A Danish Translation of Snomed CT

SMCS Content  Snomed CT has a content that has been build up by clinicians over more than three decades  The content is balancing between clinical demands and systematically purity  The content has the potential for transfer of knowledge between different health-professions

SMCS Translation management

SMCS Process Decision for translation  18 months  2 MDs making decision material  Design of Workflow  Selection of subsets (speciality)  Translation  Review  Accept and validation  Gant diagram  Design of web application

SMCS Selection of translators (translation agency)  tenders were invited  Resources  3 managers  consultants  3 months

SMCS Education (concept based translation)  2 days  Resources  SNOMED INTERNATIONAL  Danish National Board of Health  It developer

SMCS Management team  project leader  1  project organiser  1  managers  4

SMCS Bilingual resources  Translation team  Translators 7  Subject Matter Experts 15  External reviewers (7)  Internal reviewers 11 clinicians  Editorial board  Clinicians 4  Linguists 2  Terminologists 4  Manager 1

SMCS Monolingual resources  QA:Reviewers  clinicians  - many

Approval Term Approved Review by SST employee Review by Editorial board Review by SME Review by 2nd translator Batch divided by translator Batch established by SST Approval Translated Part-Batch translated by 1st translator Question/doubt Rejection Reply Doubt Rejection Approval Workflow starts Rejection Doubt National Board of Health

SMCS Budget 2006  Translation agency euro  Editorial board euro  Mapping euro  IT-developement euro  SDO + travel euro  Permanent staff euro  euro 

SMCS research – quality – management - EHR User interface Guidelines Terminology BEHR Clinical Terminologi EHR- model Guide- lines clinical proces

SMCS This is Just the Beginning  The SDO invites everybody to share knowledge within the framework  We want to build a common international health terminology the will become a common good for the patients and every body in the health sector of the whole world

SMCS New SNOMED Enterprise Model SNOMED SDO National Release Centre Local/National Health Entities Shared technology environment enables collaboration National Release Centre National Release Centre National Release Centre

SMCS What do we need Messaging to shared information…  Reference model for EHR (CEN/ISO/HL7)  Shared “emergency data set”  Structured patient summary  Shared reference terminology  Health Terminology (SNOMED CT)  Mappings to International & National classification (ICD, ICPC, ICF, NANDA, IUPAC, LOINC…)