Hi all, I'm currently based in New Zealand and am working for a Vendor. I've also recently joined a newly developed working group based on a national government initiative with the Ministry of Health - the SNOMED implementation working group. From the first meeting of this group, it was suggested that there be a defined National Adoption Maturity Model for SNOMED. At present, I am referencing the "Building a Business Case for SNOMED CT" guide to help develop a draft document. Before I go any further, I want to know whether there are other countries or even a repository of international documents that reference SNOMED CT adoption models. If anyone knows of existing adoption models or approaches that have been considered, I'd appreciate if you could share or suggest ways to approach this.
For general awareness what is suggested that might be shared with patient without complicating issues? Quite often patients have lot of queries on their disease and other matter. May be this might help them to get a ready reply. Any guidance ?
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This is anonymized version of a message received by the IHTSDO Helpdesk ... what do you think about this and how would you respond? "We are implementing a system using SNOMED CT to replace an existing code system. We know that SNOMED CT identifiers are intended to be used as codes but SNOMED CT has Description Identifiers, Concept Identifiers and Relationship Identifiers. We are not sure which of these to store as the code in patient records. Probably not the Relationship Identifiers ... is that correct? However what about the other two identifiers which should we store or should we store both? Please could you give us advice on this and explain why we should use one and not the other. Thanks."
My name is Michael and I'm from Australia working for a large regional hospital. We're implementing a hybrid Digital Medical Record (DMR) system as a risk mitigation strategy for a 'paper light' hospital in preparation for an EMR. Our DMR system has custom business rules and workflow for most aspects of eForms ('apps') and scanned paper forms. I am in discussions with our government to roll out an 'Ontoserver', hosted in the cloud, which includes clinical terminology beyond SNOMED CT-AU (this includes Australian Medicines Terminology AMT, LOINC, SNOMED rule based maps to ICD 10). Initially we are aiming for a phased approach with active data fields and 'agile' SNOMED look-ups. I'm looking at getting a better understanding of what implementations of SNOMED CT exist in non-EMR/EHR systems. More specifically Digital Medical Records (ie. eForms). My main question is surrounding this topic, does anyone know of such implementations? Also, our solution is cloud based (Microsoft Azure) which incorporates an ECM (Enterprise Content Management) system also including workflow. This is to assist with community, non-clinical areas and legacy systems. I would be interested in any systems such as this that integrate SNOMED CT and how it is used/implemented. Thanks in advance for your contribution to the discussion/question.
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