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| ==== Diagnoses or other data that needs to be reviewed or checked ==== | | ==== Diagnoses or other data that needs to be reviewed or checked ==== |
| also to state if the diagnosis is not confirmed yet etc.
| | Can be used to document suspected diagnoses (which would not be coded in ICD10 even for incomplete records, as per [[ICD10 collection#"Suspected" Diagnoses]]. |
| * diagnosis is still unclear as they are waiting for further tests or results
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| {{discuss|
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| *A dx should not be entered into ICD10 unless it is known and confirmed ([[ICD10_collection#.22Suspected.22_Diagnoses]]). Are collectors still entering unconfirmed dxs into ICD10 and noting so in Notes? This should not be happening... Ttenbergen 10:19, 2019 September 16 (CDT)
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| **if data is INCOMPLETE, main does not rely on DX info. If DX has not been confirmed, notes field is good place to put a Clear note to self or to collector who is covering you.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:26, 2017 November 20 (CST)
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| *** As confirmed with Julie, Main office uses the [[Primary Admit Diagnosis]] even for incomplete records, so dx codes should not be coded for suspected dxs in ICD10. If we really want to change this, then instructions on [[ICD10_collection#.22Suspected.22_Diagnoses]] need to be made consistent with those on this page. Ttenbergen 10:19, 2019 September 16 (CDT)}}
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| ==== Supplemental data ==== | | ==== Supplemental data ==== |
| * track all lab and pharmacy manually, the notes save time in that it eliminates the need to go back & recount. | | * track all lab and pharmacy manually, the notes save time in that it eliminates the need to go back & recount. |