Admit Diagnosis

For other diagnoses, see Comorbid Diagnosis and Acquired Diagnosis / Complication.

Admit diagnoses are what led to the patient's admission to your unit. We make special use of the Primary Admit Diagnosis, so make sure the most responsible reason why the patient was admitted is given the highest priority.

Problems or Procedure prior to arrival onto unit

Any medical problems or procedures that a patient had done prior to their physical arrival into a medicine or ICU ward bed, and that are still relevant to the admission should be coded as part of admitting diagnosis and not as complications. Do not include old diagnoses that have been resolved.

• An example to code would be a patient admitted with a CAP to ICU who was intubated, ventilated and placed on antibiotics. They develop Atrial fibrillation and/or atrial flutter and are placed on meds which may need adjusting because they are still having breakthrough rapid Afib. Once extubated they are often ready for the medicine ward but are still on antibiotics for their CAP and require watching to see if their Afib returns. The medicine collector would list both CAP and Afib as part of their admitting diagnoses.
• An example not to code would be a patient with BPH who is not on any medications for it. They still have BPH but it is not an active problem being treated.

Data Structure

Admit Diagnoses are drawn from S_ICD10 table and stored in L_ICD10 table.

Legacy Information

Maximum Number of Admit Diagnoses

Until we started to use Centralized data.mdb we were limited to 6 admit diagnoses. For some time CCMDB.mdb had been able to record any number of admit diagnoses. However, only the six (6) with the highest priority were appended to TMSX.