Dear Luis
Am 28.04.2021 um 14:39 schrieb Luis Falcon:
Remember that some modules are kind of "mutually exclusive" (ICPM,
ICD-10, ICD11 ..) so having all activated in the same DB might not be a
good idea.
Very important point that we should rethink more in detail.
ICD-11 has the structure like "1A00" with always a letter on the second
place, so it is easy always to distinguish between ICD-10 and ICD-11.
The old conditions will still remain in the database, e.g. Ana Betz with
E10 diabetes since 1993, and so on. For sure there will be a kind of
translation table from ICD-11 to ICD-10 which will work in most cases.
But it is much more dfficult to map from ICD-10 to ICD-11 since ICD-11
is more granular. And I do not think that we should make an automatical
mapping from ICD-10 to ICD-11, but just keep the old codes and allow to
be substituted by the user with a suggestion by the system (but not
deleted, also from legal aspects of documenting at a specific time).
And I guess, it is the same problem with ICPM? Probably you mean
mutually exclusive to ICD9procs and ICD10pcs? Maybe it depends on the
hospital and which contracts they have with different insurances or
obligations by the government. So I believe it is sometimes necessary to
have different codes for the same patient and for the same disease or
same procedure, as long as we can define who coded which entity at which
time. At the end always the attending doctor is also responsible for the
correct diagnoses and codes of a specific episode, but of course there
will be coding personnel who will make a suggestion.
All the best
Edgar
