Scan all case studies

Allergy structured documentation module and drug-allergy clinical decision support system

Location: Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

Allergies registration

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.

Location: Tetuán, Madrid, Spain

Definition of the allergies subset of SNOMED CT and incorporation into our electronic health record

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.

Location: Barcelona, Spain

Ambulance electronic patient report form (ePRF)

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.

For more information, see–Info/News-Articles/ePRF

Location: New Zealand

Representing and capturing reasons for prescription using SNOMED CT

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.

This knowledge base will facilitate the documentation of the reasons for prescription in day to day health care. The term “reason for prescription” signifies the rationale for the prescription as specified by the prescriber, e.g. the disease or symptom to be cured or relieved by a specific drug treatment. The knowledge base contains about 1500 reasons for prescription, which are mapped to SNOMED CT.

Location: Socialstyrelsen, Rålambsvägen, Stockholm, Sweden

National guidelines for diseases prevention methods

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.

Location: Kungsholmen, Stockholm, Sweden

HealthScore – India’s first SNOMED CT enabled EHR

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.

Location: 1, Bourdillon Road, Pulikeshi Nagar, Bengaluru, Karnataka, India

Salubrious healthcare

To provide quality healthcare in every corner of India.

Location: Delhi, India

Nationwide e-Health Architecture (NeHA)

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

Location: Bangalore, Karnataka, India

SNOMED CT in GP practice

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

Location: Mallow, Ireland

Occupational therapy subsets

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.

Location: London, United Kingdom

Snow Owl MQ: Meaningful Query

Snow Owl MQ is a scalable Big Data software platform for:

An online demonstration is available at

Location: Singapore 

Project E-vita

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

Location: Isle of Man

Medical alert information using SNOMED CT

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. 

Location: Västerbroplan, Stockholm, Sweden


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.

Location: Cardiff CF14 4XW, United Kingdom

Surgical procedure list in logbook and audit tool

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

Location: Australia

Interoperability and PHRs in India

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

Location: Chennai, Tamil Nadu, India

Common Problems Backbone Terminology

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

Location: Utah, United States

Catalyst rebuild for DATIS

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.

It is suggested to develop a reference set of SNOMED CT to capture information collected by DATIS on a regular basis.

Location: Ontario, Canada

Diagnosis terms for surgical management in logbook and audit tool

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.

Location: Australia

Optometrist subset of diagnose and interventions

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

Location: Netherlands

New Zealand Electronic Health Record

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.

Besides enabling clinical decision support and care coordination, the EHR will allow people to tell their own health story. SNOMED CT will be used throughout as the standard for trusted, actionable health information.

Location: Wellington, New Zealand

EHR with a standard vocabulary

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

Location: Lahore, Punjab, Pakistan

Hospital implementation

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

Location: Carrer de Villarroel, 170, Barcelona, Spain 

Ytal care making use of SNOMED CT

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.

Location: 4th Cross Samptripthi Nagar


To digitize hospital operations and patient notes.

Location: Bangalore, Karnataka, India

ISO Standard on the Identification of Medicinal Products (IDMP)

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

Location: Wessobrunn, Germany

Capturing medical information

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.

Location: Haine-Saint-Paul, Belgium

UHN Clinical Documentation Projects

Clinical documentation software for capturing synoptic, coded clinical encounter data including:

Location: Ontario, Canada

Canadian CPOE Implementation Toolkit and NYGH CPOE Extension

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

Location: North York, Toronto, Ontario, Canada

Diagnostic Decision Advisor

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.

Location: Quebec, Québec, Canada

Leveraging SNOMED CT to Drive Actionable Clinical Insights

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.

The ability to understand clinical context for patients and populations rests on our understanding of clinical terminology in a variety of health information systems. SNOMED CT is foundational to our terminology infrastructure that enables both real-time concept detection from free text as well as real-time computation against clinical data sources in a way that adds value to an existing body of knowledge.

The following are use cases for this approach:

Location: Okehampton, United Kingdom 

ON DI SNOMED CT Terminology Project

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

Location: Bay Street, Toronto, ON, Canada

EHR Implementation using Cerner Millennium

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

Location: St. Bartholomew’s Hospital, West Smithfield, London, United Kingdom


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.

We used SNOMED CT for our clinical data and have also seamlessly based our data structures on ISO EN13606. We have achieved interoperability of data through HL7 CCDA as well as XML and JSON for non-HL7-compliant systems. Other standards progressively being used our FDA, ICD10, and DICOM. The use of standardised data helps individual healthcare organisations to analyse their data to make informed decisions regarding their clinical practice as well as their patients.

For further information of our product Eventus email us at or if we you wish to see a demo please complete the form at

Location: Noida, Uttar Pradesh, India

SNOMED CT use case in Lithuania

We have implemented the Project during which:

Location: Vilnius, Vilnius County, Lithuania

Turning classical medical information into “living” smart data

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).

Further reuse of these SNOMED CT “smart” medical data will then be implemented along the following axes:

Location: Rue Haute 322, Brussels, Belgium 

Medical data encoding in EHR

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.

The idea is to be able to use these codified data for:

Location: Grand-Rue 3 6000 Charleroi, Belgique

Electronic Medical Record (EMR) fully based on SNOMED CT

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.

Artifacts covered are: reason for admission, risk factors (allergies, implants, nutritional, addictions, social factors…), systematic review of systems, physical examination (usual and some more specific: neurology and vascular), past history (personal and family) of diseases and procedures, active problems, procedures performed, staging and scales. Admission and discharge reports can be generated and sent electronically to referring physician.

At the present time (March 2017), about 70% of the inpatient activity is covered by the system and more than 2 millions concepts have been recorded.

Location: Hoptial Ersasme - Cliniques Universitaires de Bxl, Boulevard Baudouin, Bruxelles, Belgique

Binding SNOMED CT and Genomic Data for Cancer Care

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.

Current molecular pathology reports are represented and stored in the electronic health record (EHR) as pdf documents and are not suitable for clinical decision support and data analytics. Incorporation of genetic data into the EHR as discrete data is not standard practice because of the complexity of the data itself (ADDIN RW.CITE{{2326 Warner,J.L. 2016; 2166 Masys,D.R. 2012}}(1, 2) and underrepresentation of genomic concepts in the SNOMED CT and LOINC concept models (ADDIN RW.CITE{{2327 Hoffman,M. 2005}}(3). 

Investigators at the University of Nebraska Medical Center used the SNOMED CT observables concept model and authored fully defined observable entity concepts for genomic information including Next Generation Sequence (NGS) data and non-sequence based molecular data.  These SNOMED CT concepts are deployed in the clinical information systems at UNMC beginning in the laboratory and molecular pathology information systems and bound to molecular observations. Encoded molecular data is then transmitted to the EHR and the institutional cancer tissue biobank and registry for clinical care, quality and research purposes.


1. Warner JL, Jain SK, Levy MA. Integrating cancer genomic data into electronic health records. Genome Med. 2016 Oct 26;8(1):113.
2. Masys DR, Jarvik GP, Abernethy NF, Anderson NR, Papanicolaou GJ, Paltoo DN, et al. Technical desiderata for the integration of genomic data into Electronic Health Records. J Biomed Inform. 2012 Jun;45(3):419-22.
3. Hoffman M, Arnoldi C, Chuang I. The clinical bioinformatics ontology: a curated semantic network utilizing RefSeq information. Pac Symp Biocomput. 2005:139-50.

Location: Nebraska, United States

Chart Synergy EHR

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.

Our system can help reduce errors, improve patient safety, and support better patient outcomes. Our system does not just store and transmit information; it also ‘computes’ the data. This means that Chart Synergy EHR can manipulate the information in ways that make a difference for the patient and the care provider.

Chart Synergy EHR helps bring all the fragments of information about a patient together by integrating and organizing patient health information and facilitating its instant distribution among all authorized providers involved in a patient’s care. Chart Synergy can improve health care quality by making access and provision of healthcare more convenient for patients and healthcare providers respectively.

Location: Enugu North, Enugu, Nigeria

Hospital Management Tool that maintains SNOMED CT enabled EHR

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. However, the implementation has now transformed the hospital into moving towards becoming a paperless organization.

Location: Bangalore, Karnataka, India

Columbia International eHealth Laboratory concept dictionary for OpenMRS

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).

Location: Columbia University, New York, NY, United States

Implementing a hospital wide EHR with SNOMED CT coding by clinical staff

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.

There are now two case studies for Rotherham, the original and a retrospective after 5 years post implementation.

More details on this can be found at: 



Location: Rotherham, United Kingdom

Patient referrals between hospitals and hospital departments

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.

Location: New Zealand

Prioritize Services for Polypharmacy Patients by SNOMED CT

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.

Location: Chicago, IL, United States

The Electronic Prescription Service

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).

Location: England, United Kingdom

Canadian MedicAlert Foundation

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

Location: Canada

Emergency department information system

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

Location: Nelson, Marlborough, New Zealand

Leeds A&E

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.

Location: Leeds, United Kingdom

AKTIN Improvement of medical service research in acute care facilities

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).

Location: Mönchengladbach, Germany

Efficient EHR templates for hospital based emergency surgical care

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.

Location: Lynchburg, VA, United States

National Death Registry of India

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. Integration of SNOMED to e-death note is a new initiative from computer facility in collaboration with National Release Centre (NRC) which is sponsored by Ministry of Health and Family Welfare.

SNOMED CT (Systematized Nomenclature of Medicine — Clinical Terms) is the most comprehensive, clinically validated, semantically rich, multilingual clinical healthcare terminology in the world that is used by physicians and other healthcare providers in Electronic Healthcare Records to capture, retrieve and analyse clinical data.

All the details of the patient should be filled in the death entry form including cause of death. Once the form is filled it has to be saved by the doctor. Since the multiple users are using the e-death note module SNOMED will ensure the uniqueness among the diagnosis entered in fields of immediate cause and antecedent cause that are coded in the SNOMED CT ID.
SNOMED integrated death note will be a vital turning point in data mining and analysis. All fields in e-death note is SNOMED enabled and while entering the data it will be coded with SNOMED CT ID so that uniqueness will developed in data retrieval.

Location: New Delhi, Delhi, India

Australian Medicines Terminology (AMT)

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.

Location: Australia

Primary Health Care (PHC) SNOMED CT Reference Set Development Project (EMR HSU)

Location: Canada

PRESTINE: Pan-Canadian REspiratory STandards for the EHR

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.

Location: Canada

EMR Family Physician Practice

To have SNOMED CT available in an EMR.

Location: British Columbia, Canada

Joined Up Integrated Consultation Excellence (JUICE)

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

Location: Alberta, Canada

EMR Rheumatology

Interdisciplinary Practice Alberta University of Calgary.

Location: Alberta, Canada

Implementation of an electronic health record

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.

The case study at aims to provide an overview of their achievements.

Location: United Kingdom


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

PERSSILAA is a unique project that aims to develop and validate a new service model for older people, to screen for and prevent frailty. This multimodal service model, focusing on nutrition, physical and cognitive function, is supported by an interoperable ICT service infrastructure, utilizing intelligent decision support systems and gamification.

Location: Casa de Campo, Madrid, Spain


To incorporate SNOMED CT codes with ICD-10 codes.

Location: Westborough, Massachusetts, United States

Introducing standardized clinical terminology for capturing diagnosis

  1. To capture diagnosis in problem list using a robust standardized clinical terminology that is mapped to ICD10
  2. ICD10 code is used for eRx submission while SNOMED CT terminology populates the patient problem list in the EMR
Location: Dubai, United Arab Emirates

Comprehensive EPR to manage patients living with HIV using SNOMED CT terminology

Climate-HIV is a specialised HIV Electronic Patient Record (EPR) software solution which provides the whole multi-disciplinary clinical team with fast access to patient data. It also helps educate the patient, halves the administration needed to write GP letters and referral notes, whilst recording all the patient information in one place. Climate-HIV includes compliance with both ICD 10 and SNOMED CT codification standards for improved reporting on diagnoses, clinical findings, conditions and procedures.

Location: Barton-under-Needwood, United Kingdom

National e-Death Registry

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.

The doctor has to login using the username and password and death note should be made in the entry form. All the details of the patient should be filled in the death entry form including cause of death. Once the form is filled it has to be saved by the doctor. The international death form will be auto filled by the system when Regno. is entered. Other forms like death certificate, print card, opd form will also be auto filled.

Location: New Delhi, Delhi, India

Evidence-based Medicine Literature Delivery Service

Location: Ontario, Canada

Documenting, storing & following-up antibiotics use and healthcare-associated infections

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.

A product sheet in English is available: AntiInfection Tool Fact Sheet

Location: Stockholm, Sweden 

Implementation of SNOMED CT in Biobank Networks

Networks of Biobanks has the aim to coordinate all the activities developed by biobanks, including technical protocols and the harmonization of the ethical and legal framework. 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 MIABISdefinitions as well as SPREC and BRISQ standards.


Norlin L, Fransson MN, Eriksoon M, Merino-Martinez R, Anderberg M, Kurtovic S, Litton JE. A minimum data set for sharing biobanks amples, information, and data – MIABIS. Biopreservation and Biobanking 2012

Betsou F, Lehmann S, Ashton G, Barnes M, Benson EE, Coppola D, et. al. Standard preanalytical coding for biospecimens: defining the sample PREanalytical code. International Society for Biological and Environmental Repositories (ISBER). 2010 ;19(4):1004-11

Moore HM, Kelly AB, Jewell SD, et. al. Biospecimen reporting for improved study quality (BRISQ). Cancer Cytopathol. 2011 Apr 25;119(2):92-101

Location: Madrid, Spain

Slade360 Electronic Data Interchange

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

Location: Kenya

East London Integrated Care Programme

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.

Location: London, United Kingdom

Exchange documents in national EHR and nursing

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.

Current use cases and include:

Location: Geneva, Switzerland

The Swiss electronic vaccination record

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

Location: Switzerland

Incorporation of the immunizations’ subset of SNOMED CT in the Clinical Work Station

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

Location: Torrassa, L’Hospitalet de Llobregat, Barcelona, Spain

eChart immunizations

To identify vaccines in a standardized manner.

Location: Manitoba, Canada

Implementing the supra-regional real time operation of an electronic reporting procedure

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.

Location: Mönchengladbach, Germany

Medical Education

Teaching undergraduate medical students.

Location: Varanasi, Uttar Pradesh, India

Lab Information System

Standardization of nomenclature by adhering to pan-Canadian standards.

Location: Manitoba, Canada

Ontario Microbiology Results Reporting using SNOMED CT Terminology

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

Location: Ontario, Canada

Lab for internal requirements

For including recording of allergies and problems.

Location: Chennai, Tamil Nadu, India

Open Eyes

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.

This Moorfields Eye Hospital case study at provides an overview of their achievements.

The Open Eyes development is an open source initiative which can be found at:

Location: Moorfields Eye Hospital NHS Foundation Trust, City Road, London, United Kingdom

Experiences in SNOMED CT

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

Location: Catalonia, Spain

Provincial Surgery Project

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

Location: Nova Scotia, Canada


To allow:

  1. Patients to manage their own health information; and
  2. Authorized individuals to manage the health information of family members.
Location: 1035 Laurier Avenue, West Suite 100, Montreal, Canada


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

Location: British Columbia, Canada

Promoting automated data transfer from EHR systems to national clinical quality registries

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.

A film (in English) about the registries is available:

Location: Örebro, Sweden

Hospital Management Application

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

Location: SVS Marwari Hospital, Kolkata, West Bengal, India

Indexing EHR content and knowledge sources with SNOMED CT for localization of Epic

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. The translation was completed in 2008. It is hosted and maintained by the National Health Data Agency in Denmark.

In 2014, two of Denmark’s five regions purchased the electronic patient record EPIC. The two regions together account for half of Denmark’s population and contain 19 hospitals. Implementation of Epic will be completed at all hospitals in the two regions by the end of 2017.

In the EPIC system, SNOMED CT is incorporated by being mapped to specific Epic elements in the form of, e.g. master files, records, items, category list values, flow sheet data rows, etc. and can be used within Epic grouper functionality following hierarchy and description logic in SNOMED CT to collect e.g. all diagnoses within a disease area. An important part of the implementation of Epic in the two regions is standardization of key clinical workflows across the regions.

Based on Epic Foundation content, the implementation organization and clinical experts, have compared Epic content with the two regions content management systems for clinical guidelines (VIP and D4) and developed interregional guidelines. This done by using the SNOMED CT mapped elements in Epic in relation to the regions’ guidelines. It became possible to: Get an overview of the common content of the three systems – Epic, VIP and D4; Make a prioritization of the interregional standardization work and Customization of EPIC. Semantic interoperability -even across languages has been possible because of the Danish translation.

Location: Denmark

Standards for the promotion of eCommerce in the German Health Care System (eCG)

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. Therefore, actors and transactions will be determined – to map their integration into the procurement process.

Location: Heidelberg, Germany

Collecting Clinical Information in outpatients – pilot study

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. One specialty has been able to gather sufficient clinical data in SNOMED CT to demonstrate benefits in terms of subsequent data analysis and acquisition of knowledge beneficial to the commissioning of the specialty. 

The project has demonstrated a requirement for co-ordinated clinical involvement in the on-going development and support of SNOMED CT overseen by the Royal Colleges and specialty groups within them. The next steps involve further subset development and testing by specialties and trusts. This should include the development and analysis of quality indicators predicated upon clinician recorded data using SNOMED CT. 

Within the project there has also been some interaction with groups that engage with patients and carers. Early indications are that there will also be benefits to patients and carers from the consistency and visibility achieved through developing and publishing specialty subsets, especially when they can view their patient record.

Location: Leeds, United Kingdom 

Electronic synoptic operative reports for spinal cord injury (eSOR-SCI)

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. However, most of the available synoptic operative report templates in many clinical settings do not incorporate interoperable standards in their design and implementation.

This project implemented a template (i.e., eSOR-SCI) that uses interoperable standards for its design and implementation. The implementation of the eSOR-SCI template was completed in September 2012. It was designed to be conformant with the HL7 Clinical Document Architecture (CDA) Implementation Guide for the Operative Note and to represent clinical activity using the HL7 Clinical Statement pattern encoded with Systematized Nomenclature of Medicine–Clinical Terms (SNOMED CT) terminology.

Location: Halifax, Nova Scotia, Canada

Alberta web SMR (Surgical Medical Record)

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

Synoptic Surgical Reporting

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.

Location: Canada

Electronic Synoptic Pathology Reporting Initiative

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.

Pilot implementations in two jurisdictions were successful and as such, implementation in 5 additional provinces is currently underway. Additional expansion in one jurisdiction is also underway.

Location: Canada

VOC (Vocabulary)

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

Location: Montreal, Canada

Provincial Terminology Services Strategic Plan and Roadmap Project

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).

This project was active from December 2013 and closed in June 2014 with the following objectives completed:

Location: Alberta, Canada

Hospital Italiano de Buenos Aires Terminology Services

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

These include:

Location: Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

ITServer – Multilingual terminology server

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.

Location: Calle de Serrano, Madrid, Spain

3M Healthcare Data Dictionary (HDD)

To allow users to achieve semantic interoperability, compliance with standard terminologies, such as SNOMED CT, and health information exchange.

Location: Salt Lake City, UT, United States

AAR DEE Solution Pvt. Ltd. Case study

We are working on a rare disease portal. In this portal patient apply for medical assistance. A form need to be fill by patient and select the disease. It goes to the respective state cell. If the state is approve the application then it will goes to the central cell for further process. Then central need to verify and give the approval and after that the application again goes to the state cell for final approval and permission of patient for treatment.

AAR DEE Health Portal Case study

We have designed a Health Portal Form in which we have covered 4 different type of diseases. In this, there is a form for a patient in which the patient will fill his/her disease. We have set snomed value for the disease so that it can be accessed globally by the ministry or by the doctors. Then they will suggest treatment accordingly.

1 | 2