Hi All,
I have a question around multiple procedures during an Outpatient visit at an NHS provider.
Where multiple OPCS4 procedures are coded for a patient during a single outpatient visit how should these be reflected in the CDM where the OCPS4 codes appear multiple times?
For example:
Patient X has the following coded procedures - procedures coded in order of occurrence:
| coding position | OPCS4 | Procedure Descp |
|---|---|---|
| 1 | U13.4 | x-ray joint plain |
| 2 | W92.5 | Examination of Joint |
| 3 | Z85.6 | ankle joint |
| 4 | W92.5 | Examination of Joint |
| 5 | Z86.9 | Other joint of foot nec |
| 6 | X62.1 | assessment by uniprofessional team nec |
As you can see in this example, the patient has had diagnostics on 2 body parts (ankle joint and other joint of foot), so we see a W92.5 (Examination of Joint) coded once for the ankle and once for the ‘other joint of foot’.
How should the above example be reflected in the CDM?
Many thanks
Helen