In message <[log in to unmask]>, Paul J Scott
<[log in to unmask]> writes
>In the Somerset Morbidity Project, we have agreed to use codes that were
>added 1-2 years ago. They are:
>[X] Mild depression
>[X] Moderate depression
>[X] Severe depression without psychosis
>[X] Severe depression with psychosis
>
>We have agree to use mild for people managed only in primary care,
>moderate for those referred to non psychiatrist care, and severe for
>those referred to the psychiatrist.
There doesn't seem to be a code for severe depression by itself.. do you
know about psychosis when you refer?
This sounds like retrospective (ICD type..) coding: when the patient
presents, do you *always* grade the depression (and make the final
decission as to whether to refer the patient - and to whom)at the time
of presentation? or are you recording that your treatment failures
(Prozac didn't work ;-<<) have progressed from "mild" to either
"moderate" or "severe" in the course of your treatment?
The problem, in psychiatry, isn't just the coding - it's really the
diagnosis in the first place!
Mary
Mary Hawking Kingsbury Court Surgery Church Street Dunstable LU5 4RS
tel:01582 663218 (surgery)fax:01582 476488 (surgery)
Member of British Healthcare Internet Association
Dunstable and Houghton Regis Locality Commisssioning Pilot
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