Distribution Gwen Smith Head of Technical Services

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1 UK Terminology Release & Distribution K Term minolo ogy Ce entre Gwen Smith Head of Technical Services NHS Connecting for Health, Technology Office April 2009 U

2 Outline UK Term minolo ogy Ce entre Concept lifecycle Release Components Distribution Questions?

3 Concept Lifecycle U K Term minolo ogy Ce entre Request Submitted Technical Build QA Release build Release approved Pre release Reconciliation resolution Pre release Technical QA Concept added TRUD Distribution Pre release QA Inspection Concept approved Technical QA QA Resolution Application supplier concept reconciliation Release process start End Users Clinical Author process Technical process Distribution

4 Release Lifecycle - QA K Term minolo ogy Ce entre Inspection by 2 authors check on ambiguity, spelling, right placement in hierarchy Automated QA rules nightly 134 for 4-byte 182 for V2 483 for CTV3 189 for SNOMED CT Pre Release zero errors across all Terminologies! Load Test of Release data U

5 Concept Lifecycle QA challenges UK Term minolo ogy Ce entre Conformance with Constraint model Accuracy holistic batch quality assurance Relevance Clinical / pharmacy review Fit for purpose pseudo implementation in line with TRG / TIG

6 What gets released? K Term minolo ogy Ce entre Documentation Read Codes Reference Data SNOMED CT No scale U

7 Combined Release Read/ Read Drugs (1) U K Term minolo ogy Ce entre Version 3 release files, supporting files, Legacy versions and Inter-version files (V2 & V2 in V3) Monthly Drugs releases since last (clinical) release Supporting documentation: Release Overview, Technical and Terming and Coding updates, new additions, the browser guide Cross maps ICD OPCS

8 Combined Release dm+d (2) UK Term minolo ogy Ce entre VTM, VMP, VMPP, AMP, AMPP XML format SNOMED CT format UK Snomed CT Drug extension

9 Combined Release SNOMED CT UK Edition (3) U K Term minolo ogy Ce entre SNOMED CT Core UK Extension Clinical & Drugs Concepts, Descriptions, Relationships Cross maps ICD, OPCS Subsets Developers Toolkit Documentation Release Overview, TRG, TIG, User Guide

10 National Products Versioning U K Term minolo ogy Ce entre TRUD_3.0.0_ SNOMED CT_8.0.0_ CTV3 (r2009_04) V2 (r2009_04) 4byte (r2009_0 4) READ Drugs (r2008_11. R2009_02) dm+d (Snomedct_7.1.0_ Snomedct_7.4.0_ )

11 Distribution UK Terminology Centre

12 Who are we delivering to? U K Term minolo ogy Ce entre Companies / organisations with a registered and approved requirement to receive reference data, and to distribute that data on to their end points Current End Points: NHS Organisations & Suppliers Application Developers Research & Development Organisations Others International Organisations

13 How do we deliver? K Term minolo ogy Ce entre Electronic Distribution - Benefits Secure access restricted to licensed products Open available to all (license and admin) Resilient available 24 hours a day Flexible use for all data products Communication direct and passive (international?) Information reporting, tracking knowledge Synchronisation release within interconnected NHS systems Configuration management record of release components U

14 Terminology Cycle UK Term minolo ogy Ce entre PULL PUSH Terminology Applications End developer supplier User PUSH PUSH

15 What do we deliver? Sub-packs U K Term minolo ogy Ce entre Currently: SNOMED CT UK Sub-pack dm+d Sub-pack Read Code Sub-pack (to facilitate migration and translation of Read encoded data to SNOMED CT) LE Backup Sub-pack LE RTS Cache Sub-pack (used by LE to do the Read to SNOMED CT mapping). NHS Organisation Codes Weekly dm+d in XML format Message Implementation Manual Future: ICD / OPCS Logical Record Architecture artefacts

16 Questions UK Terminology Centre