SNOMED in action

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We have designed a Health Portal Form in which we have covered 4 different type of diseases.

To provide decision support for primary care practitioners. The application will assign SNOMED CT codes to entered patient data which in turn will trigger decision support information. The research completed for this initiative is being conducted in Quebec with intended use across North America.

The Provincial Terminology Services (pTS) Strategic Plan and Roadmap Project was a joint grant-funded project co-led by the Director, Provincial Terminology Services, Health Information Management, Alberta Health Services (AHS) and Director, Data Management Unit, Alberta Health (AHS).

To identify medicines used in Australia, using unique codes to deliver unambiguous, accurate and standardised naming conventions for both branded (trade) and generic (medicinal) products.

To implement a single EHR system across the different hospital sites, to provide the primary source of information on the patient.

SNOMED CT terminology will be used for the capture of medical information (diseases, procedures, complaints,..) in our EHR in structured fields as well as in free text (through a parsing application).

HealthScore application has been implemented in a non-profit general hospital (AMGH). The original objective of the implementation was to move from paper based health records to electronic health records using SNOMED CT.

To develop a set of coded clinical terms (SNOMED CT Reference sets) to capture information consistently in the PHC.

Implementations of synoptic surgery reporting in selected jurisdictions across Canada are currently underway. Pan-Canadian content standards for surgical reporting templates have been developed for eight disease sites and relevant clinical indicators have been identified.

The objective is to share the experiences of implementation of SNOMED CT in different healthcare centres and organizations.

Chart Synergy EHR is a cloud based mobile/web health records system that facilitates cost-effective collection, storage, transmission, and analysis of clinical data. It enables health care providers to better manage their patient records, streamline their business processes, gain insights from data collected, and make more informed decisions.

CIEL provides a standardized, multilingual, multinational concept dictionary consisting of interface terminology mapped to reference terminologies including SNOMED CT to support the OpenMRS EHR (particularly in low resource settings).

Synoptic operative report templates enable clinicians to capture and display succinct clinical information in a standardized and logical manner. Synoptic operative report templates also provide the optimum goal of enriching personalized health information of a given patient at the point of care so as to support the exchange of clinical information across the continuum of multiple healthcare providers.

Cloud based electronic patient record system now entering tenth year of operation having been an early adopter of SNOMED CT.

A pilot project involving eight distinct specialties has demonstrated that there are benefits for specialists to work with clinical terminologists to ensure that the terminology reflects best current practice and to ensure clinical ownership of the terms within defined speciality subsets.

SNOMED CT is used to code drugs and pathology findings in the Catalan region in Hospital Clínic of Barcelona.

HealthScore application has been implemented in a non-profit general hospital (AMGH).

The “Anti-Infection Tool”, is a national IT support tool for consistent documentation, storage and feedback of information on healthcare-associated infections and antibiotics, which local electronic health record systems can access.

Leeds Teaching Hospitals decided to embrace SNOMED CT in their Emergency Department as a way to reduce duplication of data entry and ensure recording in a consistent way, thus facilitating analysis as well as supporting completion of the national Commissioning Data Set (CDS) returns.

To identify vaccines in a standardized manner. Vaccines entered into the Manitoba Immunization Monitoring System.

Integrate many standard multilingual terminologies in a terminology server to support clinical applications. VOC can support clinical applications in English, French and Spanish.

Moorfields Eye Hospital decided to develop their own application to be used across all 13 of their sites as a way to reduce duplication of data entry, ensure recording in a consistent manner, to improve the sharing of information and the ability to search records from any site.

As a consequence of the Danish IT Strategy for Healthcare 2003-2007, it was decided to use SNOMED CT as a reference terminology for communication across the Danish healthcare services. Denmark became a member of the IHTSDO and initiated a translation of all preferred terms in SNOMED CT in to Danish, to support standardized IT development in the Danish healthcare service.

To identify medicines used in Australia, using unique codes to deliver unambiguous, accurate and standardised naming conventions for both branded (trade) and generic (medicinal) products.

The major target of AKTIN is to enable health care – and epidemiologic research with the use of a special emergency room documentation protocol that is published by the German Interdisciplinary Association for Intensive Care – and Emergency Medicine (DIVI).

Public Health Surveillance system for early detection and containment of possible outbreaks.

The product Cube EHR is using SNOMED CT as a standard vocabulary for diagnosis and procedures.

Creation of a surgical procedure reference set based on SNOMED CT-AU.

To provide quality healthcare in every corner of India.

Eventus, our flagship product, is a standards-based clinical and patient management system for use in clinics and hospitals of varying size and specialties. With a sound team of clinicians, health informaticians, and software developers we are developing an integrated healthcare system that enables data to flow with the patient and achieve interoperability of data across varied system vendors.

The Swedish Association for Local Authorities and Regions (SALAR) is responsible for standardizing the content in national clinical quality registries to promote automated data transfer from EHR systems to the registries. The work started in 2015 and approximately 25% of the registers (in total 107) have been mapped to SNOMED CT and other terminologies and coding systems.

The National Board of Health and Welfare has developed national guidelines for methods for disease prevention with the focus on lifestyle habits such as tobacco consumption, drinking habits, physical activity and dietary habits. The Board has also developed a tool for recording and following up lifestyle habits using SNOMED CT and other coding systems.

Genomics is the new frontier in clinical care and scientific discovery. Genomic assessments of oncogenes and tumor suppressor genes, that is gene loci associated with cancer development and prognosis, is rapidly becoming the standard of care for cancer.

Interdisciplinary Practice Alberta University of Calgary.

Standardize procedure terms used for the sharing of diagnostic imaging studies and reports across Ontario.

To allow users to achieve semantic interoperability with standards

Online death certificate has been started in AIIMS with the vision of maintaining a digital death record with a uniform format across the hospital since 2014.

The National Programme for Health Care for the Elderly is a modest attempt by the Ministry of Health and Family Welfare...

E-death note module is an online module for Doctors to prepare death note. Each user has a unique login id and password to prepare e-death note. The username and password will be provided by the Computer Facility of AIIMS.

Snow Owl MQ is a scalable Big Data software platform for Searching and browsing health records; Grouping patients that share the same characteristics into cohorts; Inspecting patient records to identify trends and correlations; and, Statistical analysis of patient cohorts to test and verify clinical hypotheses

To have SNOMED CT available in an EMR. The full set of SNOMED CT concepts is used with no provision for value sets or term binding. All searches and selections are from the full set of SNOMED CT.

For including recording of allergies and problems.

To digitize hospital operations and patient notes.

Provide pertinent medical information about MedicAlert members to emergency responders and health care professionals.

To support the translation and maintenance of respiratory best practice guidelines and performance indicators for electronic medical records and/or electronic heath records across Canada. PRESTINE will meet the needs of patients, providers, administrators, researchers, and policy makers to facilitate evidence-based clinical care, monitoring, surveillance, benchmarking, and policy development.

Planned use for capture of medical information (diseases, procedures, complaints, etc.) in our EHR and further reuse of these data for communication with other hospitals, fulfilling national registration obligations, alerts and health statistics.

SNOMED CT is being used to define evaluation criteria for concept-based rule logic and understand potential use cases for the derivation of actionable clinical insights through alerts/reminders, cohort identification, and clinical documentation improvement.

Including SNOMED CT in our GP Practice Management Software for recording and searching.

EHR templates which use the fewest, most precise, SNOMED CT terms to produce the optimal medical record for patients in need of, or recipients of, hospital based emergency surgical care.

Evolent Health partners with health systems across the United States to improve quality of care. Polypharmacy is a focus area due to its prevalence in the elderly and chronically ill patients, and its association with increased cost, adverse drug effects, medication non-adherence and other suboptimal outcomes. Definitions of polypharmacy range from measuring total number of medications with various cut-offs to the use of high-risk or unnecessary medications.

Connecting authors and editors of evidence-based medicine clinical textbooks, systematic reviews and clinical practice guidelines with high quality clinical evidence to support writing.

We provide terminology services to several healthcare organizations in the countries of Argentina, Chile, and Uruguay.

Use of SNOMED as a Controlled Vocabulary for the Submission of Medicinal Product Information.

To develop standardized problem lists that can be shared across different healthcare settings.

Lithuania has implemented this Project during which 40,000 of SNOMED CT concepts have been translated into the Lithuanian language; LITHUANIAN SNOMED CT IS have been developed; and, the SNOMED CT use case has been implemented in one of the largest Lithuanian outpatient clinics.

To develop and maintain Electronic Personal Health Record system for patients as per the Govt of India stated norms.

Implement a new emergency department information system using SNOMED CT at the user interface to record a coded clinical impression and eventual diagnosis.

University Hospitals of Morecambe Bay NHS Foundation Trust (UHMBT) is an early adopter for the use of Lorenzo. Its senior doctors and management team have a deep and long standing belief in the importance of an Electronic Patient Record (EPR) using a structured terminology, as a key factor in both delivering better patient care and achieving much higher levels of operational efficiency.

Provide a common terminology for reporting surgical procedures as part of a province-wide wait time management system.

The Ministry of Health is leading a 3-year project to establish a national EHR system which will integrate with health provider systems, patient portals and personal health apps to be the source of truth about medications, adverse reactions, problems, tests, events and care plans.

The project eCG tries to provide interoperability between electronic standards that are connected to commercial activities in the German Health Care System. The central purpose lies in the creation of a common valid implementation guideline. This instrument enables the boundless exchange of electronic data at its best.

Standard list of diagnoses and interventions for optometrist. To be used for documentary and quality analysis.

The Information Management Systems (IMS) specific for biobanks offers to do an efficient management of donors and donations, to manage associated information (clinical, epidemiological, pathological, etc. or as specific project), and to control on the sample processing with the Implementation of both the MIABIS definitions as well as SPREC and BRISQ standards.

To enable surgeons and trainee surgeons to record diagnosis information about the operative cases they log and record the diagnosis for non-operative management undertaken.

The main objective was to normalize the allergies that has been registered in our EHR until then in free text and create an instant search widget that use SNOMED CT as a background taking into account the local terms of the organization and the outmost frequent terms until then.

Showcases how SigmaMD leverages SNOMED CT to enhance its problem list, including conditions and allergies, as well as procedures.

To allow a secure way to prescribe in Primary Care (General Practice / Community), transmit to a Dispenser (e.g. community pharmacist) and send a reimbursement message to the Reimbursement Agency (NHSBSA).

Every health care provider has to record medical alert information about their patients. The National Board of Health and Welfare has described how the information should be documented in a structured way and developed a coding system for medical alert information such as allergies, contagious diseases and critical conditions using SNOMED CT and other coding systems.

The objective is to develop and interoperable infrastructure for the screening, monitoring and training of frailty in the elderly.

Adherence is critical to ensure that therapeutic benefits are delivered to patients.

Standardize vocabulary by implementing a formal international terminology system for communicating microbiology related results across Ontario.

We are working on a rare disease portal. In this portal patient apply for medical assistance.

HealthScore is a browser based hospital management tool. It transforms the way the organization is run, by adding the power of SNOMED CT analytics insights of not just the financials, but, also helps with medical insights and data driven decision making.

The Alberta WebSMR was designed to capture real time, post operative patient specific information through electronic synoptic reporting for the purposes of creating/implementing cancer surgery guidelines and improving patient outcomes.

Location: Alberta, Canada

To capture diagnosis in problem list using a robust standardized clinical terminology that is mapped to ICD10, and ICD10 code is used for eRx submission while SNOMED CT terminology populates the patient problem list in the EMR.

We are breaking down the barriers between home, primary and hospital based care to provide consistent, high quality and better value care for patients. One way we are working is to use Health Information Exchange standards to share data between hospital and general practice records.

Ontario DATIS was created to store substance addiction and problem gambling data for the treatment agencies funded by MoHLTC. Interoperability of DATIS information with the ICES databases, as required by Ontario, will be based on use of Infoway standards, including SNOMED CT.

In order to handle and maintain Patient health records electronically with additional attributes such as Allergies, Problems, Procedures, Alerts, etc.

Standardization of nomenclature by adhering to pan-Canadian standards.

This initiative aims to further the adoption of standards for synoptic cancer pathology reporting through implementation of electronic tools across Canada. The College of American Pathologists (CAP) cancer protocols were adopted as a national content standard for cancer pathology reporting in July 2009.

To redesign the immunizations’ module in the CWS of ICS for both primary and hospital care, and making its information interoperable.

To allow vendors, care facilities and care providers to achieve semantic interoperability, compliance with EMR standards of India and to achieve health information exchange.

The College of Occupational Therapists, the UK professional body for occupational therapists, has developed a number of occupational therapy subset standards in collaboration with its members which should be used for all service user care records, whether they are stored digitally or on paper. All the subsets are specified using SNOMED CT, and are aimed at supporting Occupational Therapy practice in the UK, within systems supporting clinical practice.

Under leadership of TicSalut Foundation (Department of Health, Autonomous Government of Catalonia, Spain) has been developed the Clinical Dictionary Project to standardize vocabulary within the health system in the public network of Catalonia whose base is SNOMED CT. The subset of allergies has been implemented in our institution.

We are breaking down the barriers between home, primary and hospital based care to provide consistent, high quality and better value care for patients.

At first, SNOMED-CT terminology will be used for the capture of surgical procedures in our operating room management software. In a near future, we plan to generalize the use SNOMED-CT to capture medical information (in structured fields or using NLP technology on unstructured text) in our EHR.

Teaching undergraduate medical students.

Allergies structured entry and CDSS available as a module of our in-house EHR and as a service for interested health care organizations.

ITServer is a terminology server that allows you to manage and navigate the different local and standard terminologies such as SNOMED CT, ICD-9-MC, ICD-10, LOINC, etc. Moreover, it’s a tool that allows you to normalize the information, map between different terminologies/catalogs, create subsets, etc. It also offers a wide range of Web Services in CTS2 that facilitate the integration and sharing of information with heterogeneous systems.

Test potential for handling referrals and consultations between primary care and secondary care.

Language and medical terminology is a major hurdle tot standardising medical comprehension and diagnosis.

To allow patients to manage their own health information; and authorized individuals to manage the health information of family members.

To implement regional e-referral solutions that include precise information about the patient’s condition and the nature of the request to improve the handling of referrals and time to see the patient.

An all-Wales web-based platform with SNOMED CT supporting the recording of diagnostic and problem lists with treatment, medication and procedural information. Currently over 20,000 patients recorded and 147,891 clinical encounters since 2009.

Switzerland will use SNOMED CT within 4 years nationally and is a member of SNOMED International since early 2016. The current use cases focus on exchange of medical information within a national electronic patient record.

The projects major target is the setting-up of a technical functionality for the regular operation of electronic laboratory notifications according to the German law on the preventions of infections (IfSG). For that purpose a certain real-time operation shall be implemented in the German federal state of North Rhine-Westphalia.

Use of standardized order sets through CPOE to ensure evidence is integrated into clinical workflow to improve patient health outcomes.

We are building a network of Primary care and Consultant physicians in Bangalore. The app uses SNOMED CT for the codification inside of FHIR framework. Using SNOMED CT benefits us as it helps in interoperability and standardisation of clinical notes and observations.

Rotherham NHS Foundation Trust decided to move to an electronic patient record system, replacing their PAS (patient administration system) system in the process. They worked closely with their chosen supplier to adapt the existing supplier product to utilise SNOMED CT throughout for both procedure and diagnosis recording.

It is a 100 year old hospital whose management is looking forward to modernize its hospital functioning and decision making system.

Connect payers and providers in Kenya through a central health information exchange.

Ambulance services are implementing a new national clinical information system on a tablet that ambulance officers will use to capture real time information about clinical impressions, medications and other interventions as they provide care to patients.

To know why a patient has been prescribed a specific medication is important for the patient as well as for the health care staff. The National Board of Health and Welfare in Sweden has developed a new, national knowledge base for reasons for prescription.

Since October 2015 we have deployed a home-made EMR entirely based on SNOMED CT in our academic institution. A French speaking extension has been created with the help of our NRC and is improving day by day. We use mostly precoordinated expressions, but postcoordination is already available in specific templates. Free text is allowed only when a structured item has been recorded to improve its granularity.

Clinical documentation software for capturing synoptic, coded clinical encounter data including patient medical history, cancer treatment history, ambulatory visits, medication reconciliation, discharge summaries, pharmacy issues and interventions.

To incorporate SNOMED CT codes with ICD-10 codes.

Provide an electronic vaccination record to the public. Integrated expert software to check on missing vaccinations according to the national recommendations of the Swiss immunization plan.