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


 
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]]
== Reporting ==
* [[Medicine Primary Diagnosis Rate]]
The concept of primary diagnosis is used in
* [[Quarterly report]]
* [[Annual report]]
 
{{Discuss | who = Julie | question =
* They are used in the periodic quarter and fiscal year reports of both the Critical Care and Medicine Programs. (Julie)
** are the two I linked to above those reports? Ttenbergen 14:03, 2015 April 20 (CDT)
}}


== Cross checks ==
== Cross checks ==
* [[Query check dx primary lowest priority]]
See [[Dx Primary#Data Integrity Checks (SMW)]]
* [[Query check dx primary not exactly one]]


== Related queries ==
== Related queries ==
* [[Query L_Dxs_w_primary]]
* [[Query L_Dxs_w_primary]]
* [[Query L_ICD10_primary]]
* [[Query L_ICD10_primary]]
{{Discuss | who = Julie | question =
*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.
** I updated [[Query L_Dxs_w_primary]] and query Primary_Admit to exclude all records of patients with [[Dispo DtTm]] > 2019-01-01  }}
{{Discuss | who = Julie | question =
*How will the primary admit dx involving ICD10 be handled -  another  query? or be combined to  Primary_admit of old dx?  --[[User:JMojica|JMojica]] 09:17, 2019 January 31 (CST)
** I have built query [[Query L_ICD10_primary]] and documented it. Julie, once you have found this and read it, please delete.
}}


== Legacy info ==
== Legacy info ==

Latest revision as of 13:19, 2024 May 22

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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