Px Type: Difference between revisions

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=== 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 '''admit''' if it was:

*Performed prior to the admission is clearcut, meaning occurred before the [[Arrive DtTm]].

**(a) Performed before the [[Arrive DtTm]] '''AND'''

*"Related to the admission" can be less clear.

**(b) Related to the admission.

**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~~.

*'''"Related to the admission"''' can be less clear.

**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 patient goes to ward/unit after surgical procedure(s) then code Px_Type = Admit

**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.

**If a patient on the ward/unit gets a bedside debridement which went well, and 10 minutes later developes respiratory distress and goes to a more acute ward/unit because of that respiratory distress, then '''do not code that debridement at all'''.

***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.

**If a patient on the ward/unit gets a bedside debridement, during which he/she begins to hemorrhage profusely and are transferred to the a more acute ward/unit because of that hemorrhage, then '''code that procedure, as Px_Type = Admit'''

***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.

*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 ===

@@ Line 16: / Line 16: @@
 === 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 '''admit''' if it was:
-*Performed prior to the admission is clearcut, meaning occurred before the [[Arrive DtTm]].
+**(a) Performed before the [[Arrive DtTm]] '''AND'''
-*"Related to the admission" can be less clear.
+**(b) Related to the admission.
-**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.
+*'''"Related to the admission"''' can be less clear.
-**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 patient goes to ward/unit after surgical procedure(s) then code Px_Type = Admit
-**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.
+**If a patient on the ward/unit gets a bedside debridement which went well, and 10 minutes later developes respiratory distress and goes to a more acute ward/unit because of that respiratory distress, then '''do not code that debridement at all'''.
-***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.
+**If a patient on the ward/unit gets a bedside debridement, during which he/she begins to hemorrhage profusely and are transferred to the a more acute ward/unit because of that hemorrhage, then '''code that procedure, as Px_Type = Admit'''
-***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.
+*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 ===