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.
I agree that for common problems such as diabetes there will be archetypes that constrain the snomed terms used and help with workflow etc, but there is always going to be a need for a generic 'diagnosis' of a patient. I mean, the patient walks in, the GP takes some notes, makes some observations and then decides you have 'blah'.. The clinical system needs to be able to save a coded diagnosis for this event ala http://svn.openehr.org/knowledge/archetypes/dev/html/en/openEHR-EHR-EVALUATION.problem-diagnosis.v1.html So the question there is how the diagnosis code for 'blah' chosen from the 300000 snomed terms.. obviously we can restrict it to all the terms in snomed that are 'findings'.. but that still leaves a pretty large number of codes. Andrew _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
