The road towards implementing SNOMED CT

SUAT SC Selene Indarte, Gustavo Borthagaray

El camino hacia SNOMED CT

SUAT SC

• Founded in 1991• HMO of the SNIS (National Healthcare System)

• Health provider for outpatients– SUAT Emergency

• At Home• Polyclinics

– Clínica del Estadio

SUAT Emergencia

• 250 physicians• 350 paramedics

• More than 200.000 medical consultations a year

Decisions

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

quality

Challenges

• Provide information on time• Decision support systems for

Emergency situations• Strengthen the continuity of care

national goals and policies

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

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

Strategies

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

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

Programa salud.uy

• HCEN (National EHR)• Interoperability policies• SNOMED CT as a national strategy• IHTSDO member

Impact of SNOMED

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

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

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.

Working with salud.uy

• We are a member of the “Plan for early adoption” designed by salud.uy– 1st goal: interoperability CDA level 1

• We are working. Almost there!

– 2nd goal: interoperability CDA level 3• SNOMED CT is a necessary condition

– Use the Terminology Services for drugs and medication, and health problems

Thank you very much

Any Questions?