Acquired Diagnosis / Complication: Difference between revisions

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

''For other types of 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 ''~~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~~.

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

~~===Data Structure===~~

*Acquired diagnoses are prioritized ([[Dx Priority]] field) '''in order of occurrence.'''

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

*Coding for Acquireds/complications follows the general [[ICD10 collection]] instructions.

*'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''

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.

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

== Repeating Complications ==

*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.

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

==Data Structure==

~~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~~]].

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

~~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.~~

== Cross checks ==

* [[Query check ICD10 date]]

==~~Discussion~~==

* ~~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)~~

* 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? When it gets implemented, it should be implicit in the PDA/Access rather than have data collectors track manually what is more important. --[[~~User:Ttenbergen|Ttenbergen~~]] ~~10:43, 12 August 2008 (CDT)~~

===Related articles ===

[[Category:ICD10]]

[[Category:Data Collection Guide]]

@@ Line 1: / Line 1: @@
-''For other diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
+''For other types of 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 ''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.
+An [[Acquired Diagnosis]] / Complication is coded by setting the [[Dx_Type]] to "acquired".
-===Data Structure===
+*Acquired diagnoses are prioritized ([[Dx Priority]] field) '''in order of occurrence.'''
-Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].
+*Coding for Acquireds/complications follows the general [[ICD10 collection]] instructions.
+*'''The [[Dx_Date]] is mandatory for Acquireds/complications. '''
-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.
+{{ICD10 Guideline Admit vs Acquired}}
-Please see diagnostic coding index for '''[[Significant Acquireds]]''' diagnosis list.
+== Repeating Complications ==
+*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.
-== Maximum Number of Acquired Diagnoses ==
+==Data Structure==
-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]].
+Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]].
-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.
+== Cross checks ==
+* [[Query check ICD10 date]]
-==Discussion==
-* 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)
-* 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? When it gets implemented, it should be implicit in the PDA/Access rather than have data collectors track manually what is more important. --[[User:Ttenbergen|Ttenbergen]] 10:43, 12 August 2008 (CDT)
+===Related articles ===
+{{Related Articles}}
+[[Category:ICD10]]
 [[Category:Data Collection Guide]]