Brendan Kelly Ministry of Health 14 December 2007

1. What SNOMED CT ® means to New Zealand Brendan Kelly Ministry of Health 14 December 2007

3. A day in the life … 157 babies are born 73 people die 105,000 prescriptions are filled 50,000 people take a cholesterol-lowering drug 50,000 people take one of the new antidepressants, eg: Prozac 40,000 laboratory tests are analysed 1,167 people are admitted to our hospitals (7,127) 4,000 outpatients visit hospitals for care 432 people have elective surgical operations 1,960 people are seen in Emergency Departments 27 people are admitted to hospital with asthma 50,000 people visit their GP 30,000 people receive a home care visit 21 people have heart attacks 19 people are diagnosed with diabetes 637 children are immunised 2,124 children and adolescents have a dental check up 3,000 new claims received by ACC

6. The Population Primary Care Specialist Care Secondary Care (Hospitals) Chronic Condition Palliative Care Mortality Database Point of Limited Return Symptom Referral if serious Referral if serious If fixed If fixed If fixed Return to Population Return to Population If fixed • Managed • No fix • Quality of life • Over an extended time • Hospices • Terminal • Elderly Care • End Stage Management Primary Secondary Primary Secondary

7. Health Information Hierarchy Community Population Individual National Views District / Regional Views Local Views Appropriate views / subsets of the information below. Relevant views of information above. Capture, use, and share information locally at the point of care. Standards Indicators Health Outcomes

18. Applications centric Development Common Terminology/ Ontology clinical applications authoring environments Intermediate Representations clinicians / Applications builders Empowered Authors templates/ views templates/ views Meta-authoring Meta-authoring

19. The Healthy Population (from birth) Primary & Com. Care Specialist Care Hospital Care (2/3/4) Chronic Condition Palliative Care Mortality Database Point of Ltd. Return If fixed If fixed If fixed Return to Population Return to Population If fixed • DoB • Address • Family Details • Personal History • Managed • No fix • Quality of life • Over an extended time • Hospices • Terminal • Elderly Care • End Stage Management Primary Secondary Primary Secondary