Wednesday, November 26, 2008

Puss Coming Out Areola

The dilemma of international law: humanitarian intervention or not?


is a year full of international events that will end. Indeed, among the Burmese crisis, Kosovo's independence through the Georgian crisis, not to mention the conflict more deadly in the Democratic Republic of the Congo, Kouchner had to do.

However, since Bernard Kouchner Minister of Foreign Affairs, it is rarely understood what he had advocated in the 90s, the right "of humanitarian intervention . However, one should bear in mind that using Humanitarian was not born with the very "media" Bernard Kouchner, on the contrary, it can be traced back to the battlefield of Solferino where women in the village of Castiglione went to rescue wounded soldiers regardless of their membership.

However, it is in the second half of the twentieth century that the debate on humanitarian intervention will reappear, including a proliferation of conflicts, but especially by the doctrine of humanitarian intervention and without borders. Thus, we could not remain indifferent to the suffering of these people under the pretext that we must meet one of the seven fundamental principles of international law: the principle of non-interference in internal affairs, the principle protector of weak states is morally unquestionable. This principle implies that there is no way possible to intervene in matters which are essentially within the jurisdiction of a State. Nevertheless we can see that this principle so firmly established, has been more than one violation and examples seem not to be missed. Many lawyers and even non-lawyers have then considered that there was an exception to the principle of non-interference, the "right of humanitarian intervention . The debate is not new and it seems, moreover, that appreciate the currency, for example with the "affair of Zoe's Ark", this debate will recur.

The lack of a "right of humanitarian intervention"

Besides Jaime Oraa, Rector of the University of Deusto believes that " the twentieth century have witnessed the greatest massacres in history of mankind, but more the fact that there is a structural situation of human rights violations by large majorities . In other words, in this globalized world of the twentieth century and more of the twenty-first, a climate of destruction of social life was created when pushing exclusion. It is in this general movement that humanitarian intervention has taken all his strength and in particular supported by public opinion increasingly affected by these conflicts and disasters.

Yet, according to the eminent Professor Eiseman, University Pantheon-Sorbonne, " language of the law for media has been launched (...) That because he is a catchy slogan . Thus, this "right of humanitarian intervention" does not exist. Moreover, any resumption of United Nations has recognized such a right. Even if we could see in resolutions 43/131 and 45/100 of the General Assembly of the United Nations a consecration of " humanitarian assistance to victims of natural disasters and emergency situations similar "The General Assembly also reaffirms the sovereignty of affected States. Therefore, no intervention can actually be done without an agreement state. This position is followed by the rest of the Security Council that in 1991 in its resolution 688 concerning the protection of Iraqi civilians, where he said that the Iraqi state must allow access to humanitarian aid for those who need.

"can we let them die because a boundary between us and their complaints? (Bernard Kouchner)

Moreover, in the 90s, François Mitterrand, then President of the French Republic, said that "non-intervention stops where begins non-assistance ". However, this view seems imperialist. The United Nations including the Security Council should it not have a plenitude of powers for the protection and defense of human rights.

Given the multiplication of conflicts and atrocities, and especially their media more or less important, as well as inefficiency of law to resolve conflicts and to avoid "human slaughter", he is appealed to the public to "stop" impunity. Thus, must at some point, the action follows the words. But let as called Bernard Kouchner or Mario Bettati, third States the possibility to interfere in the internal affairs of another State, is not this open the door to a new imperialism and a return to interventions the humanities?

United Nations, a wall?

In sum, it seems more than necessary, that the United Nations take the full measure of its role in protecting private persons are or in the event of armed conflict or natural disaster. It seems no longer acceptable that thousands of people die in the World because of the inefficiency of an international body.

But there is no doubt that the United Nations through one of the major crises in its history, because the public finds that inefficiency. Moreover, the system of "veto" awarded to the five permanent members of Security Council distorts the debate. In addition, some NGOs have recently arrested on public interest that some states including the United States and Russia were in conflict in particular concerning the arms trade.

short, it is a pessimistic assessment than we have, in recent years since no positive trend made itself felt.

Sunday, October 19, 2008

What Does The Cervix Look Like In Early Pregnancy

French prisons a breeding ground for suicide?


90 suicides since the beginning of the year. It is a ghoulish good statement that the Department of Justice is now. However, the International Observatory of Prisons (OIP) has repeatedly made a call to order.

For several weeks, we hear, finally, talk of a malaise that yet do not date from yesterday. That suicide in prison. Numbers are the inmates who live badly this incarceration. Some would argue that having committed wrongdoing, these people deserve this sidelining of the company. However, a democratic society is respectful of value as the right to life, human dignity, can not afford not to ensure these minimum standards.

The situation is more alarming then: 90 suicides since the beginning of the year, recent awareness of the malaise of Prisoners and finally, no real political will to make things happen. Moreover, the OIP notes in its press release " indigence policy for the prevention of suicide in relation to juvenile offenders is concerned that no specific strategy has been implemented to date, so well as the National Consultative Commission of Human Rights had requested in December 2004 that "a comparative study be conducted to measure precisely the specificities of the phenomenon of suicide among juvenile detainees" . In sum, the OIP is more than critical vis-à-vis the measures envisaged by Rachida Dati.

In addition, the discomfort is felt on the part of prison guards that they are at the forefront of these incidents. The General Union of Trade Unions Prison (UGSP-CGT) has repeatedly questioned the government about a growing lack of night staff in the right frame of each inmate. For its part, the Socialist Party responded to the government asking that is taken into account "the gravity of the situation" but also " immediately put in place a plan for counseling and renovations of French prisons .

In addition, this malaise is far from new, since from the 2000s cases of suicides overdue challenge France on the need for taking psychological account of prisoners. In addition, France has been condemned by the European Court of Human Rights for failing to "protect the right to life " a psychotic inmate who hanged himself in his cell in 2000 [1]. The conviction for failure to protect the right to life is therefore based on Article 2 of the 1950 Convention. It is a heavy sentence make sense, since the Court relied on Article 2, that is to say one of the fundamental articles of this Convention. Thus, the call to order the Strasbourg Court may have an impact, as finally concrete and effective measures are taken.

short, French prisons suffer the full brunt of a malaise that goes beyond them. But this discomfort does not necessarily transform a sentence of confinement in a suicide.



Notes:

[1] ECHR, Judgement of House v. Renolde France, 16 October 2008, Application No. 5608/05

Saturday, October 18, 2008

Bushnell Trophy Trs 25

When Martin Hirsch wants to hide poverty

Inflation, rising prices, financial crisis, the approach of a recession some of France, in short, things are looking bad for the French.

In fact, we now know for months, the purchasing power of the French is in free fall, notably including a price increase of 3.2% over one year. The balance sheet looks so gloomy, wages that are stagnating or falling, the commodities who need only increase, which measures only exacerbate an already critical situation, and the icing on the cake a financial crisis that does not seem to finish.

However, it seems as noted by the Non Governmental Organisation (NGO), ATD Quart Monde, Martin Hirsch, the solution is found to decrease - in statistics - the number of people living below the of poverty. Thus, with the application of this new indicator [1], we would find nothing more than a drop of more than 20% of these people. This hocus-pocus statistics can only make us doubt relevance even this indicator. Moreover, can we not see here an avatar to show the effects of Revenue de Solidarité Active? However, many economists including Liem Hoang-Ngoc [2] question the very system of RSA.

In sum, we can not deny the progress of the idea of the Fourth World. Poverty is not a phenomenon restricted to the only country in the developing world. Moreover, according to the latest figures, there would be more than 7 million people considered poor France.

It seems then that the introduction of this new indicator is a smokescreen in order to veil a reality, however real. However, it is clear that the current test measuring poverty should evolve. For this, the Fourth World NGO TD-recommends to take into account other measures such as "access to care, housing, employment, education training ...".


Notes:

[1] This new indicator proposed by Hirsch disconnects the evolution of the poverty line of evolution the median income. However, when the median income increases, the poverty line, ie, say 60% of the median, moved in the same proportion.
[2] Liem Hoang-Ngoc is an economist, professor at the University Panthéon-Sorbonne (Paris I) and researcher at the CNRS. Sarkonomics his book, published by Grasset, assumes the ten key points of doctrine Sarkozyist in economics.

Monday, September 1, 2008

My Chest X Ray Says Infiltrate

When Religion invites himself into the debate of the Presidential

November that everything is going to play in the U.S., but when is it the religion in this country where "religious" has an important place, where creationists engage in a real fight against evolutionary theories. But this debate will he influence the Presidential?

More than just a debate, religion, United States, is a real political issue. Besides the numerous business, more or less recent, on the heated battle between creationism and evolutionary theory, we show the gap in America between the culture of Cartesian reason and extremism of religion.

Indeed it is in America deep voices in favor of Democrats will be hard to obtain because many of these Americans, Barack Obama, is not religious enough. Moreover n'at'on not blasted his alleged Muslim religion? Moreover, one can only note that in some federal states a significant proportion of the population prefers a religious teaching "science" with little or no room to Darwin's theory.

However, it is important to note that in December 2005, despite the significant development of fundamentalism, which campaigned in favor of creationism, teaching the theory of "Intelligent Design [1] " took a very significant setback, since this teaching was considered unconstitutional by federal judge John Jones. Thus, it is a decision that undoubtedly will go down in history because it marks a turning point in the sense that it implies that no scientific theory is the fact that based on religious beliefs. However, it is not a marked slowdown in creationism. Instead, currently, there is no question of teaching Strictly speaking the theory of creationism, but to teach " the pros and cons of Darwin's theory .

In short, this debate is far from over, quite the contrary, it also seems that the approach of the U.S. presidential in November 2008, the various candidates are selected by some voters, more depending on their religious views than for their economic program for example. But the issue of education and religion seems to be sensitive point in this multicultural America.

However, one can legitimately think that some people undoubtedly will cry and cry already, ignorance, obscurantism of many Americans deal with this excess of religion, which encloses the critical and denies scientific thinking. So should we think that their faith is blind? Or perhaps scientists, philosophers, are impostors? These questions are far from harmless, since it reflects a "battle" between science and religion.

short, Is this really a good time for this debate intensifies and escalates in an America already riven by poverty increasingly important. Certainly, religion has a place of prominence on the American public square, but to say that religion takes a more prominent during this presidential election would be presumptuous.

However, it is clear that this self is undoubtedly that of many changes across the Atlantic.





Notes:

[1] intelligent design is considered a pseudo-science as related to creationism despite an appearance of scientific

Wednesday, June 18, 2008

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human right, a priority for the government?

Friday, Rama Yade, Secretary of State for Foreign Affairs and Human Rights, moved to Orleans, where nearly a hundred persons, associations or simple citizens gathered for this first stage of the Tour de France "in favor of the policy of promoting human rights required by the Government.


Promotion of Human Rights: Responsibility France's

France, Nation Human Rights, the heir of the Enlightenment ideas, must be at the forefront on a subject such as human rights. This is no doubt in this context that the government of Nicolas Sarkozy wants to enroll. However, we can only observe some politicking, which are highlighted the human rights and promotion for the sole purpose of pleasing associations. Indeed, there has been where to head between the ads in favor of human rights, as indeed did Rama Yade during his visit, and visits to several dictators in France, legitimized by the Secretary of State as "outstretched hands". Hand tight, but at what price?


human rights and economic issues

"France is great only when it is projected into the world to bring his convictions," these words Secretary of State Rama Yade, could leave us optimistic vision of human rights by this government. However, we can not be mistaken. Indeed, according Rama Yade, we "can not build our foreign policy on our beliefs, then should we set aside our beliefs and therefore leave the field open to economic interests, could do as Nicolas Sarkozy in Tunisia? However, according to Madam Secretary of State, he must find a balance, equilibrium does not seem to worry much Nicolas Sarkozy, who prefers to emphasize the conclusion of the contract that real advances in human right . In sum, human rights and economic interests do not mix in Sarkozia.


The European Union is a priority for Rama Yade

Finally, in a few weeks now, France will take over the Presidency of the European Union, and it would allow France to assert its position on human rights and in particular the highlighting of violence against women, the fight against homophobia and finally the last theme of freedom, justice ... So it's a very difficult task awaits Madam Secretary of State since many state to the east are not ready to make any progress on the fight against homophobia or even justice. In addition, following the halt of "Europe's advantage," it is doubtful that such a program may now be feasible, the Government will undoubtedly review its objectives for the six-month presidency. Some criticize that Ireland have put Europe in such a situation, but would not it have been easier to involve the peoples of Europe to European integration instead of the shelving, for the vision of the European Union away from the people is a reality that is the essence of the institutions, between a commission technocratic, a purely inter-State Council and Parliament without its own power.

short, for a first step unnoticed, Rama Yade has sometimes been disappointing, but it will at least have the merit of meeting for nearly an hour for questions may be too specific associations present.

Friday, June 13, 2008

Maps Of A Hous For D&d

Promotion of International Justice, the bad faith of Rama Yade? Make


sensitive topic, as are the human rights and their policy implications. It is in the framework of a "tour de France" for the promotion policy human rights, committed by the government that Madam Secretary of State for Foreign Affairs and Human Rights, Rama Yade, was moved Friday, June 13 at Orleans. This movement is however gone unnoticed in the political landscape and even the citizens of Orleans.

Mrs Rama Yade, during this first step, illuminates some of the Tour de France "promotion of human rights, developed the very need for effective international criminal justice. A position which can only be welcomed and could come to expect movement on the part of France, for the full recognition of international criminal justice as a tool for promoting human rights, in the sense that international justice can the punishment of serious violations of international law but also violations of human dignity. However, this finding seems to be relative. Even if Mrs Rama Yade advocates criminal justice as tools of peace, regardless of state in the world accepts the jurisdiction of the International Criminal Court. Finding very unfortunate, especially when we know that the new ally of France, the United States, are fiercely opposed to ratification status of the Court. Moreover, should we recall that France, even if we can be proud of an early ratification of his own, has used Article 124 of the Statute, which allows to reject the competence of the Court for War Crimes for a period of seven years. Hypocrisy on the part of France? Then advocate of international justice with a view to promoting the human right seems to be a noble idea but is it again that impunity is not allowed.

It is this question of impunity is a problem for international criminal justice, since we do a choice between repression of serious crimes and media policy. However, the Government has made its choice by the voice of Rama Yade: politics media first; this when leaving the field open to impunity. Besides, why, just look at the news in 2008, in the case of missing the Beach, the French justice system has abandoned the prosecution against the head of the Congolese police, while evidence suggests that it is involved in the massacre of thousands of Congolese. More recently, though, has passed the Senate in June, a bill that consolidates impunity perpetrators of serious crimes, limiting the interest of universal jurisdiction. Thus, one can only see a double discourse, the limits of communication "marketing" of the Government.

However, since the twentieth century, it seemed that we were in a movement to promote human rights and in particular, one could justifiably believe, that the twenty-first century, the issue of human Man and the repression of serious crimes would not be considered as a mere commodity to be sold, or even result ...

Saturday, May 3, 2008

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guilty, operate, always reforming, without ever letting go! Sharkwater

Inflation, rising prices, the feeling of falling purchasing power is really the chimera of the French?
We have known since April, things are looking bad for the purchasing power of the French. Indeed, with a price increase of 3.2% over one year, it is true, caused in part by a certain and predictable surge in commodity prices (oil and cereals), the French will have to wait to see this trend changing. Moreover, according to Insee, had not experienced such a boom since 1987, more than 20 years. The balance sheet looks so gloomy, wages that are stagnating or declining, the staples that are increasing, which measures only exacerbate an already critical situation, it seems to go into the wall.

Our critics oppose us always this fantasy, supposedly felt by the French and "some reality" of things. But the debate is not there, for playing with the statistics, one can easily cite catastrophic. We can thus note that the Organization for Economic Cooperation and Development (OECD) that reminds us sadly there would be more than 2.5 million people considered "poor", that is to say with less than 50% of average earnings. It is neither more nor less than a progression of this idea of the Fourth World. Another phenomenon that must be taken into account and that seems so often forgotten is that the number of poor households has decreased until 1984, but behind this movement, we must see that the share of work-related income declined while that of aid has increased. Then talk about revaluation of the work when millions of employees working do not even have enough to live on their work, it is "the hospital does not care about charity."

The revolt up, rises and rises again, but how much? Strike at Europe's leading chicken, Sweet, strike at 3 Suisses, La Redoute ... demonstration for the purchasing power this May 1. Short, "the" seems to be given a busy month of May!

Monday, April 7, 2008

Sunday, March 23, 2008

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ago 100 000 poor students in France

Long considered privileged, because they entered higher education, a symbol of a certain social success, students see their situation deteriorate on campus.

The finding that in fact the UNEF? A growing decline in their purchasing power for six consecutive years. Anouch Zaroukian, president of the UNEF Orleans' 100,000 students live below the poverty line ... A clear choice has been made by the government: escalate student status, which will promote failure at university because students are increasingly forced to work. "Work more to do less ...? "This slogan launched by the UNEF in his campaign for the autonomy of youth, seems to reflect a grim reality. Too many students are forced to pay salaries to fund their studies, because of a scholarship scheme unreadable and unfair. Often they make a choice: to pay salaries and run the risk of school failure, or depend entirely on the family.

So what ? Establish a student stipend student? An allowance of autonomy and individual universal for young people? It seems that students are more privileged, but perhaps the last wheel of the coach ...

Thursday, February 28, 2008

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Fear (s) Black ...

Children are afraid of the dark, but many adults too!
The darkness prevents them from seeing, then we can be convinced of the presence of animals, insects or any malevolent beings.
In popular parlance, there are dark thoughts, we live in abject poverty, or we have forebodings ...
This feeling of anxiety attached to the black in the mists of time.
Blutch, Charles Burns, Marie Caillou, Pierre di Sciullo, Jerry Kramsky, Lorenzo Mattotti, Richard McGuire, Michel Pirus and Romain Slocombe, moving up the thread of their terrors, were agreed to animate their drawings and inspire them with their unique style the pace of their nightmares

Monday, February 25, 2008

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CodagePMSI version 2.5 runs on Windows platforms and Macintosh (MacOS 9.2.2 and MacOS X).
CodagePMSI support software is a codification of medical procedures and diagnoses and principal shareholders of PMSI.
Its search engine allows to find quickly and easily code of any disease International Classification of Diseases - 10th revision (ICD 10) and any act of the new Common Classification of medical (ACPC) effective From 1 January 2004.
The ability to create its own synonyms, or its own abbreviations gives the flexibility to adapt to the language of each user while respecting international terminology.
It is also possible to create one or more lists of codes to show favorites, but also directly display the last 100 codes most wanted.
The software bundling GHS (homogeneous groups of holidays) and calculates pricing or medical procedures selected taking into account the pricing rules set forth by CNAMTS. The software allows transcoding ACPC-NGAP acts pending the ACPC tariff.
The list of codes and labels diagnoses and procedures performed for a given patient can be printed or copied to the clipboard and then pasted into any other software. The printout can be easily handled by the PMSI service by reading bar codes diagnoses and actions.
updating data is simply done by downloading the file from this site updated.

CodagePMSI version 2.5 now available in 3 presentations:

- version AutoRun single-and multi-user

- client-server version multi-station and multi-users require separate acquisition de4D-server version 2003 or 2004 from your computer dealer or company 4D.

- embeddable version any 4D 2003 or 2004 not compiled as a component 4D

self-executable version of the software is freely diffusible form of charityware. To obtain a valid license number, simply send mail or mail the registration form and make a donation to Interplast-France.

The client-server version and version integrable require the purchase of an annual license fee as a donation to Interplast-France.

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Launch Presentation

Download and unzip
  • First installation

For initial installation, download the software codagePMSI, the data file PMSI.data and documentation files in HTML and PDF.

    • On Windows platform:

Double-click the archive codagePMSI_PC 2.57.zip .
You must obtain the following screen:

Click Extract .
You must obtain the following screen:

Under Files, select All Files .
Under Folders / drives , select the folder where you want to unpack the archive.
Then click Extract .
In the WinZip window, click Open .

Select archive PMSI_PC.datas.zip then click Open .
You must get the following screen.

Click Extract .
You must obtain the following screen: Click
Extract .
You should get the following screen:

Under Files, select All Files .
Under Folders / drives , select the folder codagePMSI_PC 2.55
Then click Extract .
Close the WinZip window, then double click the folder codagePMSI_PC 2.55 to open it.
You must get the following screen:

4D Extensions folder should contain the following files:

To start the software double-click icon codagePMSI_PC 2.55
      • On MacOS X or MacOS platform 9:

codagePMSI Create a new folder where you unpack or PMSI_OSX_2.55.sit PMSI_OS9_2.55.sit and PMSI_OS.data.sit. You should get the next screen.

To start the software double-click the icon codagePMSI 2.55

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Installation and recording software

Only for self-executable versions and client-server

Double-click the icon codagePMSI 2.5

typing the user name and password, then click Connect .

(default username = Administrator password = ACPC)

If the version of your software is not registered, a presentation window Interplast-France opens to remind you of the goals of the association and allow you to get a license number.

You may complete and print the order form and license numbers by clicking the button Order the software ...

Close window About Interplast-France by clicking the close box. You can always recall this window by selecting the online presentation About Interplast-France File menu .

A Save dialog asks for your license number.
Enter your name Enter the name of your school or your name Enter your
Adeli (SS ID)
Enter the serial number provided when ordering the software.
Enter the license number and then confirm by pressing the Enter key or the Tab key. The OK button is then activated. Follow
case sensitive.
Click OK .
If you do not have a license number, click the button Demoversion . The demo version

has the same functionality as the registered version. The only limits are unable to upload the files to update data and save files from favorites and synonyms.

You can later register the software directly online by selecting the License Management .. . File menu.

self-executable version

Click Add . This dialog lets you add as many users as you have licenses.

Add as many licenses as practitioners to encode different acts. The list of practitioners is derived from the names of those users.

Client-server version

In this version, the number of users and workstations is not limited.

This dialog allows you to save your license annually whether to authorize the creation or modification of administrative records from the coding window and finally achieve update data.

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First Steps

  • A: Version auto-executable and client-server

Version 2.5 is built around three modules: Module
  • administrative management records
  • medical coding module acts and diagnoses alone or linked to the previous module module
  • statistical utility and communication (import-export files)
1: Module administrative case management

Select the Manage Folders menu File

To list the files of a particular date, select the desired tab (admissions, exits, inpatient, surgical table, external acts) then click on the calendar at the right time. To view the list of files for a period specially which, click on the start date then the period end date period, while holding down the Shift key.

To view a list of any folders, select the tab and then click Records button for folder to search.

This module allows to manage the administrative files (creation, modification and deletion) by a separate secretary post when used in client-server mode.

This module is limited to users in the groups Secretariat or Accounting.

It also directly open the module coding for a particular folder by selecting it from the list and clicking the Edit button RUM

tab Fees accessible only to group Accounting compares the pricing of the NGAP and the ACPC.

2: coding module

Select the ICD10 coding and ACPC File menu

This module is similar to the main window versions prior to version 2.5.

It allows the coding of diagnoses and actions for hospital stays or encode only the actions for files of external acts.

3: Module utilities

Select the Utilities menu File

This module accessible to group Service PMSI can import and export data and manage the roster of practitioners.

  • B: Version integrable
This version allows you to integrate 4D in a host of different modules stand-alone versions.

You can call from a 4D application procedures of the component and thus access to all data of the ACPC and ICD10.

All of these features is described in Chapter ComposantPMSI .

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coding module: general

The coding module allows for coding diagnoses and procedures performed during a hospital stay and do the grouping and GHM GHS. It also calculates the fee for each practitioner.

It can be used in 2 ways:

  • either independently by selecting the row ICD10 coding and ACPC File menu : buttons validation and then cancellation can save or cancel changes to the RUM but do not close the window of the coding module. To exit the module it is necessary to click the close box of the window. This mode allows you to search and directly encode the files. The search for a folder is done by indicating its number in the field File No. . This number is the number given by your hospital's internal computer system. If the record of this patient is not in the database, the software allows you to create a new direct folder from the coding window. (For client-server versions, it is possible to prevent the creation of a folder in the coding window by unchecking the box in the Save dialog based)
  • either from the window management folders by clicking the Edit button RUM : buttons validation and cancellation can save or cancel changes to the RUM then close the window of the coding module to return to the window that called the coding module. This mode allows direct access to a patient RUM selected from a list.

The main window contains the coding module in the case of a hospital stay three tabs: a tab

  • Entering diagnoses which allows entry of diagnoses and associated Pricipals connected and calculation automatiquedu homogeneous group of patients (GHM) and homogeneous group of stay (GHS)
  • a tab Seizure of medical which allows entry of acts performed during the hospital stay and CACUL fees
  • a tab Hospital stay which summarizes all data for the preparation of summary medical unit (RUM).

In the case of acts performed in outpatient or office, the only window has tab Entering medical procedures.

Developing a RUM requires the following steps:

  • Select or create a folder
    • either from the window Records Management
    • either directly by searching for a file by its number File to learn through homogeneous group of patients s
  • coding diagnoses
    • research then adding the primary diagnosis
    • then addition of any research related diagnosis
    • research and possibly adding significant diagnoses associated
    • research and possibly adding diagnoses associated documentary
  • coding of medical research
    • then addition of medical procedures or
    • then for each medical procedure
      • indication of the practitioner who performed the act
      • possibly indicating the extension code documentary
      • possibly an indication of the treatment phase
      • possibly indicating code modifiers
      • possibly indicating the association code not provided any indication
      • Code Claim exceptional
      • possibly verification and coding manual of the measure under the NGAP
  • Verification and validation of Print entire RUM possible

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Module Coding: Editor


  • simple Searches:

To search, type in the editor search or the first letters of search terms. The order entry has no importance.Tous records where one word starts with or under the line of research will be selected and displayed in the area Selection.

If you previously created synonyms, research will also be done on them. It is also possible to search directly for an illness or an act by its code.

You can broaden search to chapter headings by unchecking the box next to "What codes. You can also

limit the search to diagnostics complications and comorbidities associated by checking the checkbox That CMA.

If you do not know the exact search term, you can browse the whole thesaurus deploying the various chapters. To deploy a chapter, simply click on the deployment in front of the chapter heading.

  • Searches complex
You can search using more elaborate the following comparators: < <= > => = and #.
For example if you write to the editor search " stomach = # tum " only records containing the word exactly stomach and not starting tum will be shown.
If you write " = = stomach duodenum " you select all records containing the words exactly stomach and duodenum .
  • Favourites
Favorites menu allows you to display all codes favorites of the current user if the search field is empty or limit the search to your favorites codes.
In the case of the MADC, the menu Favorites also displays the codes only to a particular topography.

note, if one of the favorites menu is selected will be automatically launched any research among these favorites. To search the entire nomenclature select line All Favorites menu .

If search field is empty, you can view the entire nomenclature to be able to print by selecting the row All Favorites menu while holding down the Shift key .

If you click on a chapter head of the hierarchy while holding down the Shift key , you view the selection of all the codes of this chapter.

To change the current user, select a new user in the research framework. The list of users is calculated from the names of users who have registered the software.

  • History:
Click the History button to view the last 100 searched codes sorted in descending order of frequency. The selection takes into account the choice of favorites and the current user.
  • Display sele ction:
If the search is successful, the list of matching records is displayed in the selection.
Select the desired code by clicking it or by navigating using the arrow keys on the keyboard. The thesaurus opens automatically on the selected code.
If you have saved favorites in the categories of management dialog favorites, you can add it to your list of favorites by clicking the button Bookmark while holding down the mouse button . A contextual menu lets you select the desired category favorites.

To add all the codes for the selection to Favorites, select the line Assign a synonym for selection ... File menu and select the favorite desired menu and confirm the dialog.
If automatic copy in the clipboard is enabled, the code will be copied to the clipboard using the criteria defined in the preferences.

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search module coding: Coding of diagnoses

Add code to the list of diagnoses

The selected code may be added to the list of diagnoses

  • as Primary Diagnosis by clicking on the button DP
  • as Diagnosis connected by clicking on the button DR active only if there is already a primary diagnosis
  • as Diagnosis associated with significant clicking DAS.
  • as Diagnosis associated documentary by clicking the button DAD

To change the primary diagnosis, simply select another act and again click the button DP.

To change related diagnosis, simply select a different instrument and click the button DR.

You can add multiple diagnoses associated with the list searching for the desired code and then clicking the button or DAS DAD.

To change category code from the list of diagnoses

Select the code in the list by clicking it Click the desired DP DR DAS DAD or to affect code to the new category.

Delete a code from the list of diagnoses

To delete a code from the list of diagnoses, select the code then click Delete code.
To erase all codes from the list of diagnoses, click the Delete button all codes.

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Module Coding: Coding acts

Coding Principles

Every act performed by a practitioner must be encoded using a code of 7 + 10 characters. CodagePMSI was designed for your convenience. Each code comprises

- a fixed alphanumeric CCYYNNN 7 characters specific to each act and indicated automatically by the software
- a variable of 10 characters you must manually code.
All characters are not encoded. It depends on the acts and rules set by the CNAM.

The software tells you which characters to encode them by pointing a small black triangle. You know then that information is inquire.

  • Digital Character encoding activity
    • 1 and 2: Medical-surgical activity
    • 3: Activity Haemobiology
    • 4: Anesthesia
    • 5: cardiopulmonary bypass
  • Character Optional alphanumeric coding extension documentary (code defined by scholarly societies in each specialty-specific act)
  • character encoding digital processing phase (0 if only one phase)
  • characters alphanumeric coding modifiers rates or not (up to 4 modifiers)
  • character numeric indicating the existence of an association of acts or acts not listed multiple post-traumatic
  • Alphanumeric Character encoding the claim
  • exceptional character alphanumeric coding extra charges in private practice
  • Waiting 6 characters alphanumeric location for dental procedures dental

If there are additional actions associated with this act a little black triangle will notify you at the 7-character alphanumeric code.

You can then view all these complementary actions by clicking the black triangle and then select any of the acts directly complementary partners.

Add code to the list of acts

Click Add code or tap the Enter.

One code per activity will be added to the list of acts. For each pair

Code / Activity in the list of acts, the act then select the options selected by clicking the black arrow signal:

  1. code
  2. documentary treatment phase
  3. codes code modifiers
  4. Association unplanned
  5. code Hardship
code supplement charge is automatically filled in chambers if you checked the box Practice .
The software takes into account the obligations and impossibilities coding and calculates the total price for the service in euros for all acts of the list.
Rates and modifiers have not yet been set by the CNAM, this calculation is currently inoperative.
You need to download the update file on this site when it is available from the CNAM.

For each code, you can specify the practitioner who performed the act. To do this, select the document in the list and the practitioner you want in the menu Practitioners located in pricing actions.

All acts of the list having the same activity code and that the practitioner did not indicate then be updated.

You can, however, for the same activity code to indicate a different practitioner.

The list of practitioners is calculated using the names of users who have obtained a license number. To add a provider to this list, please acquire another license number by making a donation to Interplast.

Change the date of completion acts

By default, when adding a note to the list of acts, the date used is that specified in the pricing action.

To view the actions of a given day, make sure the lock date is in position green then enter a date and hit the tab key.

If the date is between the terminals of the current residence, the acts performed that day will be displayed in the list.

If the date is outside the current residence, a dialogue offers to save the RUM. The software then searches the records of procedures performed that day and place on the first folder. To view a file RUM particle, click the tab Entering diagnoses or hospital stay then select the desired folder by clicking the small black triangle to the right of the file number under Homogeneous group sick.

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secondarily To change the date of completion of documents, click the lock button the date position (red) and then change the date.

Date of all acts of the list will change. The software control the consistency of this date with the dates of admission and discharge. The lock button will automatically return to position Green.

If acts are performed on different days during the same visit, a small black triangle appears on the right date.

You can view the actions performed on a given day by clicking on the triangle and by choosing the desired date.

Edit code in the list of acts

Select the code to modify in the list of instruments and learn the different codes.

Delete a code from the list of acts

To delete a code from the list of instruments selected code and click the Delete button code. Deleting an Activity Code 1 involves the suppression of activity codes 3, 4 and 5.For erase all codes from the list of documents, click Clear All codes.

Transcoding acts of the ACPC to NGAP

Pending ACPC Premiums It is possible to perform a transcoding of the acts of the ACPC to NGAP. This method is not approved by the CNAM given the impossibility to perform any transcoding bijective, no transcoding table has been published.

To avoid having to seek multiple times in the NGAP the appropriate rating actions of the ACPC, it is possible to gradually build its own transcoding table under his own responsibility.

To do this, you first check the NGAP.

At the first use of a code, the software offers you a quotation and a code NGAP. The quotation is followed by a question mark to you that this quotation has never been validated.

You must then click on the button for Transcoding remove the question mark and possibly modify the codes and the proposed listing and that for each activity. This listing will be listing the default next time.

NGAP To change the code or the listing of the current act when you double-click respectively on its code or its listing in Pricing acts.

dialogue proposes to modify the listing.

The syntax to enable the automatic calculation of the fees. Example K25 + K25 / 2 K25 and not 25 / 2

Use the following key letters: C C2 CS SAC K KC KFA KFB KFC KCC KE MF MA MG MN MPC Z = MA

  • penalty increase for operational
  • MG = increase for child care on site
  • MF = increase holiday
  • MN = increase night
  • MPC = transitional flat rate increase consultation

The key letters and conventional rates can be changed by clicking on the button Rates letters related the preferences dialog.