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John Williams�Chief Compliance Officer

john@healthpoint.co.nz

Healthpoint use of SNOMED

Samantha Burchell �Product Owner

samantha@healthpoint.co.nz

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NZ Health and Social Services Directory

  • Detailed information about �health and social services
  • 1 million visitors per month
  • 8,779 active services, 6,887 locations, �8,603 Practitioners, �12,144 PractitionerRole
  • Partnership with helplines
  • Services own and edit their �own info – more than 80% �reviewed in last 4 months
  • 100 – 400 services update per � day

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Healthpoint API to share the Healthpoint website

  • Connecting people to health services
  • A lot of organisations need a directory, but don’t have the time or resource to maintain it
  • Single, central reliable source of truth. Reduce system wide duplication
  • Reuse in many contexts beyond Healthpoint
  • Use HL7® FHIR® as standard for data exchange to support uptake and interoperability
  • Users can query the API by a category, specialty, programme or type of service e.g. Pharmacy services, Immunisation

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Use of the Healthpoint API

200 + registered users �Government departments, Māori health organisations, districts, PHOs, practice management software, health apps, private hospitals, health insurers, health organisations, Ambulance

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Healthpoint use of the HL7® FHIR ® Standard

  • Module: Predominantly L3 Administration
  • Resources Healthpoint data mapped to:
    • Healthcare Service
    • Location
    • PractitionerRole
    • Practitioner

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Healthpoint use of Healthcare service resource

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Healthpoint API�Documentation website

  • www.healthpointapi.com
  • Place where anyone, clinical, analyst or developer can understand what content they can get from the API: Open API (aka Swagger), Documentation, Samples, Common use cases

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Why are we using SNOMED?

Connect people to health services, according to clinical need�Examples use cases for Healthpoint API: health promotion, patient journey mapping, referral to appropriate services and appointment booking

FHIR conformant

Use “category”, “type” and “specialty” and SNOMED as the clinical terminology within that

Patient friendly terms English and Te Reo Māori�Working with SNOMED National Release Centre to validate our mapping and provide a SNOMED patient friendly concept in each instance

Flexibility�We can now change our naming within the Healthpoint website without having to consult every API user and not break their implementation

Clear definitions�Reducing the chance of misinterpreting a clinical need, and ensuring greater accuracy when connecting people to the correct service

Interoperability�the machines talk faster

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Healthpoint categorisation

  • Used for navigation, search and to describe what services provide
  • ~ 1,000 terms
  • Templates for easy content inclusion�
  • Categories: e.g. Allied Health
  • Provider types e.g. Physiotherapy
  • Services provided e.g. Immunisation�and subtypes: e.g. MMR
  • Specialties e.g. Cardiology
  • Programme areas e.g. Addictions – drug and alcohol and types: Social detox

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Step 1: Data remodelling and editorial upgrade

  • Data model changed to a Hauora one so a service can now be a mix of medical, community health and social
  • Editorial upgrade for easy input by editors. The most important step is content inclusion.
  • SNOMED is not explicitly presented in the front-end site, either editorial or published view

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Step 2: Mapping Healthpoint concepts to SNOMED CT

  1. Healthpoint maps to SNOMED CT, requests new concepts or synonyms as required
  2. Healthpoint suggests patient friendly term
  3. Mapping and patient friendly term is validated by SNOMED release centre at Health New Zealand | Te Whatu Ora
  4. Translator from Te Taura Whiri i Te Reo Māori | Māori Language commission creates associated Māori language concepts and then peer review.
  5. New concepts, patient friendly terms and Te Reo Māori term published in SNOMED CT, from October 2024 release

All software vendors in New Zealand can use these terms via SNOMED and terminology servers.

NZ common patient friendly term

Māori language reference set

Synonyms

Preferred

Fully specified term

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Use of SNOMED English + Te Reo Māori in the Healthpoint website

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Use of SNOMED queries in the Healthpoint API

Queries:

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Example: Kaupapa Māori Cervical screening services only (category AND type):

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Thank you