Acquired Diagnosis / Complication: Difference between revisions

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''~~'Acquired Diagnoses''' are ''the most significant'' problems~~, ~~complication & surgical~~ and ~~diagnostic procedures that occur '''after'~~'' ~~unit admission. Acquired Diagnoses used to be referred to as "complications" in the context of this database.~~

''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''

~~For other diagnoses~~, ~~see [[Admit Diagnosis]]~~ and [[~~Comorbid Diagnosis~~]].

*'''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).

~~Acquired Diagnoses are drawn from~~ [[~~S_AllDiagnoses~~]] ~~and stored in [[L_Dxs]] on the PDA and in~~ the [[~~CCMDB.mdb~~]].

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

*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. '''

~~Please see diagnostic coding index for '''[[Significant Acquireds]]''' diagnosis list.~~

== ~~Maximum Number of Acquired Diagnoses~~ ==

== Repeating Complications ==

~~The PDA~~ and ~~the CCMDB~~.~~mdb can record '''any''' number of Acquired Diagnoses / Complications~~. ~~However~~, only ~~the '''nine (9)''' with the highest priority will be appended to~~ [[~~TMSX~~]].

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

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

*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.

~~You can track as many diagnoses as you want as you go along,~~ and ~~then delete or re-prioritize to only send the most relevant~~.

==Data Structure==

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

==~~Discussion~~==

== Cross checks ==

* ~~I seem to remember these are in order of occurrence... don't see it anywhere. If true, that needs to be added.~~ [[~~User:Ttenbergen|Ttenbergen~~]] ~~00:21, 28 May 2008 (CDT)~~

* [[Query check ICD10 date]]

* we changed the name to only one of acquired or complication. Which is it? We need to change references in this article accordingly. [[User:Ttenbergen|Ttenbergen]] 00:29, 28 May 2008 (CDT)

* End of first paragraph says: "Please see diagnostic coding index for '''Significant Acquireds''' diagnosis list." There is no such article on the wiki yet.[[User:Ttenbergen|Ttenbergen]] 14:47, 29 July 2008 (CDT)

* The paper guide said: "We are currently working on a list of specific complication and problems that we prefer to track on wards. " Did that ever get anywhere? [[User:Ttenbergen|Ttenbergen]] 09:03, 27 May 2008 (CDT)

===Related articles ===

[[Category:ICD10]]

[[Category:Data Collection Guide]]

@@ Line 1: / Line 1: @@
-'''Acquired Diagnoses''' are ''the most significant'' problems, complication & surgical and diagnostic procedures that occur '''after''' unit admission. Acquired Diagnoses used to be referred to as "complications" in the context of this database.
+''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
-For other diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].
+*'''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).
-Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].
+An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "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.
+*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. '''
-Please see diagnostic coding index for '''[[Significant Acquireds]]''' diagnosis list.
+{{ICD10 Guideline Admit vs Acquired}}
-== Maximum Number of Acquired Diagnoses ==
+== Repeating Complications ==
-The PDA and the CCMDB.mdb can record '''any''' number of Acquired Diagnoses / Complications. However, only the '''nine (9)''' with the highest priority will be appended to [[TMSX]].
+*In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.
+**e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage
+*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.
-You can track as many diagnoses as you want as you go along, and then delete or re-prioritize to only send the most relevant.
+==Data Structure==
+Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]].
-==Discussion==
+== Cross checks ==
-* I seem to remember these are in order of occurrence... don't see it anywhere. If true, that needs to be added. [[User:Ttenbergen|Ttenbergen]] 00:21, 28 May 2008 (CDT)
+* [[Query check ICD10 date]]
-* we changed the name to only one of acquired or complication. Which is it? We need to change references in this article accordingly. [[User:Ttenbergen|Ttenbergen]] 00:29, 28 May 2008 (CDT)
-* End of first paragraph says: "Please see diagnostic coding index for '''Significant Acquireds''' diagnosis list." There is no such article on the wiki yet.[[User:Ttenbergen|Ttenbergen]] 14:47, 29 July 2008 (CDT)
-* The paper guide said: "We are currently working on a list of specific complication and problems that we prefer to track on wards. " Did that ever get anywhere? [[User:Ttenbergen|Ttenbergen]] 09:03, 27 May 2008 (CDT)
+===Related articles ===
+{{Related Articles}}
+[[Category:ICD10]]
 [[Category:Data Collection Guide]]