On Monday 13 October 2003 16:28, Andrew Ho wrote:

>   I believe it is "fair-use" to annotate items and responses on forms
> with their corresponding SNOMED code. Use and re-distributing of these
> annotated forms should not require purchasing SNOMED licenses.
>   Am I wrong?

Not in the context of small-scale use of a few codes, although "fair-use" 
is a term coming from only one of the jurisdictions involved.

However if one were doing what I have long regarded as desirable and 
sensible, using the Read (or other) codes as indexing terms in Knowledge 
Service records so that each selection of a diagnostic or activity code 
can very easily call up any knoweldge service items that are asserted to 
be related to it, then one would be using substantially the whole code and 
at the very least a tactful approach to the owners would be desirable and 
prudent.
I do not believe a national health service or major publisher would do it 
without getting a positive answer to such an approach.

> > > IT is likely that many will stick to ICD coding
> > > systems and classifications systems. The recent compltetion of
> > > ICD-10-CM and ICD-10-PCS may mean that SNOMED may not catch on in
> > > the way it was expected.

> How are SNOMED and Read currently incorporated and used in electronic
> information systems? How do they compare with the ICD systems?

Every ICD9 code is mapped with a mapping table to at least one Read Code.
I think that ICD10 is the same, but it may not apply until version 3 of   
Read.  The importation proceeds automatically, and thus from time to time 
someone remarks on the inclusion of "Astronaut injured in accident on 
launchpad" in the context that some code meaning for instance "Depressed, 
because of bad life" has not yet been inserted.  

Read is bigger than ICD and covers, by design, more range - ICD was 
intended in the reign of Victoria to support country by country 
comparisons of the cuases of death and morbidity, whereas Read is intended 
to describe what GPs and perhaps other doctors _do_ as well.
SNOMED, I'm not quite so clear on.


-- 
From the Linux desktops of Dr Adrian Midgley 
http://www.defoam.net/             

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