Registry Patient Type
Medicine Wards
The Patient Type on your registry page can take one of two values:
M-Medical Type
Patient who is admitted under the care of a Medical Service attending physician
S-Surgical Type
- admitted from the OR but is under the care of the Medicine Service Attending Physician.
- admitted from the RR and is under the care of the Medicine Service Attending Physician.
NOTE: if there is a surgical patient on an medicine ward bed that is under a Surgical Service care, we exclude from the database. This is not a medicine service care patient.
Critical Care Units
S-Surgical Type
- admit from OR
- admit from RR
- all Trauma (fall, MVA, stabbing, etc)
- all burns
- all upper GI bleeds
- all intracerebral bleeds
- Pt who undergoes a surgery related to primary reason to ICU in the first 48 hrs of admission to ICU.
- Pt admitted from a SURGICAL WARD
- Pancreatitis if surgery < =48 hrs of admission to unit
M-Medical Type
- Cardiac or respiratory arrest
- Cardiogenic shock
- Pancreatitis if surgery >48 hrs of admission to unit
- don't fall into Surgical or Cardiac type category
C-Cardiac Type
- STB in both MICU and CICU and HSC in the MICU unit - if under the Care of Cardiology Service
Other ICU's
- MI
- rhythm disturbances
- unstable angina / ACS
- CHF
- post angio/plasty
- pacemaker insertions (temp or perm)
Note for ICU at HSC and STB only
Patients in MICU under MICU attending physician service that have a cardiac diagnosis should always be coded as medical type whether they are stable or not. The only exception is if a patient is a surgical patient, then mark as surgical type.
StB Cardiac patients
Consistency Checks
The entry is mandatory; ccmdb.mdb will not allow checking registry complete without this filled in. CCMDB.mdb_Change_Log_2011#ver_2011-04-21
Discussion
The discussion at task meeting in past was to wait until we migrate to ICU10 DX code then Julie and Garland can decide on pt type category.