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

~~== 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]]

~~== Old dx schema ==~~

* [[Medicine Primary Diagnosis Rate]]

~~[[Admit~~ Diagnosis]] ~~with highest priority~~

~~== Reporting ==~~

~~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 ==

* [[~~Query check dx primary lowest priority]]~~

See [[Dx Primary#Data Integrity Checks (SMW)]]

* [[Query check dx primary not exactly one]]

== Related queries ==

Line 25:

Line 15:

* [[Query L_ICD10_primary]]

~~{{Discuss | who~~ = ~~Julie | question~~ =

== Legacy info ==

*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.

{{Collapsable | always=Legacy info | full=

** I updated [[Query L_Dxs_w_primary]] and query Primary_Admit to exclude all records of patients with [[Dispo DtTm]] > 2019-01-01 }}

=== Old dx schema ===

[[Admit Diagnosis]] with highest priority

{{~~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.~~

}}

= ~~old~~ =

== Related articles ==

~~[[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:Reporting]]

[[Category:ICD10 Reporting]]

@@ Line 1: / Line 1: @@
-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
-== 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]]
-== Old dx schema ==
+* [[Medicine Primary Diagnosis Rate]]
-[[Admit Diagnosis]] with highest priority
-== Reporting ==
-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 ==
-* [[Query check dx primary lowest priority]]
+See [[Dx Primary#Data Integrity Checks (SMW)]]
-* [[Query check dx primary not exactly one]]
 == Related queries ==
@@ Line 25: / Line 15: @@
 * [[Query L_ICD10_primary]]
-{{Discuss | who = Julie | question =
+== Legacy info ==
-*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.
+{{Collapsable | always=Legacy info | full=
-** I updated [[Query L_Dxs_w_primary]] and query Primary_Admit to exclude all records of patients with [[Dispo DtTm]] > 2019-01-01  }}
+=== Old dx schema ===
+[[Admit Diagnosis]] with highest priority
-{{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.
 }}
-= old =
+== Related articles ==
-[[Query L Dxs w primary]] will list these.
+{{Related Articles}}
-{{Discuss | who = Tina | question = z PIC
-* that can be deleted when ICD10 implementation is complete. }}
 [[Category:Standards and Conventions]]
 [[Category:Reporting]]
 [[Category:ICD10 Reporting]]