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~~''' ~~the start of the database record in question, i.e. 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).

*Distinction between admit and acquired diagnoses relate to the START of a database record. As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit diagnosis only relates to ~~the very start of~~ a ~~database record. Diagnoses that occur after the start of a database record will be acquired diagnoses.~~

**Example -- patient's care is taken over by Medicine service ~~while he is still in ED. The admission diagnosis is DKA. He remains on~~ Medicine ~~service in ED (due to lack~~ of ~~ward beds) for 2 days, after which he finally gets up to the Medicine ward~~ and ~~then~~ has ~~a stroke~~. ~~The stroke is an acquired diagnosis, and would still be acquired even if it had occurred during those 2 days~~ in ED.

*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. '''

~~== 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''' the start of the database record in question, i.e. 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).
-*Distinction between admit and acquired diagnoses relate to the START of a database record. As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit diagnosis only relates to the very start of a database record. Diagnoses that occur after the start of a database record will be acquired diagnoses.
-**Example -- patient's care is taken over by Medicine service while he is still in ED. The admission diagnosis is DKA. He remains on Medicine service in ED (due to lack of ward beds) for 2 days, after which he finally gets up to the Medicine ward and then has a stroke. The stroke is an acquired diagnosis, and would still be acquired even if it had occurred during those 2 days in ED.
-*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. '''
-== Onset not discovery ==
+{{ICD10 Guideline Admit vs Acquired}}
-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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 {{Related Articles}}
-[[Category: ICD10]]
+[[Category:ICD10]]
-[[Category: Data Collection Guide]]
+[[Category:Data Collection Guide]]