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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: i-node who wrote (18340)	7/13/2010 3:19:02 AM
From: dybdahl	Read Replies (2) \| Respond to of 42652

ICD10 coding is taken very serious here, it is the main source of operational statistics. It has been extended so much here, that the extensions are becoming too complex, and a replacement is needed. Several European countries with socialised health care are now upgrading their national patient indexes and national health services. In Denmark, we now have a single signon for all citizens, for banking, health care, taxes etc. The online health care system provides ALL ICD-10 coded information about hospital visits and information from your doctor, all pharmacy purchases etc. It does not yet provide access to x-rays, ECGs etc., but it is moving towards that direction. There is also now a national prescription coordination system, ensuring that no doctor makes a prescription without knowing what others have prescribed. It is based on a nordic standard for drugs (that is not HL7 compatible). Yesterday I demonstrated our ICU system to an American guy who has worked for many years in the U.S. healthcare sector. He was deeply impressed, saying that we have gone into solving problems that U.S. companies do not. For instance, in USA, you have companies that do CPOE, and companies that make prescription sets. But often, the prescription sets are more detailed than the CPOE can handle, or less. They simply don't match in data structure. Our system combines both, with an online infrastructure that has borrowed ideas from social networks, and adding patent-pending methods that optimizes it, providing a drug prescription, dispensing and administration system that does things that you cannot do, if the CPOE vendor is not the same as the prescription set "vendor". That's the kind of stuff that makes large American companies contact us, instead of having us contact them :-) When you break the boundaries of existing technologies, you need to replace it with something better. That's what is happening to ICD-10. The main problem is how to use SNOMED for billing. Technologically it is simple, but politically it is less simple, because nobody wants to switch to a different coding system if they might go down in budget, so we're in a couple of projects with the authorities on how to do that.