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

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

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

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

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

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

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

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

Canadian MedicAlert Foundation

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

Location: Canada

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

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


To incorporate SNOMED CT codes with ICD-10 codes.

Location: Westborough, Massachusetts, United States

Evidence-based Medicine Literature Delivery Service

Location: Ontario, Canada

eChart immunizations

To identify vaccines in a standardized manner.

Location: Manitoba, Canada

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

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

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

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