Primary Admit Diagnosis: Difference between revisions

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The '''Primary Admit Diagnosis''' is the '''most responsible reason''' why the patient was admitted should be given the highest priority among the [[Admit Diagnosis]]s entered into CCMDB.mdb.
The Primary Admit Dx is the dx most responsible for an admission to that unit/ward. See [[Dx Primary]] for details on how it is collected.
*When there are multiple competing diagnosis choose the diagnosis that is the most severe or responsible for the admission.  At times this may be difficult to determine, use your best clinical judgment based on the documentation.
*If multiple trauma is part of the admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma


== ICD10 ==
The concept is used by the following indicators:
[[Admit Diagnosis]] with [[Dx Primary]] =  true
* [[ICU Primary Diagnosis ICD10 Chapter Rate]]
* [[ICU Diagnosis APACHE Category Rate]]
* [[Medicine Primary Diagnosis Rate]]


== Old dx schema ==
== Cross checks ==
[[Admit Diagnosis]] with highest priority
See [[Dx Primary#Data Integrity Checks (SMW)]]


== Reporting ==
== Related queries ==
The concept of primary diagnosis is used in
* [[Query L_Dxs_w_primary]]
* [[Quarterly report]]
* [[Query L_ICD10_primary]]
* [[Annual report]]


* They are used in the periodic quarter and fiscal year reports of both the Critical Care and Medicine Programs. (Julie)
== Legacy info ==
** are the two I linked to above those reports? Ttenbergen 14:03, 2015 April 20 (CDT)
{{Collapsable | always=Legacy info | full=
{{discussion}}
=== Old dx schema ===
 
[[Admit Diagnosis]] with highest priority
 
}}
== Cross checks ==
* [[Check fundamentals for ICD10]] - there has to be one of these for each pt


= old =
== Related articles ==
[[Query L Dxs w primary]] will list these.
{{Related Articles}}
{{ICD10|needs review}} that can be deleted when ICD10 implementation is complete.


[[Category:Standards and Conventions]]
[[Category:Standards and Conventions]]
[[Category:Reporting]]
[[Category:Reporting]]
[[Category:ICD10 Reporting]]
[[Category:ICD10 Reporting]]

Latest revision as of 12:19, 2024 May 22

The Primary Admit Dx is the dx most responsible for an admission to that unit/ward. See Dx Primary for details on how it is collected.

  • When there are multiple competing diagnosis choose the diagnosis that is the most severe or responsible for the admission. At times this may be difficult to determine, use your best clinical judgment based on the documentation.
  • If multiple trauma is part of the admit diagnosis, then among this group of linked ICD10 codes, the Primary Admit Diagnosis would be either the Multiple trauma or the "worst" thing injured, e.g. Brain injury, diffuse (TBI), injury/trauma

The concept is used by the following indicators:

Cross checks

See Dx Primary#Data Integrity Checks (SMW)

Related queries

Legacy info

Legacy info   

Old dx schema

Admit Diagnosis with highest priority

Related articles

Related articles: