Px Type

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

The type of a CCI Procedure as per CCI Collection, ie admit or acquired

• 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, during which he/she began to hemorrhage profusely and was transferred to the ICU because of that hemorrhage, then that procedure IS related to the admission.
  • If a procedure was done in one of our collected locations (medicine or ICU) and then the patient was sent to another of our collected locations, use the same concept as above to decide whether to record that procedure in the 2nd location's record.
    • On Medicine ward patient got bedside debridement (so of course that procedure would be coded for that ward) and then began to hemorrhage which led to ICU transfer. In this case the debridement was closely associated with the admission to ICU and so would be coded as an "admit" procedure for the ICU record.
    • On the other hand, if the ward patient got a bedside skin biopsy shortly before transfer to ICU, and the ICU transfer had nothing to do with the skin biopsy, then you would NOT record the biopsy in the ICU record.
  • 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.

CCMDB Data Integrity Checks

• date for procedure with Px Type admit has to have Px Date before Arrive DtTm
• date for procedure with Px Type acquired has to be after Arrive DtTm and before Dispo DtTm

See Also

• Admit Diagnosis
• Acquired Diagnosis / Complication