Abstract
Diabetes mellitus is a multi-system disease requiring lifetime multi-disciplinary care, which has proven individual and economic benefits. The delivery of service involves co-operation and communication between patient, carer and health care professionals, and systematic auditing of processes and outcomes. Sustained improvement necessitates regular data acquisition, aggregation and analysis. The terminology requirements to support patient-centred records and identified datasets are examined, and differences in purpose and scope highlighted. The many stakeholders involved in diabetes care have their own sublanguages and terminology requirements which need harmonising around a common core. The problems and solutions of accommodating these needs are explored in relation to the Read Thesaurus.
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Selected References
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- Fuller J. H. Mortality trends and causes of death in diabetic patients. Diabete Metab. 1993;19(1 Pt 2):96–99. [PubMed] [Google Scholar]
- Gerard K., Donaldson C., Maynard A. K. The cost of diabetes. Diabet Med. 1989 Mar;6(2):164–170. doi: 10.1111/j.1464-5491.1989.tb02107.x. [DOI] [PubMed] [Google Scholar]
- Henrichs H. R., Piwernetz K., Sönksen P. H., Jährig D., Reach G., Fischer U. The feedback between monitoring and improvement of quality of diabetes care. Diabete Metab. 1993;19(1 Pt 2):70–73. [PubMed] [Google Scholar]
- Kalra D. Electronic health records: the European scene. BMJ. 1994 Nov 19;309(6965):1358–1361. doi: 10.1136/bmj.309.6965.1358. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lindberg D. A., Humphreys B. L., McCray A. T. The Unified Medical Language System. Methods Inf Med. 1993 Aug;32(4):281–291. doi: 10.1055/s-0038-1634945. [DOI] [PMC free article] [PubMed] [Google Scholar]
- O'Neil M., Payne C., Read J. Read Codes Version 3: a user led terminology. Methods Inf Med. 1995 Mar;34(1-2):187–192. [PubMed] [Google Scholar]
- Piwernetz K., Home P. D., Snorgaard O., Antsiferov M., Staehr-Johansen K., Krans M. Monitoring the targets of the St Vincent Declaration and the implementation of quality management in diabetes care: the DIABCARE initiative. The DIABCARE Monitoring Group of the St Vincent Declaration Steering Committee. Diabet Med. 1993 May;10(4):371–377. doi: 10.1111/j.1464-5491.1993.tb00083.x. [DOI] [PubMed] [Google Scholar]
- Sönksen P., Harris A., Jarman B. Perceived strategic and practical problems in the use of information technology for quality improvement in diabetes care in the United Kingdom. Diabete Metab. 1993;19(1 Pt 2):80–88. [PubMed] [Google Scholar]
- Vaughan N. J., Home P. D. The UK Diabetes Dataset: a standard for information exchange. Diabetes Audit Working Group of the Research Unit of the Royal College of Physicians. British Diabetic Association. Diabet Med. 1995 Aug;12(8):717–722. doi: 10.1111/j.1464-5491.1995.tb00576.x. [DOI] [PubMed] [Google Scholar]