Myocardial infarction: Difference between revisions

Revision as of 14:43, 29 October 2010

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edit dx infobox
Category/Organ System:	Category: Cardiovascular (old)
Type:	[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]]
Main Diagnosis:	Myocardial infarction
Sub Diagnosis:	Yes-see Myocardial infarction
Diagnosis Code:	10200
Comorbid Diagnosis:	Yes
Charlson Comorbid coding (pre ICD10):	1
Program:	CC & Med
Status:	Currently Collected

The subdiagnoses are not mutually exclusive, an MI could be both post-op and anterior. What is the precedence with which to collect these? Even if we explain this here, there still is a risk of misunderstanding. I think the ones that are not exclusive shoudl be eliminated. (The same is probably true for other dxs) Ttenbergen 12:51, 18 February 2009 (CST)
- On second thought, would we just code both post-op and anterior, leading to two MI dxs? If so, which goes first, since we report on primary admit DXs? Also, does this lead to higher numbers of MI reported? If a patient in fact has two MIs, one post-op with location unknown, and one anterior when first admitted, would our db report this as just one MI or as several? I will send this to Julie as well.Ttenbergen 12:56, 18 February 2009 (CST)
  - Good point Tina because we only list 6 dx, how do we priortize if the MI is both post-op and anterior if we do not have room on our dx list? Which is more NB to know, the MI being post-op or the location of the MI?--MWaschuk 13:49, 18 February 2009 (CST)
  - I agree with you as well.Is the criteria for post-op defined by a time line e.g. 48 hours or less,or is there a definite criteria?--User:JKothuber

@@ Line 4: / Line 4: @@
 *Documented CPK rise or classic EKG changes
-**See [[ICU Var 2]] to tag MI Care Map [[MAP]].
 {{Discussion}}
@@ Line 14: / Line 13: @@
 ==Data Integrity Rules==
 *If 102-10 you must not use any another 102 with a subcode.
 *This rule is not yet implemented in ACCESS.
-*See [[ICU Var 2]] to tag MI Care Map [[MAP]] {{discussion}}
-** MAP isn't being checked anywhere because there is no cross-check if it is not true but just forgotten. If one should be made, we would need to actively track XMAP if someone is not getting MAP. Since we track [[BRR]] in the same field this would not be doable. Could move one of the two into the tmp fields. Maybe the bigger question is: should we collect this forever? Let's report on it, ask if they plan to do anything about it, and offer to collect again after. [[User:Ttenbergen|Ttenbergen]] 00:37, 5 May 2009 (CDT)
 [[Category: Myocardial infarction]]
 [[Category: Data Integrity Rules]]
 [[Category: Questions Diagnosis]]