A Danish Translation of Snomed CT

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Content

Snomed CT has a content that has been build up by clinicians over more than three decades

The content is balancing between clinical demands and systematically purity

The content has the potential for transfer of knowledge between different health-professions

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Translation management

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Process

Decision for translation 18 months 2 MDs making decision material

Design of Workflow Selection of subsets (speciality) Translation Review Accept and validation Gant diagram

Design of web application

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Selection of translators (translation agency)

tenders were invited Resources

3 managers consultants 3 months

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Education (concept based translation)

2 days Resources

SNOMED INTERNATIONAL Danish National Board of Health It developer

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Management team

project leader 1

project organiser 1

managers 4

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Bilingual resources

Translation team Translators 7 Subject Matter Experts 15 External reviewers (7) Internal reviewers 11 clinicians

Editorial board Clinicians 4 Linguists 2 Terminologists 4 Manager 1

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Monolingual resources

QA:Reviewers clinicians - many

Approval TermApproved

Review by SST employeeReview by Editorial board

Review by SME

Review by 2nd translator

Batch divided by translator

Batch established by SST

Approval

Translated

Part-Batch translated by 1st translator

Question/doubt

Rejection

Reply

Doubt

Rejection

Approval

Workflow

starts

RejectionDoubt

National Board of Health

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Budget 2006

Translation agency 250.000 euro Editorial board 150.000 euro Mapping 75.000 euro IT-developement 250.000 euro SDO + travel 175.000 euro

Permanent staff 400.000 euro 1.300.000 euro

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research – quality – management - EHR

User interface

GuidelinesTerminology

BEHRClinical

TerminologiEHR-

model

Guide-lines

clinical proces

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This is Just the Beginning

The SDO invites everybody to share knowledge within the framework

We want to build a common international health terminology the will become a common good for the patients and every body in the health sector of the whole world

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New SNOMED Enterprise Model

SNOMEDSDO

NationalReleaseCentre

Local/National Health Entities

Shared technology environment enables collaboration

NationalReleaseCentre

NationalReleaseCentre

NationalReleaseCentre

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What do we need

Messaging to shared information…

Reference model for EHR (CEN/ISO/HL7) Shared “emergency data set” Structured patient summary

Shared reference terminology Health Terminology (SNOMED CT) Mappings to International & National classification(ICD, ICPC, ICF, NANDA, IUPAC, LOINC…)