Palliative Service: Difference between revisions

(46 intermediate revisions by 6 users not shown)

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.

~~{{discussion}}~~

*Question Do you code Palliative ~~service if the CTUS4 team consults them ,they answer the consult and makes an assessment and then tells the team the patient does~~ not ~~meet the criteria to be placed on the palliative service. Or do you~~ have to ~~be accepted on the palliative service to enter this~~ code~~?Just~~ to ~~clarify Thanks !! Or can~~ it ~~be both? Are you wanting data who is accepted into the program or just being consulted with suggestions~~.~~????~~

** Since Trish is away I have emailed this on to Dr Garland, who was part of setting up this definition. Ttenbergen 09:39, 2013 December 16 (CST)

{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}

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

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 11:

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 writes a request to consult 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''

~~==Purpose and Use==~~

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

==See also==

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

== 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]]

@@ 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.
-{{discussion}}
+{{PreICD10 dx | NewDxArticle = Palliative care}}
-*Question Do you code Palliative service if the CTUS4 team consults them ,they answer the consult  and makes an assessment and then tells the team the patient does not meet the criteria to be placed on the palliative service. Or do you have to be accepted on the palliative service to enter this code?Just to clarify Thanks !! Or can it be both? Are you wanting data who is accepted into the program or just being consulted with suggestions.????
-** Since Trish is away I have emailed this on to Dr Garland, who was part of setting up this definition. Ttenbergen 09:39, 2013 December 16 (CST)
+{{DX tag | Other Medical | Medical Problem | Palliative Service | | 90400 | | |'''Critical Care and/or Medicine''' | Currently Collected | |}}
-Go to: [[Comfort Care]] for collection instructions on that care goal.
+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 11: / 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 writes a request to consult 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''
-==Purpose and Use==
 == 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: [[:Category:End-of-life related data]]
+==See also==
+[[:Category:End-of-life related data]]
 == 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]]