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Reading: SnoChillie Browser and Web Services: Enhancing Primary Care & Emergency Services in New Zealand

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SnoChillie Browser and Web Services: Enhancing Primary Care & Emergency Services in New Zealand

Authors:

Abdul Rauf ,

Valentia Technologies Limited, IE
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Ahmed Javad

Valentia Technologies Limited, IE
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Abstract

An introduction: (comprising context and problem statement) New Zealand’s largest primary care network is in the transition from Read Version 2 to SNOMED CT signaling the end of an era for the former. Now a patient’s diagnosis and clinical activity are being entered into SNOMED CT to facilitate the interchange of standardized patient information between health professionals as a seamless process.

Simultaneously Valentia Technologies (VTL) has developed “SnoChillie Browser” which provides a standardized approach to facilitate accurate health records embracing all clinical terminology for documentation and reporting.

Key features of  SnoChillie Browser: “Post Coordination” which is a hierarchical system that channels the diagnosis to a precise description based on the International Health Terminology Standards Development Organization (IHTDSO) hierarchy.

Mapping: between other terminologies e.g. International Classification of Diseases 10 (ICD 10), Logical Observation Identifiers Names and Codes (LOINC), Clinical Term Version 3 etc.

Aim and theory of change: SnoChillie Browser provides an easier online access for health professionals to facilitate clinical decision support, care coordination and optimize medication requirements.

The theory of change involves developing and exposing Web Application Programming Interface (API) so that it is accessible within the public domain of New Zealand healthcare.

Targeted population and stakeholders: SnoChillie API is targeted at stakeholders engaged in the development of Electronic Health Record (EHR) systems and primary users of SnoChillie Browsers are General Practitioners, Nurses, and Medical Care Assistants.

Timeline:

- July 2015: Research and Development initiated

- May 2016: First release of SnoChillie Browser

Highlights: (innovation, impact, and outcomes) SNOMED CT Release Format 2 is being implemented in New Zealand for the first time by VTL and is available for use by the Web developer community with comprehensive documentation to facilitate its application.

SnoChillie will also enable all health professionals to exchange their patient care information to multidisciplinary teams effortlessly to optimize patient health and wellbeing.

Comments on sustainability: VTL has worked in partnership with relevant stakeholders:

To manage the Terminology Services; to ensure that SNOMED CT International Release database is updated accordingly and to provide guidance regarding utilization of VTL’s SnoChillie Web API to all developers without importing database.

Comments on transferability: VTL swiftly adopted the IHTSDO Workbench and assisted the New Zealand Ministry of Health to pilot and integrate SNOMED CT in the following areas:-

- Emergency care

- TeleHealth

- Phone Triage

- Electronic Patient Care reporting

- Health Information Exchange

- Electronic Patient reporting Form

- Patient Management System.

Discussion :(comprising key findings) SNOMED CT is a unique terminology product to help EHRs better connect and exchange health information which enables comparison, exchange, and reuse throughout the health system e.g. by General Practitioners & Nurses.

VTL “Post coordination” is a refinement to the former and provides a highly organized pathway to deliver a descriptive diagnosis.

Conclusion & lessons learned: Working in collaboration with all stakeholders has greatly facilitated the process and success of SNOMED CT and hence VTL SnoChillie. Health care organizations within New Zealand should be encouraged and provided incentives to begin adopting SNOMED CT and SnoChillie to drive their decision-support applications. 

How to Cite: Rauf A, Javad A. SnoChillie Browser and Web Services: Enhancing Primary Care & Emergency Services in New Zealand. International Journal of Integrated Care. 2017;17(3):A153. DOI: http://doi.org/10.5334/ijic.3265
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Published on 11 Jul 2017.

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