Registry Patient Type

May 6.15 - Task Team meeting: further discussion needed.   
Allan with Boyan P about details in regards to pre admit service type if detailed (ortho, neuro etc) or not.

The Registry Patient Type designates the service of the attending physician for medicine data, and the type of admit diagnosis for critical care patients. This is currently being reviewed.

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

• • could you please clarify medical vs surgical pts who have upper GI bleeds If a pt is in ICU and is only being treated for hypotension and is given blood products and scoped are they surgical or medical. Do you code surgical if a pt is in ICU with an ICH but is not treated surgically?
    • follow what is on the Wiki here. This has not changed since we started collection. Changes for patient registry type is still in discussions with TASK Team.Trish Ostryzniuk 12:47, 2015 April 29 (CDT)

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

See STB Cardiac Care patients

Potential Change

Template:Potential Change Change from having the data collectors coding admission category Registry Patient Type#Potential Change (as medical, surgical, cardiac), to a system where the admission diagnosis codes and pre-ICU location are used within a SAS module to create this field.

Template:CCMDB Data Integrity Checks

• entry is mandatory
• Check OR from but not Surgical Type

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.