Palliative Service: Difference between revisions

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{{DX tag | Other Medical | | Palliative Service | PALLIATIVE SERVICE| 90400 - Palliative Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
See [[Palliative care]].
Definition: Palliative Service for Medicine and ICU database program: means the patient is either under the care of Palliative Service team or the Palliative 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.   
 
{{PreICD10 dx | NewDxArticle = Palliative care}}
 
{{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.   


== Coding Instruction for Palliative Care Service==
== Coding Instruction for Palliative Care Service==
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*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 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 the care of Palliative 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 Service in complications anymore, unless the Palliative Care Service is consulted.
   




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