Re prophylaxis diet terms, I'm not getting a use case for prophylaxis necessity with the diet term. Are there drug or procedure terms identified as prophylaxis (warfarin for anticoagulation in Afib, double mastectomy due to genetic risk of breast cancer, etc...)? Would seem that a diet therapy is desired or needed if a specific clinical situation is present and discontinued when that clinical situation is resolved.
Can't believe all that we have accomplished! Really appreciate everyone's engagement.
I would also like to add that I cannot think of an instance where a diet is anything other than preventative (not curative). Whether that is preventing chronic disease or a symptom of a chronic disease. Possible exception could be curing malnutrititon. The intent of a general healthy diet is to prevent chronic disease and malnutrition.
I see that this is resolved, but wanted to add a quick comment. From a research perspective, one might find it desirable to differentiate between a diet that was being followed prior to a chronic disease being diagnosed (prophylaxis) versus a diet that was prescribed post diagnosis of chronic disease as a way to determine the effectiveness of the diet regimen. The current age of EHR-S negates the need for two different codes, due to the existence of the date/time stamp on the diet order/recommendation in conjunction with the date/time stamp on the chronic disease diagnosis and any date/time stamp on any supporting clinical information (i.e. laboratory, etc). The addition of the date/time stamp and ability to programmatically evaluate data based on a set plus or minus amount of time (i.e. hours, days, weeks, months) from the start of the diet regimen allows for greater accuracy and a reduced number of concepts in the terminology.
5 Comments
William Swan
I am unable to participate in 12/14 call.
Re prophylaxis diet terms, I'm not getting a use case for prophylaxis necessity with the diet term. Are there drug or procedure terms identified as prophylaxis (warfarin for anticoagulation in Afib, double mastectomy due to genetic risk of breast cancer, etc...)? Would seem that a diet therapy is desired or needed if a specific clinical situation is present and discontinued when that clinical situation is resolved.
Can't believe all that we have accomplished! Really appreciate everyone's engagement.
Have a great new year!
Bill
Donna Pertel
William Swan,
Thank you for the input. Happy holidays!
Donna
William Swan
I would also like to add that I cannot think of an instance where a diet is anything other than preventative (not curative). Whether that is preventing chronic disease or a symptom of a chronic disease. Possible exception could be curing malnutrititon. The intent of a general healthy diet is to prevent chronic disease and malnutrition.
Warfarin prophalaxis (procedure) exists.
Bill
John Snyder
Hi all,
I see that this is resolved, but wanted to add a quick comment. From a research perspective, one might find it desirable to differentiate between a diet that was being followed prior to a chronic disease being diagnosed (prophylaxis) versus a diet that was prescribed post diagnosis of chronic disease as a way to determine the effectiveness of the diet regimen. The current age of EHR-S negates the need for two different codes, due to the existence of the date/time stamp on the diet order/recommendation in conjunction with the date/time stamp on the chronic disease diagnosis and any date/time stamp on any supporting clinical information (i.e. laboratory, etc). The addition of the date/time stamp and ability to programmatically evaluate data based on a set plus or minus amount of time (i.e. hours, days, weeks, months) from the start of the diet regimen allows for greater accuracy and a reduced number of concepts in the terminology.
Hope that helps.
Thanks
John
Donna Pertel
John Snyder
Thank you for adding this information. This did come up as a concern during the discussion, so we appreciate your insights.
Donna