Acquired Diagnosis / Complication

For other types of diagnoses, see Admit Diagnosis and Comorbid Diagnosis.

Acquired Diagnoses, also referred to as complications, are diagnoses that happen to a patient after they physically arrive on the unit (ie after the Arrive DtTm. An Acquired Diagnosis / Complication is coded by setting the Dx_Type to "acquired".

This is now inconsistent with Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2020#ICU_Database_Task_Group_Meeting_-_February_12.2C_2020 which was proposing a change for ECIP, but that change might also affect medicine. We need to update this page to make sure we write what we actually want. Ttenbergen 17:26, 2020 February 23 (CST)

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after Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry, and to be consistent with other things changing to include time cared for in ER, should this also start at Accept DtTm rather than Arrive DtTm?

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See Admit Diagnosis and Comorbid Diagnosis for info on coding dxs that happen prior to arrival on your ward.

Acquired diagnoses are prioritized (Dx Priority field) in order of occurrence.

Coding for Acquireds/complications follows the general ICD10 collection instructions.

The Dx_Date is mandatory for Acquireds/complications.

Onset not discovery

Acquired diagnoses do not refer to diagnoses that have been discovered after the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out. Code these as Comorbid Diagnosis, and also, if appropriate (i.e. it was related to the reason for admission) as a Admit Diagnosis.

this relates to Attribution of infections and we need to be sure to have it consistent.

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Repeating Complications

• In general things that occur, fully resolve, and then recur SHOULD be coded each time they recur.
  • e.g. postop hemorrhage --> goes to OR to have it fixed --> IS fixed ---> 3 days later has more postop hemorrhage
• For things that happen multiple times, some we WANT to list multiply and others we only list once
  • The ones we only list once include that info: Template:ICD10 Guideline repeated events. These are generally signs/symptoms, and arrythmias.
  • Otherwise, DO list it multiply --- e.g. after admit has a stroke --> 4 days later has a NEW/DIFFERENT stroke.

Data Structure

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

Cross checks

• Query check ICD10 date