The preferred option for a single or multiple provisional diagnosis(es) is to select a term(s) for the diagnosis(es) and terms for reported signs and symptoms. This is because a provisional diagnosis may change while signs/symptoms do not. SUMMARY OF PREFERRED AND ALTERNATE OPTIONS SINGLE DIAGNOSIS DEFINITIVE DIAGNOSIS PROVISIONAL DIAGNOSIS Single definitive diagnosis Single provisional diagnosis without signs/symptoms without signs/symptoms Diagnosis (only possible option) Provisional diagnosis (only possible option) Single definitive diagnosis Single provisional diagnosis with signs/symptoms with signs/symptoms Preferred: Diagnosis only Preferred: Provisional diagnosis and signs/symptoms Alternate: Diagnosis and signs/symptoms Alternate: Signs/symptoms only Note: Always include signs/symptoms Note: Always include signs/symptoms not associated with diagnosis not associated with diagnosis SEE EXAMPLE 1 SEE EXAMPLE 2 MULTIPLE DIAGNOSES DEFINITIVE DIAGNOSES PROVISIONAL DIAGNOSES Multiple definitive diagnoses Multiple provisional diagnoses without signs/symptoms without signs/symptoms Multiple diagnoses (only possible Multiple provisional diagnoses (only option) possible option)
The preferred option for a single or multiple provisional diagnosis(es) is to select a term(s) for the diagnosis(es) and terms for reported signs and symptoms. This is because a provisional diagnosis may change while signs/symptoms do not. SUMMARY OF PREFERRED AND ALTERNATE OPTIONS SINGLE DIAGNOSIS DEFINITIVE DIAGNOSIS PROVISIONAL DIAGNOSIS Single definitive diagnosis without signs/symptoms Diagnosis (only possible option) Single provisional diagnosis without signs/symptoms Provisional diagnosis (only possible option) Single definitive diagnosis with signs/symptoms Preferred: Diagnosis only Alternate: Diagnosis and signs/symptoms Note: Always include signs/symptoms not associated with diagnosis SEE EXAMPLE 1 Single provisional diagnosis with signs/symptoms Preferred: Provisional diagnosis and signs/symptoms Alternate: Signs/symptoms only Note: Always include signs/symptoms not associated with diagnosis SEE EXAMPLE 2 MULTIPLE DIAGNOSES DEFINITIVE DIAGNOSES PROVISIONAL DIAGNOSES Multiple definitive diagnoses without signs/symptoms Multiple diagnoses (only possible option) Multiple provisional diagnoses without signs/symptoms Multiple provisional diagnoses (only possible option)
000012_termselptc_r4_13_mar2017.docx