages seen during COVID 19.

Dr. Renate Schmidt, Warren Del-Pinto, Dr. Yongsheng Gao will be presenting:
Just the Right Amount - SNOMED CT Content Extraction and Sharing

In this presentation we report on progress in developing a bespoke content extraction and sharing prototype. The prototype is aimed at  supporting users to compute a sub-ontology that succinctly summarizes content in an ontology relating to a narrow focus and enable sharing between different extensions of SNOMED CT. We will illustrate the utility of the ideas in a number of examples.

About Dr. Renate Schmidt
Renate Schmidt is University Reader in the Department of Computer Science at the University of Manchester and leads the Formal Methods Research Group. Her research involves the automation and theoretical analysis of reasoning methodologies of logics relevant to a variety of areas in Computer Science and Artificial Intelligence. The focus of her current work is the development of tools for ontology re-engineering, including ontology extraction and information hiding, query answering and automated prover generation.

About Warren Del-Pinto
Warren Del-Pinto is a Research Associate in the Department of Computer Science at the University of Manchester. His PhD research focused on hypothesis generation in knowledge bases via abductive reasoning. His current research interests include developing efficient methods for definition and hypothesis generation in ontologies, and the integration of knowledge-driven reasoning and data-driven learning.

About Dr. Yongsheng Gao
Yongsheng Gao is a senior terminologist at SNOMED International and the co-chair of Modeling Advisory Group with a focus on concept model development and integration with information models for interoperability. He has over 10 years’ extensive experience in terminology authoring, quality assurance and release. He also takes part in the development and review of international health informatics standards.

SNOMED CT and research – why should the SNOMED community and the research community care?

Speaker: Dr. Olivier Bodenreider

SNOMED CT offers a rich domain of application to informatics researchers interested in biomedical terminologies. However, research involving SNOMED CT is often performed independently from the SNOMED community. While standards development is generally anchored in pragmatism, Dr. Bodenreider explains how the SNOMED community would benefit from further engaging terminology researchers in the development and evaluation of SNOMED CT.

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Dr. Hoa Ngo presented: Can Wikipedia (and NLP) Be Used to Derive an Open Clinical Terminology?

Clinical terminologies play an essential role in enabling semantic interoperability between medical records. However, existing terminologies have several issues that impact data quality, such as content gaps and slow updates. This presentation highlighted recent work exploring the suitability of existing, community-driven resources, such as Wikipedia, as a potential source to bootstrap open clinical terminologies for content coverage.

About Dr Hoa Ngo

Hoa Ngo is a Research Scientist at CSIRO.  He completed his Bachelor and Master of science degrees at the Saint-Petersburg State Polytechnic University in Russia.  And he completed his PhD at the University Montpellier II, Science and Technology in France.  Currently his work focuses on health informatics with an emphasis on natural language processing and pattern recognition and data mining.  

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Dr. Ronald Cornet presents: SNOMED CT - OWL in a FAIR web of data.

Now that the OWL format provides the “source of truth” of the semantics of SNOMED CT concepts, the challenge lies in reaping the benefits of using these concepts in a semantic web of healthcare data.  In this way, SNOMED can drive interoperability, a key aspect of FAIR (Findable, Accessible, Interoperable, Reusable) data. This webinar will present principles, practice, pitfalls, and potential of this FAIR semantic web approach.

About Dr. Ronald Cornet

Ronald Cornet holds a position as associate professor at the department of Medical Informatics in the Amsterdam Public Health research institute, Amsterdam UMC (Academic Medical Center) - University of Amsterdam. His research focuses on semantic interoperability, both from a technical and a users' point of view, including natural language processing.

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Dr. Hyeoun-Ae Park will be presenting Mapping Korean Classification of Diseases and Medical Procedure Codes to SNOMED CT.

The Korean government is undertaking various Health IT initiatives such Health Information Exchange, EMR certification and Data-centered Hospitals. Use of standardized terminologies and vocabularies are recommended for these initiatives. To promote the use of SNOMED CT as a reference terminology in the country, the Korean Ministry of Health and Social Welfare has developed maps of the Disease Classification and Medical Procedure Codes used for National Health Insurance claims to SNOMED CT. Dr. Park will briefly introduce Healthcare in Korea with the Health IT initiatives and present preliminary results of the SNOMED CT mapping project.

Dr Hyeoun-Ae Park is the Emeritus Dean and a Professor at the College of Nursing and a Researcher at the Systems Biomedical Informatics Research Center, Seoul National University and previously served as President of the International Medical Informatics Association (IMIA).  Dr. Park is a champion for use of standardized terminologies and vocabularies and detailed clinical models in electronic health records. Her recent work involves healthcare big data analytics investigating ways to predict the occurrence of patient safety problems such as fall, pressure ulcer, and adverse drug reactions.

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Our first SNOMED CT Research Webinar in Spanish!

Elizabeth Silva Layes presented: Implementation of a Terminology Server with SNOMED CT in Graph Databases.

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Michael Denton and Jacee Robison presented:

Transitioning from Text-Based to Code-Based NLP Rules using SNOMED CT for Data Normalization and Standardization'

This presentation described a pilot project to implement a solution for the translation of text string rules in a natural language processing (NLP) application to concept-based rules using SNOMED CT. The project results demonstrate a successful translation from text strings to 1:Many codable concepts.

About Michael Denton MS, RN
Michael Denton has been a member of the 3M HDD team since 2017. He has worked as a nurse since 2013 with experience in the SICU, MICU, ER, OR, telemetry, medical surgical units, geriatric care, and medical informatics. He has a Masters of Science in Nursing Informatics from the University of Utah. He is leading projects including terminology mapping and concept development using SNOMED CT, LOINC, ICD-10-CM, ICD-10-PCS, RxNorm, and other terminology standards. His interests are in leveraging healthcare interoperability and Meaningful Use to improve patient care and outcomes.

Michael presented an E-Poster at the SNOMED CT Expo 2020 virtual conference - please click here to preview it.

About Jacee Robison MS, RN
Jacee Robison has been a member of the 3M HDD team since 2016. She worked as a nurse since 2008 with experience in ER, ICU, step-down ICU, medical/surgical, orthopedic surgical, postpartum, pediatric and medical oncology units. She has a Masters of Science in Nursing Informatics from the University of Utah. She has been involved in terminology mapping and design development for multiple projects to improve interoperability in EHRs and implementation of Meaningful Use value sets, in addition to terminology work with SNOMED CT, LOINC, ICD-10-CM, and ICD-10-PCS.

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Presenter: Dr. Gong Mengchun
Topic: Bridging the RWD databases across the countries to empower studies on COVID-19

This presentation shared recent accomplishments utilizing SNOMED CT as the key terminology to coordinate real-world evidence studies around the world on COVID-19. SNOMED CT has been bridging the EHR/EMR databases in different countries to build up a network for large-scale analysis on the demographics, clinical features, treatment, and health outcomes of COVID-19 patients. The implementation of SNOMED CT in a broader scope will help the global community to prepare for the next-wave of COVID-19 and the next communicable disease.

About our Presenter:
Dr. Gong joined the area of applied medical informatics since 2015 and now works as the Distinguished Professor in the Institute of Health Management, Southern Medical University, China. Dr. Gong took charge of the National Rare Diseases Registry System of China (www.nrdrs.org.cn) as the executive director from 2016 to 2019, and has been a pioneer in rare disease research and patient advocacy in China. His research focus covers medical terminology/ontology, precision medical informatics, rare diseases and orphan drugs development and health technology assessment (HTA). He is actively engaged with international academic societies and holds the positions including the Diagnostic Science Committee member of IRDiRC (www.irdirc.org) , the Member-at-Large of the Global Health Informatics Workgroup of AMIA (www.amia.org), the Medical Informatics Consultant of the National Children’s Care Center/Fudan University Children’s Hospital and the member of the executive committee of the Chinese Association of Bioinformatics. Dr. Gong is a member of the SNOMED International Management Board.

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Natural Language Processing and SNOMED CT

Presentations & Presenters:

• Migrating clinical data using NLP and SNOMED CT in Belgium presented by Walter Verbrugge and Mathias De Wachter
• Experiences with NLP in MyHarmony in Malaysia presented by Dr Md Khadzir bin Sheikh Ahmad and Dr Muhammad Naufal bin Nordin

Presenters introduced the approaches taken to enable NLP with SNOMED CT in their organization, associated risks and benefits, and implementation considerations. 

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At this webinar, Pete Turnbull presented Implementation Adventures in SNOMEDLand – Lessons learned from 6 years of supporting SNOMED CT adoption in the NHS
 
In 2014 SNOMED CT was chosen to be the single terminology of the NHS in England. A small team of specialists was tasked with supporting EPR system vendors and care organisations in making this a reality, firstly moving Primary Care away from Readv2 and CTv3 codes, and after that supporting care settings built with little to no existing terminology. 

Pete Turnbull from NHS Digital shares his experiences of this work, what went well, what could have been done better, the lessons learned along the way and the plans for the future.

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