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Return to Instructions UMLS Universal Medical Language System ; is strictly speaking a database access system, not a classification. The database includes both medical and scientific terms. It originated with the keywords from Medline and recently the terms used in many classification systems have been added. It is a search engine which was designed to contain sufficient terms including words such as "aluminium" ; to allow access to information from multiple sources using different medical terminology. It is, however, being used experimentally in several hospitals in the United States for the coding of medical problems. In addition to these international systems, there are a multitude of Australian homegrown coding systems which do not have an international basis. The most well known of these is Docle which is based on the Linnean model, invented some 200 years ago for the classification of species. Unlike other systems it does not utilise numeric codes. It was described at a recent conference14 as made up of two core concepts: " The first core concept of Docle is an algorithm that converts a piece of real world medical vernacular into a standard abbreviation. For example 'diabetes mellitus' is repackaged by the Docle algorithm as 'diabetesMellitus' before it maps to the Docle word 'diabm'. The second core concept is that of operators. Docle words can be combined together to form any number of complicated expressions by combining Docle terms with operators. For example a fracture of the radius can be expressed as 'frac.radi' - the dot operator translates to 'located at'." Docle is being used by one Australian GP software vendor, for example, elli lilly.
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