Px Type: Difference between revisions

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*This item is a part of the recording of procedures in CCI.  It is mandatory for every procedure coded. It has 2 possible values: '''admit''' versus '''acquired'''.
*This item is a part of the recording of procedures in CCI.  It is mandatory for every procedure coded. It has 2 possible values: '''admit''' versus '''acquired'''.
*It refers to whether the procedure occurred before and associated with the with the patients's admission to the unit OR was done after admission.
*It refers to whether the procedure occurred before and associated with the with the patients's admission to the unit OR was done after admission.
*Code a procedure as '''admit''' if it was:  (a) Performed prior to admission to the unit and (b) Related to the admission.
 
**While performed prior to the admission is clearcut (see item immediately below), "related to the procedure" can be less clear.
== Px Type = Admit ==
***
*Code a procedure as '''admit''' if it was:  (a) Performed prior to admission to the unit '''AND''' was (b) Related to the admission.
*Code a procedure as '''acquired''' if it was performed AFTER admission to the unit.
*Performed prior to the admission is clearcut, meaning occurred before the [[Arrive DtTm]].
**Even if the procedure was planned before admission, but wasn't performed until after, then '''[[Px type]]''' is ''acquired''.
*"Related to the admission" can be less clear.
**If a patient goes to ICU after a surgical procedures (or several surgeries done in that operating room), then that procedure/procedures are related to the admission.
**If a patient on the ward gets a bedside debridement which went well, and 10 minutes later he/she developed respiratory distress and went to the ICU because of that respiratory distress, that procedure is NOT related to the admission.
**If a patient on the ward gets a bedside debridement which went well, during which they began to hemorrhage profusely and was transferred to the ICU because of that hemorrhage, then that procdure IS related to the admission.
**It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.
 
== Px Type = Acquired ==
*This category is for procedures that occur after [[Arrive DtTm]] and before [[Dispo DtTm]].
*Even if the procedure was planned before admission, but wasn't performed until after, then '''[[Px type]]''' is ''acquired''.
**Example: Patient admitted via ED with an acute abdomen.  Plan was to take the patient to the OR for exploratory lap, but the OR wasn't ready yet.  So patient went to the ICU first, and within 30 minutes of getting there, THEN went to the OR.  This procedure was then '''acquired'''.
**Example: Patient admitted via ED with an acute abdomen.  Plan was to take the patient to the OR for exploratory lap, but the OR wasn't ready yet.  So patient went to the ICU first, and within 30 minutes of getting there, THEN went to the OR.  This procedure was then '''acquired'''.


*there is "admit" or "acquired" in the element description template on this page.  Should be a link to the article that already exists for Admit and Acquired, not sure how to add that without stuffing up the tool you have utilizing the template.  [[User:TOstryzniuk|Trish Ostryzniuk]]    {{Discussion}}
*there is "admit" or "acquired" in the element description template on this page.  Should be a link to the article that already exists for Admit and Acquired, not sure how to add that without stuffing up the tool you have utilizing the template.  [[User:TOstryzniuk|Trish Ostryzniuk]]    {{Discussion}}
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*[[Admit Diagnosis]]
*[[Admit Diagnosis]]
*[[Acquired Diagnosis / Complication]]
*[[Acquired Diagnosis / Complication]]




The Px_Type is coded as part of the [[CCI Collection]].  
The Px_Type is coded as part of the [[CCI Collection]].  


=== Admit ===
Procedures that occur before the [[Arrive DtTm]].
Procedures should be coded as admit procedure if they occurred recently or are directly related to the admission. Use your judgment.
==== Procedures prior to admission ====
Enter previous surgery if directly related to current admission.
=== Acquired ===
Procedures that occur after [[Arrive DtTm]] and before [[Dispo DtTm]]


==== Procedure after decision to accept, but before arrival ====
If a person is admitted and the plan is to take them to the unit first, and soon thereafter do the procedure, you should code this as '''acquired''', not admit.
{{discussAllan |arrive vs accept dttm }} So above should say "after [[Accept DtTm]]"?


=== CCMDB Data Integrity Checks ===
=== CCMDB Data Integrity Checks ===

Revision as of 15:53, 7 April 2018

Data Element (edit)
Field Name: Px Type
CCMDB Label: Px Type
CCMDB tab: not stated
Table: L_CCI_Picklist table, L_CCI_Component table
Data type: string
Length: not stated
Program: Med and CC
Created/Raw: Raw
Start Date: 1988-07-11
End Date: 2300-01-01
Sort Index: 10
  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Additional Info

  • This item is a part of the recording of procedures in CCI. It is mandatory for every procedure coded. It has 2 possible values: admit versus acquired.
  • It refers to whether the procedure occurred before and associated with the with the patients's admission to the unit OR was done after admission.

Px Type = Admit

  • Code a procedure as admit if it was: (a) Performed prior to admission to the unit AND was (b) Related to the admission.
  • Performed prior to the admission is clearcut, meaning occurred before the Arrive DtTm.
  • "Related to the admission" can be less clear.
    • If a patient goes to ICU after a surgical procedures (or several surgeries done in that operating room), then that procedure/procedures are related to the admission.
    • If a patient on the ward gets a bedside debridement which went well, and 10 minutes later he/she developed respiratory distress and went to the ICU because of that respiratory distress, that procedure is NOT related to the admission.
    • If a patient on the ward gets a bedside debridement which went well, during which they began to hemorrhage profusely and was transferred to the ICU because of that hemorrhage, then that procdure IS related to the admission.
    • It won't always be so clear if a procedure is related to the admission, and you may have to use your judgement.

Px Type = Acquired

  • This category is for procedures that occur after Arrive DtTm and before Dispo DtTm.
  • Even if the procedure was planned before admission, but wasn't performed until after, then Px type is acquired.
    • Example: Patient admitted via ED with an acute abdomen. Plan was to take the patient to the OR for exploratory lap, but the OR wasn't ready yet. So patient went to the ICU first, and within 30 minutes of getting there, THEN went to the OR. This procedure was then acquired.


  • there is "admit" or "acquired" in the element description template on this page. Should be a link to the article that already exists for Admit and Acquired, not sure how to add that without stuffing up the tool you have utilizing the template. Trish Ostryzniuk Template:Discussion

SEE:


The Px_Type is coded as part of the CCI Collection.


CCMDB Data Integrity Checks

Template:CCMDB Data Integrity Checks

Related articles

Related articles:
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