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".

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.

repeating complications

We don't repeat the diagnosis in the acquired section. For example if the admit diagnosis is CHF they get treated but relapse back into CHF we do not add that as a acquired complication. Exceptions:

1 This is probably not what we want, e.g. if there are multiple multiple arrests we want to know about them repeatedly, right? Also, if this was in fact the instruction we use, then Template:ICD10 Guideline repeated events would not be needed. So: what is the general rule for repeat codes, and then what is the specific no-repeat rule for one-timers, and which codes are which?

• SMW

• Cargo

• Categories

• the same type of infection that was present on admission but with a different pathogen

Data Structure

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

Cross checks

• Query check ICD10 date