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Re: [Gnumed-devel] Request for comment: icd10-database

From: Karsten Hilbert
Subject: Re: [Gnumed-devel] Request for comment: icd10-database
Date: Tue, 5 Jul 2011 11:23:50 +0200
User-agent: Mutt/1.5.21 (2010-09-15)

On Tue, Jul 05, 2011 at 01:28:43AM -0700, Jim Busser wrote:

> Separately from the question of how best to import ICD-10
> is the question of the value that it offers. In Canada, it
> seems that the complexity of coding under ICD-10 seemed
> justified for hospital care but not for doctors' practices:
> Has anyone used both ICD-9 and ICD-10 to be able to comment?

In Germany we've been coding with ICD-10 in ambulatory care
for ages. The responsible bureaucrats don't give a damn
whether or not the benefit warrants the complexity. This
year's brainfart of making it vastly more complex had to be
struck down by *massive* lobbying including a (German idea
of a) public referendum (Volksentscheid = Patition an den

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