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Acquired Diagnosis / Complication: Difference between revisions

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'''Acquired Diagnoses''' are ''significant'' problems, complication & surgical and diagnostic procedures that occur '''after''' ward admission. Acquired Diagnoses used to be referred to as "complications" in the context of this database.
''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
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 '''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 that out.   
*'''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).


Please see diagnostic coding index for '''[[Significant Acquireds]]''' diagnosis list.
An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired".  


== Maximum Number of Acquired Diagnoses ==
*Acquired diagnoses are prioritized ([[Dx Priority]] field) '''in order of occurrence.'''
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 Ed's program.
*Coding for Acquireds/complications follows the general [[ICD10 collection]] instructions.  
*'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''


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.
{{ICD10 Guideline Admit vs Acquired}}


==Discussion==
== Repeating Complications ==
* 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)
*In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.
* 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)
**e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage
* 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)
*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.


{{stub}}
==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]]
[[Category:Data Collection Guide]]
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