> form. I think this is the promise of SNOMED CT. Doctors will likely > support such a system if it allows them to easily put MORE information > in the record than they do today... Does *more* information also mean *more information that's accurate* ? Likely not if data providers are significantly limited by a restricted set of codes. Reasoning for this in Slee, Slee, Schmid "The endangered Medical Record".
> Eventually, they should reprogram their adjudication systems to consume > the doctor's coded information, as it exists natively in the EHR. Not > only will the content be richer and more potentially useful to the > payer, but instead of sending a traditional "claim", the doctor could > simply send the payer a standard "invoice" for services, with a pointer > to the EHR data... if the payer cared to look at it. While technically enticing, practically, uhm, no, no way (lest I misunderstand your intent). > but doctors should be able to agree on just the right degree of > precision to support the medical job... What, doctors agreeing on something ? Yes, I'm being cynical :-) > I' assuming that whatever precision level > makes the doctors happy will also be sufficient for payers and > governments. That I tend to agree to. > and I'm suggesting that information should be > reduced as much as possible to a standard set of codes. If that means to reduce what I can put in my clinical notes then No, thanks. I use the fuzziness of German when writing progress notes to myself in order to capture the degree of fuzziness of the specific ailment at hand and augment that with commonly used scales (GCS, APGAR, Janda, ...) to map my notes to more standard values when writing referral letters etc being sent to colleagues. Of course I am not perfect in this and could make use of a tool that facilitates my correctly applying standard scales. Karsten -- GPG key ID E4071346 @ wwwkeys.pgp.net E167 67FD A291 2BEA 73BD 4537 78B9 A9F9 E407 1346 - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
