1. The road towards implementing SNOMED CT SUAT SC Selene Indarte, Gustavo Borthagaray El camino hacia SNOMED CT

2. SUAT SC Founded in 1991 HMO of the SNIS (National Healthcare System) Health provider for outpatients –SUAT Emergency At Home Polyclinics –Clínica del Estadio

3. SUAT Emergencia 250 physicians 350 paramedics More than 200.000 medical consultations a year

4. Decisions Develop our own software Establish a stable developing team Have a Medical Informatics Department See IT as a tool for management and quality

5. Challenges Provide information on time Decision support systems for Emergency situations Strengthen the continuity of care national goals and policies

6. Strategies Planning begun in 2001 Developing our EHR system for doctors’ offices (polyclinic, Clínica del Estadio) Be compliant with international health standards, to support further interoperability

7. Strategies 2004 installation of EHR for Polyclinics 2008 installation of EHR at the Clínica del Estadio 2009 installation of LIS and interoperability with an outside Lab

8. Strategies 2010 installation of a multimedia server to manage medical images: –Radiology –Ecography –Spirometry –Colposcopy –Ergometry –Etc.

9. Strategies 2011 Development of a mobile EHR –2012 installation for occupational health (Clínica del Estadio –2013-2015 installation for at-home care and emergency response

10. Programa salud.uy HCEN (National EHR) Interoperability policies SNOMED CT as a national strategy IHTSDO member

11. Impact of SNOMED SNOMED CT is the ideal tool for: –Support semantic interoperability –Achieve high quality data end information –Support continuity of care

12. Actual Planning 2 years long –Asked for SNOMED CT license OK –Training plan for doctors and IT crew Foundation Course (IHTSDO) SNOMED workshops at salud.uy

13. Planning 2 years long –Software re-engineering to adapt our information system and be compliant with semantic interoperability requirements. –Mapping –Terminology services We are already working on this issues.

14. Working with salud.uy We are a member of the “Plan for early adoption” designed by salud.uy –1 st goal: interoperability CDA level 1 We are working. Almost there! –2 nd goal: interoperability CDA level 3 SNOMED CT is a necessary condition –Use the Terminology Services for drugs and medication, and health problems

15. Thank you very much Any Questions?