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«anonymous»

Comment on Clinical Information Standards Specification Figure 2: Key standards for each part of the ecosystem

  • Comment ID: 32
SNOMED CT is designed to be used by clinicians in the medical record at the point of care. Classifications data (ICD-10/OPCS-4) in recorded in the Trust Patient Administration System (PAS) retrospectively to provide a summary of each Consultant Episode of patient care within a Hospital Provider Spell. Each Consultant Episode must contain the relevant primary diagnosis (and primary procedure if one is performed) at that given point of care along with the relevant comorbidities and secondary proce