Re: [Gnumed-devel] clinicians: coding use case survey - please respond !

[Karsten Hilbert]

On Tue, May 03, 2011 at 10:04:56PM -0300, Rogerio Luz wrote:


> > #--------------------------------------------------------
> > In a list of terms with their codes I modify the term
> > "Fracture of left tibia" to "Fracture of skull".
> >
> > I would expect that now all patients with episode "Fracture
> > of skull" have the list of codes which was formerly linked
> > to "Fracture of left tibia":
> >
> >        yes
> >        no
> >        comment
> 
> Ahhh ... I see the deal now, well I would expect that ALL modifications that
> affect the codes be always INCREMENTAL.
> Say in 2022 GNUmed has ruled the world (with the help of a white mouse
> called Brain) and the ICD 11 is finally implemented, I expect that the codes
> for ICD 10 still show (maybe with an asterisk of maybe with ICD 10 besides
> them) and the new code may automatically be generated from the old one (say
> I10 becomes IxxSS10) - then I suppose I would want to see the codes as:
> 
> I10* -> IxxSS10

Ah, no. ICD10 and ICD11 would be entirely independant and
happily live next to each other inside GNUmed. You could
link any number of ICD10 as well as any number ICD11 to any
episode. The codes simply bear no relationship whatsover
(except that there just *may* be an explicit "translation"
table somewhere for user convenience but that's another
matter).

This is possible today. You can link ATC, LOINC, ICPC,
ICD10, whatever to the very same entity.

Karsten
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