Trach Task: Difference between revisions
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TOstryzniuk (talk | contribs) →{{CCMDB Data Integrity Checks}}: Chronic Trach put in admit DX for both ICU and Medicine patients |
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**I would put the trach task chronic but would not put the procedure tracheostomy in the admit codes in this scenario. The admit code section applies to current admission items (current hospitalization). If the pt was admitted with a problem with the trach, like an infection, then this can still be coded without putting the procedure tracheostomy in the admit section. --[[User:LKolesar|LKolesar]] 13:39, 2015 May 15 (CDT) | **I would put the trach task chronic but would not put the procedure tracheostomy in the admit codes in this scenario. The admit code section applies to current admission items (current hospitalization). If the pt was admitted with a problem with the trach, like an infection, then this can still be coded without putting the procedure tracheostomy in the admit section. --[[User:LKolesar|LKolesar]] 13:39, 2015 May 15 (CDT) | ||
*** the cross-checks as I was asked to implement them would not allow through a chronic trach task without a corresponding admit dx. If we want to change that I need to change the code. Ttenbergen 13:31, 2015 May 20 (CDT) | *** the cross-checks as I was asked to implement them would not allow through a chronic trach task without a corresponding admit dx. If we want to change that I need to change the code. Ttenbergen 13:31, 2015 May 20 (CDT) | ||
****This will now change. We can put unlimited amounts of DX codes now. So if Chronic trach (one that has been in place for more than 48 hrs) is present at admission, it should be part of the admit DX's one of the LAST one.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:34, 2015 May 20 (CDT) | ****This will now change. We can put unlimited amounts of DX codes now. So if Chronic trach (one that has been in place for more than 48 hrs) is present at admission, it should be part of the admit DX's one of the LAST one. Including the DX code of a chronic trach in ADMIT DX slot is applicable for both Medicine and ICU. - [[User:TOstryzniuk|Trish Ostryzniuk]] 17:34, 2015 May 20 (CDT) | ||
== Data Structure == | == Data Structure == | ||
Revision as of 17:39, 20 May 2015
The trach task encodes whether or not a medicine patient has a tracheostomy. It is stored in the Diagnosis tab in ccmdb.mdb because that is the only way we could store it when we started to collect it.
Instructions
Medicine ward patients have lines created automatically under the diagnosis tab. The one for this element needs to be changed to one of the following:
- 100100 - Trach None
- 100101 - Trach Acute - fresh trach has been in place for less than 48 hours by admission
- 100102 - Trach Chronic - chronic trach has been in place for 48 hours or more by admission
Template:Data Integrity Checks
Template:CCMDB Data Integrity Checks
query check_trach_dx_task
Wrong if:
- trach task none (100) or empty(1) AND if there is any trach dx in admit or complication. (1 - empty tasks are checked elsewhere, this will give specific error).
- trach TASK chronic (102) AND no admit trach DX
- trach TASK chronic (102) with acquired trach DX
- trach TASK acute (101) AND no admit or acquired Trach DX
where trach DX's are:
- Tracheostomy except 77402 chrichothyroidotomy
- Tracheostomy Site Infection
- Hi all I have a patient admitted that has a chronic trach (has for years) (trach task chronic) and was wondering if I should also be including trach in admit dx? (I would code this last) Would this be consistent with instruction above? Thanks. Pamela Piche 08:29, 2015 May 15 (CDT)
- I would put the trach task chronic but would not put the procedure tracheostomy in the admit codes in this scenario. The admit code section applies to current admission items (current hospitalization). If the pt was admitted with a problem with the trach, like an infection, then this can still be coded without putting the procedure tracheostomy in the admit section. --LKolesar 13:39, 2015 May 15 (CDT)
- the cross-checks as I was asked to implement them would not allow through a chronic trach task without a corresponding admit dx. If we want to change that I need to change the code. Ttenbergen 13:31, 2015 May 20 (CDT)
- This will now change. We can put unlimited amounts of DX codes now. So if Chronic trach (one that has been in place for more than 48 hrs) is present at admission, it should be part of the admit DX's one of the LAST one. Including the DX code of a chronic trach in ADMIT DX slot is applicable for both Medicine and ICU. - Trish Ostryzniuk 17:34, 2015 May 20 (CDT)
- the cross-checks as I was asked to implement them would not allow through a chronic trach task without a corresponding admit dx. If we want to change that I need to change the code. Ttenbergen 13:31, 2015 May 20 (CDT)
- I would put the trach task chronic but would not put the procedure tracheostomy in the admit codes in this scenario. The admit code section applies to current admission items (current hospitalization). If the pt was admitted with a problem with the trach, like an infection, then this can still be coded without putting the procedure tracheostomy in the admit section. --LKolesar 13:39, 2015 May 15 (CDT)
Data Structure
the list of options is in S_AllDiagnoses and the actual data is stored in L_Dxs.
Legacy
Task items replaced iTISS December 15, 2006.