Medical language is a reduced subset of ordinary language, but 
also parts of the vocabulary of phrases are more precisely defined 
than when they are in general use, and some of them are simply 
not in general use.

However it is (in my case and place) English, and should not be 
replaced by a sequence of compositional codes.

A vocabluary of phrases supplied so as to make them easy to 
integrate into the notes, and with a link to an agreed meaning or a 
note of the range of meanings assigned to them, would be useful 
and can also serve as an educational tool.

Our Read code was the former, to some extent, but the 
organisation charged with developing it declined to add the latter.  
Later, it declined, which is one reason we are getting SNOMED 
with the (slightly more than) token merger of Read into it.

What does the panel think about ontologies for pharmaceutical 
and other prescribable items?
There are two projects in the UK:-

 a national project to develop the 
UK Standard Clinical Products Reference Source, 
bringing together all existing initiatives associated with the coding 
of drugs etc.

http://www.nhsia.nhs.uk/ukcprs/default.asp

Prodigy Drug Ontology http://www.schin.ncl.ac.uk/index.asp

Neither is Libre, historically the UK has done good stuff it wants 
implemented and failed to make it gratuit either, but that might 
change.
-- 
Adrian Midgley 
Exeter
http://www.swis.net/midgley/


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