1. LOCAL EXPERIENCES
Innovation practices and experiences related to FIC development and implementation
Ariadna Rius
Clinical Dictionary for iSalut

2. Clinical Dictionary for iSalut
WHO - FIC NETWORK ANNUAL MEETING
11 – 17 October 2014
07/10/2013

3. Clinical Dictionary for iSalut
Aims to standardize the vocabulary of the CHS to:
Achieve full semantic interoperability between information systems.
Uniquely identify the clinical information recorded by healthcare professionals.
Provide a homogeneous base to represent contents, and their meaning, in EHRS and CDSS for research and innovation projects.
Is an eHealth transversal project of Generalitat of Catalonia’s Health Department:
Leaded by the Office of Standards and Interoperability of TicSalut foundation.
Managed by a permanent commission and organized in domains of content which are worked by a multidisciplinary team of experts.
Is used in other eHealth projects like the Shared Medical Records System of Catalonia (HC3), the Personal Healthcare Chanel (CPS) or the model to integrate assistance levels (WiFIS).
07/10/2013

4. Clinical Dictionary for iSalut
Is based on SNOMED CT as ontology and reference terminology:
Has interrelated concepts from many domains.
Each concept has more than one description.
Supports multilanguage.
Uses subsets of SNOMED CT to group components by domains.
Contains different vocabularies currently in use mapped to SNOMED CT.
New components and mechanisms of SNOMED CT are created in the Catalan extension of the standard and are submitted to the Spanish Minister of Health.
SNOMED CT
ICD-10
ISCO
...
LOINC
ICD-9-CM
07/10/2013

5. Clinical Dictionary for iSalut
We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary:
2011
2012
2013
September 2014
Domains worked 1 2 6
Subsets created 11 8
Concepts created
182
2021 61
130
07/10/2013

6. Clinical Dictionary for iSalut
We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary:
2011
2012
2013
September 2014
Domains worked 1 2 6
Subsets created 11 8
Concepts created
182
2021 61
130
Vaccines
07/10/2013

7. Clinical Dictionary for iSalut
We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary:
2011
2012
2013
September 2014
Domains worked 1 2 6
Subsets created 11 8
Concepts created
182
2021 61
130
Allergies (9 subsets).
Anatomic Pathology (2 subsets).
07/10/2013

8. Clinical Dictionary for iSalut
We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary:
2011
2012
2013
September 2014
Domains worked 1 2 6
Subsets created 11 8
Concepts created
182
2021 61
130
Vaccines->Immunizations (updated).
Anatomic Pathology (updated).
Scales of assessment of chronic patients (1 subset).
Spirometry test report (5 subsets).
Procedures (1 subset).
Groups of professionals (1 subset).
07/10/2013

9. Clinical Dictionary for iSalut
We have worked on 13 domains developing more than 30 subsets and creating more than 2300 concepts of SNOMED CT as part of the Dictionary:
2011
2012
2013
September 2014
Domains worked 1 2 6
Subsets created 11 8
Concepts created
182
2021 61
130
Laboratory (LOINC) (1 subset).
Ophthalmology (4 subsets).
Notification of adverse reactions to immunizations (1 subset).
Breast screening final report (1 subset).
Types of documents (1 subset).
WiFIS (3 subsets).
07/10/2013

10. Clinical Dictionary for iSalut
Available domains includes:
Groups of professionals (occupations).
Scales of assessment of chronic patients.
Immunizations.
Spirometry test report.
Laboratory (LOINC).
Ophthalmology.
Notification of adverse reactions to immunizations.
Anatomic Pathology.
Allergies.
Procedures.
Types of documents.
Breast screening final report.
WiFIS.
And we are working on:
Clinical variables
Rare or minority diseases
Development of more subsets for the WiFIS project.
07/10/2013

11. arius@tecnocampus.cat CCI_TCM Centre de competències d’Integració
Thank you
CCI_TCM
Centre de competències d’Integració
07/10/2013