|
|
| (61 intermediate revisions by 8 users not shown) |
| Line 1: |
Line 1: |
| ''For other diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' | | ''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' |
|
| |
|
| | *'''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). |
|
| |
|
| '''Acquired Diagnoses''', also referred to as '''complications''', are ''the most significant'' problems, surgical procedures or diagnostic procedures that occur '''after''' unit admission. They are coded "in order of occurence" on the unit.
| | An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired". |
|
| |
|
| | *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. ''' |
|
| |
|
| *Complications are recorded in order that they occur on the unit.
| | {{ICD10 Guideline Admit vs Acquired}} |
| ===Data Structure===
| |
| Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]]. | |
|
| |
|
| 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.
| | == 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. |
|
| |
|
| Please see diagnostic coding index for [[Significant complications medicine]] & [[Significant complications ICU]] diagnosis list.
| | ==Data Structure== |
| | Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]]. |
|
| |
|
| == Maximum Number of Acquired Diagnoses == | | == Cross checks == |
| The PDA and the CCMDB.mdb can record '''any''' number of Acquired Diagnoses / Complications. However, only the '''nine (9)''' with the highest priority will be appended to [[TMSX]].
| | * [[Query check ICD10 date]] |
|
| |
|
| 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.
| | ===Related articles === |
| *As our ICU's have more and more LTV patients that are essentially a hospital hold for IICU ,Riverview etc this section will have to be re-vamped...ex: I have a pt that will soon have been in the ICU for a year. We are losing points and information about this patient as we are only counted for the top "9" with the highest priority. In my case I am deleteing numerous high priority complications because of this...so in the end... what is collected is not indicative of that patient at all????--[[User:Wturner|Wturner]] 13:15, 7 February 2010 (CST)
| | {{Related Articles}} |
|
| |
|
| | | [[Category:ICD10]] |
| {{Discussion}}
| |
| | |
| * 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)
| |
| * End of first paragraph says: "Please see diagnostic coding index for '''Significant Acquireds''' diagnosis list." There is no such article on the wiki yet.[[User:Ttenbergen|Ttenbergen]] 14:47, 29 July 2008 (CDT)
| |
| * The paper guide said: "We are currently working on a list of specific complication and problems that we prefer to track on wards. " Did that ever get anywhere? When it gets implemented, it should be implicit in the PDA/Access rather than have data collectors track manually what is more important. --[[User:Ttenbergen|Ttenbergen]] 10:43, 12 August 2008 (CDT)
| |
| | |
| [[Category: Diagnosis Coding]] | |
| [[Category:Data Collection Guide]] | | [[Category:Data Collection Guide]] |
| [[Category: Questions_Diagnosis]]
| |