Acquired Diagnosis / Complication: Difference between revisions

(21 intermediate revisions by 4 users not shown)

Line 1:

''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' ~~An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".~~

''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''

'''Acquired Diagnoses''', also referred to as '''complications''', are ~~diagnoses~~ that ~~happen to~~ a patient '''~~after~~''' ~~they physically arrive on the unit~~.

*'''Acquired Diagnoses''', also referred to as '''complications''', are problems or procedures that occur '''AFTER''' a patient has been '''accepted''' to a physician service ICU or Medicine regardless of physical location and has an [[Service tmp entry]] dttm. (While in ER collection starts at Accept DtTm).

~~See~~ [[~~Admit~~ Diagnosis]] ~~and~~ [[~~Comorbid Diagnosis~~]] ~~for info on coding dxs that happen prior~~ to ~~arrival on your ward~~.

An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired".

Acquired diagnoses are prioritized "in order of occurrence~~" on a ward~~/~~unit~~.

*Acquired diagnoses are prioritized ([[Dx Priority]] field) '''in order of occurrence.'''

*Coding for Acquireds/complications follows the general [[ICD10 collection]] instructions.

*'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''

~~Coding for Acquireds/complications follows the general [[~~ICD10 ~~collection]] instructions.~~

~~'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''~~

== Repeating Complications ==

*In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.

== ~~onset not discovery~~ ==

**e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage

~~Acquired diagnoses do not refer to diagnoses~~ that ~~have been '''discovered after''' the patient comes~~ to ~~the unit if it is likely that the patient was admitted~~ to ~~ward with the problem in the first place but~~ it ~~took a few~~ days to ~~figure~~ that ~~out~~.

*For things that happen multiple times, some we WANT to list multiply and others we only list once

**The ones we only list once include that info: [[Template:ICD10 Guideline repeated events]]. These are generally signs/symptoms, and arrythmias.

~~== repeating complications ==~~

**Otherwise, DO list it multiply --- e.g. after admit has a stroke --> 4 days later has a NEW/DIFFERENT stroke.

~~We don't '''repeat''' the diagnosis in the acquired section~~. ~~For example if the~~ admit ~~diagnosis is CHF they get treated but relapse back into CHF we do not add that as~~ a ~~acquired complication~~. ~~'''Exceptions:'''~~

* the same type of '''infection''' that was present on admission but with a '''different pathogen'''

==Data Structure==

Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]].

== Cross checks ==

* [[Query check ICD10 date]]

===Related articles ===

[[Category: ICD10]]

[[Category:ICD10]]

~~[[Category: Complications | * ]]~~

[[Category:Data Collection Guide]]

[[Category: Diagnosis Coding | *]]

[[Category: Data Collection Guide]]

@@ Line 1: / Line 1: @@
-''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".
+''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
-'''Acquired Diagnoses''', also referred to as '''complications''', are diagnoses that happen to a patient '''after''' they physically arrive on the unit.
+*'''Acquired Diagnoses''', also referred to as '''complications''', are problems or procedures that occur  '''AFTER''' a patient has been '''accepted''' to a physician service ICU or Medicine regardless of physical location and has an [[Service tmp entry]] dttm.  (While in ER collection starts at Accept DtTm).
-See [[Admit Diagnosis]] and [[Comorbid Diagnosis]] for info on coding dxs that happen prior to arrival on your ward.
+An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired".
-Acquired diagnoses are prioritized "in order of occurrence" on a ward/unit.
+*Acquired diagnoses are prioritized ([[Dx Priority]] field) '''in order of occurrence.'''
+*Coding for Acquireds/complications follows the general [[ICD10 collection]] instructions.
+*'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''
-Coding for Acquireds/complications follows the general [[ICD10 collection]] instructions.
+{{ICD10 Guideline Admit vs Acquired}}
-'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''
+== Repeating Complications ==
+*In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.
-== onset not discovery ==
+**e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage
-Acquired diagnoses do not refer to diagnoses that have been '''discovered after''' the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out.
+*For things that happen multiple times, some we WANT to list multiply and others we only list once
+**The ones we only list once include that info: [[Template:ICD10 Guideline repeated events]].  These are generally signs/symptoms, and arrythmias.
-== repeating complications ==
+**Otherwise, DO list it multiply --- e.g. after admit has a stroke --> 4 days later has a NEW/DIFFERENT stroke.
-We don't '''repeat''' the diagnosis in the acquired section. For example if the admit diagnosis is CHF they get treated but relapse back into CHF we do not add that as a acquired complication. '''Exceptions:'''
-* the same type of '''infection''' that was present on admission but with a '''different pathogen'''
 ==Data Structure==
 Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]].
+== Cross checks ==
+* [[Query check ICD10 date]]
 ===Related articles ===
 {{Related Articles}}
-[[Category: ICD10]]
+[[Category:ICD10]]
-[[Category: Complications | * ]]
+[[Category:Data Collection Guide]]
-[[Category: Diagnosis Coding | *]]
-[[Category: Data Collection Guide]]