Homelessness: Difference between revisions

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~~{{ICD10 transition status~~

Retired as per [[Task Team Meeting - Rolling Agenda and Minutes 2019#ICU Database Task Group Meeting – August 28, 2019 |August 28, 2019 Task meeting]] because the same concept "[[Homeless]]" is collected in [[Pre acute living situation]].

~~| OldDxArticle =~~

~~| CurrentStatus = reconciled~~

Possible re-instatement discussed at [[Task Team Meeting - Rolling Agenda and Minutes 2025#ICU Database Task Group Meeting – May 14, 2025]], additional meetings planned.

| ~~InitialEditorAssigned = Pagasa Torres~~

}}

{{ICD10WithCode|Homelessness}} is a mandatory capture for CIHI [https://www.cihi.ca/en/hospital-data-sheds-light-on-patients-experiencing-homelessness].

{{ICD10 dx

~~| MinimumCombinedCodes =~~

|ICD10 Code=Z59.0

| ICD10 Code=Z59.0

|StopDate=2019-09-16

| ~~BugRequired~~=

}}

== Additional Info ==

'''When this code is used, also make sure related instructions from [[Homeless]] are followed. '''

This code can be used as [[Dx_Type]] as follows:

*This code can be used as [[Dx_Type]] as follows:

* [[Comorbid Diagnosis]] -

**[[Comorbid Diagnosis]] -- use it this way if they were homeless prior to this hospitalization

* [[~~Admit~~ Diagnosis]] -

**[[Acquired Diagnosis / Complication]] -- use it this way if they were NOT homeless prior to this hospitalization but somehow BECAME homeless while in the hospital.

~~{{discussAllan | actually, do we ever want~~ to ~~see~~ this ~~used as admit? eg for someone who was not able to access services because of no fixed address? There would almost always be a specific medical dx, so wondering if~~ this should ~~ever~~ be an ~~admit. The outcome of this will likely bear on~~ [[~~Controlling Dx Type for ICD10 codes~~]]. ~~Ttenbergen 16:09~~, ~~2018 August 13~~ (~~CDT)}}~~

*But this code should never be used as an [[Admit Diagnosis]] -- homelessness ALONE is really never the reason for admission. If it '''seems''' that their homelessness was part of the reason for admission, instead code the actual problems they have that makes it such that a homeless person has to be in hospital (e.g. frostbite, non-healing wound, etc)

* [[Acquired Diagnosis / Complication]] -e.g. ~~eviction from premises during hospital stay and patient has no supports/alternative location to discharge to.~~

~~{{Discussion}}~~

~~Is this an admit or a comorbid Dx or both? Lois~~

*I will use as both when relevant to their admissions...ie-Chronic OMs and wound infections-assaults etc. and in disposition-when wound care/IV antibiotics/ADLs are required and they have no support systems-unable to access Home Care without an address--[[User:Llemoine|Llemoine]] 07:36, 2018 August 9 (CDT)

** how would you use this as a disposition? Ttenbergen 16:09, 2018 August 13 (CDT)

~~== Alternate ICD10s to consider coding instead or in addition ==~~

~~== Candidate [[Combined ICD10 codes]] ==~~

~~== Related CCI Codes ==~~

== Related Articles ==

@@ Line 1: / Line 1: @@
-{{ICD10 transition status
+Retired as per [[Task Team Meeting - Rolling Agenda and Minutes 2019#ICU Database Task Group Meeting – August 28, 2019 |August 28, 2019 Task meeting]] because the same concept "[[Homeless]]" is collected in [[Pre acute living situation]].
-| OldDxArticle =
-| CurrentStatus = reconciled
+Possible re-instatement discussed at [[Task Team Meeting - Rolling Agenda and Minutes 2025#ICU Database Task Group Meeting – May 14, 2025]], additional meetings planned.
-| InitialEditorAssigned = Pagasa Torres
-}}
+{{ICD10WithCode|Homelessness}} is a mandatory capture for CIHI [https://www.cihi.ca/en/hospital-data-sheds-light-on-patients-experiencing-homelessness].
 {{ICD10 dx
-| MinimumCombinedCodes =
+|ICD10 Code=Z59.0
-| ICD10 Code=Z59.0
+|StopDate=2019-09-16
-| BugRequired=
 }}
-{{ICD10 category|Healthcare contact}}{{ICD10 category|Misc}}
+{{ICD10 category|Healthcare contact}}
+{{ICD10 category|Misc}}
 == Additional Info ==
 '''When this code is used, also make sure related instructions from [[Homeless]] are followed. '''
-This code can be used as [[Dx_Type]] as follows:
+*This code can be used as [[Dx_Type]] as follows:
-* [[Comorbid Diagnosis]] -
+**[[Comorbid Diagnosis]] -- use it this way if they were homeless prior to this hospitalization
-* [[Admit Diagnosis]] -
+**[[Acquired Diagnosis / Complication]] -- use it this way if they were NOT homeless prior to this hospitalization but somehow BECAME homeless while in the hospital.
-{{discussAllan | actually, do we ever want to see this used as admit? eg for someone who was not able to access services because of no fixed address? There would almost always be a specific medical dx, so wondering if this should ever be an admit. The outcome of this will likely bear on [[Controlling Dx Type for ICD10 codes]]. Ttenbergen 16:09, 2018 August 13 (CDT)}}
+*But this code should never be used as an [[Admit Diagnosis]] -- homelessness ALONE is really never the reason for admission.  If it '''seems''' that their homelessness was part of the reason for admission, instead code the actual problems they have that makes it such that a homeless person has to be in hospital (e.g. frostbite, non-healing wound, etc)
-* [[Acquired Diagnosis / Complication]] -e.g. eviction from premises during hospital stay and patient has no supports/alternative location to discharge to.
-{{Discussion}}
-Is this an admit or a comorbid Dx or both? Lois
-*I will use as both when relevant to their admissions...ie-Chronic OMs and wound infections-assaults etc. and in disposition-when wound care/IV antibiotics/ADLs are required and they have no support systems-unable to access Home Care without an address--[[User:Llemoine|Llemoine]] 07:36, 2018 August 9 (CDT)
-** how would you use this as a disposition? Ttenbergen 16:09, 2018 August 13 (CDT)
-== Alternate ICD10s to consider coding instead or in addition ==
-== Candidate [[Combined ICD10 codes]] ==
-== Related CCI Codes ==
 == Related Articles ==
 {{Related Articles}}
 {{ICD10 footer}}
 {{EndPlaceHolder}}