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Addressing SNOMED CT implementation challenges through multi-disciplinary collaboration.

Justin Liu1, Kelly Lane, Elisa Lo

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Area of Science:

  • Health Informatics
  • Clinical Terminology
  • Electronic Health Records

Background:

  • Electronic clinical documentation systems aim to improve healthcare data management.
  • SNOMED CT (Systematized Nomenclature of Medicine - Clinical Terms) is a comprehensive clinical terminology used globally.
  • Integrating SNOMED CT into existing systems presents significant technical and practical hurdles.

Purpose of the Study:

  • To identify and describe the key challenges encountered during the implementation of SNOMED CT.
  • To highlight the necessity of interdisciplinary collaboration in resolving these implementation issues.
  • To provide insights for future SNOMED CT integration projects in healthcare settings.

Main Methods:

  • Analysis of four distinct projects involving SNOMED CT implementation in discharge summaries, operative notes, and ambulatory documentation.
  • Identification of implementation challenges through practical experience and expert collaboration.
  • Qualitative assessment of the required skills and strategies for overcoming identified obstacles.

Main Results:

  • Four major implementation challenges were identified: GUI design for SNOMED CT selection, template specification validation, subset/extension management, and algorithm development for efficient searching.
  • Successful resolution of these challenges necessitated collaboration among specialists in project management, data modeling, technical development, and clinical practice.
  • The study underscores the complexity of integrating standardized terminologies into diverse clinical documentation workflows.

Conclusions:

  • SNOMED CT implementation in tertiary care settings shows promise but is complex.
  • Interdisciplinary collaboration is crucial for leveraging diverse expertise to overcome technical and clinical challenges.
  • Effective strategies for user interface design, data management, and search functionality are essential for successful SNOMED CT adoption.