This is the ideal. But if the differences between the two are substantial, it could be a lot of work. IDC-9 was never made for electronic medical records - just paper. I am not sure if ICD-10 is, but it is more likely to be electronically usable. ICD-10-PCS on the other hand was made exclusively (almost!) for use in electronic databases.

Nanda Gunaratne

Joseph Dal Molin <[EMAIL PROTECTED]> wrote:    ...some thoughts...

What would standardizing on ICD-10 mean in the context of  an
organization such as OSHCA  given the reality the heterogenous landscape
of ICD adoption... what would this mean in real practice? What would
this imply for those systems using ICD - 9 for example? Would it be more
appropriate to support the notion of being able to plug in a standard
like ICD and use it than only a specific version?

Joseph

Alvin B. Marcelo wrote:
> First thread:
>
> I propose we standardize on ICD-10 (as a minimum). It's an international
> standard anyway (albeit
> difficult to use). This of course does not preclude the others from
> using SNOMED if they can
> afford to do so.
>
> That being the case, OSHCA can also 'standardize' on the preferred
> mapping system between SNOMED
> to ICD-10. Any proposals?
>
> Molly, how do 'sweeping statements' like these get to be approved
> officially by OSHCA?
>
> Second thread:
>
> An interesting insight I got at the last Regional Conference in Open
> Standards sponsored by NECTEC
> and IOSN in Bangkok (May 2-4) --  an Intel smployee (Danese) emphasized
> that open standards may
> only be considered open if they can be fully implemented by open source
> software.
>
> Any thoughts about that statement? Can we actually call a standard open
> if there are limitations
> to its implementation by FOSS?
>
>
> alvin
>
>
>
>
>
> --- Nandalal Gunaratne <[EMAIL PROTECTED]> wrote:
>
>  >
>  >
>  > "Alvin B. Marcelo" <[EMAIL PROTECTED]> wrote:
>  >  You are quite right. Interoperability depends in turn on the
> agreement on standards. Coding
>  > systems included.
>  >  
>  >  Unfortunately the best nomenclature coding system is SNOMED-CT which
> is a proprietary product.
>  > But I am sure the new versions of the ICD system will improve if they
> are widely used.
>  >  
>  >  Can our group agree on such standards?
>  >  
>  >  Nanda Gunaratne
>  >  
>  >  However, my question to the group is: can there actually be
> interoperability
>  >  without agreement on coding systems? And if we accept the fact that
> yes we need to share coding
>  >  systems, what coding systems should these be and why. I believe this
> is an area where
>  > openhealth
>  >  can greatly contribute by laying down these 'open' standards upon
> which future interoperabilty
>  > can
>  >  be made more possible.
>  >
>  >  alvin
>  >           
>  >
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