That's pretty close, but the ICD9 codes are for practical purposes for
billing. They are entered into VistA via the encounter form. (I can't
seem to populate the encounter form list with them but that's another
problem!) We code the reason for a patient encounter, a CPT code, to the
highest level of diagnosis specificity, 3.2 digit ICD9 code. Whether
it's a symptom, disease or condition. Usually in VistA we enter,
manually, the problem list items when we have arrived at a diagnosis,
i.e. we don't enter symptoms like memory loss.
Marc Krawitz wrote:
In VistA are problems intended to be symptoms/complaints or a
diagnosis. For example, suppose a patient presents with memory loss
and dementia. Would a physician create two problems as follows:
Memory Loss - 780.93
Dementia - 294.8
And then later replace these with an actual diagnosis (lets say
Alzheimer's Disease)? Or should the capture of symptoms/complaints
occur in the notes? It would be great if somebody could walk through
this example in VistA...
Thanks,
Marc
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