Admit Procedure: Difference between revisions

m Text replacement - "[[Category: " to "[[Category:"
 
(3 intermediate revisions by 2 users not shown)
Line 6: Line 6:
{{Ex |   
{{Ex |   
Admitted to MICU for sepsis --> 2 days later develops an acute abdomen and goes to OR where gets a bowel resection --> goes to PACU --> goes to SICU service and SICU as location. Since the ADMISSION of this continuous episode of ICU care (i.e. MICU-->SICU) was to MICU, and we do not begin a new record with the switch to SICU, this bowel resection is an acquired procedure, not an admit procedure}}
Admitted to MICU for sepsis --> 2 days later develops an acute abdomen and goes to OR where gets a bowel resection --> goes to PACU --> goes to SICU service and SICU as location. Since the ADMISSION of this continuous episode of ICU care (i.e. MICU-->SICU) was to MICU, and we do not begin a new record with the switch to SICU, this bowel resection is an acquired procedure, not an admit procedure}}
*Code a procedure as [[Px_Type]] '''admit''' if it was: 
*CODE A PROCEDURE AS [[Px_Type]] '''admit''' IF AT LEAST 1 OF 'A' ''AND'' 1 OF 'B'
**(a) Performed '''no more than 48 hrs'''(''[[#Why within 48 hrs?]]'') BEFORE the start of this record, i.e. the [[Accept DtTm]] for the start of the record
*(A) -------------------------------------------------------------------------------------------------------------------------
**(b) '''AND'''
**(i) '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]]) ''OR''
::* (i) was '''directly, causally''' related to the admission (this is a judgement call, see below [[#Causally related]])  
**(ii) directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]]) ''OR''
:::*OR
**(iii) an organ transplant during the current "hospital episode" (i.e. including this and other hospitals) and was '''directly, causally''' related to the current ward/unit admission
::* (ii) was directly related to an '''[[Admit Diagnosis]]''' (see below [[#Directly related to the Admit Diagnosis]])  
 
* OR
*'''AND'''
** a transplant during the current "hospital episode" (i.e. including this and other hospitals) and was '''directly, causally''' related to the current ward/unit admission
 
* OR
*(B) -------------------------------------------------------------------------------------------------------------------------
** irrespective of whether it's within 48 hours, if the association of that procedure with the admission is abundantly obvious (as per data collector discretion)
**(i) Performed '''no more than 48 hrs'''(''[[#Why within 48 hrs?]]'') BEFORE the start of this record, i.e. the [[Admit DtTm]] for the start of the record ''OR''
**(ii) Irrespective of whether it's within 48 hours (this could be outside of current hospitalization), if the association of that procedure with the admission is abundantly obvious (as per data collector discretion)


=== Recurring procedures ===
=== Recurring procedures ===
Line 66: Line 67:




[[Category: CCI]]
[[Category:CCI]]