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 ''~~the most significant~~'' ~~problems, surgical procedures or diagnostic procedures that happen to~~ a patient '''~~AFTER~~''' ~~they physically arrive on the unit~~.

*'''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).

*Go to: [[~~Admit_Diagnosis#Problems_or_Procedure_PRIOR_TO_arrival_onto_unit | how to code Problems or Procedure that occur PRIOR TO arrival onto unit~~]]

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

Acquired diagnoses are ~~coded "~~in order of occurrence~~" on a ward~~/~~unit~~.

*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.

== ~~repeating complications~~ ==

== Repeating Complications ==

~~We don't '''repeat''' the diagnosis in the acquired section~~. For ~~example if the admit diagnosis is CHF they get treated but relapse back into CHF~~ we ~~do not add that as a acquired complication. '''Exceptions:'''~~

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

* ~~for '''procedures'''~~ we ~~can repeat them~~ once ~~as a complication~~. ~~For example if the patient came in with a scope in the admit~~ and ~~then had 3 more scopes in the hospital you would enter it''' once''' as an acquired~~

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

* ~~the same type of '''infection''' that was present on admission but with~~ a ~~'''different pathogen'''~~

*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.

== ~~Significant Complications~~ ==

==Data Structure==

* [[~~Significant complications~~]]

Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]].

==~~Data Structure~~==

== Cross checks ==

~~Acquired Diagnoses are drawn from~~ [[~~S_AllDiagnoses~~]] ~~and stored in [[L_Dxs]].~~

* [[Query check ICD10 date]]

===Related articles ===

[[Category: ~~Complications | * ]]~~

[[Category:ICD10]]

[[Category: Diagnosis Coding | *]]

[[Category:Data Collection Guide]]

[[Category: Data Collection Guide]]

@@ Line 1: / Line 1: @@
 ''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
-'''Acquired Diagnoses''', also referred to as '''complications''', are ''the most significant'' problems, surgical procedures or diagnostic procedures that happen to a patient '''AFTER''' they physically arrive on the unit.
+*'''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).
-*Go to:  [[Admit_Diagnosis#Problems_or_Procedure_PRIOR_TO_arrival_onto_unit | how to code Problems or Procedure that occur PRIOR TO arrival onto unit]]
+An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired".
-Acquired diagnoses are coded "in order of occurrence" on a ward/unit.
+*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.
-== repeating complications ==
+== Repeating Complications ==
-We don't '''repeat''' the diagnosis in the acquired section. For example if the admit diagnosis is CHF they get treated but relapse back into CHF we do not add that as a acquired complication. '''Exceptions:'''
+*In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.
-* for '''procedures''' we can repeat them once as a complication. For example if the patient came in with a scope in the admit and then had 3 more scopes in the hospital you would enter it''' once''' as an acquired
+**e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage
-* the same type of '''infection''' that was present on admission but with a '''different pathogen'''
+*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.
-== Significant Complications ==
+==Data Structure==
-* [[Significant complications]]
+Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]].
-==Data Structure==
+== Cross checks ==
-Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]].
+* [[Query check ICD10 date]]
+===Related articles ===
+{{Related Articles}}
-[[Category: Complications | * ]]
+[[Category:ICD10]]
-[[Category: Diagnosis Coding | *]]
+[[Category:Data Collection Guide]]
-[[Category: Data Collection Guide]]