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SIN-FM: (a short indexed nomenclature of family medicine).

We have developed a short indexed nomenclature of diagnoses, health problems, and reasons for encounter for use in family practice electronic records. It is in the "WK1" format and can be incorporated in electronic medical records. This defined vocabulary we believe provides some distinct advantages over other vocabularies currently in use. In family and general practice a nomenclature must cover the breadth of illness, uncertain and ill defined diagnoses, symptoms and reasons for encounter. Current classifications cannot semantically represent these areas precisely. Family physicians cannot use mortality classifications for point of service data entry. ICD-9 and ICHPPC[1] require extensive training to be used effectively whilst ICPC[2] is not specific enough to be used to follow patients. At a certain point a nomenclature is just large enough to minimize error. If it is too large then different terms may be chosen for the same entity; if too restricted appropriate terms may not exist for some entities, resulting in inaccurate data entry and subsequent inaccurate retrieval.