Primary Admit Diagnosis: Difference between revisions

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The '''Primary Admit Diagnosis''' is the '''most responsible reason''' why the patient was admitted should be given the highest priority among the [[Admit Diagnosis]]s entered into CCMDB.mdb.
The Primary Admit Dx is the dx most responsible for an admission to that unit/ward. See [[Dx Primary]] for details on how it is collected.
*When there are multiple competing diagnosis choose the diagnosis that is the most severe or responsible for the admission.  At times this may be difficult to determine, use your best clinical judgment based on the documentation.
*If multiple trauma is part of the admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma


== Reporting ==
The concept is used by the following indicators:
The concept of primary diagnosis is used in
* [[ICU Primary Diagnosis ICD10 Chapter Rate]]
* [[Quarterly report]]
* [[ICU Diagnosis APACHE Category Rate]]
* [[Annual report]]
* [[Medicine Primary Diagnosis Rate]]


* They are used in the periodic quarter and fiscal year reports of both the Critical Care and Medicine Programs. (Julie)
== Cross checks ==
** are the two I linked to above those reports? Ttenbergen 14:03, 2015 April 20 (CDT)
See [[Dx Primary#Data Integrity Checks (SMW)]]
{{discussion}}


== ICD10 ==
== Related queries ==
{{ICD10|info only}}
* [[Query L_Dxs_w_primary]]
Encoded by [[Dx Primary]].
* [[Query L_ICD10_primary]]


=={{CCMDB Data Integrity Checks|ready to implement}}==
== Legacy info ==
see [[Dx Primary#CCDMB Data Integrity Checks]]
{{Collapsable | always=Legacy info | full=
=== Old dx schema ===
[[Admit Diagnosis]] with highest priority
}}


 
== Related articles ==
 
{{Related Articles}}
 
= old =
[[Query L Dxs w primary]] will list these.
{{ICD10|needs review}} that can be deleted when ICD10 implementation is complete.


[[Category:Standards and Conventions]]
[[Category:Standards and Conventions]]
[[Category:Reporting]]
[[Category:Reporting]]
[[Category:ICD10]]
[[Category:ICD10 Reporting]]

Latest revision as of 12:19, 22 May 2024

The Primary Admit Dx is the dx most responsible for an admission to that unit/ward. See Dx Primary for details on how it is collected.

  • When there are multiple competing diagnosis choose the diagnosis that is the most severe or responsible for the admission. At times this may be difficult to determine, use your best clinical judgment based on the documentation.
  • If multiple trauma is part of the admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma

The concept is used by the following indicators:

Cross checks

See Dx Primary#Data Integrity Checks (SMW)

Related queries

Legacy info

Legacy info   

Old dx schema

Admit Diagnosis with highest priority

Related articles

Related articles: