Implementing SNOMED CT 2006

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Implementing SNOMED CT 2006

• Charlie Stuart-Buttle

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Why am I here?
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6 years full-time terminology development

• Negotiated planned Read-SNOMED merger
• EMIS User Group National Committee
• Full time General Practitioner

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A simple users view

• 10 minute consultations
• Mixed coded free text recording
• Context-specific decision support knowledge
  access
• Daily automated searches
• Patient care
• Payment
• Ad hoc searches

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The big issues

• Central understanding and direction
• Pre-coordinated chaos
• Reference sets (Subsets)
• One language with incomprehensible dialects?

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Specific issues

• Complexity of entry retrieval
• Handling existing data
• Pre- post-coordinated mix
• How much is open to interpretation
• Use of Read code navigation hierarchies
• Business disruption of conversion
• Context