Icd to snomed ct mapping observations & inferences
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Transcript of Icd to snomed ct mapping observations & inferences
Although generally the Preferred Term in US English has been used by the author for mapping, any Synonym or any Preferred Term in any language like UK English can be used without any problems – that is the strength of a terminology system like SNOMED CT
Benign neoplasm of stomach ≡ 92411005 | benign neoplasm of stomach |
Malignant neoplasm of thymus≡ 363434003 | malignant tumor of thymus |
Inflammatory disorders of scrotum≡ 236781003 | inflammation of scrotum |
Schizotypal disorder≡ 31027006 | schizotypal personality disorder |
Rheumatoid polyneuropathy with rheumatoid arthritis of shoulder≡
69896004 | rheumatoid arthritis | : 363698007 | finding site | = 281415003 | joint structure of shoulder girdle |, 47429007 | associated with | = 193180002 | polyneuropathy in rheumatoid arthritis |
Acute lymphoblastic leukemia not having achieved remission
≡
91857003 | acute lymphoid leukaemia | : 246456000 | episodicity | = 303350001 | ongoing episode |
morphological abnormality
Rheumatoid arthritis with rheumatoid factor of left hip without organ or systems involvement
≡
69896004 | rheumatoid arthritis | : 47429007 | associated with | = 165839004 | rheumatoid factor positive |, 363698007 | finding site | = 362907004 | left hip joint structure | + 239793008 | rheumatoid arthritis with organ / system involvement |, 408729009 | finding context | = 410516002 | known absent |
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Electronic Encounter Record St. Somewhere Clinic
Patient Name: XXXXXXXX Age: XX years Gender: XXXX Episode # : XX Encounter # : XX
Unique ID: XXXX XXXX XXXX XXXX Allergies: XXXXXXXXXX Primary Physician: Dr XXXX XXXX
Diagnosis
Associated With Search for associated concepts
Disorder Search for disorders
Disorder Refinements
Finding Site Search for finding sites
Due To Search for due to concepts
Laterality Bilateral Right Left
Occurrence Search for occurrencesCausative Agent Search for causative agents
Associated Morphology Search for associated morphologies
Pathological Process Search for pathological processes
Finding Method Search for finding methods
Definitional Manifestation Search for definitional manifestations
Interprets Search for interpretations
Reported By Patient Provider Someone Else
Has Interpretation Search for has interpretations
Severity
Clinical Course Search for courses
Episodicity Search for episodicities
Qualifiers
Search for severities
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