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

From: Rogerio Luz Coelho
Subject: Re: [Gnumed-devel] clinicians: coding use case survey - please respond !
Date: Wed, 4 May 2011 15:10:53 -0300

2011/5/4 Karsten Hilbert <address@hidden>
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. If I am with a DM patient that now BECOMES Hyper I would like it to stick.

Give me an example of a work flow and I will try to explain my view.


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