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It is appropriate to use these facilities when the combined result is conceived as a single statement that could potentially be used in many different patient records. For example, a diagnosis of "gallstones with cholecystitis" could be entered by selecting the 235919008 | gallstone (disorder) | and then selecting 76581006 | cholecystitis (disorder) | and combining these in a single statement 1.
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statement
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There is also a pre-coordinated Concept | Calculus of gallbladder with cholecystitis | which is equivalent to this post-coordinated combination. |
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Entry of concept combinations |
It is not appropriate to use these constructs to attempt to express an entire encounter, episode or clinical history in a single statement. For example, if a patient is treated for "gallstones with cholecystitis" diagnosed by "ultrasonography of biliary tract" with a course of | amoxycillin | followed after the acute phase has resolved by a | cholecystectomy |, this should not be entered as a single complex post-coordinated statement combining the diagnosis, investigation and treatments. [1 There is also a pre-coordinated Concept | Calculus of gallbladder with cholecystitis | which is equivalent to this post-coordinated combination
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