EPR in SalfordEPR in Salford

Where have we got to?Where have we got to?What is the role of What is the role of

SNOMED CT so far?SNOMED CT so far?

Bob YoungBob Young

The Starting Point

Case StudiesCase Studies

Using an evolving EPRUsing an evolving EPR

Note from cardiac investigations unitNote from cardiac investigations unit–– patient X has not attended for testpatient X has not attended for test

BEFOREBEFORE–– Retrieve the notesRetrieve the notes–– Search through the notesSearch through the notes–– Review informationReview information–– Decide on actionDecide on actionAFTERAFTER

Operational Example 1

Referred for review at the Referred for review at the Diabetes CentreDiabetes Centre

Operational Example 2

Operational Example 3

Referred to the MDFC with leg pain

Operational Example 4Operational Example 4

Student email consultationsStudent email consultations

Operational Example 5

Transferred from EAU

Operational Example 6

Inpatient with Multiple co-morbidities

Operational Examples 6

Terming

Operational Examples

Terming

SNOMED 1

Referred from ward to MDFC

Operational Examples

Terming

SNOMED 2New Patient Attending Diabetes

Antenatal Clinic

Our EPR is still EvolvingOur EPR is still Evolving

SNOMED CT seems a clinically attractive SNOMED CT seems a clinically attractive approach to termingapproach to termingPending software upgrade & funding plan Pending software upgrade & funding plan formal evaluation:formal evaluation:–– Free text Free text vsvs internal lists internal lists vsvs SNOMED +/SNOMED +/--

subsetssubsets–– Audit (ICD Audit (ICD vsvs SNOMED)SNOMED)–– Coding (Free text Coding (Free text vsvs internal lists internal lists vsvs SNOMED SNOMED

+/+/-- automation)automation)