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Medical Coding In Argus Safety

A major part of the case management process is to ensure that every adverse event term is coded appropriately to the medical dictionary MedDRA.

Oracle’s Argus Safety makes coding verbatim terms quite simple. The system integrates very smoothly with the medical dictionaries MedDRA and WHO Drug. Per current MSSO Points to Consider (MSSO, 2014), adverse event terms should be matched to the most clinically appropriate lowest level term (LLT). The screenshot below (Classifying Medical Terms in Argus Safety) demonstrates the MedDRA Browser window in Argus Safety that allows a user to search the hierarchy of the MedDRA dictionary so that we may locate the appropriate LLT to select.

Classifying Medical Terms in Argus Safety

Classifying Medical Terms in Argus Safety

In addition to integrating with the drug dictionary WHO Drug, products are typically matched to the most appropriate medicinal product available in the WHO Drug Dictionary with the appropriate Anatomical Therapeutic Chemical (ATC) classification. The screenshot below (WHO Drug Browser) demonstrates the WHO Drug Browser window in Argus Safety that allows a user to search the hierarchy of the WHO Drug Dictionary, so that we may locate the appropriate medicinal product and ATC pair to select.

WHO Drug Browser

WHO Drug Browser

When a medicinal product has multiple ATC options attached, they are split up into separate lines, each referencing different routes of administration or indications of use (the concepts that loosely equate to different ATC options). The appropriate record and resulting ATC can be selected based on the appropriate clinical information in the case.

Additionally, in Argus Safety, there is a feature that allows you to locate and access a single entry screen displaying all of the case’s coding fields. This screen gives you the opportunity to perform all of the coding in one place without having to open up the case and go to each coding field on various tabs within the case.

Central event and drug coding interface is available for use without accessing the actual case entry form

Central event and drug coding interface is available without accessing the actual case entry form

This type of feature can be helpful to a central coding group that may be responsible for coding multiple cases at the same time. And, it’s also just a more pleasant way to view the case data when you have your coding hat on.

NOTE: Argus Safety can also integrate with any external dictionary management tool using web services. Oracle TMS and Cerner’s dsNavigator are two such options.

Visit our blog soon to learn about attaching files to cases in Argus Safety. And, feel free to register for our upcoming webinar Features of a World-Class Safety System.

To read past posts in our Argus Safety features series, click here.


MSSO. (2014). Retrieved on January 7, 2015 from

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Rodney Lemery

Dr. Rodney Lemery specializes in the implementation, support, and development of software used in the collection, management, and analysis of clinical data. His accomplishments as director of safety and pharmacovigilance at Perficient include the management of numerous clinical application implementation projects. In addition to his expertise in clinical and safety applications, Rodney is able to navigate between the technical and clinical worlds with ease due to his complementary educational background in epidemiology. He also holds a part-time professorship in the School of Health Sciences at Walden University, which solidifies his ability to lead global safety implementations at Perficient. Rodney has been with Perficient, via the acquisition of BioPharm Systems, since 2000. Prior to joining the company, he worked at Pfizer.

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