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


== ICD10 ==
The concept is used by the following indicators:
[[Admit Diagnosis]] with [[Dx Primary]] =  true
* [[ICU Primary Diagnosis ICD10 Chapter Rate]]
* [[ICU Diagnosis APACHE Category Rate]]
* [[Medicine Primary Diagnosis Rate]]


== Old dx schema ==
== Cross checks ==
[[Admit Diagnosis]] with highest priority
See [[Dx Primary#Data Integrity Checks (SMW)]]


== Reporting ==
== Related queries ==
The concept of primary diagnosis is used in
* [[Query L_Dxs_w_primary]]
* [[Quarterly report]]
* [[Query L_ICD10_primary]]
* [[Annual report]]


{{Discuss | who = Julie | question =  
== Legacy info ==
* They are used in the periodic quarter and fiscal year reports of both the Critical Care and Medicine Programs. (Julie)
{{Collapsable | always=Legacy info | full=  
** are the two I linked to above those reports? Ttenbergen 14:03, 2015 April 20 (CDT)
=== Old dx schema ===
[[Admit Diagnosis]] with highest priority
}}
}}


== Cross checks ==
== Related articles ==  
* [[Query check dx primary lowest priority]]
{{Related Articles}}
* [[Query check dx primary not exactly one]]
{{Discussion| The query Primary_admit of CFE contains multi records per D_ID.  These are the records with admit dates before or on Dec 31, 2018 and are still in the unit by Jan 1, 2019.  The L_Dxs of these cases have all the same priority number.
2. How will the primary admit dx involving ICD10 be handled -  another  query? or be combined to  Primary_admit of old dx?
}}
 
= old =
[[Query L Dxs w primary]] will list these.
{{Discuss | who = Tina | question = z PIC
* that can be deleted when ICD10 implementation is complete. }}


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