Was waiting for you guys to weigh in.
Hm. Really? I have been in Urgent care clinics for a bronchitis and a otitis. Just didn’t want to wait 3 weeks for a Primary Care Provider appointment. Was acute, but not an emergency. The 9203 really is Emergency Department, Emergency Room or Accident and Emergency (in the UK) visit. We all know this service gets abused for all sorts of reasons, but the idea is that this is the place where the ambulance takes you. Does that make sense?
But I can be persuaded and we roll it up to 9203 if folks think this is better.
I realize that. Here is how you would do that: You would assign visit_concept_id = “Inpatient hospital”, and 38004507 “Medical Oncology” and 38004502 “Hematology/Oncology” to the provider_concept_id. Would that work?
The provider is acting based on the department (s)he is in? And you have data to support that?
I happen to be a Hematologist/Oncologist, or I used to be one when I was actually practicing. These demarcations are somewhat arbitrary, and it depends on the patient’s case. An oncology patient can have a paraneoplastic syndrome with anemia, and you are in full hematology mode, even though the primary is in the colon.
I think the specialty is very clearly defined by a degree from some institution.
Well, the rule for deciding home or not was “Does the patient come to the provider, or does the provider come to the patient?” Isn’t always clear.
Social Work appears more like a service from somebody, rather than a visit (organizational constellation of how healthcare is provided).
Well, here is the thing how I think it would work: The actual consult is just an assessment. Doesn’t matter if it happens as part of a consult (another provider called you in) or because the patient showed up in the waiting room. The fact that the provider was called by another one and comes makes it a consult visit. Yes, you would have to create a visit. Not sure how much there is “manufacturing” involved: You write a VISIT_DETAIL record, and you put an assessment procedure in.