Most implementers here have probably had a client request that the full ICD-10 reference list be used as a diagnosis list in OpenMRS.
The usual thing to do is to explain as we always do that the ICD-10 list is not really appropriate as a diagnosis list, that doctors don’t think in codes, that it doesn’t differentiate things that are importantly clinically distinct, etc.
But what do you do when you have a really intransigent client, who insists with absolute authority over the project that the diagnosis list must be all (or most) of the ICD-10?
Do you create a concept set, and automate the creation of tens of thousands of ICD-10 concepts? Do you keep those somewhere different from your main concept server/repository so as not to clutter things up? Do you say “well you can’t use OpenMRS then”?