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Index - Major Sections
Site Map
Product and Services _______________ Index - Same Level Subject
Index - Child Subjects |
Introduction (see Health Informatics - Standards)
Coding is a large cost to Healthcare organizations and is used to receive reimbursements from third part payers. In the InHCc the user of the system does NOT have to code. Once the user select a descriptive term, the code is added automatically in the background. InHCc codes all data that is either International recognized, Nationally recognized, Locally recognized. (all codes are mapped between each other). Codes that are not “standardized” by external organizations have been developed by InHCc for Analysis and Data Mining purposes (which most national and internally are not!) Codes carry the Organization, name of code, version of code, date started and date ended. The code sets are built using international standard coding when available or practical.
Users of the system DO NOT CODE and never see any of the code.
Codes are used by the computer management system and are never viewable by the user. In most cases the user does not know that codes exist. Standards can be promulgated from several different viewpoints. This Application will map the InHCc codes to the standards where possible. In many cases, the standards as promulgated by the standards organizations will NOT work in a healthcare setting. InHCc will "de-duplicate" and set of data that are within true domain. Standards will be adapted at the atomic level. Hierarchical levels of coding is will be flexible and different coding sets will be allowed. All codes are marked with the issuing organization and version. InHCc, where practical, will use data sets that have already been developed by the "World" International Organizations. All of InHCc data sets will be placed in Public domain.
Standards will be used for ALL domains within the InHCc system. InHCc Coding System
In many cases, the International coding standards where design years ago for a paper base system and for a single purpose, that of being able to communicate the information to another individual.
Today, many of these International coding systems simply do not work with computer systems and data analysis.Examples include both the ICD10 codes...mostly...and the SNOMED codes which do not work at all. The CPT codes are adapted for US use.
Therefore, InHCc is adapting many of the coding systems to ones that can be used in an Analysis System with Data mining. The InHCc coding system is atomic where there is only one concept. Attributes or modifiers of the Concept are coded separately.
The InHCc Coding system will be mapped to the Original Codes when ever possible. The InHCc HMIS system itself provides the ability to change Coding systems as required. Benefits:
(see Health Informatics - Standards) LOCAL Codes and Standard CodesFlexibility is allowed for "Local Coding System" where identification of a term has only meaning in the local setting. While Standard codes are standardized across locations (both within the organization and internationally), LOCAL codes are used only for information relevant to the local health care organization or unit of organization. The use of LOCAL codes allows the local health care organization to customize their data analysis requirements without interfering with the ability to compare their organization across locations. Since, all Local Codes are assigned Unique Identifiers, these codes can still be used across time and bounders and data can be replicated to a Centralized database without the problem of having duplicated identifiers assigned. Coding SystemsThe coding system of InHCc uses unique numbers that have no meaning in themselves. Except for few exceptions numbers within coding sets have no order. Any coding system that uses a "written" language will not work. Analysis must be done across locations and therefore it must be possible for data collected in one country to be read in another country. The use of "alpha" characters to "help" the coder code, is NOT used in the InHCc system (and it should be used anywhere!)
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