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The Record Services Guide discusses requirements that support entry, storage, retrieval and communication of SNOMED CT coded health record information. Record services are service that interact with patient records. They may use terminology services to select and process SNOMED CT concepts and expressions that need to be entered or used retrieval and analysis (see also Terminology Services Guide)
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Contents
1. Record Services Introduction
2. Entering Expressions
- 2.1. Using text searches and subtype hierarchy navigation
- 2.2. Optimizing searches for data entry
- 2.3. Constraining searches for data entry
- 2.4. Constraining and extending hierarchical navigation for data entry
- 2.5. Constraining data entry
- 2.6. Configuring and applying data entry constraints
- 2.7. Entering qualifiers and other postcoordinated representations
- 2.8. Template and protocol driven data entry
3. Storing Expressions
- 3.1. Precoordinated and Postcoordinated Representations
- 3.2. SNOMED CT storage issues for electronic health records
- 3.3. SNOMED CT storage options for effective retrieval
- 3.4. Record architectures, structures and semantics
- 3.5. Safely representing the context of recorded codes
4. Retrieval and Aggregation
- 4.1. Requirements for selective retrieval
- 4.2. Retrieving records containing selected concepts and their subtypes
- 4.3. Selective retrieval of postcoordinated expressions
- 4.4. Requirements for specific uses of selective retrieval
5. Communicating Expressions
- 5.1. Representation of SNOMED CT information in communications
- 5.2. Overlaps between SNOMED CT and Structural Semantics
- 5.3. Using Reference Sets to represent allowable value sets
- 5.4. SNOMED Clinical Terms and HL7
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