Palliative Service: Difference between revisions

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{{DX tag | Other Medical | | Palliative Care Service | PALLIATIVE CARE SERVICE| 90400 - Palliative Care Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
See [[Palliative care]].


{{Discussion}}
{{PreICD10 dx | NewDxArticle = Palliative care}}
Collectors, what would be the most intuitive renaming of this code (thanks for the feedback):
*Palliative Involvement
*Palliative Care Service
*Palliative Service


{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | 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.   
Definition: Palliative Care Service for Medicine and ICU database program: means the patient is either under the care of Palliative Care Service team or the Palliative Care Service Team has been consulted.    It will no longer mean comfort care, ACP C, palliation.  Go to: [[Comfort Care | ACP C, or Comfort Care]] for collection instructions on that care goal.   


== Coding Instruction for Palliative Care Service==
== Coding Instruction for Palliative Care Service==
Palliative Care Service code should only be used as follows:
Palliative Service code should only be used as follows:


*ADMIT slots:  
*ADMIT slots:  
**only if the patient has been previously enrolled in palliative care service and they are involved in their care.
**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:   
*COMPLICATION slots:   
**only if there is an actual "consultation" for Palliative Care Services AFTER ward admission.
**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]]


==NOTE: change in collection process==
== Legacy info ==
*If patient care goal at the start of a Med or ICU unit admission as per physicians admitting note is palliation, comfort care, ACP-C and the patient is not under Palliative Care Service, then go to: [[Comfort Care | ACP C, or Comfort Care]] for further collection instructions.
see [[palliative patient]]
*If patient becomes ACP C, or Comfort Care '''AFTER ward admission''' by the attending physician or resident, you '''cannot code''' Palliative Care in complications anymore, unless the Palliative Care Service is consulted.
   




== DC Treatment vs. Palliative Care Service ==
[[Category:End-of-life related data]]
see [[DC_Treatment#DC_Treatment_vs._Palliative_Care Service]]