Re: [Gnumed-devel] About systems of codification

[richard terry]

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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