Re: [Health] ICD - Search by Disease Synonyms

[Luis Falcon]

Dear Edgar, Khurram and community

On Thu, 19 May 2016 09:58:20 +0200
"Edgar" <address@hidden> wrote:

> Dear Khurram,
> 
> dear Luis,
> 
>  
> 
> >What if we use Cedric's idea and use the "extra info" section   
> 
> >of each disease to add its approximate synonyms?   
> 
> In Austria the Ministry of Health provides a 
> 
> free database „SYSTEMDATEN2016.mdb“. 
> 
> Within this database there is a table „ICD10_TH“ which consists 
> 
> of 74.045 datasets with ICD-Code and „official“ synonyms.
> 
> See
> http://www.bmg.gv.at/cms/home/attachments/0/5/7/CH1166/CMS1128343984496/stammdaten_2016_sp1.zip
> 
> >I think these approximate synonyms are also defined in ICD   
> 
> >against every disease! (I may be totally wrong!).  
> 
> You are nearly right! In Austria there are 13.153 ICD-10 codes. 
> 
> Of those 13.153 codes there are 7.958 codes with one or more synonyms.
> 
>  
> 
> >Once the synonyms are there in "extra info" column,   
> 
> >we can add this column to extended search spectrum for making it
> >searchable.  
> 
> C79.8 has the maximum with 591 synonyms. Only one „extra info“ per
> disease would not work then.
> 

In order to make it generic, that is, not only for ICD10, but for any
coding system, we could use the concept of keyword. So we can have a
condition keyword model that can store the terms that can be referred
(O2M) by any condition.

I think this approach can be quite useful. It will provide flexibility,
the terms can be translated and can be used by any coding system.

>  
> 
> >>> The frequency of this issue is reasonably high.   
> 
> Yes, I agree.
> 
>  
> 
> >>>Can anybody suggest
> >>> on how to resolve this issue? Is there anyway that we can attach
> >>> all
> > >>the "approximate synonyms" of every disease classified in the ICD
> > >>in GNU Health?  
> I think there should be an extra table, like ICD10_TH (TH stands for
> thesaurus).
> 
> 
> >>Creating a synonym structure, although possible, will be hard to
> >>maintain, and to match against all the different coding systems
> >>(ICD9, SNOMED, ... ).  
> 
> > >Same is the case with Signs and Symptoms (and probably the
> > >Procedures).  
> Yes, there should be extra tables for thesauruses for that too.
> 

When using ICD10 in signs and symptoms, they are pretty much covered in
chapters "R*"
 
>  
> 
> > >Moreover, we are unable to search for the diseases using the Code.
> >>We can extend the search spectrum to also look up for the disease
> >>code.  
> It would be great to be able search for code, disease name and
> synonym.
> 
Definitely !

Thanks again for your feedback, and let me know your thoughts.

All the best
Luis