Difference between revisions of "Sharing of Value Set - Discussion"
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'''1.1.1Psychiatric coding using different systems''' | '''1.1.1Psychiatric coding using different systems''' | ||
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''1.1.1.1Current State'' | ''1.1.1.1Current State'' | ||
In France, a patient is referred by his PCP to a university hospital for a psychiatric evaluation. The patient is diagnosed with a bipolar disorder. After his examination, the professor fills out an electronic form for the referring physician documenting the clinical encounter. The psychiatrist is using for coding DSM4 (Code system HL7 OID 2.16.840.1.113883.6.126), code 296.65 which describes Bipolar I Disorder, Most Recent Episode Mixed, In Partial Remission [1]. Using a translation code, he then codes as well using the ICD-10 Coding System, Chapter V: Mental and behavioral disorders (Code system HL7 OID 2.16.840.1.113883.6.3), code F31.6, which stands for Bipolar affective disorder, current episode mixed. | In France, a patient is referred by his PCP to a university hospital for a psychiatric evaluation. The patient is diagnosed with a bipolar disorder. After his examination, the professor fills out an electronic form for the referring physician documenting the clinical encounter. The psychiatrist is using for coding DSM4 (Code system HL7 OID 2.16.840.1.113883.6.126), code 296.65 which describes Bipolar I Disorder, Most Recent Episode Mixed, In Partial Remission [1]. Using a translation code, he then codes as well using the ICD-10 Coding System, Chapter V: Mental and behavioral disorders (Code system HL7 OID 2.16.840.1.113883.6.3), code F31.6, which stands for Bipolar affective disorder, current episode mixed. | ||
Revision as of 08:34, 28 April 2008
Introduction
Sharing value sets detailed proposal
Nov 7-8 Face to Face
Current work
Discussion and Comments
Discussions following the talk from Apr. 18, 2008. For those French participants interested in contributing, please do attend these calls so that we do not have to duplicate the work. A simple email discussion is sufficient, followed by a face to face if need really arises. The time of calls has especially changed in order to accomodate all international participants.
Other Use Cases Not Included in the Supplement
1.1.1Psychiatric coding using different systems
1.1.1.1Current State In France, a patient is referred by his PCP to a university hospital for a psychiatric evaluation. The patient is diagnosed with a bipolar disorder. After his examination, the professor fills out an electronic form for the referring physician documenting the clinical encounter. The psychiatrist is using for coding DSM4 (Code system HL7 OID 2.16.840.1.113883.6.126), code 296.65 which describes Bipolar I Disorder, Most Recent Episode Mixed, In Partial Remission [1]. Using a translation code, he then codes as well using the ICD-10 Coding System, Chapter V: Mental and behavioral disorders (Code system HL7 OID 2.16.840.1.113883.6.3), code F31.6, which stands for Bipolar affective disorder, current episode mixed.
The discharge letter sent to one of the Affinity Domain’s repositories, from where the PCP can retrieve it. (This case assumes an XDS Affinity Domain, with a unique Registry, and multiple Repositories).
The family doctor has installed only ICD-10 catalogues in his software. He would like, nevertheless, to document the other type of code that the university professor has sent him, so that it would be processable by machines and integrated into an overall summary if need arises.
He does not have access to these values; hence he is obliged to leave the document as it is, and he is unable to transfer the additional coded information from the document to his own system.
1.1.1.2Desired State The PCP’s application, which is capable of keeping track of multiple encodings, will be able to query a Value Set Repository and eventually obtain the Value Set extracted from DSM4. The coded information is integrated in the PCP’s documentation system and can be exploited by the PCP’s application.
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