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Comparing the Use of SNOMED CT and ICD10 for Coding Clinical Conditions to Implement Laboratory Guidelines

机译：比较SNOMED CT和ICD 10在临床条件编码中的使用，以实施实验室指南

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摘要

Laboratory medicine is responsible for an important part of hospital expenditure. Providing appropriate decision support to laboratory test requesters at the point of care is one of the main incentives for implementing laboratory guidelines, which can improve medical care. Laboratory guidelines developed by local experts in the Parisian region and two national guidelines for dyslipidemia were analyzed to extract test ordering recommendations. Clinical conditions which can be a trigger to order or not to order laboratory tests were extracted and mapped with ICD10 and SNOMED CT: 43.1% of clinical conditions were matched by ICD10 whereas SNOMED CT covered 80.1% of these conditions. For the non-mapped conditions, the main problem was found to be the ambiguity of the terms used in the guidelines. Ordinal characteristics of some clinical conditions and using terms more specific than SNOMED CT were other causes of mapping failure. Applying consistent and explicit concepts in the development of guidelines would lead to better implementation. By resolving the guideline ambiguity, SNOMED CT is a good choice and covers almost all of the clinical conditions in laboratory guidelines which are needed to implement in a Clinical Decision Support System.
机译：检验医学是医院支出的重要部分。在护理点向实验室测试请求者提供适当的决策支持是实施实验室指南的主要动机之一，该指南可以改善医疗保健。分析了巴黎地区当地专家制定的实验室指南和两项血脂异常国家指南，以提取测试订购建议。使用ICD10和SNOMED CT提取可能导致订购或不订购实验室测试的临床病况，并进行制图：ICD10匹配43.1％的临床病情，而SNOMED CT涵盖了这些病情的80.1％。对于非映射条件，发现主要问题是准则中使用的术语含糊不清。某些临床状况的序数特征以及使用比SNOMED CT更具体的术语是造成映射失败的其他原因。在准则的制定中应用一致和明确的概念将导致更好的实施。通过解决指南的歧义，SNOMED CT是一个不错的选择，它涵盖了实验室指南中几乎所有的临床情况，这些都是在临床决策支持系统中实施所必需的。

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  • 来源
  • 会议地点 Prague(CZ)
  • 作者

    Mobin YASINI; Vahid EBRAHIMINIA; Catherine DUCLOS; Alain VENOT; Jean-Baptiste LAMY;

  • 作者单位

    University of Paris 13, Sorbonne Paris Cite, Laboratoire d'informatique medicale et bioinformatique (LIMBIO, EA 3969), UFR SMBH, Bobigny, Frace,Laboratoire d'Informatique Medicale et Bioinformatique (LIMBIO), University of Paris 13, UFR Sante, Medecine, Biologie Humaine, 74 rue Marcel Cachin, 93017 Bobigny, France;

    Universite Paris 12, UFR de Medecine, Creteil, France, AP-HP, Groupe Hospitalier Mondor, Direction du Systeme d'Information;

    University of Paris 13, Sorbonne Paris Cite, Laboratoire d'informatique medicale et bioinformatique (LIMBIO, EA 3969), UFR SMBH, Bobigny, Frace;

    University of Paris 13, Sorbonne Paris Cite, Laboratoire d'informatique medicale et bioinformatique (LIMBIO, EA 3969), UFR SMBH, Bobigny, Frace;

    University of Paris 13, Sorbonne Paris Cite, Laboratoire d'informatique medicale et bioinformatique (LIMBIO, EA 3969), UFR SMBH, Bobigny, Frace;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Guideline implementation; Clinical Decision Support System; Laboratory Guideline; SNOMED CT; ICD10;

    机译：准则执行；临床决策支持系统；实验室指南； SNOMED CT； ICD10;

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