LOCAL EXPERIENCES Innovation practices and experiences related to FIC development and implementation Ariadna Rius Clinical Dictionary for iSalut

Clinical Dictionary for iSalut WHO - FIC NETWORK ANNUAL MEETING 11 – 17 October 2014 07/10/2013

Clinical Dictionary for iSalut Aims to standardize the vocabulary of the CHS to: Achieve full semantic interoperability between information systems. Uniquely identify the clinical information recorded by healthcare professionals. Provide a homogeneous base to represent contents, and their meaning, in EHRS and CDSS for research and innovation projects. Is an eHealth transversal project of Generalitat of Catalonia’s Health Department: Leaded by the Office of Standards and Interoperability of TicSalut foundation. Managed by a permanent commission and organized in domains of content which are worked by a multidisciplinary team of experts. Is used in other eHealth projects like the Shared Medical Records System of Catalonia (HC3), the Personal Healthcare Chanel (CPS) or the model to integrate assistance levels (WiFIS). 07/10/2013

Clinical Dictionary for iSalut Is based on SNOMED CT as ontology and reference terminology: Has interrelated concepts from many domains. Each concept has more than one description. Supports multilanguage. Uses subsets of SNOMED CT to group components by domains. Contains different vocabularies currently in use mapped to SNOMED CT. New components and mechanisms of SNOMED CT are created in the Catalan extension of the standard and are submitted to the Spanish Minister of Health. SNOMED CT ICD-10 ISCO ... LOINC ICD-9-CM 07/10/2013

Clinical Dictionary for iSalut We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary: 2011 2012 2013 September 2014 Domains worked 1 2 6 Subsets created 11 8 Concepts created 182 2021 61 130 07/10/2013

Clinical Dictionary for iSalut We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary: 2011 2012 2013 September 2014 Domains worked 1 2 6 Subsets created 11 8 Concepts created 182 2021 61 130 Vaccines 07/10/2013

Clinical Dictionary for iSalut We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary: 2011 2012 2013 September 2014 Domains worked 1 2 6 Subsets created 11 8 Concepts created 182 2021 61 130 Allergies (9 subsets). Anatomic Pathology (2 subsets). 07/10/2013

Clinical Dictionary for iSalut We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary: 2011 2012 2013 September 2014 Domains worked 1 2 6 Subsets created 11 8 Concepts created 182 2021 61 130 Vaccines->Immunizations (updated). Anatomic Pathology (updated). Scales of assessment of chronic patients (1 subset). Spirometry test report (5 subsets). Procedures (1 subset). Groups of professionals (1 subset). 07/10/2013

Clinical Dictionary for iSalut We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary: 2011 2012 2013 September 2014 Domains worked 1 2 6 Subsets created 11 8 Concepts created 182 2021 61 130 Laboratory (LOINC) (1 subset). Ophthalmology (4 subsets). Notification of adverse reactions to immunizations (1 subset). Breast screening final report (1 subset). Types of documents (1 subset). WiFIS (3 subsets). 07/10/2013

Clinical Dictionary for iSalut Available domains includes: Groups of professionals (occupations). Scales of assessment of chronic patients. Immunizations. Spirometry test report. Laboratory (LOINC). Ophthalmology. Notification of adverse reactions to immunizations. Anatomic Pathology. Allergies. Procedures. Types of documents. Breast screening final report. WiFIS. And we are working on: Clinical variables Rare or minority diseases Development of more subsets for the WiFIS project. 07/10/2013

arius@tecnocampus.cat CCI_TCM Centre de competències d’Integració Thank you arius@tecnocampus.cat CCI_TCM Centre de competències d’Integració 07/10/2013