Re: [Gnumed-devel] About systems of codification

[Karsten Hilbert]

On Tue, Sep 27, 2011 at 06:55:00PM -0700, Jim Busser wrote:

> A brief exchange with a friend resulted in
> 
> *******************
> Hi Jim
> 
> Yes, I know about ICPC 2
> 
> For me there is one word that stands out "Classification"
> 
> ICPC, like ICD, are designed to classify. SNOMED is a Clinical Terminology, 
> designed for clinicians. It is more granular and you can map "up" to less 
> granular classification schemes.
> 
> I don't think SNOMED replaces ICD, I think it complements it. SNOMED hasn't 
> been owned by CAP for several years. There is now a large international 
> standards organization that owns and develops SNOMED.
> *******************
> 
> Therefore it sounds like if and when we would have available tools that 
> better suit clinical specifics, we should use them in preference.
> 
> For this reason, I would suggest GNUmed praxes need to have the ability to 
> enable / disable coding systems differentially. I think it is important to be 
> able to do:
> 
> Soap (Subjective / History)                   LOINC
> sOap (Objective / Physical)                   LOINC
> soAp  (Assessment)                                    SNOMED-CT
> soaP (Plan, treatment given)                  CPT
> 
> Reason for Encounter                                  ICD, ICPC 2
> Outcome of Encounter                          ICD, ICPC 2
> 
> Measurements (test results) tables            LOINC
> 
> CPT = Current Procedural Terminology (American Medical Association)
> ICD = International Classification of Diseases (WHO)
> ICPC 2 = International Classification of Primary Care (WONCA)
> LOINC = Logical Observation Identifiers Names and Codes (Regenstrief 
> Institute, Inc)
> SNOMED-CT = Systematized Nomenclature of Medicine--Clinical Terms (IHTSDO)

Yawn, this is all possible.

SNOMED isn't freely usable, it is rather severely
restricted.

Karsten
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