General Diagnosis Coding Guidelines: Difference between revisions
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{{Discuss | who=Trish | question= I have linked this from [[Critical Care and Medicine Database Core Curriculum]], but it likely needs updating. Unless we don't want it at all. }} | {{Discuss | who=Trish | question= I have linked this from [[Critical Care and Medicine Database Core Curriculum]], but it likely needs updating. Unless we don't want it at all. }} | ||
There are cases where a diagnosis may not meet all criteria we set out for | There are cases where a diagnosis may not meet all criteria we set out on the wiki for a specific code. Instead of basing the decisions solely on criteria, please also consider the following points, before requesting clarification from Trish: | ||
''For specific instructions, see [[Admit Diagnosis]], [[Comorbid Diagnosis]] and [[Acquired Diagnosis / Complication]].'' | ''For specific instructions, see [[Admit Diagnosis]], [[Comorbid Diagnosis]] and [[Acquired Diagnosis / Complication]].'' | ||
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== Consider what we use the data for == | == Consider what we use the data for == | ||
When you code a diagnosis, consider what the database '''uses''' it for. Would someone be able to generate some meaning from your entry later? Consider how our coded diagnoses are used and [[General Diagnosis Coding Guidelines#Use your best judgment|Use your best judgment]]. | When you code a diagnosis, consider what the database '''uses''' it for. Would someone be able to generate some meaning from your entry later? Consider how our coded diagnoses are used and [[General Diagnosis Coding Guidelines#Use your best judgment|Use your best judgment]]. | ||
{{Discuss|Is there a page that can be linked to this about what our database is used for? --[[User:Jvelasco|Jvelasco]] 13:24, 2020 April 24 (CDT)}} | |||
== If the doctor says so, it probably is == | == If the doctor says so, it probably is == | ||
*If a doctor diagnoses a condition when our guide criteria are not fully met, code it. | *If a doctor diagnoses a condition when our guide criteria are not fully met, code it. | ||
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* These are meant to make your life easier. If you have concerns with them, as always, please post them here. [[User:Ttenbergen|Ttenbergen]] 15:35, 29 May 2009 (CDT) | * These are meant to make your life easier. If you have concerns with them, as always, please post them here. [[User:Ttenbergen|Ttenbergen]] 15:35, 29 May 2009 (CDT) | ||
{{Discuss | who = all | So, collectors, almost 10 years after I initially asked that question, did these guidelines ever become useful? }} | {{Discuss | who = all | So, collectors, almost 10 years after I initially asked that question, did these guidelines ever become useful? | ||
*Generally useful. Better to over-code than under-code if in doubt. I don't know how feasible it is to speak to ward staff/doctors for clarification anymore, given that we mostly collect retrospectively now. --[[User:Jvelasco|Jvelasco]] 13:24, 2020 April 24 (CDT)}} | |||
[[Category: Data Collection Guide]] | [[Category: Data Collection Guide]] | ||