Clinical Data Representation Codes
Clinical Data Representation Codes
Carolyn Irving
Grantham University
1). Systemized Nomenclature of Medicine: The Systemized Nomenclature of Medicine (SNOMED) is maintained by the College of American Pathologists (CAP). SNOMED’s design is based on the premise that a detailed and specific nomenclature is essential to accurately reflect, in computer readable format, the complexity and diversity of information found in a patient record” (CAP, 2000; SNOMED, n.d.). It has multitaxial (11 fields) coding structure that gives it greater clinic specificity than the ICD and CPT codes, and it has considerable value for clinical purposes. The CAP has begun to coordinate SOMED development with the message standards organization HL7 and ACR-NEMA.
2). Diagnostic and Statistical Manual of Mental Disorders: The Diagnostic and Statistical Manual of Mental Disorders (DSM) are now in its fourth edition (DSM-IV). The American Psychiatric Association (APA) maintains this code structure. It sets forth a standard set of codes and descriptions for use in diagnosis, prescriptions, research, education, and administration for psychiatric and mental disorders. (Blair, 1996; Hinckley, 1997). For example, the DSM-IV classification foe Dementia of the Alzheimer’s Type, with late onset, Uncomplicated has a numerical value of 290; Dementia of the Alzheimer’s type, with early onset, with delusions is codes 290.12.
3). National Drug Codes: The National Drug Codes (NDCs) are maintained by the FDA and are required for reimbursement by Medicare, Medicaid, and more commercial insurance companies. The NDCs serve as a universal product identifier for drugs used in human beings. The current edition of the NDC directory is limited to prescription drugs and a few selected over-the-counter products. Each drug product is assigned a unique 10-digit, 3-segment number. This number identifies the labeler/vendor, product, and trade package size (Blair, 1996, USFDA, 2000).
4). Current Procedural Terminology,
Carolyn Irving
Grantham University
1). Systemized Nomenclature of Medicine: The Systemized Nomenclature of Medicine (SNOMED) is maintained by the College of American Pathologists (CAP). SNOMED’s design is based on the premise that a detailed and specific nomenclature is essential to accurately reflect, in computer readable format, the complexity and diversity of information found in a patient record” (CAP, 2000; SNOMED, n.d.). It has multitaxial (11 fields) coding structure that gives it greater clinic specificity than the ICD and CPT codes, and it has considerable value for clinical purposes. The CAP has begun to coordinate SOMED development with the message standards organization HL7 and ACR-NEMA.
2). Diagnostic and Statistical Manual of Mental Disorders: The Diagnostic and Statistical Manual of Mental Disorders (DSM) are now in its fourth edition (DSM-IV). The American Psychiatric Association (APA) maintains this code structure. It sets forth a standard set of codes and descriptions for use in diagnosis, prescriptions, research, education, and administration for psychiatric and mental disorders. (Blair, 1996; Hinckley, 1997). For example, the DSM-IV classification foe Dementia of the Alzheimer’s Type, with late onset, Uncomplicated has a numerical value of 290; Dementia of the Alzheimer’s type, with early onset, with delusions is codes 290.12.
3). National Drug Codes: The National Drug Codes (NDCs) are maintained by the FDA and are required for reimbursement by Medicare, Medicaid, and more commercial insurance companies. The NDCs serve as a universal product identifier for drugs used in human beings. The current edition of the NDC directory is limited to prescription drugs and a few selected over-the-counter products. Each drug product is assigned a unique 10-digit, 3-segment number. This number identifies the labeler/vendor, product, and trade package size (Blair, 1996, USFDA, 2000).
4). Current Procedural Terminology,