Re: [Gnumed-devel] About systems of codification

[richard terry]

On Wednesday 28 September 2011 17:37:52 you wrote:
> On 2011-09-27, at 8:49 PM, richard terry wrote:
> > AU has ICPC2+ (Plus) modified for local conditions. It is my primary
> > coding system in my program, plus I use ICD10
> >
> > I find ICPC much better as a GP because it has user-friendly terms.
> 
> Richard and Liz,
> 
> How are they used in AU?
> 
> More specifically,
> 
> - does the government prefer (or insist) to receive ICD-10 for example as a
>  condition of remuneration for government payment of AU Medicare claims or
>  other mandatory statistical reporting to government of praxis information?
> 
> 
Liz will probably give you more accurate into - I don't use commercial 
software but my (probably inaccurate take on it is this)

1) GP's hate coding and probably in most EMR's do not do it at all
2) No govt insistance (currently) on coding for payment (but wait.... it will 
be coming)
3) No mandatory reporting (but wait it will come)

> - are the ICPC2+ codes used only within each doctor's own EMR for whatever
>  benefits that affords the GPs in terms of consistency of entry and being
>  able to search among patients (facilitating your doing some of your own
>  praxis review and quality assurance)?

for me  the answer would be yes.

> 
> --> or do your ICPC2+ codes ever appear in what you send out in a clinical
>  report, or in a referral to a specialist (or even to government) ?

Never

However we get back sometimes coded hospital discharge stuff eg our local 
GpAcess clinics insist on coded consultations, however the software is crap 
and it dosn't enforce this and it is often missed. Some departments have 
coding on their discharge forms (paper).

So a mess.

I think eventually SnoMed will rule here.

Richard

> 
> -- Jim