UK Terminology Centre

1
UK Terminology Centre

• Dr Ken Lunn Director of Data Standards and
  Products
• NHS Connecting for Health

2
Contents

• SNOMED CT in the UK governance and services of
  the UK Terminology Centre (UKTC)
• SNOMED CT in the EHR
• Current initiatives

3
IHTSDO in Context
Australia, Canada, Denmark, Lithuania, The
Netherlands, New Zealand, Sweden, United Kingdom,
United States
Healthcare Users
Term Submissions License fees
Members
International Edition Guidance
No-cost licensing (in member jurisdictions)
IHTSDO
Services
WHO, HL7, Loinc, ISO, CEN
College of American Pathologists
Fees
Harmonisation Collaboration
Requests Fees
Other SDOs
Affiliates
Licenses
4
UKTC Context
ETP, SCR, CB, PACS, NMEPfIT, SPfIT, LPfIT
Term Submissions License fees Governance input
IHTSDO
Work Programmes
Requests
International Edition Guidance
UK Edition of SNOMED CT, Subsets, Advice
Education
UKTC
Clinical Community
Advice Governance
Requests
UK SNOME CT edition Subsets Advice
Suppliers
Harmonisation Integration
Other Standards
HL7, openEHR, ICD10, OPCS, Data Dictionary, DMD
5
Service Layers
Australia, Canada (English), Denmark, Lithuania,
The Netherlands, New Zealand, Sweden, United
Kingdom, United States
Users
Members
IHTSDO
UKTC
Software Suppliers, LSPs, Trusts, Work Programmes
6
UKTC Governance
England, Northern Ireland, Scotland, Wales
UKTC Governance Board
UKTC Management Team
UK Edition Committee
Implementation Forum
Projects
7
UKTC is hosted by Data Standards Products
DSP
Data Dictionary
Interoperability Specifications
Terminology Centre
Consulting
Messaging Clinical Content Technical
SNOMED CT Read OPCS ICD10 dmd Cross
Maps Technical
Assurance Harmonisation Strategy
8
Data Standards and Products in the National
Programme
DSP provide a broad range of services to all
development programmes in the National Programme
for IT, and to the NHS in General
Development Programmes
ETP
CB
PBR
SUS
SCR
Content Modelling (CEN13606, openEHR)
Data Dictionary (UML, Commissioning Data Sets)
Data Standards And Products
Messaging (HL7 V3, CDA)
Terminologies and Classifications (SNOMED CT,
Read, ICD10, OPCS, dmd)
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DSP Products

• Terminologies
• Read
• CTV3
• SNOMED CT
• DMD
• Classifications
• OPCS
• ICD10
• Cross maps
• Data Dictionary

• Messaging
• HL7 V3 for Spine
• CDA Templates
• Commissioning Data Sets
• Content Modelling
• Clinical Archetypes (CEN13606)
• Content models for suppliers

10
DSP services

• Stakeholder forums
• Product development
• Standards engagement
• Product distribution
• Advice and guidance
• Education and training

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Standards in the context of an EHR
Recording
Expressiveness Precision/rigour Searchability
ComparabilityBest Practice
Terminology
Collection Models
Search and Retrieval Models
Classifications
EHR
Utility Categorisation Secondary use
Decision Making
Information Model
Communication Models
Registration and Location Models
Structure Detail Search Storage
Interoperability
Notify, Find
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Standards in the context of an EHR
SNOMED CT, dmd
CUI, openEHR, SNOMED CT
Recording
Expressiveness Precision/rigour Searchability
ComparabilityBest Practice
Terminology
Collection Models
HL7 V3, openEHR, SNOMED CT
OPCS, ICD10, Data Dictionary
Search and Retrieval Models
Classifications
EHR
Utility Categorisation Secondary use
Decision Making
openEHR, HL7 RIM, CDA
HL7 V3, CDA, SNOMED CT
Information Model
Communication Models
Registration and Location Models
Structure Detail Search Storage
Interoperability
Notify, Find
Spine, XDS
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UKTC Initiatives

• Implementation (business and technical)
• Knowledge management, education, training
• Technical guidance (reporting, post-coordination,
  change management, etc)
• Product quality
• Information Standards Board approval
• Request submission
• Release and Distribution
• Tooling and infrastructure

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The future?

• More implementations, and more universal use of
  SNOMED CT
• More international collaboration
• Continue to be a leading centre within the IHTSDO
• More transparent processes in the UKTC
• Stronger international release with more
  transparent processes

15
Questions?

• datastandards_at_nhs.net
• ken.lunn_at_nhs.net