1. A Danish Translation of Snomed CT

2. SMCS 20062 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

3. SMCS 20063 Translation management

4. SMCS 20064 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

5. SMCS 20065 Selection of translators (translation agency)  tenders were invited  Resources  3 managers  consultants  3 months

6. SMCS 20066 Education (concept based translation)  2 days  Resources  SNOMED INTERNATIONAL  Danish National Board of Health  It developer

7. SMCS 20067 Management team  project leader  1  project organiser  1  managers  4

8. SMCS 20068 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

9. SMCS 20069 Monolingual resources  QA:Reviewers  clinicians  - many

10. 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

11. SMCS 200611 Budget 2006  Translation agency 250.000euro  Editorial board 150.000euro  Mapping 75.000euro  IT-developement 250.000euro  SDO + travel 175.000euro  Permanent staff 400.000 euro  1.300.000euro 

12. SMCS 200612 research – quality – management - EHR User interface Guidelines Terminology BEHR Clinical Terminologi EHR- model Guide- lines clinical proces

13. SMCS 200613 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

14. SMCS 200614 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

15. SMCS 200615 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…)