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Re: [Gnumed-devel] clinician input wanted: how to implement "coding"

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] clinician input wanted: how to implement "coding"
Date: Mon, 7 Dec 2009 09:42:23 +0100
User-agent: Mutt/1.5.20 (2009-06-14)

On Fri, Dec 04, 2009 at 08:07:02PM -0800, Jim Busser wrote:

> > I think coding is very useful and should be enforced in many situations 
> > such 
> > as with health issues, otherwise you've no means to trawl your database for 
> > information for example pulling out all diabetes with a certain disease, as 
> > there are multiple different language terms for the diagnosis. Enforcing 
> > its 
> > use is not an encumberance on the user if it is done sensibly.
> > 
> > The advantage of displaying a code is to inform the user that in fact 
> > something is coded - so for those doctors to whom coding/research is 
> > important, they know they have entered a coded term even if they don't need 
> > to 
> > know what it is.
> I do rather agree.

> A sensible enforcement configuration should be per praxis,
and not per user, because if a praxis comes to some
agreement that it needs enforcement  in an area (say, coding
of health issues) then the members of the praxis will want
their EMR to help assure that no one (or multiple) members
get lazy and do not bother.

There is no problem enforcing only half of it -- to always
indicate whether something is coded but to only per-user
require *en*coding.

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