First Databank UK Ltd.

FDB Multilex provides comprehensive, independent, medications information and is the UK’s most widely used drug database and e-prescribing decision support solution, deployed in over 10,000 sites. FDB Multilex supports safer e-prescribing and dispensing across a range of healthcare settings. Multilex uses SNOMED to support contraindication checking for prescribed drugs.

SNOMED is also used to allow users to navigate from a prescribed drug to a diagnosis for recording in an Electronic Health Record Product. Set links enabled by SNOMED are used for secondary care prescribing where most drugs are prescribed by VTM but not preparation strength or formulation, and also for Ingredient links for allergy recording.

FDB OptimiseRx is the leading medicines optimisation solution for primary care in the UK. FDB OptimiseRx combines evidence-based best practice, safety and cost-effective prescribing messages, and delivers them in real time at the point of care during the prescribing workflow. SNOMED is used in condition checking for OptimiseRx alternative product screening and for Condition Term authoring in OptimiseRx complex messages.

Across both solutions, SNOMED is used in value sets for the following:

• Admin Method

• Admin Site

• Base Formulation

• DXID (Diagnosis group)

• Ingredient Product Set

• Route

• Unit of measure

The main areas of SNOMED linked to include, but are not limited to:

• Procedure

• Substance

• Situation with explicit context

• Clinical finding

• Trade Family

• Virtual therapeutic moiety

• Morphological abnormality