Px Type

Data Element (edit)
Field Name:	Px Type
CCMDB Label:	Px Type
CCMDB tab:	not stated
Table:	L_CCI_Picklist table, L_CCI_Component table
Data type:	string
Length:	not stated
Program:	Med and CC
Created/Raw:	Raw
Start Date:	1988-07-11
End Date:	2300-01-01
Sort Index:	10

The type of a CCI Procedure as per CCI Collection, ie admit or acquired

This item is a part of the recording of procedures in CCI. It is mandatory for every procedure coded. It has 2 possible values: admit versus acquired.
It refers to whether the procedure occurred before and associated with the with the patients's admission to the unit OR was done after admission.

Code a procedure as admit if it was:
- (a) Performed within 24 hrs BEFORE the Arrive DtTm AND
- (b) Was CAUSALLY related to the admission -- this is a judgement call, see the examples below

"Causally related to the admission" can be less clear.
- If a patient goes to ward/unit immediately after surgical procedure (possibly with a stop in PACU) then code Px_Type = Admit
- If a patient on the From ward/unit gets a bedside debridement which went well, and 10 minutes later develops respiratory distress and goes to a more To acute ward/unit because of that respiratory distress, then do not code that debridement at all for the To acute ward/unit because it does not seem to be related to the admission to the To ward/unit.
- On the other hand, if a patient on the From ward/unit gets a bedside debridement, during which he/she begins to hemorrhage profusely and is then transferred to the To acute ward/unit because of that hemorrhage, then code that procedure, as Px_Type = Admit
- Even diagnostic procedures can be causally related to an admission, if a complication occurred. Examples might include: (a) a contrast CT that led to contrast-induced anaphylaxis that was the reason for admission, or (b) a diagnostic upper endoscopy that caused an esophageal perforation that was the reason for admission.

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.
- Example: 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.
- Example: 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.

This was an arbitrary decision because we needed a cut-off.

This category is for procedures that occur after Arrive DtTm and before Dispo DtTm.
Even if the procedure was planned before admission, but wasn't performed until after, then Px Type is acquired.
- Example: Patient admitted via ED with an acute abdomen. Plan was to take the patient to the OR for exploratory lap, but the OR wasn't ready yet. So patient went to the ICU first, and within 30 minutes of getting there, THEN went to the OR. This procedure was then acquired.

date for procedure with Px Type admit must have blank Px Date
date for procedure with Px Type acquired has to be after Arrive DtTm and before Dispo DtTm

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