It would be good to have a clear idea of how this would
work. Here in NZ, it's the hospitals that have to code and
clinical coders are few and far between...
There's a bigger issue behind it all too. I speak from my
own context and would like to know if VistA/VOE addresses a
trend that we're seeing. Which is, in building a system that
satisfies reporting requirements are we building a system
that is less suited to supporting medical practice...?
Thanks,
Stephen
Kevin Toppenberg wrote:
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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