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| == Admit Diagnosis coding restrictions by admit-from location == | | == Admit Diagnosis coding restrictions by admit-from location == |
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| === should some of these be eliminated ===
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| {{Discuss@task
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| | There are special collection instructions for diagnoses on this page; can we get rid of them?}}
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| {{discussion}}
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| I think the following instructions should be eliminated for the following reasons:
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| * they are too complex; as such people are going to misunderstand them or forget to apply them. Better to stick to the "most important rule" and supplement it with [[General Diagnosis Coding Guidelines]] (these may have to be amended)
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| * they make special cases out of some diagnoses while leaving others out. For example, why is the reason for a CABG self-evident, but not the reason for an appendectomy?
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| * some of these contradict the general definition of the admit diagnosis being the "most responsible" diagnosis; when our data is analyzed with that definition in mind then these rules will lead to misrepresentation
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| * some collectors will stick to these rules even if they get a sense that it will misrepresent the situation; others will code to make sense of the situation as suggested by [[General Diagnosis Coding Guidelines]], yet others will have missed either in all the information, so these rules don't necessarily result in clean data, even if that is the intent.
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| I think the rules should be deleted, and only the first paragraph of this article should count. If we have such a thing as "surgery wants to know what procedures happen" then mention that in the [[General Diagnosis Coding Guidelines#Consider what we use the data for]] section, e.g. mention Dr Kumar's interest in infections and to code them preferentially even if something more urgent is present (if that's what we want to to) but keep it general.
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| * What are your thoughts? [[User:Ttenbergen|Ttenbergen]] 17:05, 25 July 2011 (CDT)
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| ** Re-flagging proposal for change. Will change as proposed after 2012-09-30 if no objections noted in here. [[User:Ttenbergen|Ttenbergen]] 18:45, 2012 September 6 (CDT)
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| === Operating room and Trauma === | | === Operating room and Trauma === |