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 (Most Responsible Diagnosis, MRDx)  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


[[Query L Dxs w primary]] will list these.
The concept is used by the following indicators:
* [[ICU Primary Diagnosis ICD10 Chapter Rate]]
* [[ICU Diagnosis APACHE Category Rate]]
* [[Medicine Primary Diagnosis Rate]]


== Reporting ==
== Cross checks ==
The concept of primary diagnosis is used in
See [[Dx Primary#Data Integrity Checks (SMW)]]
* [[Quarterly report]]
* [[Annual report]]


* They are used in the periodic quarter and fiscal year reports of both the Critical Care and Medicine Programs. (Julie)
== Related queries ==
** are the two I linked to above those reports? Ttenbergen 14:03, 2015 April 20 (CDT)
* [[Query L_Dxs_w_primary]]
{{discussion}}
* [[Query L_ICD10_primary]]


== ICD10 ==
== Legacy info ==
{{ICD10|info only}}
{{Collapsable | always=Legacy info | full=
Encoded by [[Dx Primary]].
=== Old dx schema ===
 
[[Admit Diagnosis]] with highest priority
=={{CCMDB Data Integrity Checks|ready to implement}}==
}}
Need to make sure that the highest priority is unique.


== Related articles ==
{{Related Articles}}


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