One step closer to interoperability: Applying SNOMED CT’s engine to the International Patient Summary

In 2022, SNOMED International will extend the core of SNOMED CT’s structured clinical terminology to deliver an open, standalone sub-ontology to support the scope of content within the International Patient Summary (IPS) under a Creative Commons license.

London, United Kingdom, Nov. 25, 2021 (GLOBE NEWSWIRE) — At SNOMED International’s recent October Business Meetings held in London, the organization’s governance bodies enacted a decision to extend the core of SNOMED CT’s structured clinical terminology to deliver an open, standalone sub-ontology to support the scope of content within the International Patient Summary (IPS.)

The IPS is an electronic health record extract containing essential healthcare information for use in the unscheduled, cross-border care scenario, as well as for local, regional and other care scenarios. It is a minimal, non-exhaustive set of data elements defined by ISO/EN 17269 and delivered by HL7 in both CDA and FHIR using a curated set of SNOMED CT terms.

There is a groundswell of support across all health sectors to increase the portability and usability of patient information for the purpose of safe health care delivery. In 2019, SNOMED International and HL7 International announced the formalization of a license agreement in which a relevant ‘Free for Use’ Set of SNOMED CT coded concepts would be used within the HL7 IPS. Most recently, we watched as G7 leaders collaborated to release a communique on the dire need to progress a global health interoperability agenda. IBM offers a working definition of interoperability as “the timely and secure access, integration and use of electronic health data so that it can be used to optimize health outcomes for individuals and populations.”  The G7 communique, which highlighted the importance of enabling digital healthcare systems worldwide to work together seamlessly as patients move between providers, facilities and even countries, is an impactful statement that rippled throughout the global health community. A charge taken up by the Global Digital Health Partnership, it is one SNOMED International is eager to support.

Embracing a collaborative approach, “SNOMED International has been pleased to continue to work with HL7 International and partners across Europe and beyond to define SNOMED CT content for use in the International Patient Summary,” offered SNOMED International Management Board Chair, Joanne Burns.

Continuing to act in the spirit of the IPS Freeset, SNOMED International has committed to create and release an openly available IPS sub-ontology in the first half of 2022 to enhance the existing cross border movement of information, and ultimately health system interoperability. Unlike SNOMED International’s Global Patient Set, a flat list of SNOMED CT codes and terms, an IPS sub-ontology will provide implementers with a product that can be used in healthcare solutions using the power of SNOMED CT through its query language and hierarchies for the specified scope. Use of the IPS sub-ontology will allow for more effective use of clinical data analytics and decision support, and for Artificial Intelligence applications.

Alex Elias, Chair of SNOMED International’s General Assembly, the organization’s Member governance body, has observed a significant increase in discussion regarding the IPS. “2021 has seen increased interest by governments and Health and Care organizations globally for implementing the IPS to enhance timely cross border health information flow and interoperability. This has been a primary driver in SNOMED International supporting this recent initiative to make the IPS sub-ontology openly available with SNOMED CT content.“

An organization with an extensive history and active program of collaboration, SNOMED International CEO, Don Sweete, has played a pivotal role in positioning the IPS sub-ontology as a ‘soon to be achieved’ reality. “As the G7 Health Ministers recently indicated, the importance of enabling digital healthcare systems worldwide to work together seamlessly so patients don’t suffer as they move between providers, facilities and even countries is a sentiment that has rippled throughout the global health community”, offered Sweete. He went on to state that, “continued work with fellow health standards development, national, clinical and technical entities, SNOMED International will dedicate resources to achieve the goal of digital health interoperability.” Sweete added, “equipping the IPS, already one of the best examples of international collaboration among standards bodies, with the full capability of SNOMED CT’s ontological design is a significant action that we can contribute to achieving health information access gains for patients.”

Over the coming months, SNOMED International is formalizing the steps and due diligence required to make the IPS sub-ontology available for broad release. Throughout this period, SNOMED International will continue to define the IPS sub-ontology, from content through to its release and maintenance approach for launch in the first half of 2022.

Visit SNOMED International’s IPS Sub-Ontology information page or subscribe to the organization’s news service to learn more as this initiative progresses. For additional information, contact info@snomed.org.

 

About SNOMED International

SNOMED International is a not-for-profit organization that owns and develops SNOMED CT, the world’s most comprehensive healthcare terminology product. We play an essential role in improving the health of humankind by determining standards for a codified language that represents groups of clinical terms. This enables healthcare information to be exchanged globally for the benefit of patients and other stakeholders. We are committed to the rigorous evolution of our products and services, to deliver continuous innovation for the global healthcare community. SNOMED International is the trading name of the International Health Terminology Standards Development Organisation.

www.snomed.org

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Kelly Kuru
SNOMED International
comms@snomed.org

Malawi Household Food Security Bulletin | Mobile Vulnerability Analysis and Mapping (mVAM) on the Effects of COVID-19 in Malawi Round 17: 8th September – 7 th October 2021

SUMMARY OF KEY FINDINGS

  • The food security situation across the country remains stable, with almost all interviewed households classified as having acceptable to borderline food consumption as they consume from the 2021 harvest.
  • The proportion of households who are employing the most severe consumption-based coping strategies remains relatively low, ranging between 19 percent and 21 percent for the current round and the immediate past four rounds, indicating a generally stable food security situation.
  • Physical access to markets has increased slightly, likely due to the decrease in new COVID-19 cases as the third wave of the pandemic dies down coupled with the fact that rural households are still selling their produce from the recent harvest.

BACKGROUND

During this reporting period, Malawi continued experiencing a decline in the number of COVID-19 cases, deaths, and admissions to Emergency Treatment Units (ETUs). As of the last day of this reporting period (7th October 2021), the Ministry of Health indicated that the country registered nine new COVID-19 cases in the past 24 hours, down from 952 cases during the peak of third wave on 22 July 2021.

Cumulatively, Malawi has recorded 61,648 cases, including 2,287 deaths with a case fatality rate at 3.71 percent.
Further, cumulatively, 56,208 cases recovered, with an overall recovery rate of 91.2 percent. Furthermore, on 8th October 2021, the Government announced the continued observance of the COVID-19 restrictions, which include wearing face masks, observing social distancing, and washing hands to prevent the spread of the disease.

METHODOLOGY

Round 17 of remote household-level survey data collection in response to COVID-19 monitoring and seasonal trends in food security took place between 8th September – 7 th October 2021. The survey for this report was conducted using live telephone calls, collecting information from some 2,504 households in all districts and major cities across the country.

The sample size was calculated based on the Integrated Food Security Phase Classification Technical Manual (Version 3.0) guideline of having at least 150 samples per strata. Additional details on this methodology are available in Annex 1.

 

 

Source: World Food Programme

ACPC bolsters climate forecasting for agriculture

 

– In 2019, Tropical Cyclones Idai and Kenneth devastated the Southern African region. Mozambique, Malawi and Zimbabwe were the hardest hit as they bore the heaviest brunt with fatalities, damages and destruction of property, settlements, energy infrastructure, agricultural crops, livestock, forestry, fisheries and wildlife caused by the intense flooding and severe winds associated with the Cyclones.

This week in the Malawian capital of Lilongwe, the ACPC is organising a workshop to validate a crop capability mapping tool developed to enhance the forecasting capacities of relevant sectors in the three countries. Among the core purposes of the validation workshop is incorporating input from key stakeholders in Mozambique, Malawi and Zimbabwe on how the tool can be strengthened and packaged for uptake and use by stakeholders.

The devastation wrought on the three countries in the eye of the storm prompted high-level intervention to prepare for disasters and forestall livelihood losses in future. The response saw the continent’s lead climate think-tank, the African Climate Policy Centre (ACPC) of the United Nations Economic Commission for Africa (UNECA) approached to lead in preparing the affected countries to facilitate the uptake of an effective and comprehensive multi-hazard early warning early action system.

According to Dr James Murombedzi who heads the ACPC, the cyclones that pummelled the region triggered the convening of a “Building Back Better” workshop in late 2019 in concert with the governments of Malawi, Mozambique and Zimbabwe with a view to assist them to integrate climate information services in their reconstruction plans. “The core outcome of the Building Back Better workshop was a request to ACPC to develop a study to demonstrate how investments in climate information services in the agriculture sector could contribute to building resilience of the sector to extreme, high impact climate events.” Murombedzi recalls.

The ACPC implemented the request and successfully demonstrated the Socio-Economic Benefits (SEB) of Climate Information Services to Disaster Risk Reduction. According to Murombedzi, ACPC commissioned a study to extend this model from the disaster risk reduction sector (DRR) to agriculture, focusing on Zimbabwe, with the intention of replicating the intensive studies to Malawi and Mozambique. Murombedzi says the study culminated in a report titled “Socio-Economic Benefits of Climate Information Services for Zimbabwe Agriculture” which explored how the southern African country can benefit from an early warning and early action system based on the available climate information services.

“The outcomes of the ‘Building Back Better’ reconstruction workshop followed by the Zimbabwean case study offered useful insights that compelled the ACPC to launch a second phase evidence-based study seeking to develop seasonal crop capability maps for the agriculture sectors of Mozambique, Malawi and Zimbabwe.” Murombedzi says. “This initiative has now developed a tool for agriculture policy makers in the three countries to translate the seasonal and sub-seasonal forecasts, which tend to be cast in very general terms, into specific maps detailing the implications for crop production in specific agro-ecological zones of their countries.”

The three-day Lilongwe workshop amalgamates the milestones since 2019 and combines with the ACPC-led study which seeks to enhance climate forecasting capacities through a training programme in the select countries to better inform adaptation and resilience in agriculture and other climate sensitive sectors.

Mr Murombedzi says the Lilongwe validation workshop signifies the completion of the study and is organised to validate the study’s findings and make recommendations for uptake and use of the crop capability modelling tool by policy makers at all levels.

Mr Frank Rutabingwa of the ACPC acknowledges that the aims of the study were geared towards improving the forecasting and information interpretation capacities of policymakers and user communities for strategic provisioning of appropriate inputs to the agriculture and food security sectors.

“Despite rapid technological progress in the generation of climate information services, much of the weather and agro-meteorological information is not used by small-holder farmers. There is need to develop a series of simple and robust scientific tools, methods, and services that can guide planning and policy to better understand climate impacts on food security and livelihoods.” Rutabingwa says. “The interface between scientists who generate products and end-users is essential for achieving optimum agricultural productivity on seasonal and long-term basis. Thus, climate information services in agriculture needs to integrate feedback and inputs from agricultural support services, institutions, suppliers, local cooperatives or community-based organizations in order to help farmers to make practical, feasible and relevant decisions.”

According to Rutabingwa embedded goals include recommendations on enhancing the capacity for improved production, better access and sustainable operations for climate information service as well as the development of a methodology for predicting crop capability in the various agro-ecological and rainfall zones in order to enrich agricultural productivity and food security.

The Lilongwe workshop continues ACPC’s core objective of cementing climate information services in the continent’s agriculture sector, with the aim of providing a full range of advisories regarding climate and its impacts on crops, livestock, fisheries and management practices to build resilience. ACPC studies show that well-tailored information assists stakeholders in making management decisions to reduce the risks and benefit from opportunities available in a changing climate.

 

 

Source: UN Economic Commission for Africa

Mike Tyson: Malawi asks former boxer to be cannabis ambassador

 Malawi has asked boxing star Mike Tyson to become the official ambassador for the country’s cannabis crop.

Agriculture Minister Lobin Low sent a letter to Tyson inviting him to take up the role, and said legalisation in Malawi had created new opportunities.

Tyson, a former world heavyweight champion, is an entrepreneur and has invested in a cannabis farm in the US.

“Malawi may not go it alone as the industry is complex [and requires] collaboration. I would therefore like to appoint you, Mr Mike Tyson, as Malawi’s Cannabis Branch ambassador,” Lowe wrote.

The United States Cannabis Association was facilitating the deal with Tyson, the agriculture ministry said.

The head of its Malawi branch, Wezi Ngalamila, said the former boxer had accepted the invitation and plans were under way for him to visit the country.

“Tyson will be working with us,” she said.

Malawi legalised the growing and processing of cannabis for medicinal use last year, but stopped short of legalising it for personal use.

The country’s agriculture ministry has encouraged farmers to grow cannabis for medicinal purposes as well as hemp for industrial use.

The government hopes Tyson’s backing will “rope in some investors and even potential buyers”, ministry spokesman Gracian Lungu said.

A locally grown variety of cannabis – Malawi gold – is renowned by recreational users across the world.

Tyson has said smoking cannabis helped improve his mental health and turn his life around. Some studies, however, have suggested smoking potent cannabis can increase your risk of serious mental illness.

The Centre for Public Accountability, a Malawian civil society group, criticised the latest move due to Tyson’s previous crimes.

The former boxer was jailed in 1992 after being convicted of rape in Indiana. He was released in 1995 after serving less than three years of his sentence.

“The CPA is failing to comprehend why Malawi would want to have a convicted rapist as its brand ambassador, more especially, at this time, when efforts to curb violence against women are part of the government agenda,” the group’s acting director, Kondwani Munthali, said in a statement.

 

Source: Nam News Network

 

Volunteers Map Australia’s Great Barrier Reef in Vast Citizen Science Project

 

 

An expedition to find lost shipwrecks on Australia’s Great Barrier Reef begins Friday. The voyage is part of the Great Reef Census, one of the world’s largest marine citizen science projects.

Conservationists estimate there are up to 900 shipwrecks on the Great Barrier Reef, but only 150 have been found. Shallow water in some parts of the reef off northeastern Australia and the region’s susceptibility to storms and cyclones have made seafaring perilous.

Volunteers discovered three shipwrecks last year while surveying the world’s largest coral system. The expedition, which ends Dec. 1, is returning to Five Reefs and the Great Detached Reef, remote regions that are rarely visited, to gather more data and hunt for other wrecks. Onboard the boat are conservationists, scientists and a marine archaeologist.

Andy Ridley, the chief executive of Citizens of the Great Barrier Reef, the organization that runs the survey, said last year’s discovery was an unforgettable experience.

“The first mate on the boat was floating over the top of a reef from one side to the other and noticed there were river stones in the water, and, you know, round stones on the top of a coral reef is unusual,” he said. “We realized it was ballast from an old ship. We discovered one of what we think is three 200-year-old wrecks on that particular reef in the far northern end of the Great Barrier Reef. It was kind of one of the most exciting things I’ve ever done in my entire life. It was like one of those kind of boyhood kind of dreams.”

Scientists, tourists, divers and sailors are contributing to this year’s Great Reef Census.

They are taking thousands of pictures that will help document the health of a reef system that faces various threats, such as climate change, overfishing and pollution.

The images will be analyzed early next year by an international army of online volunteers who, in the past, have included children from Jakarta, Indonesia, a church group in Chicago, and citizen scientists from Colombia.

In 2020, its first year, the survey, which runs from early October to late December, collected 14,000 images.

The Great Barrier Reef is a World Heritage Area. It stretches for 2,300 kilometers down northeastern Australia and is the size of Germany.

It comprises 3,000 individual reefs, is home to 10% of the world’s fish species and is the only living thing visible from space.

 

Source: Voice of America

Europe’s Christmas Markets Warily Open as COVID Cases Rise

The holiday tree is towering over the main square in this central German city, the chestnuts and sugared almonds are roasted, and kids are clambering aboard the merry-go-round just like they did before the pandemic. But a surge in coronavirus infections has left an uneasy feeling hanging over Frankfurt’s Christmas market.

To savor a mug of mulled wine — a pleasurable rite of winter in pre-pandemic times — masked customers must pass through a one-way entrance to a fenced-off wine hut, stopping at the hand sanitizer station. Elsewhere, security officers check vaccination certificates before letting customers head for the steaming sausages and kebabs.

Despite the pandemic inconveniences, stall owners selling ornaments, roasted chestnuts and other holiday-themed items in Frankfurt and other European cities are relieved to be open at all for their first Christmas market in two years, especially with new restrictions taking effect in Germany, Austria and other countries as COVID-19 infections hit record highs. Merchants who have opened are hoping for at least a fraction of the pre-pandemic holiday sales that can make or break their businesses.

Others aren’t so lucky. Many of the famous holiday events have been canceled in Germany and Austria. With the market closures goes the money that tourists would spend in restaurants, hotels and other businesses.

Jens Knauer, who crafts intricate, lighted Christmas-themed silhouettes that people can hang in windows, said his hope was simply that the Frankfurt market “stays open as long as possible.”

While Christmas is 40% of annual revenue for many retailers and restaurateurs, “with me, it’s 100%,” Knauer said. “If I can stay open for three weeks, I can make it through the year.”

Purveyors are on edge after other Christmas markets were abruptly shut down in Germany’s Bavaria region, which includes Nuremberg, home of one of the biggest and best-known markets. Stunned exhibitors in Dresden had to pack up their goods when authorities in the eastern Saxony region suddenly imposed new restrictions amid soaring infections. Austria’s markets closed as a 10-day lockdown began Monday, with many stall owners hoping they can reopen if it’s not extended.

Markets usually attract elbow-to-elbow crowds to row upon row of ornament and food sellers, foot traffic that spills over into revenue for surrounding hotels and restaurants. This year, the crowds at Frankfurt’s market were vastly thinned out, with the stalls spread out over a larger area.

Heiner Roie, who runs a mulled wine hut in the shape of a wine barrel, said he’s assuming he will see half the business he had in 2019. A shutdown would cause “immense financial damage — it could lead to complete ruin since we haven’t made any income in two years, and at some point, the financial reserves are used up.”

But if people have a little discipline and observe the health measures, “I think we’ll manage it,” he said.

Next door, Bettina Roie’s guests are greeted with a sign asking them to show their vaccination certificates at her stand serving Swiss raclette, a popular melted cheese dish.

The market “has a good concept because what we need is space, room, to keep some distance from each other,” she said. “In contrast to a bricks-and-mortar restaurant, they have their building and their walls, but we can adjust ourselves to the circumstances.”

The extended Roie family is a fifth-generation exhibitor business that also operates the merry-go-round on Frankfurt’s central Roemerberg square, where the market opened Monday.

Roie said it was important to reopen “so that we can bring the people even during the pandemic a little joy — that’s what we do, we bring back joy.”

The latest spike in COVID-19 cases has unsettled prospects for Europe’s economic recovery, leading some economists to hedge their expectations for growth in the final months of the year.

Holger Schmieding, chief economist at Berenberg Bank in London, has cut his forecast for the last three months of the year in the 19 countries that use the euro from 0.7% to 0.5%. But he noted that the wave of infections is having less impact across the broad economy because vaccinations have reduced serious illnesses and many companies have learned to adjust.

That is cold comfort to Germany’s DEHOGA restaurant and hotel association, which warned of a “hail of cancellations” and said members were reporting every second Christmas party or other special event was being called off.

Other European countries where the pandemic isn’t hitting as hard are returning to old ways. The traditional Christmas market in Madrid’s Plaza Mayor, in the heart of the Spanish capital, is slated to open Friday at the size it was before the pandemic.

It will have 104 stalls of nativity figures, decorations and traditional sweets in a country where 89% of those 12 or older are fully vaccinated. Last year, it had half the number of stalls and restricted the number of people allowed in the square. Masks and social distancing will remain mandatory, organizers said.

In Hungary’s capital of Budapest, Christmas markets have been fenced off and visitors must show proof of vaccination to enter.

Gyorgy Nagy, a producer and seller of handmade glazed crockery, said the restrictions initially stirred worries of fewer shoppers. But business has been good so far.

“I don’t think the fence is bad,” he said. “At the beginning, we were scared of it, really scared, but I think it’s fine. … I don’t think it will be a disadvantage.”

Markets opening reflects a broader spectrum of loose restrictions in Hungary, even as new COVID-19 cases have exceeded peaks seen during a devastating surge last spring. More infections were confirmed last week than in other week since the pandemic started.

A representative for the Advent Bazilika Christmas market said a number of its measures go beyond government requirements, including that all vendors wear masks and those selling food and drinks be vaccinated.

Bea Lakatos, a seller of fragrant soaps and oils at the Budapest market, said that while sales have been a bit weaker than before the pandemic, “I wasn’t expecting so many foreign visitors given the restrictions.”

“I think things aren’t that bad so far,” she said this week. “The weekend started particularly strong.”

In Vienna, markets were packed last weekend as people sought some Christmas cheer before Austria’s lockdown. Merchants say closures last year and the new restrictions have had disastrous consequences.

“The main sales for the whole year are made at the Christmas markets — this pause is a huge financial loss,” said Laura Brechmann who sold illuminated stars at the Spittelberg market before the lockdown began. “We hope things will reopen, but I personally don’t really expect it.”

In Austria’s Salzkammergut region, home to ski resorts and the picturesque town of Hallstatt, the tourism industry hopes the national lockdown won’t be extended past Dec. 13 and it can recover some much-needed revenue.

Last winter’s extended lockdowns cost the tourism board alone 1 million euros ($1.12 million) just in nightly tourist tax fees during that period — not to mention the huge financial losses sustained by hotels, restaurants and ski resorts.

“Overall, I do think that if things open up again before Christmas, we can save the winter season,” said Christian Schirlbauer, head of tourism for the Dachstein-Salzkammergut region. “But it will depend on whether or not the case numbers go down.”

 

 

Source: Voice of America