SNOMED CT E-Learning Status & Planning September Update (for ELRG) David Markwell Head of Implementation & Education IHTSDO International Health Terminology Standards Development Organisation

Education and Training Audiences Various possible views of audiences Risk of fragmentation of audiences to a level where focused training cannot realistically provide for all of them Preferred options Small broad groups of audience types Additional learning needs identified by task within these broad groups

Education and Training Audiences General [2014 I&E team primary focus] Informal learners: Basic information on benefits and other topics of general interest Formal learners: Foundational knowledge for other audiences Users [‘General’ initially and adjust as needed in 2015] Those engaged in entry, storage or retrieval and reuse of clinical information Designers and Developers [2014 I&E team secondary focus] Those designing, developing, configuring or deploying systems, or standards, that use SNOMED CT Terminology Developers [2014 content team focus – initially CTP] IHTSDO and Members developing and distributing content and other artefacts such as subsets, maps, etc. Strategy and Procurement [‘General’ initially & adjust as needed in 2015] Subset of General+User or General+Designer needs Educators and trainers [Minimum set by educators audiences as above] Sufficient understanding of all topics they teach or supervise

Future training recommendations (2015) No assignment funded trainees (unlike current SIA scheme) Assignment for education and training (not for deliverables) No online course fees We should not place barriers they limit education This should extend to mentored schemes – unless there is an persistent disproportionate demand from one country or organization Retain some face-to-face sessions for mentored training These are valuable to enhance interaction and learning Expenses funding creates a significant cost Limit to small select mentored groups Possibly limited support where needed (not full expenses) Keep group size as 8 or less for good interaction Applies to online and face-to-face Parallel groups (i.e. geographical centers) possible

Education and training levels – for 2015 and future Alumni Mentored courses Foundation course with online tutorials Open access training material without tutorials

1. Open access to online training materials Open entry Online publicly available presentations Informal online skills assessments publicly available No curriculum, No tutorials, No mentoring, No progress monitoring No pass of fail! Alumni Mentored courses Foundation course with online tutorials Open access training material without tutorials

2. SNOMED CT Foundation courses (outline proposals subject to change) Controlled entry to manage numbers but no prerequisites 3 monthly intake, duration 3 months, commitment 36-40 hours Typically: 8 hours presentations, 8-12 hours tutorials, 20 hours personal study Course curriculum Online presentations ~20 (total 8 hours) Staged online assessments 5 x 6 test items and 1 x 20 test items final Online webinar tutorials 2-4 per month Progress checked monthly Required for completion All presentations completed 6 tutorials attended All assessments with overall score above preset minimum Below these levels option to retake modules 3 months later Completion with high score qualifies for access to mentored courses Alumni Mentored courses Foundation course with online tutorials Open access training material without tutorials

3. Mentored courses (outline proposals subject to change) Various courses: Implementation, Terminologist, etc. Qualified entry based on prerequisites 6 monthly intake, duration 8 months, commitment 120 hours Typically: Course curriculum Online presentations ~50 (total 25 hours) Staged online assessments 15 x 6 test items, 1 x 30 test items, 4-6 short essay assignments Online webinar tutorials 4 per month Mentoring monthly 1-2-1 online session Two face to face two-day sessions Required for completion All presentations completed 20 tutorials All assessments with score above minimum Below these levels option to retake course modules up to 6 months later otherwise apply to retake from start unless exceptional circumstances Alumni Mentored courses Foundation course with online tutorials Open access training material without tutorials

4. Alumni (outline proposals subject to change) Based on completion of Mentored course (includes SIA and CTP) Requires regular reassessment Reassessment regularly based on skills assessments and/or assignments Benefits Website recognition (registration) Prequalified for relevant work Access to full range of training resources (e.g. including updates to course specific materials) Alumni Mentored courses Foundation course with online tutorials Open access training material without tutorials

Goals in 2014 Foundation course Implementation focused course Complete on line set of material with same scope as SNOMED CT Starter Guide (18-20 online sessions) Implementation focused course 50% of materials in the SIA curriculum available online (25 online sessions of 50 expected for complete course) Current running behind schedule due to other priority activities to support Members Content focused course [Content team responsibility] Based on Consultant Terminologist Program Effective working with Members involved in SNOMED CT education and training Sharing ideas, content, resources, enabling translation, supporting national initiative, etc.

Foundation Course - presentations Introduction to SNOMED CT Implementation Learning about SNOMED CT Content development Benefits for organizations Extensions Clinical terminology matters Customisation Exploring SNOMED CT content Language preferences & translation Building blocks: concepts, descriptions & relationships Mapping introduction Reference sets introduction Release files & formats Concept model IHTSDO bodies Expressions Licensing

Mentored implementation focused course Course Modules: SNOMED CT design and distribution Terminology access and use Content Concept model – for implementers SNOMED CT Implementation SNOMED CT in Records Subsets SNOMED CT Mappings Description Logic Supplementary topics Outline content of each module on following slides (all are drafts subject to changes)

A: SNOMED CT design and distribution Implementation focused course module A: SNOMED CT design and distribution Logical design Licensing and distribution Release Format 2 files and formats Types of Reference Sets Extensions SNOMED CT versioning

B: Terminology access and use Implementation focused course module B: Terminology access and use Importing release files Accessing components Searching SNOMED CT Subtype Testing

C: Content Search and browsing content Extension content Implementation focused course module C: Content Search and browsing content Extension content Missing content – options Request submission process

D: Concept model – implementation perspective Implementation focused course module D: Concept model – implementation perspective Content hierarchy overview Concept model basics Concept model – findings Concept model – procedures Concept model – observables Concept model – pharmacy Concept model – anatomy Concept model – situations Concept model – others

E: SNOMED CT Implementation Implementation focused course module E: SNOMED CT Implementation Overview (road map) Implementation types Implementation levels

F: SNOMED CT in Records Overview Codes and expressions Implementation focused course module F: SNOMED CT in Records Overview Codes and expressions Postcoordination Data entry Expression transformation and subtype testing Retrieval and analytics Terminology binding and expression constraints

G: Subsets Subset, Refsets definitions and differences Implementation focused course module G: Subsets Subset, Refsets definitions and differences Using content subsets Sharing and reusing subsets Extensional and intensional subsets Creating and distributing a subset Using and applying intensional subsets

H: SNOMED CT Mapping Mapping basics Mapping to ICD-10 Implementation focused course module H: SNOMED CT Mapping Mapping basics Mapping to ICD-10 LOINC and SNOMED CT Mapping from legacy systems to SNOMED CT

I: Description Logic Description Logic basics Description application Implementation focused course module I: Description Logic Description Logic basics Description application Description advanced

J: Supplementary topics Implementation focused course module J: Supplementary topics Diagramming Guidelines URI Standard