Acquired Diagnosis / Complication: Difference between revisions

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

*'''Acquired Diagnoses''', also referred to as '''complications''', are diagnoses that happen to a patient '''after''' the start of the database record in question, i.e. after the [[Arrive DtTm]]. An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".

*'''Acquired Diagnoses''', also referred to as '''complications''', are diagnoses that happen to a patient '''after''' the start of the database record in question, i.e. after the [[Arrive DtTm]]. {{Discuss| Does this change to after the [[Accept DtTm field]] for patients admitted while in ER now that collection begins at accept date/time for these patients? }}An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".

*Distinction between admit and acquired diagnoses relate to the START of a database record. As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit diagnosis only relates to the very start of a database record. Diagnoses that occur after the start of a database record will be acquired diagnoses.

**Example -- patient's care is taken over by Medicine service while he is still in ED. The admission diagnosis is DKA. He remains on Medicine service in ED (due to lack of ward beds) for 2 days, after which he finally gets up to the Medicine ward and then has a stroke. The stroke is an acquired diagnosis, and would still be acquired even if it had occurred during those 2 days in ED.

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 ''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].''
-*'''Acquired Diagnoses''', also referred to as '''complications''', are diagnoses that happen to a patient '''after''' the start of the database record in question, i.e. after the [[Arrive DtTm]]. An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".
+*'''Acquired Diagnoses''', also referred to as '''complications''', are diagnoses that happen to a patient '''after''' the start of the database record in question, i.e. after the [[Arrive DtTm]]. {{Discuss| Does this change to after the [[Accept DtTm field]] for patients admitted while in ER now that collection begins at accept date/time for these patients? }}An Acquired Diagnosis / Complication is coded by setting the [[Dx_Type]] to "acquired".
 *Distinction between admit and acquired diagnoses relate to the START of a database record. As of October 2020, a single record may span direct transfers between different locations and even between different services. Accordingly, an admit diagnosis only relates to the very start of a database record. Diagnoses that occur after the start of a database record will be acquired diagnoses.
 **Example -- patient's care is taken over by Medicine service while he is still in ED. The admission diagnosis is DKA. He remains on Medicine service in ED (due to lack of ward beds) for 2 days, after which he finally gets up to the Medicine ward and then has a stroke. The stroke is an acquired diagnosis, and would still be acquired even if it had occurred during those 2 days in ED.