SNOMED CT IN LITHUANIA Arvydas Laurinavičius EuroRecTallinn, 20100618 VILNIUS UNIVERSITYNATIONAL CENTRE OF PATHOLOGY.

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Presentation transcript:

SNOMED CT IN LITHUANIA Arvydas Laurinavičius EuroRecTallinn, VILNIUS UNIVERSITYNATIONAL CENTRE OF PATHOLOGY

SNOMED CT in LT Why (we got it)? How (we got involved)? Plans and achievements

WHY? Need for consistency and maintenance Need for comprehensive medical terminology Need for semantic interoperability of e-health systems SNOMED CT

Costing Groups Classifications Exchange Formats Data Specifications Terminologies Relevant information standards

Lithuanian E-Health Strategy: Technical and Semantic Interoperability mainly based on: ICD-10 SNOMED CT HL7 v.3 DICOM

IT STARTED IN 2003…

US Secretary of Health Thompson on SNOMED CT… “It will be free because we want you to use it.” July 1, 2003

Vilnius, Oct 2003

© 2002 College of American Pathologists SNOMED CT Systematized Nomenclature of Medicine Clinical Terms Vilnius, Lithuania October 28, 2003 Frank Elevitch, MD, Chair, SNOMED International Authority Frank Elevitch, MD, Chair, SNOMED International Authority Polius Raslavičius, MD, Past President, College of American Pathologists Polius Raslavičius, MD, Past President, College of American Pathologists

Vilnius, Oct 2003

New York, June 2006

IHTSDO established, March 2007

X

NATIONAL CENTRE OF PATHOLOGY SNOMED CT National Release Centre

Our 3-years experience in the IHTSDO LT – small, non-English, modest resource Does not feel like that –Team spirit and democracy –Sensitive culture It is more than just SNOMED CT –Networking with national HIT organisations –Sharing resources –Joint harmonization effort We (can) get more than (can) contribute

From our perspective, IHTSDO: Pro-active with other organisations Clear priority for implementation IHTSDO Workbench 2009 IHTSDO Translation Tool 2010 Member Exchange Initiative 2010

TRANSLATION

Pilot translation timeline Approval for funding: Tender for translation tool: Tender for translation: Training from CAP STS, CARECOM: Translation methodology drafted: Subset selection: Translation accomplished: Translation review:

Pilot translation 2008

Pilot Translation – Subsets Selected 3 top levels of SNOMED CT hierarchy concepts CAP eCancer Checklists – 2,176 concepts Anatomic Pathology Procedures concepts Specimen unsatisfactory for evaluation - 21 concept Echocardiography - 28 concepts

Translation Workflow

SNOMED CT LT, HealthTerm

Pilot Translation Outcomes DK, CA and SE experience studied Translation methodology developed Persons trained: 4+5 Concepts translated: 3,352

IMPLEMENTATION

LIFE-CYCLE OF IMPLEMENTATION IMPLEMENTATION-DRIVEN TRANSLATION

IHTSDO SNOMED CT for Pathology

IHTSDO Unsatisactory Sample

PAP Test – Unsatisf Sample Rpt LT EN

Potential Implementation Priorities Problem list Procedures Pathology and Laboratory Medicine Pharmacy Patient Safety Cancer prevention programs

Cervical Cancer Prevention System – A Concept NPF CRCR PCC yr women PAP, HISTO Query PAP- Woman Invitation (A) Confirm (B) Invitation (B) PATHO PAP HISTO GYNGYN BIOPSY PAP+ Query PAP+ PAP+ Public Info 80% 100%

LT Efforts and Issues E-Health Program being reviewed 2010 Translation of 50,000 SNOMED CT Implementation-driven translation – think of ROI Need competence More resource Synergize with international implementation efforts