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Template:ICD10 Guideline AwaitingTransfer: Difference between revisions

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To use:  
To use:  
<pre>{{ICD10 AwaitingTransfer}}</pre>
<pre>{{ICD10 Guideline AwaitingTransfer}}</pre>




[[Category:ICD10 wiki infrastructure]]
[[Category:ICD10 wiki infrastructure]]
[[Category:Awaiting/delayed transfer]]
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</noinclude>=== awaiting ambiguous locations ===
</noinclude>=== Guidelines for the use of "awaiting" code ===
See [[Care levels in the community]].
==== How much of a delay is required before we code "awaiting"? ====
Code awaiting if [[Dispo DtTm]] is '''not on the same calendar day''' as the [[Transfer Ready date and time]].
We realize this is different from [[Transfer Delay]].
For example, if patient was transfer ready on Tuesday, but left on Wednesday or thereafter, use one of the codes in [[:Category:Awaiting/delayed transfer]].
 
==== Status changes and is no longer awaiting ====
If the transfer is cancelled '''do NOT remove the "awaiting" code'''.
 
==== Status changes and is awaiting different destination ====
If during the wait to leave, the location to which the planned transfer changes, leave the first awaiting code, thus can have >1 Awaiting code in this situation. If/when the patient becomes stable again and is waiting for a long-term bed/PCH inside or outside Winnipeg then enter a second [[Awaiting/delayed transfer to long-term care/PCH inside or outside of Winnipeg]].


=== Definition of when a delay has occurred ===
If the destination is not to a long-term bed/PCH then follow the [[Transfer Ready DtTm]] criteria
For the purpose of these diagnosis codes we define a [[Transfer Delay]] as having occurred if the [[Dispo DtTm]] is '''not on the same day''' as the [[Transfer Ready date and time]].
For example, if patient was transfer ready on Tuesday, but left on Wednesday or thereafter, use one of the codes in [[:Category:Awaiting/delayed transfer]].


=== Old rules and ICD10 ===
==== Patient arrives on unit already awaiting care ====
{{DiscussAllan|
For patients who arrive "transfer ready" (usually to a low acuity ward), use the "awaiting" code as primary if there are no active medical problems. If the patient is still actively being treated for something, make that diagnosis primary and the "awaiting" code a lower priority.
* [[Panelling or Discharge Planning]] - There are a lot of details in there. Which need to come over? Will the cross checks still be relevant? Ttenbergen 14:30, 2017 December 4 (CST)}}


=== Possible reasons for delay that we can actually code ===
=== Possible reasons for delay that we can actually code ===
* [[Physical rehabilitation care]]
* [[Palliative care]]
* [[Palliative care]]
* [[Respite care]]
* [[Respite care]]
* [[Homelessness]]
* [[Problem related to unspecified psychosocial circumstances]]
* [[Problem related to unspecified psychosocial circumstances]]
* [[Medical Assistance In Dying]]
* [[Medical Assistance In Dying]]
=== Cross-checks===
{{Data Integrity Check
| DIC_summary = Any patient who has this code has to have a [[Transfer Ready DtTm]].
| DIC_related_concepts = [[Transfer Ready DtTm]]
| DIC_firmness = hard check
| DIC_app = CCMDB.mdb
| DIC_coding = TBA
| DIC_status = ready to implement
| DIC_implementation_date = TBA
}}
{{Data Integrity Check
| DIC_summary = Any patient with a with [[Transfer Ready DtTm]] and [[Dispo DtTm]] on different days has to have one of the "awaiting" codes
| DIC_related_concepts = [[Transfer Ready DtTm]],[[Dispo DtTm]]
| DIC_firmness = hard check
| DIC_app = CCMDB.mdb
| DIC_coding = TBA
| DIC_status = ready to implement
| DIC_implementation_date = TBA
}}
{{Data Integrity Check
| DIC_summary = If this code is [[Primary Admit Diagnosis]]/[[Dx Primary]] then [[Transfer Ready DtTm]] must equal [[Arrive DtTm]]
| DIC_related_concepts = [[Arrive DtTm]], [[Transfer Ready DtTm]], [[Primary Admit Diagnosis]]/[[Dx Primary]]
| DIC_firmness = hard check
| DIC_app = CCMDB.mdb
| DIC_coding = TBA
| DIC_status = ready to implement
| DIC_implementation_date = TBA
}}
{{Discuss | who=Tina | question = "Panelling_admit_transfer_same" looks like an existing function, will need to review this when implementing }}
* Panelling_admit_transfer_same(Pat_ID): a record is an error if both
** [[Primary Admit Diagnosis]] = any awaiting code
** ([[Transfer Ready DtTm]]) <> ([[Arrive DtTm]])
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