Quoting Andrew Patterson <[EMAIL PROTECTED]>: > Now that we are all celebrating our new era of 'snomed'ness > in Australia, I was wondering what you docs thought was > the best user interface for coding diseases and > procedures you have experienced.. what works, what > doesn't - any info would be great. > > For instance, I just did a search on diabetes in > a snomed browser and got 216 hits.. presumably > one would not want to be presented with this list > when coding a patient in a consult. Should there > be recognised subsets of snomed codes that > clinical software uses at the first instance (display > only from this list but have a 'click here for > more' button if its not a routinely encountered > disease). If so, what body should be responsible for > creating this list? (I am aware that various GP bodies > have already done work like this - did you feel it > adequately addressed your needs? What were the > limitations of these subsets?) > > Alternatively, should the whole snomed hierarchies > be displayed so that one could choose > 'Diabetes mellitus' at the first instance, and then > see underneath its children type 1, type 2 etc.. > How graphical should this heirarchy browsing > be? > > or is a natural language interface ala jon patrick's > group's work the holy grail? > > Inquiring (IT) minds want to know! > > Andrew
SNOMED concepts are one thing, the other is to contextualise each of these i.e. the 'concept' of Diabetes Mellitus is all that is required for a diagnosis, however there are a raft of supporting clinical measures, diagnostic tests and other items (workflow, referral, interaction with allied health & specialists) required to establish this diagnosis of DM. Defining the archetype for diabetes is the more interesting phase, which aims to integrate each of these discrete SNOMED concepts into knowledge systems. I wonder how this parallel activity will be driven by NEHTA or is it as we now have access to SNOMED, somehow it's up to us to define such archetypes e.g. openEHR/CEN13606 archetypes as the basis of EHR clinical systems ?? Very exciting !! ------------------------- Andre Duszynski Research Officer Discipline of General Practice University of Adelaide Adelaide SA 5005 P: 08 8303 6269 F: 08 8303 3511 W: http://www.adelaide.edu.au/health/gp/ ------------------------- _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
