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Re: [Gnumed-devel] About systems of codification
From: |
richard terry |
Subject: |
Re: [Gnumed-devel] About systems of codification |
Date: |
Wed, 28 Sep 2011 13:49:10 +1000 |
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KMail/1.12.4 (Linux/2.6.31-23-generic-pae; KDE/4.3.5; i686; ; ) |
On Wednesday 28 September 2011 11:55:00 Jim Busser wrote:
Jim,
AU has ICPC2+ (Plus) modified for local conditions. It is my primary coding
system in my program, plus I use ICD10
I find ICPC much better as a GP because it has user-friendly terms.
But, as piccie shows, and I'm certain gnuMed does the same thing, I can elect
to switch on/off another coding system via a simple union query, no reason you
couldn't have a terms from multiple coding systems at once.
Regards
Richard
> 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)
>
> -- Jim
>
>
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>
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