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Clinical Webinar - July 2020

Dear all,

We are hosting a clinical webinar on the 1st, July 2020 at 19:00 UTC. The webinar will last 90 minutes, and the presenters will be will be Riki Merrick, Lead terminologist, Association of Public Health Laboratories (APHL) and Dr Wai Keong WongChief Research Information Officer, Consultant Haematologist, University College London Hospital.

The focus of the presentations are the clinical application of SNOMED CT, focusing specifically on it's use in public health and clinical research, and will draw upon the implementation experiences of both presenters

The webinar will be hosted on Zoom - https://snomed.zoom.us/webinar/register/WN_S6EDDGZVQTqOcWnXLsLEiA

Details of the webinar can be found at: 2020-07-01 - Clinical Webinar

A recording of the webinar will be made available after the event, along with copies of the presentations.

We look forward to your attendance.

kind regards,

Ian Green

Dear all,

We are hosting a clinical webinar on the 3rd, June 2020 at 19:00 UTC. The webinar will last 90 minutes, and the presenters will be will be Dr.Karen Horridge (Disability Paediatrician - Sunderland & Chair, British Academy of Childhood Disability) and Srdan Prodanovic (Owner of ezDerm)

The focus of the presentations are the clinical application of SNOMED CT and draw upon the implementation experiences of both presenters

The webinar will be hosted on Zoom - https://snomed.zoom.us/j/8853010974

Details of the webinar can be found at: 2020-06-03 - Clinical Webinar.

A recording of the webinar will be made available after the event, along with copies of the presentations.

We look forward to your attendance.

kind regards,

Ian Green

Dear all,

We are hosting a clinical webinar on the 6th, May 2020 at 19:00 UTC. The webinar will last 90 minutes, and the presenters will be will be Dr.Charles Gutteridge and Sophie Williams.

The focus of the presentations are the clinical experiences of using SNOMED CT for clinical analytics across a population and within large hospital provider

The webinar will be hosted on Zoom - https://snomed.zoom.us/j/8853010974

Details of the call can be found at: 2020-05-06 - Clinical Webinar

We look forward to your attendance.

kind regards,

Ian Green

Dear all,

The meeting scheduled for the 29th, April 2020 at 02:00 UTC has been rescheduled and the agenda changed. The meeting will now take place at 16:00 UTC on 29th, April 2020. The updated agenda can be found here - 2020-04-29 - Cancer Synoptic Reporting Project Group Meeting. The focus of the meeting will be to continue to discuss and resolve editorial issues related to the SNOMED CT content to support Cancer Synoptic Reporting. 

We will look to schedule a later session to provide the SNOMED Community of Practice an update on the Cancer Synoptic Reporting project. Details of future meetings will be published on this blog site.

kind regards,

Ian Green, on behalf of Scott Campbell (Chair, Cancer Synoptic Reporting Project group)

Hi all,

We have scheduled two Cancer Synoptic Reporting Project Group meetings, based around different timezones to allow as many people as possible to attend.

The first meeting will be on the 22nd, April 2020 at 16:00 UTC. The agenda is available here - 2020-04-22 - Cancer Synoptic Reporting Project Group Meeting. The focus of the meeting will be to discuss in detail, content that is in the process of being added to the SNOMED CT International Release.

The second meeting will be on the 29th, April 2020 at 02:00 UTC. The agenda is available here - 2020-04-29 - Cancer Synoptic Reporting Project Group Meeting. The focus of the meeting will be to provide an overview and update on the project.

Both meetings will be recorded, and the recordings made available on the agenda pages for each meeting.


Clinical webinar

Dear all,

We are hosting a clinical webinar on the 9th, April 2020 at 19:00 UTC. The webinar will last 90 minutes, and the presenters will be will be François Macary, Linda Parisien and Marie Alexander Lambot.

The focus of the presentations are the clinical experiences of developing SNOMED for a clear set of clinical use cases.

The webinar will be hosted on Zoom - https://snomed.zoom.us/j/8853010974

Details of the call can be found at 2020-04-09 - Clinical Webinar

We look forward to your attendance.

kind regards,

Ian Green

The Organism and Infectious Disease Model (OIDM) Project Group is to be “sunsetted”.   The project files will be archived on the SNOMED Confluence site (Archive - Special Interest Groups (SIGs), Health Professions Coordination Group (HPCG) and Clinical Reference Groups (CRGs).   Work on the organisms hierarchy is being suspended because the Member Forum has not given the work a high priority to allow for provision of editorial resources.  Costs associated with completed work have been limited to project and editorial review.

The OIDM project established that the organism hierarchy represents populations of actual organisms in any realistic stages of their life span or life cycle.  The project established major naming convention guidelines for the organism hierarchy.  Two content projects were completed and one reached approval for construction.  (IHTSDO-455) Removed the stages of organism life-cycles (to be treated as organism attribute values) while creating organisms “existing in” various stages of life cycles.  (IHTSDO-1003) Clarified and simplified the upper levels of the SNOMED organism hierarchy.  A single consistent taxonomic organisation was selected and implemented at the top level of the hierarchy (3 domains, prions & viruses).  Removed a number of intermediate redundancies and corrected significant factual errors.  IHTSDO - 1132 completed the analysis for revision and factual correction of the subhierarchy under “Antimicrobial resistant organism.” 


Jeff

Jeff R. Wilcke, DVM, MS, DACVCP
Metcalf Professor of Veterinary Medical Informatics
Professor of Veterinary Clinical Pharmacology

"I may not be where I wanted to go, but I have ended up where I needed to be"   - Douglas Adams (paraphrased)

The Clinical Engagement team would like to welcome all clinicians who are involved or interested in SNOMED CT, to attend the first in an ongoing series of meetings. The meetings will be held quarterly, with two meetings as webinars, and two meetings face to face in the scheduled SNOMED International Business meetings.

The first webinar will be held on Wednesday, 29th, January 2020 at 20:00 UTC.  The meeting will last for two hours, and provide an overview of current clinical workgroup activity, and overview of clinical education developments. There will be time allocated for questions and discussions. In addition, the session will be recorded and made available to interested parties who are unable to attend.

The first face-to-face meeting will be held in London, at the SNOMED International Business meetings, on Wednesday, 8th, April 2020. The meeting will be a full day session. We are currently developing the agenda, and would welcome suggestions on agenda topics and discussion items. Please email your suggestions to igr@snomed.org 

Details of the meeting and agenda will be published on this Clinical Engagement Confluence site closer to the time.


Hi all,

Many thanks to all who attended and presented at the clinical session in Kuala Lumpur. The session was very well attended, and we have received very positive feedback from all those attending and taking part. Details of the session, and the presentations are now available from the following link - 2019/10/30 - Malaysia: SNOMED supporting clinicians

We will be looking to undertake clinical sessions at future meetings, and will also be putting in place a regular quarterly clinical update webinar schedule. Further details of these sessions will be published on this blog, and also on the SNOMED International website.

Kind regards,

Ian Green

Clinical Registries

"Improving Healthcare Interoperability Project"

The report provides a realistic view of clinical registries currently, and also points to the future opportunities.

EXECUTIVE SUMMARY

The healthcare ecosystem is in a state of flux with respect to the interoperability of clinical data. The call for healthcare data interoperability – and the promise of clinical data informing the learning healthcare system – is neither new nor novel, with work toward accomplishing the goal of data liquidity involving countless stakeholders extending across multiple decades. Despite the general acknowledgement of the need for interoperability, a plethora of initiatives, and federal leadership, the current state is quite distanced from the envisioned goal.

This project, Improving Healthcare Data Interoperability (the Project), intended to evaluate the state of healthcare data semantic interoperability and suggest recommendations for the roadmap forward, specifically from the perspective of clinical registries. The focus on clinical registries was purposeful – these registries produce actionable data for quality improvement and patient safety and should thus be at the centre of healthcare data interoperability. The key technical goals were to 1) determine the scope ofthe problem, by identifying core common clinical concepts captured across a large sample of registries and determining the degree of concordance of registry database (physical) representations with commondata models and national / international data standards, and 2) create an authoritative implementation guidance targeting database developers for the programming of the common core clinical concepts suchthat interoperability would be intrinsic to those data elements and not require a translation layer to communicate between computer systems. The findings of the technical work were then to informrecommendations for registry owners (and the larger healthcare ecosystem) regarding the roadmap forward.


Many thanks to all who attended the "SNOMED Supporting Clinicians" session at the 2019 SNOMED international Business meeting. The presentations, and links to various information are now available on a dedicated Confluence page - 2019-04-08 "SNOMED supporting clinicians".

Please review the information and use as you require.

We would also welcome feedback on the day, and also suggestions for future sessions dedicated to the promoting a clinical perspective of SNOMED CT.

Comments can be made via info@snomed.org, or directly to Ian Green (igr@snomed.org) or Jane Millar (jmi@snomed.org

What is SNOMED CT and why are we using it?

What is SNOMED CT?

SNOMED CT is a standardised health care vocabulary and we are adopting it within the development of the UKCRC Tissue Directory. Every project involving data will have some form of data standard, whether it is formalised to the level of SNOMED CT or whether it is just an informal understanding.

Much of the work we have undertaken to date was based on the excellent work of the Confederation of Cancer Biobanks (CCB) and their data standard. The CCB data standard as drafted, however, did not define the terms to be used and this is why we have turned to SNOMED CT.

The we use SNOMED CT is linked heavily to the decision to use it within all health care environments within the UK. The hope is that by adopting SNOMED CT, and by building this into our systems (and therefore into how sample resources describe themselves), we will help sample resource be prepared for handling SNOMED CT terms from other healthcare systems.

https://www.biobankinguk.org/snomed-ct-using/

In 2012, the then Prime Minister David Cameron announced funding for the 100,000 Genomes Project, to be organised by Genomics England (GE), a private company formed by the Department of Health in 2013. Through this project, GE works in partnership with NHS England (itself a non-departmental public body of the Department of Health) to integrate WGS into the NHS. The 100,000 Genomes Project aims to sequence 100,000 genomes from NHS patients with cancer and rare diseases. Data collected from the 100,000 Genomes Project can inform research on rare diseases, or benefit patient care potentially by streamlining the diagnostic process and tailoring care to the individual.

The project has strict inclusion criteria, to ensure data of clinical and research benefit is gathered. For over 300 rare diseases, specific criteria[1] are applied to maximise chance of recruiting individuals whose disease may have a Mendelian basis. The project also requires submission of phenotypic data using SNOMED[2] (standardised healthcare terminology used for electronic health records and coding in over fifty countries https://www.snomed.org/snomed-ct/what-is-snomed-ct) terms, and evidence of previous genetic testing (to screen out previously known mutations). A patient’s whole blood samples must pass quality assurance and quality control tests. When relevant, close relatives (usually the parents) of the patient also undergo WGS. In the case of autosomal dominant conditions all affected members may be sequenced.

https://jtggjournal.com/article/view/2777

As a result of historic investment and forward-planning for developments in informatics, the Salford Royal Foundation Trust is currently in an enviable position as one of the most digitally mature NHS Trusts in England.

The Trust’s EPR system was implemented in 1999 and now holds 1.3 million patient records, with millions of documents, diagnoses and diagnostic results.

This wealth of clinical data has proved to be a powerful research resource, with a number of successful studies carried out by partner organisation North West Ehealth.

Additionally, SRFT has been chosen as one of the twelve organisations to take part in the Global Digital Excellence programme. It will be funded to accelerate them towards achieving Healthcare Information Management Systems Society (HIMSS) level 6 and 7 status.

There will be a strong emphasis on standardisation of systems (Snomed CT, GS1 and FHIR) and these technologies will form the basis of a powerful interoperability platform, providing a much improved research resource.

https://www.bmh.manchester.ac.uk/research/domains/neuroscience-mental-health/neurooncology/brain-tumour-biobank/

The Emergency Care Data Set (ECDS) is the new national data set for urgent and emergency care. ECDS is implemented in consultant-led 24hr (Type 1) Emergency Departments and specialist (Type 2) Emergency Departments from October 2017. ECDS is being implemented in Minor Injury Units/ Urgent Care Centres and Walk-in Centres (Types 3 & 4 respectively) Emergency Departments by October 2018.

The ECDS covers "Reason for Attendance", "Chief complaint", " Acuity" and "Diagnosis". The set is specified and collected in SNOMED CT form. Further details can be found in the attachment.