Acquired Diagnosis / Complication: Difference between revisions
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''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' | ''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' | ||
'''Acquired Diagnoses''', also referred to as '''complications''', are ''the most significant'' problems, surgical procedures or diagnostic procedures that happen to a patient ''' | '''Acquired Diagnoses''', also referred to as '''complications''', are ''the most significant'' problems, surgical procedures or diagnostic procedures that happen to a patient '''after''' they physically arrive on the unit. | ||
*Go to: [[Admit_Diagnosis#Problems_or_Procedure_PRIOR_TO_arrival_onto_unit | how to code Problems or Procedure that occur PRIOR TO arrival onto unit]] | *Go to: [[Admit_Diagnosis#Problems_or_Procedure_PRIOR_TO_arrival_onto_unit | how to code Problems or Procedure that occur PRIOR TO arrival onto unit]] | ||
Acquired diagnoses are coded "in order of occurrence" on a ward/unit. | Acquired diagnoses are coded "in order of occurrence" on a ward/unit. | ||
Coding for Acquireds/complications follow the general [[ICD10 collection]] instructions. | |||
'''The [[Dx_Date]] is mandatory for Acquireds/complications. ''' | |||
== onset not discovery == | == onset not discovery == | ||
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==Data Structure== | ==Data Structure== | ||
Acquired Diagnoses are drawn from [[ | Acquired Diagnoses are drawn from [[S_ICD10 table]] and stored in [[L_ICD10 table]]. | ||
===Related articles === | ===Related articles === | ||
Revision as of 09:51, 2017 December 13
For other types of diagnoses, see Admit Diagnosis and Comorbid Diagnosis.
Acquired Diagnoses, also referred to as complications, are the most significant problems, surgical procedures or diagnostic procedures that happen to a patient after they physically arrive on the unit.
Acquired diagnoses are coded "in order of occurrence" on a ward/unit.
Coding for Acquireds/complications follow 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:
- for procedures we can repeat them once as a complication. For example if the patient came in with a scope in the admit and then had 3 more scopes in the hospital you would enter it once as an acquired
- the same type of infection that was present on admission but with a different pathogen
Significant Complications
Data Structure
Acquired Diagnoses are drawn from S_ICD10 table and stored in L_ICD10 table.