Template:ICD10 Guideline Admit vs Acquired: Difference between revisions

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 **if by the time they are transferred to the subsequent location it is still being dealt with medically, and indeed is part of the reasons they are going to the new location, then it should be listed as an [[Admit Diagnosis]] for that subsequent record
 *Rule#2: The group of diagnoses that represent "past history" (e.g. [[Past history, loss of limb(s)]] are also guided by Rule#1.
-*Rule#3: The "duration" of a diagnostic event (e.g. pneumonia vs. an arrythmia) has no role in decision-making about how these diagnoses are listed (or not)
+*Rule#3: The "duration" of a diagnostic event (e.g. pneumonia vs. an arrhythmia) has no role in decision-making about how these diagnoses are listed (or not)
 {{DA| Rules 1 and 2 are clear, could rule 3 be further clarified  }}
 {{Ex |
 *Example1:  Admitted to A=ward for pneumonia --> gets worse sent to B=ICU --> improves sent back to C=ward but still on antibiotics for the pneumonia.  So, 3 distinct database records.  Pneumonia is [[Admit Diagnosis]] for A; [[Admit Diagnosis]] for B; [[Admit Diagnosis]] for C.
 **Example2:  Admitted to A=ward for pneumonia --> gets worse sent to B=ICU where the patient improves and is off antibiotics --> improves sent back to C=ward off the antibiotics.  So, 3 distinct database records.  Pneumonia is [[Admit Diagnosis]] for A; [[Admit Diagnosis]] for B; not listed at all for diagnoses for C.
-**Example3:  Admitted to A=ward for osteomyelitis --> arrests in A and sent to B=ICU --> while in B the leg gets amputated and the patient finishes up his course of antibiotics so the osteo is now resolved; there have been no further arrythmias and the patient is not on any anti-arrythmics --> improves and goes to C=ward.  So, 3 distinct database records.
+**Example3:  Admitted to A=ward for osteomyelitis --> arrests in A and sent to B=ICU --> while in B the leg gets amputated and the patient finishes up his course of antibiotics so the osteo is now resolved; there have been no further arrhythmias and the patient is not on any anti-arrhythmics --> improves and goes to C=ward.  So, 3 distinct database records.
 ***The osteomyelitis is [[Admit Diagnosis]] for A; [[Admit Diagnosis]] for B; not listed as any diagnosis for C since it's resolved and no longer being treated
 ***The cardiac arrest is [[Acquired Diagnosis]] for A; [[Admit Diagnosis]] for B; not listed as any diagnosis for C
-**Example4:  Admitted to A=ward for osteomyelitis --> arrests in A and sent to B=ICU --> while in B the leg gets amputated and the patient finishes up his course of antibiotics so the osteo is now resolved; there have been no further arrythmias but the patient remains on antiarrythmic therapy --> improves and goes to C=ward still on the antiarrythmics.  So, 3 distinct database records.
+**Example4:  Admitted to A=ward for osteomyelitis --> arrests in A and sent to B=ICU --> while in B the leg gets amputated and the patient finishes up his course of antibiotics so the osteo is now resolved; there have been no further arrhythmiabut the patient remains on antiarrhythmic therapy --> improves and goes to C=ward still on the antiarrhythmics.  So, 3 distinct database records.
 ***The osteomyelitis is [[Admit Diagnosis]] for A; [[Admit Diagnosis]] for B; not listed as any diagnosis for C since it's resolved and no longer being treated
 ***Do not list [[Past history, loss of limb(s)]] for record C since it happened this same hospitalization.
-***The cardiac arrest is acquired diagnosis for A; [[Admit Diagnosis]] for B; not listed as any diagnosis for C '''but''' as he is still on antiarrythmics so as an [[Admit Diagnosis]] for C list [[Cardiac arrythmia, NOS]]
+***The cardiac arrest is acquired diagnosis for A; [[Admit Diagnosis]] for B; not listed as any diagnosis for C '''but''' as he is still on antiarrhythmics so as an [[Admit Diagnosis]] for C list [[Cardiac arrhythmia, NOS]]
 *Rule#4: This is really an observation rather than a "rule".  We recognize and accept that the above rules and examples can lead to a single diagnostic event seeming to occur multiple times, while in fact it only occurred once. In Example2, since the pneumonia is listed as an [[Admit Diagnosis]] for records A and B and C, it won't be possible to distinguish whether these were a single, ongoing pneumonia versus an original pneumonia plus subsequent separate pneumonia events.  The underlying reason for this is the artificial nature of how we collect data -- i.e. when a person goes A-->B-->C this is a single hospital episode but we code it as 3 different records.
 }}