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This page lists down the various options for Concept Dictionary data setup and their pros/cons and provides some parameters to help make a decision. |
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Parameter | Custom Dictionary | CIEL Dictionary | SNOMED TS backed dictionary (with custom concepts) | SNOMED TS backed dictionary (with CIEL) | |
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| 1 | Brief Overview | In this option you are choosing to run Bahmni with a custom concept dictionary that contains clinical terms decided by you (and your clinical terminology team). | In this option you are choosing to load Bahmni with publicly available and opensource CIEL dictionary comprising of 50K+ terms with SNOMED, ICD10, LOINC, RxNorm reference mappings, already done. The Bahmni Concept Dictionary will be loaded with CIEL data and you will use CIEL Terms to record data on the Bahmni UI. For more details see: https://openconceptlab.org/2022/10/19/ciel-bridging-terminology-for-the-global-community/ | In this option you are choosing to load Bahmni with few custom concepts and also connecting it to SNOMED Terminology Server, which will act as a real-time terminology server. You are going to use SNOMED CT terms on Bahmni UI to record clinical data. Whenever a SNOMED term is chosen on the UI, that term is pulled into Bahmni, and stored into the Concept Dictionary. So, over time, Bahmni concept dictionary starts reflecting a list of your facility commonly used clinical terms. For more details see this wiki page. SNOMED CT has over 300K clinical terms. | Similar to prev column, but Bahmni concept dictionary is pre-loaded with CIEL data. For most operations you will still be using SNOMED CT terms on the Bahmni UI for recording data. |
| 2 | Which option is used most frequently in the real world with Bahmni? | Majority of the real world deployments of Bahmni (until v0.93) before Bahmni Lite have used a Custom Dictionary. | Since Bahmni Lite v1.0 release in June2023, new adopters have started evaluating / adopting CIEL dictionary. CIEL is being used with OpenMRS already in many real world settings. | SNOMED CT is used widely in many EHRs across the world. But in Bahmni, since this is a recent development, we don’t yet have any known real-world deployment of Bahmni-SNOMED TS directly. | (Same as prev column) |
| 3 | Which configuration of Bahmni comes out-of-the-box with this option? | default-config (currently default for Bahmni-Standard for Hospitals) | clinic-config (with Bahmni Lite) | snomed-default-config (with Bahmni Lite & SNOMED configuration) | snomed-clinic-config(with Bahmni Lite and SNOMED Configuration). Has some known issues (LINK?) |
| 4 | Can I use custom terms along with this option? | Yes | Yes, but recommend checking with Dr. Andrew Kanter, who maintains CIEL dictionary if the term can be added to standard CIEL distribution. | No. If the term you add overlaps with what is in SNOMED TS. See this. | (Same as prev column) |
| 5 | How do I report a term that should be present in standard dictionary but it somehow isn’t? | You can add it yourself. | Drop an email to Dr. Andrew Kanter | Inform SNOMED international, or check if your country has already added it in the country specific extensions. | (Same as prev column) |
| 6 | Can I use OCL (Open Concept Lab) to manage terms? | Yes | Yes | No, the SNOMED-TS (terminology server) acts as the TS here. In this configuration OCL is not involved. | (Same as prev column) |
| 7 | For recording diagnosis in Bahmni what terms will I see? | Your custom terms | CIEL terms or any custom terms added by you to the Concept Dictionary. | SNOMED Terminology terms or any custom terms added to SNOMED TS server. | (Same as prev column) |
| 8 | For recording Chief Complaints in Bahmni what terms will I see? | ||||
| 9 | For recording Drugs in Bahmni what terms will I see? | ||||
| 10 | Will I be able to report data in SNOMED CT? | ||||
| 11 | Will I be able to use Bahmni’s custom CDSS integration over FHIR? | ||||
| 12 | Will I be able to use Bahmni ICD10 reporting feature? | ||||
| 13 | Will be be able to use Hierarchical reporting to aggregate specific diseases into a parent group easily? | ||||
| 14 | Can I use this option in an offline / on-premise installation of Bahmni? | ||||
| 15 | Is there any performance impact? | ||||
| 16 | Migrate to another terminology set? | ||||
| 17 | Is there a docker-compose option available that packages this set out-of-the-box for me to try? | ||||
| 18 | If I use OpenELIS (Lab), or Odoo, or DCM4chee, will this option work? | ||||
| 19 | Can i use the Patient FHIR Export feature? | ||||
| 20 | What competency is expected of the clinicians who will be recording this data? | ||||
| 21 | Is this option FREE or PAID or OpenSource? | ||||
| 22 | How often does this option get updated with new terms? | ||||
| 23 | What advantages will I get with this option? | ||||
| 24 | What possible disadvantages I should consider with this option? | ||||
| 25 | Any Other Information? | ||||
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