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Terminology Maintenance and Distribution. Brian Levy MD Chief Medical Officer and Senior Vice President Health Language. SNOMED CT SNOMED Relation Facets SNOMED Attributes HRG, DRG.. OPCS-4 CPT NCSP ICD-10 ICD-10 Morphology codes DM+D (full PPA version) SNOMED UK Drug Extension
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Terminology MaintenanceandDistribution Brian Levy MD Chief Medical Officer and Senior Vice President Health Language
SNOMED CT SNOMED Relation Facets SNOMED Attributes HRG, DRG.. OPCS-4 CPT NCSP ICD-10 ICD-10 Morphology codes DM+D (full PPA version) SNOMED UK Drug Extension LOINC Read 4-byte Read Version 2 Standards • Mappings • SNOMED CT to ICD-10 • SNOMED CT to OPCS-4 • Read 4-byte to SNOMED • Read 2 to SNOMED • SNOMED to MeSH • DSM IV to SNOMED • HL7 to SNOMED • … Terminologies and Subsets • Country Extensions • SNOMED subsets • Anatomic Pathology • Allergan • Non-Human • Local subsets • … Updates to all…
Terminology Maintenance and Distribution UK National LSP/NASP Vendor SDO SNOMED CT -Attributes, mappings, subsets… SNOMED CT -Attributes, mappings, subsets… SNOMED CT -Attributes, mappings, subsets… SNOMED CT ICD-10OPCS-4ReadDM+D ICD-10OPCS-4ReadDM+D ICD-10OPCS-4ReadDM+D Load Content and Updates into Terminology Service Tools and Processes:-Mapping-Modeling-Browsing-Updating-Conflict ResolutionContent ManagementDistribution Receive Content APIs:-Searching-Browsing Web Services Distribution Receive ContentLocalize APIs:-Searching-Browsing-Post-coordination-Build GUI Experience the right content at the right time!
Updates delivered every month/day Maintain a historical record of changed terms and concepts for version control Develop internal process to handle updates Deploy updates to end-users (hospitals, clinicians, etc.) Resolve local changes and conflicts Language engines and tools are required to facilitate these processes Updating and Management
Conflict Resolution • Detect potential conflicts with the application of updates • User adds terms, concepts, mappings • Standard body adds same term, retires source of mapping, etc. • Need tool to detect conflicts and to walk user through issues
Conclusion • Updating terminologies involves greater challenges than initial use • Tools and processes should be established for updating early in the process