把 ICD-10 当成诊断：医疗软件设计中最昂贵的误区
Why Calling ICD-10 a Diagnosis Is Healthcare’s Costliest Design Flaw
Medicomp Systems 的医生写了一篇经验谈，讲为什么把 ICD-10 直接当临床诊断用会坑掉整个医疗软件架构，做医疗系统的开发者会有共鸣。
Medicomp Systems 的 Jay Anders 撰文指出，医疗软件团队常把 ICD-10 编码当作临床诊断来建模。他区分了两类概念：用于计费的 diagnosis 和用于临床决策的 diagnosis，两者在数据结构上并不等价。文章以外包开发团队回复“诊断就是诊断”的场景切入，说明这种混淆会导致临床知识层缺失。作者主张在计费编码之上单独建一层临床知识结构，否则错误将不断被复制到下游系统。
Why Calling ICD-10 a Diagnosis Is Healthcare’s Costliest Design Flaw
Healthcare software colleagues of mine often describe a recurring discussion they have with their outsourced development teams. They recount that when they try to explain the difference between a billing diagnosis and a clinical diagnosis, the engineers on the other end deliver a common platitude: “a diagnosis is a diagnosis.”  That answer is defensible in ... Read More
