Ah, but one of the things at least some VA providers are asking for is a
Problem List that can accommodate "working diagnoses" as well as proven
diagnoses.  It must also be able to be sorted based on acute or chronic
problems (a cold or broken limb from a year ago is usually just clutter when
reviewing today's problems.)  Filters should also be provided to be able to
see the problems that relate to one's specialty (or see the whole set when
that's desired).  Being able to quickly and efficiently manage such a
problem list is going to take a fair amount of trial and error programming
and a close working relationship with a few (patient) providers.

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Kevin
Toppenberg
Sent: Tuesday, January 24, 2006 3:18 PM
To: [email protected]
Subject: Re: [Hardhats-members] CPRS Clinical Workflow Question

I can't walk you through an example, but I can comment on coding.  You
code as specifically as you can, but not what it *might* be.  If you
are not sure the dementia is due to Alzheimer's, then you just say
Dementia.

But you shouldn't have to worry abou this.  It is the providers job to
do the coding.

Kevin

On 1/24/06, Marc Krawitz <[EMAIL PROTECTED]> 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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