]
[mailto:[EMAIL PROTECTED] On Behalf Of Marc Krawitz
Sent: Monday, January 23, 2006 4:15
PM
To:
hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members] CPRS
Clinical Workflow Question
As far as I can tell, VistA doesn't seem to associate orders, lab
tests, etc. with a patient
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
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
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: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] CPRS Clinical Workflow
As far as I can tell, VistA doesn't seem to associate orders, lab tests, etc. with a patient problem(s). Why is that? I'm not a physician, so my preconceptions about workflow are probably wrong - hence my question. Do most EMRs function in this manner?
Thanks,
Marc
Look at ASTM E-1384 on the Structure and Content of the EHR. We are still
mapping the VistA/IHS models to these standards ( which can also be
mapped to the messaging standards). It will be of interest to see how
CCHIT uses these standards in pilot certification.
On Mon, 23 Jan 2006, Marc
Although I wouldn't associate them with a problem, it might be
appropriate to associate them with a diagnosis. I.e. you get a chest
XRay because of cough.
But it is easy for non-physicians to get carried away (IMHO) with data
gathering, and want this attached to that, anf for this or that button
The problem that I usually have comes later on in the process when all you want
out
of the mass of data is one particular lab result (just one number in most
cases or a brief trend) or one particular image from an MRI/CT or other larger
data set,
which could relate to the clinical problem at
