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TheProject_EDTA_PRD_codes_19092012.pp x

TheProject_EDTA_PRD_codes_19092012.pp x. Survival of all RRT patients by PRD Scottish renal units . aiw. ex_min_q. Aim. To improve and standardise the coding and definitions used by renal registries in Europe. . What do Drs Do?.

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TheProject_EDTA_PRD_codes_19092012.pp x

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  1. TheProject_EDTA_PRD_codes_19092012.ppx

  2. Survival of all RRT patients by PRDScottish renal units

  3. aiw

  4. ex_min_q

  5. Aim To improve and standardise the coding and definitions used by renal registries inEurope. .

  6. What do Drs Do? Service to patients diagnosis prognosis treatmentManaging the serviceResearch and auditTeaching & Learning Comparable data required .

  7. Some principles Usable by ordinary clinicians for routine workAcknowledge the uncertainties in clinical practice Incorporate the existing ERA-EDTA Codes & definitions PRD, CoDProvide working definitions Consistent with emerging medical standards SNOMED CTRigorous enough to support primary and epidemiology researchCompatible with other international registriesCapable of electronic transmission Acceptable to the ERA-EDTA registry and affiliated registries .

  8. PRD Headings ERA-EDTA PRD ERA-EDTA Primary Renal Diagnosis (PRD) Terms Histology Clinical history Family history Clinical Exam Biochemistry Immunology Urine analysis Imaging Gene test Other criteria & notes SNOMED CT concept identifier for focus concept SNOMED CT Fully Specified Name SNOMED CT expression constraint Major Heading (eg Glomerulonephritis) Mapping to old PRD code Mapping to old PRD term ERA-EDTA Default sort order Online Mendelian Inheritance in Man - link ICD10 code ICD10 Rubric .

  9. Notes Because we don’t have a definition The evidence<> a definition (yet) The diagnosisThe term we use= the ‘PRD’ .

  10. Notes Because we don’t have a definition The evidence<> a definition (yet) The diagnosisThe term we use= the ‘PRD’ .

  11. PRD SNOMED id Concept mapping of the meaning .

  12. PRD SNOMED id Concept mapping of the meaning .

  13. ERA-EDTA Primary Renal Diagnosis .

  14. .

  15. Why map to SNOMED? .

  16. Includes foreign language and local terms .

  17. Conveys meaning not just a labelrelationships and attributes like: Is a vasculitis involves the kidney .

  18. A SNOMED browser - CliniClue .

  19. Pre vs post coordinated SNOMED terms .

  20. pre coordinated post coordinated .

  21. Post-coordinated SNOMED 284196006|Burn of skin|: 246112005|Severity|=24484000|severe, 363698007|Finding Site|= (113185004|Structure of skin between fourth and fifth toes |:272741003|Laterality|=7771000|left) .

  22. HL7 ver 3 messages header Date & Time Surname MSH|^~\&|GHH LAB|ELAB-3|GHH OE|BLDG4|200202150930||ORU^R01|CNTRL-3456|P|2.4<cr> PID|||555-44-4444||EVERYWOMAN^EVE^E^^^^L|JONES|19620320|F|||153 FERNWOOD DR.^ ^STATESVILLE^OH^35292||(206)3345232|(206)752-121||||AC555444444||67-A4335^OH^20030520<cr> OBR|1|845439^GHH OE|1045813^GHH LAB|15545^GLUCOSE|||200202150730||||||||| 555-55-5555^PRIMARY^PATRICIA P^^^^MD^^|||||||||F||||||444-44-4444^HIPPOCRATES^HOWARD H^^^^MD<cr> OBX|1|SN|1554-5^GLUCOSE^POST 12H CFST:MCNC:PT:SER/PLAS:QN||^182|mg/dl|70_105|H|||F<cr> Hospital number Observation request by The result 182 mg/dL

  23. Uses for SNOMED CT Clinical Care Decision support Literature linksHospital statistics Epidemiology .

  24. New ERA EDTA PRDs Maintenance of new terms and codesfor Renal units, Registries, RADAR, RDGsTheProject UK Renal Terminology Committee (RIXG & RA)working with the NHS Terminology Centre .

  25. New ERA EDTA PRDs How can the new PRDs be offered to UK renal units?How will the data transmission be organised?How will version control be organised?Can this be made part of a widely accepted renal electronic data exchange system? .

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