Hi Chris In the SHORT term I think that GNU Health might need to continue using 'local codesets' with the option of also using a SCTID (SNOMED CT Identifier) in the same database table:
Text description | Local code | SCTID oral | PO | 123456789 intravenous | IV | 987654321 In the medium term I think that GNU Health should be configured with the option of using/linking to a SCT TERMINOLOGY SERVER. This could possibly be a new GNU Health module or could just be a web link to an 'open source' terminology server. An increasing number of countries are now licensed to use SNOMED CT and those very low income countries can apply for the SCT free license option. Hope I have made myself clear. What do you think Luis? Andrew