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


From: Karsten Hilbert
Subject: Re: [Gnumed-devel] clinicians: coding use case survey - please respond !
Date: Wed, 4 May 2011 22:44:45 +0200
User-agent: Mutt/1.5.21 (2010-09-15)

On Wed, May 04, 2011 at 03:10:53PM -0300, Rogerio Luz wrote:

> > On Tue, May 03, 2011 at 10:04:56PM -0300, Rogerio Luz wrote:
> >
> > > > with the groundwork for coding now in place please respond
> > > > to the following scenarios (don't worry about the medical
> > > > sanity):
> > > >
> > > >        (remove either "yes" or "no", maybe add a comment)
> > > >
> > > > #--------------------------------------------------------
> > > > Patient has episode "URTI" coded to an appropriate ICD code.
> > > > Doctor changes episode description to "hypertension".
> > > >
> > > > I would expect the previously linked ICD codes of "URTI" to
> > > > not any longer be linked to this episode:
> > > >
> > > >        no
> > > >        comment
> > > >
> > >
> > > I would expect that a new code was ADDED to this episode, old code should
> > > still appear as in ICD 10 terms
> > >
> > > N390 + I10
> >
> > Just so I get this right:
> >
> > When you rename an episode (or issue) from "Diabetes type 2,
> > insulin dependant" to "Hypertension" you *do* want to have
> > the Diabetes codes stick with the now-Hypertension episode ?
> >
> > (Don't worry *why* someone would do such renaming.)
> 
> When does this renaming take effect?  For now *yes* I would like to be stuck
> with that code, if it was not put there by mistake.

That ("by mistake") GNUmed cannot know (as Jim said) and
should not second guess (as you said).

Karsten
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