Terminology Database

Pensieve integrates a comprehensive, cloud-native Terminology Database that serves as the single source of truth for every medication, investigation, procedure, diagnosis code, and clinical concept used across the entire platform, ensuring consistency today in Indian hospitals and seamless transition tomorrow in American ones. At its core sits a master repository of over 120,000 drug entries that combines the complete Current Index of Medical Specialities (CIMS) and Central Drugs Standard Control Organisation (CDSCO) data for India. Investigations are equally exhaustive, with more than 15,000 entries mapped to Logical Observation Identifiers Names and Codes (LOINC) for universal interoperability. Whether a laboratory calls it “HbA1c”, “Glycosylated Haemoglobin”, or “Glycated Hemoglobin”, the system recognises them as identical and pulls the correct reference range, specimen type, and critical value thresholds. Procedures carry dual coding - Indian hospitals use the platform’s native classification while every entry is pre-mapped to Current Procedural Terminology (CPT), ICD-10-PCS. Medical coding is built deeply into the terminology layer. As doctors type a diagnosis, ICD-11 and SNOMED CT terms auto-suggest with hierarchy browsing, allowing “Acute febrile mucopurulent otitis media” to be coded accurately in seconds. The same engine supports differential diagnosis assistance, where the AI cross-references symptoms entered via templates against SNOMED subsets to suggest probable conditions ranked by likelihood. Because the entire database lives in the cloud and updates daily, hospitals never worry about outdated drug lists or withdrawn brands. Hospital administrators can create site-specific formularies - restricting certain high-cost brands or adding local generics - while still retaining access to the full master list for rare cases. Stock-linked pricing ensures bills always reflect current procurement costs. This terminology backbone powers every clinical action - orders, prescriptions, decision support alerts, analytics, and interoperability exchanges - ensuring that whether a doctor in Chennai today or Chicago tomorrow searches for the same treatment, they retrieve accurate, safe, and regulatorily compliant information instantly. In Pensieve, terminology is never static; it is a living, intelligent foundation that grows with global medicine while staying perfectly tuned to local practice.