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

[Karsten Hilbert]

On Tue, May 03, 2011 at 08:48:26AM -0700, Jim Busser wrote:

> > #--------------------------------------------------------
> > In a list of terms with their codes I add/modify/remove a code
> > to/from the term "Fracture of left tibia".
> > 
> > I would expect that now all patients with episode "Fracture
> > of left tibia" have the updated list of codes for that term:
> 
> no
> 
> When you say "term" do you mean
> 
>       the term that was bundled with the ICD by the ICD reference org

        -> official reference term

>       the term that the praxis altered (but remains linked to the ICD) as db 
> reference

        -> local(ly assigned) term

That depends on how the system is set up.

direct linking:

        - there is no *explicit* local-term-to-code mapping table
        - GNUmed would search the *link* tables, however, to make
          decent suggestions beyond the official term
        - this scenario ("modify list of terms with their codes")
          will simply not exist - it is either "modify the patient's
          list of codes for this episode", modification of the
          official terms will not be allowed

indirect match

        - only here does this scenario apply, and then "term"
          would mean "locally generated term", not "official term"
        - the official terms would *still* exist in the reference
          tables and, again, they would not be editable

>       the free text description of episode / health issue (independent of ICD)

No, this is entirely independant.

Karsten
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