ICN and IHTSDO extend collaboration to advance harmonisation of health terminology

Press Information   .   Communiqué de presse   .   Comunicado de prensa

Geneva, Switzerland & Copenhagen, Denmark, 1 September 2014

The International Council of Nurses (ICN) and the International Health Terminology Standards Development Organisation (IHTSDO) today announced an updated collaboration agreement to advance terminology harmonisation and foster interoperability in health information systems.  The new collaboration agreement signed today will be reviewed on completion of the work or in April 2016, whichever is earliest.

The overarching goals of this collaboration are to ensure that nurses worldwide have the tools they need to carry out their jobs effectively, that they are not disenfranchised from the global informatics infrastructure, and that they remain active in the collection of meaningful and useful health information.

As part of the collaboration agreement, ICN, owner of the International Classification for Nursing Practice (ICNP), and IHTSDO, owner of SNOMED CT, have agreed to undertake further work that defines the relations between SNOMED CT and ICNP to enable their interoperability in health information systems globally. It builds on work already undertaken to produce an equivalence table for nursing diagnoses.

In the coming years IHTSDO and ICN will focus on two key areas of work: joint publication of a completed equivalence table between SNOMED CT and ICNP for Nursing Diagnoses, and joint publication of a completed equivalence table between SNOMED CT and ICNP for nursing interventions.

“ICN is delighted to extend our collaboration with IHTSDO,” said David Benton, ICN’s Chief Executive Officer.  “This agreement will be of mutual benefit to both organisations as well as to patients and will improve the description and comparison of nursing practice locally, regionally, nationally and internationally.

“IHTSDO is pleased to be continuing its collaboration with the ICN”, said Jane Millar, Head of Collaboration at IHTSDO. “Our joint work in linking SNOMED CT and ICNP will be of benefit to the nursing profession worldwide to ensure a common understanding and interoperability, and also to support sharing with other members of the healthcare team.”

The first collaborative agreement between the two organisations was signed in 2010, and in January 2014 the cooperation was further advanced by the announcement of an equivalence table between ICNP concepts and SNOMED CT concepts.

Notes to the Editor:

ICN and IHTSDO are the developers of the International Classification for Nursing Practice (ICNP) and SNOMED Clinical Terms (CT), respectively. The ICNP terminology serves a critical role for ICN in representing the domain of nursing practice worldwide, thus providing nurses at all levels with data-based information used for practice, administration, education and research. SNOMED CT is a multidisciplinary healthcare terminology designed to support the entry and retrieval of clinical concepts in electronic record systems and the safe, accurate, and effective exchange of health information.

About ICN:
The International Council of Nurses (ICN) is a federation of more than 130 national nurses associations representing the millions of nurses worldwide. Operated by nurses and leading nursing internationally, ICN works to ensure quality care for all and sound health policies globally. (www.icn.ch).

About IHTSDO:
IHTSDO determines global standards for health terms, an essential part of improving the health of humankind. Its experts work collaboratively with diverse stakeholders to ensure that SNOMED CT, its world-leading terminology product, is accepted around the world as the common language for health (www.ihtsdo.org).

My source: Amy L Amherdt

ERCIM News No. 98 Special theme: "Smart Cities"

ERCIM NEWS #98

Dear ERCIM News Reader,

ERCIM News No. 98 has just been published at:
http://ercim-news.ercim.eu/en98

Special Theme: "Smart Cities"
http://ercim-news.ercim.eu/en98/special/

featuring a keynote by Eberhard van der Laan, Mayor of Amsterdam
http://ercim-news.ercim.eu/en98/keynote-smart-cities

Guest editors:
- Ioannis Askoxylakis, ICS-FORTH, Greece
- Theo Tryfonas, Faculty of Engineering, University of Bristol, UK

This issue is also available for download as:
pdf:  http://ercim-news.ercim.eu/images/stories/EN98/EN98-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN98/EN98.epub

Next issue: No. 99, October 2014 - Special Theme: "Quality Software"
(see Call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

Includes:
Urban Civics - Democratizing Urban Data for Healthy Smart Cities
CityLab@Inria - A Lab on Smart Cities fostering Environmental and Social Sustainability
‘U-Sense’, A Cooperative Sensing System for Monitoring Air Quality in Urban Areas 
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ICN and IHTSDO partner to provide a new Informatics Resources for nurses

International Council of Nurses (ICN) and International Health Terminology Standards Development Organization (IHTSDO)
partner to provide a new Informatics Resources for nurses

Geneva, Switzerland, Copenhagen, Denmark, 20 January 2014 - The International Council of Nurses (ICN) and the International Health Terminology Standards Development Organisation (IHTSDO) are pleased to announce an equivalency table between the International Classification for Nursing Practice (ICNP) concepts and SNOMED CT concepts. The table contains ICNP Diagnosis and Outcomes Statements that have semantic equivalencies with SNOMED CT concepts.

ICNP is an international standard that facilitates the description and comparison of nursing practice locally, regionally, nationally and internationally. The ICNP terminology serves a critical role for ICN in facilitating representation of the domain of nursing practice worldwide to promote evidenced based quality care. ICNP provides nurses with content solutions for electronic health records (EHRs) at all levels to support data-based information for use in practice, administration, education and research. SNOMED CT, a multidisciplinary international healthcare terminology, is designed to support the entry and retrieval of clinical concepts in electronic record systems and the safe, accurate, and effective exchange of health information.

“This equivalency table between ICNP and SNOMED CT is a tangible demonstration of how collaboration among standards development organisations can contribute to improved and standardized documentation of healthcare delivery,” noted ICN CEO David Benton. “Greater standardization supports the larger goal of interoperability of systems as well as better understanding of the contributions that each discipline makes to health outcomes and the effective and efficient use of health resources.“

“The IHTSDO is pleased to see this work being made available to users internationally and hopes that there will be feedback on its usage over time in supporting the care of individuals on a multidisciplinary basis. Continued collaboration with ICN is important to the IHTSDO going forward, providing a key link to the nursing profession internationally” said Jane Millar, Head of Collaboration at IHTSDO.

This new product advances the collaboration on terminology development agreed between ICN and IHTSDO in their 2010 harmonization agreement by allowing ICN to make the equivalency table available through its website at the ICNP Download page ( http://www.icn.ch/pillarsprograms/icnp-download/ ). Although this table is not formally endorsed by IHTSDO, persons interested in using it should review the terms of the SNOMED CT Affiliate License before downloading ( www.ihtsdo.org/licence.pdf ).

The product can be a useful resource to nurses and healthcare facilities interested in using SNOMED CT for documentation in EHRs and using ICNP to help identify clinically relevant content for use in documentation of nursing care.

An additional product from ICN, the ICNP Technical Implementation Guide, was also recently released with the intent of supporting ICNP users, from vendors to nurses in care delivery settings. When used alongside documentation available on the IHTSDO website ( http://ihtsdo.org/fileadmin/user_upload/doc/ ), the Implementation Guide will be of particular use to those who choose to access and use the ICNP-SNOMED CT Equivalency Table in that it gives details about applications that use ICNP, approaches to implementation, structure and content of ICNP, and technical overview. The ICNP Implementation Guide is available on the ICN website ( www.icn.ch/pillarsprograms/implementing-icnpr/ ).

My source: Amy L Amherdt, icn-ehealth

Consultation on the proposed withdrawal of the SNOMED CT national care planning content

In addition to responding myself, I notice on the actual consultation page on 'Citizen Space' there is an option to share this consultation.

Dear Peter,

You are registered for the care planning content via the HSCIC Technology Reference data Update Distribution website.

The national Care Planning Content is designed for use to support care planning functionality across health and social care. This functionality crosses many professions/sectors which may have differing descriptions for a care plan in the traditional health record (e.g. treatment plans, birthing plans, support plans, intervention plans or care order sets). The content can support the interoperation of care plans across boundaries and paper based care plans based on the pack have also been used successfully to gain greater familiarity with structured terminology (SNOMED CT).

More details at: http://www.infostandards.org/careplanning

The absence of a declared owner or sponsor for this product means that we are proposing to withdraw it and are keen to hear views and understand the impact of not maintaining this content and its associated services.

We have a number of questions to determine how information Standards could best support the development of a standard for care planning, the consultation can be found at:

https://consultations.infostandards.org/bdea/snomed-ct-care-planning/consult_view

- and we would value and encourage your feedback on this proposal.

If you have any questions regarding the above you can contact us by sending an e-mail to information.standards AT hscic.gov.uk. This is the preferred form of communication.

You can also telephone for advice and support. Our telephone number is +44 845 13 00 114
We are available weekdays from 9am to 5pm.

Regards
The TRUD support team
Health and Social Care Information Centre

International Health Terminology Standards Development Organisation: 2012 Report

IHTSDO CoP: 2012 Annual Activity Report Now Available

Our annual activity report for 2012 is now available in two formats:

Online magazine: www.ihtsdo.org/activity_report

PDF: www.ihtsdo.org/activity_report.pdf

We hope you enjoy it! Any comments or questions can be sent to info AT ihtsdo.org.

Source and many thanks to Juliet Krarup (ihtsdo staff)

BBC Horizon II: Processes - step this way ... safely

Following the BBC TV Horizon programme last night "How to Avoid Mistakes in Surgery" I came across the following list concerned with processes:

Sequential steps. Where one step follows another.

Alternative steps. Where conditional logic specifies which of several paths should be traversed.

Iterative steps. Where a single step is repeated multiple times.

Composite steps. Where steps are nested within other steps.

Optional steps. Where any one of a set of steps may be traversed, depending on the results of a boolean operation.

Checklist. Where all of a number of steps must be traversed, but in any order. p.126.

The list is related to software development and manufacturing as per the reference source below. Within informatics and project management I've noticed and written here about the emphasis placed on processes. Process, process and yet more - in one form or other. As A&E doctor Kevin Fong revealed people can get lost in a process (intubation), especially experts within organisational hierarchies - complex teams in urgent circumstances. In information system projects the need for a socio-technical perspective is essential, and is synonymous with due consideration of human factors. Processes are an essential ingredient to understanding the world and there's a huge literature on events, co-ordination, timing, logistics, value ... but as the Horizon programme pointed out there's also a need for reflection, stepping back, taking in or trying to grasp the big picture. Maintaining situation awareness is vital to assure safety and as the program showed in a crisis hindsight makes a blind spot visible. This is why process is one of four P's in Hodges model (the others - purpose, practice and policy). Processes count, but they are only part of the bigger picture.

The steps above are intended for software developers, but the descriptions throw up some points when subject to a more literal - human - interpretation (which might be a problem?).

The 'alternative' steps: could that mean skipping one in turn as in 'alternate'?

And crucially for the checklist are there any risks associated with its being completed in any order?

There is a world of difference between programming methods and logic on the one hand; and human language and dialogue on the other.

Fayad, M.E., Johnson, R.E. (Editors). (2000). Domain-Specific Application Frameworks: Frameworks Experience by Industry. Wiley. p.126.

Scaling Up mHealth: Where Is the Evidence? PLoS Med essay (c/o HIFA2015)

Dear HIFA members,

An essay in the open-access journal PLoS Medicine discusses the evidence base for mHealth and makes recommendations for scale-up. Below is the citation, summary points, selected extracts and recommendations for scale-up. The full text is available here:
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001382

Best wishes,
Neil Pakenham-Walsh
HIFA moderator
[ HIFA2015: Healthcare Information For All by 2015 ]

CITATION: Tomlinson M, Rotheram-Borus MJ, Swartz L, Tsai AC (2013) Scaling Up mHealth: Where Is the Evidence? PLoS Med 10(2): e1001382. doi:10.1371/journal.pmed.1001382

SUMMARY POINTS
- Despite hundreds of mHealth pilot studies, there has been insufficient programmatic evidence to inform implementation and scale-up of mHealth.
- We discuss what constitutes appropriate research evidence to inform scale up.
- Potential innovative research designs such as multi-factorial strategies, randomized controlled trials, and data farming may provide this evidence base.
- We make a number of recommendations about evidence, interoperability, and the role of governments, private enterprise, and researchers in relation to the scale up of mHealth.

SELECTED EXTRACTS:
'A recent World Bank report tracked more than 500 mHealth studies, and many donor agencies are lining up to support the 'scaling up' of mHealth interventions [7]. Yet, after completion of these 500 pilot studies, we know almost nothing about the likely uptake, best strategies for engagement, efficacy, or effectiveness of these initiatives...  mHealth is in a period very similar to the early days of the Internet: not creating robust, interoperable platforms will ensure failure for mHealth initiatives to be scaled to improve health outcomes for at least the next decade.'

RECOMMENDATIONS FOR SCALE UP OF MHEALTH
- Existing standards for research should be reconsidered in order to provide guidance as to when scale up is appropriate.
- mHealth interventions should be guided by a plausible theory of behaviour change and should use more than one technique depending on the targeted behaviour [38].
- We need to establish an open mHealth architecture based on a robust platform with standards for app development which would facilitate scalable and sustainable health information systems.
- Implementation strategies such as factorial designs that are able to test the multiple features of interventions must be explored, in order to provide the necessary evidence base.
- Scale-up of mHealth in LAMICs should be preceded by efficacy and effectiveness trials so that they are founded on an appropriate evidence base.
Governments, funders, and industry must cooperate in order to set standards to create a self-governing commercially viable ecosystem for innovation.

SATBI+SWIM 2012 - Joint Workshop on Semantic Technologies Applied to Biomedical Informatics and Individualized Medicine - Call for Papers

http://nadir.uc3m.es/satbi+swim2012/

A defining characteristic of the next decade of biomedical research will be the explosion in the range and quantity of biomedical information, especially as it relates to individualized therapies. The purpose of this joint workshop is to discuss research challenges, results, methods and advances in the application of Semantic Web technologies to translating the wealth of biomedical information into therapies, tools, and care practices that improve health for patients and communities.

The workshop aims to attract researchers from Computer Science, Information Science, Biomedicine, Bioinformatics, and related areas to share research challenges, results, methods and advances in the appliance of Semantic Web technologies to two domains within Clinical and Translational research - bioinformatics and individualized medicine.

SATBI+SWIM 2012 has been divided in two separate tracks:

Track 1: SATBI (Semantic Applied Technologies on Biomedical Informatics)
Track 2: SWIM (Applying Semantic Web Technology for Clinical Decision Support and Cohort Identification in Individualized Medicine)

http://nadir.uc3m.es/satbi+swim2012/

My source:
Alejandro Rodríguez González to semantic-web at w3.org list.