Myocardial infarction
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Myocardial infarction, acute (AMI), NOS, Myocardial infarction (STEMI), acute (AMI), transmural (Q-wave), Myocardial infarction (NSTEMI), acute (AMI), subendocardial/non-transmural (non-Q-wave)Click Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Cardiovascular (old) |
|
Type: |
[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]] |
| Main Diagnosis: | Myocardial infarction |
| Sub Diagnosis: | Yes-see Myocardial infarction |
| Diagnosis Code: | 10200 |
| Comorbid Diagnosis: | Yes |
| Charlson Comorbid coding (pre ICD10): | 1 |
| Program: | CC & Med |
| Status: | Currently Collected
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Criteria
- Documented CPK rise or classic EKG changes
Discussion
- The subdiagnoses are not mutually exclusive, an MI could be both post-op and anterior. What is the precedence with which to collect these? Even if we explain this here, there still is a risk of misunderstanding. I think the ones that are not exclusive shoudl be eliminated. (The same is probably true for other dxs) Ttenbergen 12:51, 18 February 2009 (CST)
- On second thought, would we just code both post-op and anterior, leading to two MI dxs? If so, which goes first, since we report on primary admit DXs? Also, does this lead to higher numbers of MI reported? If a patient in fact has two MIs, one post-op with location unknown, and one anterior when first admitted, would our db report this as just one MI or as several? I will send this to Julie as well.Ttenbergen 12:56, 18 February 2009 (CST)
- Good point Tina because we only list 6 dx, how do we priortize if the MI is both post-op and anterior if we do not have room on our dx list? Which is more NB to know, the MI being post-op or the location of the MI?--MWaschuk 13:49, 18 February 2009 (CST)
- I agree with you as well.Is the criteria for post-op defined by a time line e.g. 48 hours or less,or is there a definite criteria?--User:JKothuber
- On second thought, would we just code both post-op and anterior, leading to two MI dxs? If so, which goes first, since we report on primary admit DXs? Also, does this lead to higher numbers of MI reported? If a patient in fact has two MIs, one post-op with location unknown, and one anterior when first admitted, would our db report this as just one MI or as several? I will send this to Julie as well.Ttenbergen 12:56, 18 February 2009 (CST)
Data Integrity Rules
- If 102-10 you must not use any another 102 with a subcode.
- This rule is not yet implemented in ACCESS.
- See ICU Var 2 to tag MI Care Map MAP Template:Discussion
- MAP isn't being checked anywhere because there is no cross-check if it is not true but just forgotten. If one should be made, we would need to actively track XMAP if someone is not getting MAP. Since we track BRR in the same field this would not be doable. Could move one of the two into the tmp fields. Maybe the bigger question is: should we collect this forever? Let's report on it, ask if they plan to do anything about it, and offer to collect again after. Ttenbergen 00:37, 5 May 2009 (CDT)