SNOMED terminology is being introduced for clinical coding in emergency care in New Zealand. This includes emergency departments and ambulance, with SNOMED reference sets used to code clinical impressions, diagnoses, medicines and procedures. There is a challenge for software developers to build a RESTful SNOMED code finder web service and to use this in new clinical workstation solutions. Terminology services such as this are essential alongside rich data services such as FHIR services. There is a snow theme, and a movie identification quiz.

1. Please don’t spell
SNOMED
with a W
HL7 New Zealand seminar 4 June 2014

2. Data services
Terminology services

3. Australia
Belgium
Brunei
Canada
Chile
China
Czech Republic
Denmark
Estonia
Iceland
India
Israel
Lithuania
Malaysia
Malta
Netherlands
New Zealand
Poland
Portugal
Singapore
Slovak Republic
Slovenia
Spain
Sweden
United Kingdom
United States
Uruguay

4. Member country
New Zealand has
fifty affiliates

6. 500 codes for ambulance
3000 for emergency care overall

7. Concept 417076003 is dislocation of
shoulder joint (disorder)
Finding site (relationship) Glenohumeral
joint structure (body structure)
Dislocated shoulder reduction
(procedure) is a (relationship) [i]
procedure on shoulder and [ii] reduction
of dislocation

8. 300,000 concepts cover body structures,
findings, disorders and procedures
Each has a fully specified name, a
preferred term and synonyms
Properties and relationships are based
on description logic
Topology is ‘small world’ and ‘scale free’

9. Medicines
Clinical impressions, hypotheses
and diagnoses
Allergies and adverse reactions
Manifestations
General practice and outpatients

10. SNOMED code finder
GET https://snomed.health.nz/find?
class=finding&term=disloc