Acquired Diagnosis / Complication: Difference between revisions

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''~~Significant'' problems~~, ~~complication & surgical~~ and ~~diagnostic procedures that occur '''after''' ward admission~~.

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

Acquired diagnosis do no refer to diagnosis that have been made after the patient comes to ward, 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 the problem out.

~~Please see diagnostic coding index for '''Significant Acquireds'~~'' ~~diagnosis list.~~

Acquired Diagnoses ~~/ Complications~~ are ~~stored in~~ [[~~L_Dxs~~]] ~~on the PDA and~~ in ~~the [[CCMDB.mdb]]~~.

*'''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).

~~== Number of~~ Acquired ~~Diagnoses~~ / ~~Complications==~~

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

~~The PDA and~~ the ~~CCMDB.mdb can record any number of Acquired Diagnoses / Complications. However, only the '''nine''' with the highest priority will be appended~~ to ~~Ed's program~~.

~~So, you can track as many~~ diagnoses ~~as you want as you go along, and then delete or re-prioritize to only send~~ the ~~most relevant~~.

*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. '''

~~==Discussion==~~

* was the significant acquireds list ever generated? If so, do we have any filter for it in Access or on the PDA? [[User:Ttenbergen|Ttenbergen]] 00:21, 28 May 2008 (CDT)

* I seem to remember these are in order of occurrence... don't see it anywhere. If true, that needs to be added. [[User:Ttenbergen|Ttenbergen]] 00:21, 28 May 2008 (CDT)

* we changed the name to only one of acquired or complication. Which is it? We need to change references in this article accordingly. [[User:Ttenbergen|Ttenbergen]] 00:29, 28 May 2008 (CDT)

== Repeating Complications ==

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

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

*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.

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

==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:Data Collection Guide]]

@@ Line 1: / Line 1: @@
-''Significant'' problems, complication & surgical and diagnostic procedures that occur '''after''' ward admission.
+''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
-Acquired diagnosis do no refer to diagnosis that have been made after the patient comes to ward, 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 the problem out.
-Please see diagnostic coding index for '''Significant Acquireds''' diagnosis list.
-Acquired Diagnoses / Complications are stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].
+*'''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).
-== Number of Acquired Diagnoses / Complications==
+An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired".
-The PDA and the CCMDB.mdb can record any number of Acquired Diagnoses / Complications. However, only the '''nine''' with the highest priority will be appended to Ed's program.
-So, you can track as many diagnoses as you want as you go along, and then delete or re-prioritize to only send the most relevant.
+*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. '''
-==Discussion==
+{{ICD10 Guideline Admit vs Acquired}}
-* was the significant acquireds list ever generated? If so, do we have any filter for it in Access or on the PDA? [[User:Ttenbergen|Ttenbergen]] 00:21, 28 May 2008 (CDT)
-* I seem to remember these are in order of occurrence... don't see it anywhere. If true, that needs to be added. [[User:Ttenbergen|Ttenbergen]] 00:21, 28 May 2008 (CDT)
-* we changed the name to only one of acquired or complication. Which is it? We need to change references in this article accordingly. [[User:Ttenbergen|Ttenbergen]] 00:29, 28 May 2008 (CDT)
-{{stub}}
+== Repeating Complications ==
+*In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.
+**e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage
+*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.
+**Otherwise, DO list it multiply --- e.g. after admit has a stroke --> 4 days later has a NEW/DIFFERENT stroke.
+==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:Data Collection Guide]]