Palliative Service: Difference between revisions

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m that link was broken and in any case this dx is about the service being invovled, not about waiting for a transfer, so the dx is not equivalent.
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See [[Palliative care]].
{{PreICD10 dx | NewDxArticle = Palliative care}}
{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}


A patient will have a "diagnosis" of palliative care if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code '''Palliative Service''' as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.
A [[palliative patient]] will have a "diagnosis" of Palliative Service if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code '''Palliative Service''' as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.


See [[Comfort Care]] for collection instructions on that care goal.   
See [[Comfort Care]] for collection instructions on that care goal.   
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*COMPLICATION slots:   
*COMPLICATION slots:   
**only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service''
**only if there is an actual '''consultation''' for Palliative Services '''''after''''' ward admission ''even if the patient was not accepted to that service''
==Purpose and Use==
{{discussion}}
* Julie, how is this data used? Pls remove discussion once filled in. Ttenbergen 13:57, 2016 October 12 (CDT)
{{Discuss@task
| Julie needs data on this at admission and at any time during admission. email cut-paste below.
}}
From: Laura Kolesar
Sent: Monday, May 29, 2017 2:29 PM
To: Julie Mojica; Allan Garland; Constance Marks (HSC); Dan Roberts; Jo Anne Chartier; Jodi Walker-Tweed; Joyce Peterson; Tina Tenbergen; Trish Ostryzniuk
Subject: RE: minutes attached from last week
We could make the comfort care temp item have 2 possible options: “ On admission” and “On discharge”  just make a drop down option for the one that applies if any.  Just  a suggestion.  Laura
From: Julie Mojica
Sent: Monday, May 29, 2017 2:05 PM
To: Allan Garland; Constance Marks (HSC); Dan Roberts; Jo Anne Chartier; Jodi Walker-Tweed; Joyce Peterson; Laura Kolesar; Tina Tenbergen; Trish Ostryzniuk
Subject: RE: minutes attached from last week
I still have an issue about Palliative.  Sorry, I wasn’t listening attentively when we are discussing this.  The data of interest and/or being requested are whether the patient is on palliation or on palliative care at admission and/or whether decision on palliation occur during the stay or  at discharge. 
We collect COMFORT CARE in tmp to address the issue that the patient is on palliation/ palliative care/ ACP-comfort or end of life care prior or at admission. – this is OK (no question)
Before Nov 2013, we have a DX code referring to PALLIATIVE CARE (904) with the same definition as COMFORT CARE and this can be either in ADMIT OR ACQUIRED dx.  This code can addressed palliation  question both at admission and during admission, correct?
Starting Nov2013, the dx code 904 had a new labelled ‘PALLIATIVE SERVICE” which I thought has the same meaning but seems NOT based on the discussion and WIKI.  If this code is not tantamount to  being in COMFORT CARE, then  I am using the code 904 in acquired  dx incorrectly.  No one is asking data for patients under PALLIATIVE Service.  The request is always  whether  the patient is actually on palliation prior to or at  admission or  became palliative at discharged . 
Looking back, we should have used another  code  ( instead of 904)  for Palliative service to differentiate the two so I won’t mix them up when analyzing long term period of data (say past 5 or 10 years). 
Is there a way to have a similar COMFOR CARE (ACP C/palliation/end of life)  at discharge?
Thanks,
Julie


== Related data ==
== Related data ==
The diagnosis code Palliative Service is unrelated to a patient having [[ACP C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance.  
The diagnosis code Palliative Service is related to, '''but not the same as''' a patient having [[ACP-C]] or [[Comfort Care]] orders, but you might be able to code [[Comfort Care]] in that circumstance.  


==See also==
==See also==
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== Legacy info ==
== Legacy info ==
Before '''Nov 11, 2013''' "90400 - "Palliative Care" used to be applied as a code if a patient was either: comfort care, [[ACP C]], palliation, end of life care or consulted to palliative care service.
see [[palliative patient]]
   
   




[[Category:End-of-life related data]]
[[Category:End-of-life related data]]
[[Category:Dx Code requiring review for ICD10 conversion]]

Latest revision as of 17:27, 11 June 2025

See Palliative care.



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Palliative care

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Other Medical (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Palliative Service
Sub Diagnosis:
Diagnosis Code: 90400
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and/or Medicine
Status: Currently Collected


A palliative patient will have a "diagnosis" of Palliative Service if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code Palliative Service as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it.

See Comfort Care for collection instructions on that care goal.

Coding Instruction for Palliative Care Service

Palliative Service code should only be used as follows:

  • ADMIT slots:
    • only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, even if the patient was not accepted to that service
  • COMPLICATION slots:
    • only if there is an actual consultation for Palliative Services after ward admission even if the patient was not accepted to that service

Related data

The diagnosis code Palliative Service is related to, but not the same as a patient having ACP-C or Comfort Care orders, but you might be able to code Comfort Care in that circumstance.

See also

Category:End-of-life related data

Legacy info

see palliative patient

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