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

From: Jim Busser
Subject: Re: [Gnumed-devel] clinician input wanted: how to implement "coding"
Date: Wed, 02 Dec 2009 00:40:43 -0800

On 2009-12-01, at 2:19 PM, Karsten Hilbert wrote:

>> We only presently use ICD9 for billing. In the billing program that
>> I wrote,
> Say what ?  :-)

you mean re the ICD9? I know... way old...
re the billing program I wrote? That was in 1990 using a dBASE competitor 
(FoxBASE, since bought out by M$ as FoxPro).

As to the main question on coding in the GUI, a few initial thoughts:

- EMR tree and Notes (left pane "problem list") remain the key places to access 
- are we potentially coding other things such as medications?

- the detail of coding risks to greatly clutter up the GUI especially in any 
summary views, therefore summary views, if they would provide any coding info 
at all, might usefully limit the coding information per item as to whether 
there exists ANY associated coding information or none. This might be achieved 
in a very narrow column containing a single symbol

- I imagine the detail of the coding would be inputted via detail editor on the 
health issue or unattributed episode (I suppose it could even be an attributed 
episode within a health issue).

- we contemplated more than one kind of code per item, for example a single 
item might have associated with it both an ICD10 and a SNOMED or READ code

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