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Re: [Health] ICD-10 Wording problems


From: Luis Falcon
Subject: Re: [Health] ICD-10 Wording problems
Date: Sat, 3 Dec 2016 17:50:20 +0000

Dear Khurram 

On Sat, 3 Dec 2016 20:34:02 +0500
Khurram Shahzad <address@hidden> wrote:

Thanks for the info !


> I have parsed it and generated the queries for populating the THREE
> tables; but now I will generate the XML file in the format same as
> those of in "data" directory.
> 
> Following is a "Disease" from this file:
> 
> *********************************************************************************************************
> <Class code="A08.4" kind="category">
> <Meta name="MortBCode" value="006"/>
> <Meta name="MortL4Code" value="4-002"/>
> <Meta name="MortL3Code" value="3-003"/>
> <Meta name="MortL2Code" value="2-003"/>
> <Meta name="MortL1Code" value="1-004"/>
> <SuperClass code="A08"/>
> <Rubric id="D0000068" kind="preferred">
> <Label xml:lang="en" xml:space="default">Viral intestinal infection,
> unspecified</Label>
> </Rubric>
> <Rubric id="D0000978" kind="inclusion">
> <Label xml:lang="en" xml:space="default">
> <Fragment type="list">Viral:</Fragment>
> <Fragment type="list">enteritis NOS</Fragment>
> </Label>
> </Rubric>
> <Rubric id="D0000979" kind="inclusion">
> <Label xml:lang="en" xml:space="default">
> <Fragment type="list">Viral:</Fragment>
> <Fragment type="list">gastroenteritis NOS</Fragment>
> </Label>
> </Rubric>
> <Rubric id="D0000980" kind="inclusion">
> <Label xml:lang="en" xml:space="default">
> <Fragment type="list">Viral:</Fragment>
> <Fragment type="list">gastroenteropathy NOS</Fragment>
> </Label>
> </Rubric>
> </Class>
> ****************************************************************************************************
> 
> I think the only element we are using in GNU Health is:
> <Label xml:lang="en" xml:space="default">Viral intestinal infection,
> unspecified</Label>

This would be the equivalent in GNU Health

** In the disease definition (diseases.xml)

<record model="gnuhealth.pathology" id="A084">
        <field name="name">Viral intestinal infection,
unspecified</field> <field name="code">A08.4</field>
        <field name="category" ref="icdcat1-1"></field>
</record>

It belongs to category "icdcat1-1", which is defined as

<record model="gnuhealth.pathology.category" id="icdcat1-1">
        <field name="name">(A00-A09) Intestinal infectious
diseases</field> <field name="parent" ref="icdcat1"></field>
</record>


So the way I would approach to it is f

1) Get the updated strings from the 2016 matching the current codes.
2) Detect and include the latest disease codes and categories (if there
are any)
 
I will create a new task so we can follow it from there. What is
important is to keep the current ids from the xml datafiles (eg,
id="A084" or "icdcat1-1").

Is good that xml datafiles should be equivalent
> 
> Do you think that all other elements are of any use for our doctors?
> 
It's quite interesting the concept of "fragment", which we could use in
the future, to look for specific common conditions. We've been
discussing this with Chris Zimmerman and other colleagues.

I have proposed have some sort of tagging ("hashtags") for each
condition, so they can be found using them. For what I see, this would
be similar to the fragment. Definitely a big plus and help for doctors
to quickly find the condition.

Comments / Suggestions are most welcome !

Bests,
Luis






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