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]].

~~Code '''Palliative Service''' for Medicine and ICU database program only if the patient is either under the~~ care ~~of Palliative Service Team or that this Service has been consulted~~.

Go to: [[Comfort Care]] for collection instructions on that care goal.

{{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==

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*ADMIT slots:

**only if the patient has been ''~~'previously enrolled''' in palliative care service and they are involved in~~ the ~~patients 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''

**when a patient is accepted to ~~medicine or ICU~~ service ~~by attending physician while in ER and also, during this time, the attending physician also makes request to consult t palliative services, then this code can be used in admit DX slot.~~

*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 ==

If [[ACP C]] or [[Comfort Care]] ~~is ordered '''after''' a patient is admitted to the unit/ward~~, you ~~'''cannot code''' Palliative Service in complications. You can only code it if the Palliative Care Service Team is consulted.~~

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.

*I thought Comfort Care was not to be ~~entered as a Complication/Acquired, but only was~~ to ~~be used as a TMP entry? Will there be a "Comfort Care"~~ code ~~for complications as well?~~

*Correct. Only in TMP and not in complications. Go to [[Comfort Care]].~~User:TOstryzniuk|Trish Ostryzniuk]] 16:48, 2013 November 13 (CST)~~

See [[:Category:End-of-life related data]]

==See also==

[[:Category:End-of-life related data]]

== Legacy info ==

~~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]]

*As of 2013-Nov-11, the definition was changed as noted at top of this article.

[[Category: End-of-life related data]]

[[Category:End-of-life related data]]

@@ Line 1: / Line 1: @@
-{{DX tag | Other Medical | | Palliative Service | PALLIATIVE SERVICE| 90400 - Palliative Service | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
+See [[Palliative care]].
-Code '''Palliative Service''' for Medicine and ICU database program only if the patient is either under the care of Palliative Service Team or that this Service has been consulted.
-Go to: [[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==
@@ Line 8: / Line 13: @@
 *ADMIT slots:
-**only if the patient has been '''previously enrolled''' in palliative care service and they are involved in the patients 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''
-**when a patient is accepted to medicine or ICU service by attending physician while in ER and also, during this time, the attending physician also makes request to consult t palliative services, then this code can be used in admit DX slot.
 *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 ==
-If [[ACP C]] or [[Comfort Care]] is ordered '''after''' a patient is admitted to the unit/ward,  you '''cannot code''' Palliative Service in complications. You can only code it if the Palliative Care Service Team is consulted.
+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.
-*I thought Comfort Care was not to be entered as a Complication/Acquired, but only was to be used as a TMP entry?  Will there be a "Comfort Care" code for complications as well?
-*Correct.  Only in TMP and not in complications.  Go to [[Comfort Care]].User:TOstryzniuk|Trish Ostryzniuk]] 16:48, 2013 November 13 (CST)
-See [[:Category:End-of-life related data]]
+==See also==
+[[:Category:End-of-life related data]]
 == Legacy info ==
-- "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]]
-*As of 2013-Nov-11, the definition was changed as noted at top of this article.
-[[Category: End-of-life related data]]
+[[Category:End-of-life related data]]