Acquired Diagnosis / Complication: Difference between revisions

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''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 (ie after the [[Arrive DtTm]]. An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]]~~ to ~~"acquired".~~

*'''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).

~~{{DA |~~

* This is now inconsistent with [[~~Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2020#ICU_Database_Task_Group_Meeting_-_February_12.2C_2020~~]] ~~which was proposing a change for ECIP, but that change might also affect medicine. We need to update this page to make sure we write what we actually want~~. ~~Ttenbergen 17:26, 2020 February 23~~ (~~CST~~) }}

~~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 ([[Dx Priority]] field) in order of occurrence.

*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. '''~~

~~== Onset not discovery ==~~

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. Code these as [[Comorbid Diagnosis]], and also, if appropriate (i.e. it was related to the reason for admission) as a [[Admit Diagnosis]].

~~{{DiscussTask | this relates to [[Attribution of infections]] and we need to be sure to have it consistent.~~ }}

== Repeating Complications ==

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[[Category: ICD10]]

[[Category:ICD10]]

[[Category: Data Collection Guide]]

[[Category:Data Collection Guide]]

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 ''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 (ie after the [[Arrive DtTm]]. An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".
+*'''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).
-{{DA |
-* This is now inconsistent with [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2020#ICU_Database_Task_Group_Meeting_-_February_12.2C_2020]] which was proposing a change for ECIP, but that change might also affect medicine. We need to update this page to make sure we write what we actually want. Ttenbergen 17:26, 2020 February 23 (CST) }}
-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 ([[Dx Priority]] field) in order of occurrence.
+*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. '''
-== Onset not discovery ==
-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. Code these as [[Comorbid Diagnosis]], and also, if appropriate (i.e. it was related to the reason for admission) as a [[Admit Diagnosis]].
-{{DiscussTask | this relates to [[Attribution of infections]] and we need to be sure to have it consistent. }}
 == Repeating Complications ==
@@ Line 33: / Line 27: @@
 {{Related Articles}}
-[[Category: ICD10]]
+[[Category:ICD10]]
-[[Category: Data Collection Guide]]
+[[Category:Data Collection Guide]]