 Implementing terminology requires supporting tools  Tools required are highly dependant on the type of implementation  Covered in this presentation ◦ Types of implementation activities ◦ Types of tools required ◦ Description of some available tools 2

Setting the scene… 3

 This presentation mentions tools and vendors as examples ◦ but doesn’t imply how good, bad or otherwise these tools are ◦ and can’t cover all known tools  Where to find more ◦ Australian Clinical Terminologies User’s Group ◦ Available Terminology Products and Services forum page Available Terminology Products and Services 4

 Systems have existing code sets  Native replacement can be expensive and time consuming  Mapping can be used for interoperability  …however remember that maintenance of maps can also be costly Tooling needed - Mapping 5

 Store SNOMED CT / AMT codes in records  Display SNOMED CT / AMT preferred terms  Searching functionality with context based filtering  Custom widgets for screen use  Create and maintain value sets  Load new terminology versions  Retrieve/analyse SNOMED CT / AMT encoded data Tooling needed - User interface guidance and widgets - Process/manipulate release files (RF2) - Querying/searching - Reference set authoring - Mapping Tooling needed - User interface guidance and widgets - Process/manipulate release files (RF2) - Querying/searching - Reference set authoring - Mapping 6

 Customise language preferences  Add descriptions  Add concepts  Natural language processing  Store/process/render SNOMED CT expressions Tooling needed - Localisation/authoring - Natural language processing service - Compare and interpret SNOMED CT expressions Tooling needed - Localisation/authoring - Natural language processing service - Compare and interpret SNOMED CT expressions 7

 Terminology distribution  Terminology configuration management  Conversion to proprietary formats  Customise language preferences  Query support  Add descriptions  Add concepts  Central real-time access to terminology services Tooling needed - Terminology servers/services - Localisation/authoring - Browsing - Compliance/testing Tooling needed - Terminology servers/services - Localisation/authoring - Browsing - Compliance/testing 8

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 Browsing  Process/manipulate release files (RF2)  Mapping  Reference set authoring  User interface guidance and widgets  Terminology servers/services  Localisation/authoring  Compare and interpret SNOMED CT expressions  Natural language processing  Compliance/testing 10

 Not all possible tools are listed in this presentation – there are othersthere are others  Listing of tools in this presentation doesn’t state how good, bad or otherwise the tools are  Tools are listed in no particular order  Tools won’t necessarily cover all features on the slide on which they are listed, but will have some relevant capabilities  You don’t need all of these tools – depends on what you are doing 11

Example capabilitiesExisting tools  Hierarchy/taxonomy view  Concept definition and relationships  Preferred and alternate terms  Searching – syntactic and semantic  SNOMED CT expression handling  Export features  Diagramming  Browse/view reference sets  Web based ◦ Federation Health Browser Federation Health Browser ◦ Healthbase AMT Explorer Healthbase AMT Explorer ◦ SnoFlake SnoFlake  Download and install ◦ Snapper/Minnow SnapperMinnow ◦ IHTSDO Workbench Viewer IHTSDO Workbench Viewer ◦ SNOyowie SNOyowie ◦ SNOB SNOB ◦ CliniClue CliniClue ◦ Snow Owl Snow Owl  …many, many moremore 12

Example capabilitiesExisting tools  Import/transform SNOMED CT RF2 files  Interpret Australian Dialect Reference Set  Import and use reference sets  Subsumption and transitive closure  Process/export to proprietary formats  NCTIS Reference Set Guide Application  SNOMED CT Technical Implementation Guide SNOMED CT Technical Implementation Guide  Snofyre Snofyre 13

Capabilities requiredExisting tools  Two distinct types of mapping ◦ local code set to SNOMED CT / AMT ◦ SNOMED CT / AMT to other code systems (e.g. ICD)  “Auto” mapping  Workflow management  Version management  Map maintenance  SNOMED CT expression handling  Snapper Snapper  IHTSDO Workbench  CareCom HealthTerm CareCom HealthTerm  HLI LExScape HLI LExScape  Apelon TermWorks Apelon TermWorks 14

Example capabilitiesExisting tools  Browse/view reference sets  Create new reference sets based on ◦ Individual concept selection ◦ Queries/searches/expressions ◦ Existing reference sets (unions, intersections etc)  Maintain reference sets ◦ Update based on changes to underlying terminology  Manage reference set versions and history  IHTSDO Workbench IHTSDO Workbench  Snapper Snapper  HLI LExScape HLI LExScape  CareCom HealthTerm CareCom HealthTerm  Ocean Subset Builder Ocean Subset Builder  Apelon TDE Apelon TDE  Snow Owl Snow Owl 15

Example capabilitiesExisting tools  Guidance on user interface design/layout  Widgets for integration in applications  Microsoft Common User Interface Microsoft Common User Interface  CliniThink CLIP CliniThink CLIP 16

Example capabilitiesExisting tools  Realtime ◦ Basic lookup ◦ Value set retrieval ◦ Searching – syntactic/semantic ◦ Expression processing  Management ◦ Version management ◦ Conversion/export ◦ Publication/distribution ◦ Localisation/authoring ◦ Reference set authoring ◦ Mapping  Apelon DTS Apelon DTS  HLI Language Engine HLI Language Engine  CareCom HealthTerm CareCom HealthTerm  Mondeca Mondeca  Conceptual Conceptual  Snofyre Snofyre  Ocean Terminology Server Ocean Terminology Server  CTS2 CTS2 17

Example capabilitiesExisting tools  Customise language preferences (Australian Dialect Reference Set)  Create descriptions  Create new concepts  Classify  IHTSDO Workbench IHTSDO Workbench  Apelon TDE Apelon TDE  HLI LExScape HLI LExScape  CareCom HealthTerm CareCom HealthTerm  Mondeca Mondeca  Snow Owl Snow Owl  Snorocket Snorocket 18

Example capabilitiesExisting tools  Render expressions  Compare expressions  Store and retrieve expressions  Convert between forms  Snofyre Snofyre  Snorocket Snorocket  Snapper/Minnow SnapperMinnow  CliniThink CLIP CliniThink CLIP 19

Example capabilitiesExisting tools  Process text to SNOMED CT and/or AMT ◦ Individual concepts ◦ Expressions  Render SNOMED CT expressions to natural language  CliniThink CLIP CliniThink CLIP  CSIRO AEHRC CSIRO AEHRC  University of Sydney University of Sydney 20

Example capabilitiesExisting tools  Validate release file ◦ Format ◦ Structure ◦ Integrity  Report on terminology errors  Developer level tools under development at IHTSDO 21

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 Depends upon what you are doing  Native implementation ◦ Mapping and browsing ◦ Localisation/authoring ◦ Reference set authoring  Advanced native implementations ◦ Expression handling ◦ Natural language processing ◦ Custom widgets ◦ RF2 processing / terminology server 23

 Enterprise terminology management ◦ Mapping and reference set authoring and management ◦ Localisation/authoring ◦ Distribution and configuration management ◦ Load, conversion and export to proprietary formats ◦ Real-time terminology service ◦ Compliance/testing 24

 Local coding system, mapping at boundary ◦ Browsing ◦ Mapping 25