I just realized this proposal doesn't facilitate the main distinction our users
are accustomed to: billing vs. clinical diagnosis. They'd have to know to
choose the union of Enounter, Order, Problem list, and Professional. In HERON
at KUMC, the union of Problem List and Encounter is represented as a Clinical
folder.
And we don't (yet?) support Professional Diagnosis nor Order Diagnosis. What
are those? I'd appreciate somebody filling me/us in on what workflows those
represent.
--
Dan
________________________________________
From: Phillip Reeder [phillip.ree...@utsouthwestern.edu]
Sent: Wednesday, November 12, 2014 2:13 PM
To: gpc-dev@listserv.kumc.edu; campb...@unmc.edu; Dan Connolly
Cc: gpc-...@listserv.kuc.edu
Subject: Re: [gpc-informatics] #90: Diagnoses Modifiers for data attribution
Based on the emails I found, and what is on babel, this is what I think
the modifiers should be. The only difference from Babel is in the Billing
Diagnosis modifiers where I tried apply what was in the various emails.
Cerner had Inactive and Canceled modifiers for the Problem List Diagnosis
in one of the emails. I¹m unsure if they need to be added or if they
could be mapped to the three modifiers from Epic.
For consistency, is there a preference for Principle vs Primary? Does it
make a difference?
Modifier Modifier Code Clarity
Table
Billing Diagnosis
Admit Diagnosis Principle DX|BILL:ADMIT PRINCIPLE
HSP_ACCT_ADMIT_DX
Admit Diagnosis Secondary DX|BILL:ADMIT SECONDARY
HSP_ACCT_ADMIT_DX
Discharge Diagnosis Principle DX|BILL:PRINCIPAL
HSP_ACCT_DX_LIST
Discharge Diagnosis Secondary DX|BILL:SECONDARY
HSP_ACCT_DX_LIST
Discharge Diagnosis Present on Admis.. DX|BILL:POA
HSP_ACCT_DX_LIST
Encounter Diagnosis
Admit Encounter Diagnosis DX|ENC:ADMIT
HSP_ADMIT_DIAGNOSIS
Discharge Encounter Diagnosis DX|ENC:DISCHARGE
HSP_DISCH_DIAGNOSIS
Primary Encounter Diagnosis DX|ENC:PRIMARY
PAT_ENC_DX
Secondary Encounter Diagnosis DX|ENC:SECONDARY
PAT_ENC_DX
Medical History Diagnosis DX:HISTORY
MEDICAL_HX
Order Diagnosis
Order Medication Diagnosis DX|ORDER:MED
ORDER_DX_MED
Order Procedure Diagnosis DX|ORDER:PROC
ORDER_DX_PROC
Problem List Diagnosis
Active Problem DX|PROB:ACTIVE
PROBLEM_LIST
Deleted Problem DX|PROB:DELETED
PROBLEM_LIST
Resolved Problem DX|PROB:RESOLVED
PROBLEM_LIST
Professional Diagnosis
Primary Professional Diagnosis DX|PROF:PRIMARY
ARPB_TRANSACTIONS
Secondary Professional Diagnosis DX|PROF:SECONDARY
ARPB_TRANSACTIONS
On 11/12/14, 1:33 PM, "GPC Informatics" <d...@madmode.com> wrote:
>#90: Diagnoses Modifiers for data attribution
>--------------------------+----------------------------
> Reporter: campbell | Owner: preeder
> Type: design-issue | Status: assigned
> Priority: major | Milestone: data-domains2
>Component: data-stds | Resolution:
> Keywords: | Blocked By:
> Blocking: 70, 91, 120 |
>--------------------------+----------------------------
>Changes (by dconnolly):
>
> * cc: gpc-dev@Š (added)
> * owner: dconnolly => preeder
> * status: reopened => assigned
>
>
>Comment:
>
> Phillip, I re-opene this because your question (Wednesday, November 12,
> 2014 12:44 PM) shows we clearly didn't carry out the recorded decision.
>
> Do you have a preference on what the modifiers actually should be?
>
>--
>Ticket URL:
><http://informatics.gpcnetwork.org/trac/Project/ticket/90#comment:7>
>gpc-informatics <http://informatics.gpcnetwork.org/>
>Greater Plains Network - Informatics
________________________________
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