Clinical terminology SNOMED CT: experiences from the implementation of a terminology standard in the Swedish region of Västra Götaland

The Västra Götaland region is the first region to implement the Snomed CT standard in Sweden to standardise the clinical terminology within the region. This happens at the same time as the region undergoes a huge undertaking to implement a new medical record system – Millennium, that only partially supports the Snomed CT standard. Which imposes challenges when the region wants to utilise the standard to create a decision support system to provide individual-based diagnosis and treatment. This is a portrayal of the initial phase of the implementation of the Snomed CT on what challenges and lessons the region has acquired in the implementation of clinical terminology standards aimed to achieve seamless reuse of patient and healthcare information in the region.

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