Acquired Diagnosis / Complication: Difference between revisions

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==Data Structure==
==Data Structure==
Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].
Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].


[[Category: Complications | * ]]
[[Category: Complications | * ]]

Revision as of 18:44, 2011 July 26

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 unit admission.

Acquired diagnoses are coded "in order of occurrence" on a ward/unit.

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.

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

Template:Discussion Currently the instructions are to collect acquireds in order of occurrence. Is this significant, i.e. do we use "first acquired" for anything meaningful, or do we draw inferences based on the order in which they occur? I would like to propose a change: I could simply sort them by whether they are "significant" or not, and send as many of the significant ones as possible. Especially Trish and Julie, do you think this would work? Ttenbergen 18:39, 26 July 2011 (CDT)

Maximum Number of Acquired Diagnoses

The PDA and the CCMDB.mdb can record as many acquired diagnoses as you want as you go along. However, only the nine (9) with the highest priority will be appended to TMSX. Since acquired diagnoses are prioritized by order of occurrence, this means that you might want to re-prioritize or delete more minor acquireds if keeping them would mean that a more major acquired diagnosis would not be within the 9 highest priorities, and therefore would not be sent. See Significant complications medicine & Significant complications ICU to guide you in this judgement.

loosing info for long-term patients

Template:Discussion

  • As our ICU's have more and more LTV patients that are essentially a hospital hold for IICU, Riverview etc this section will have to be re-vamped...ex: I have a pt that will soon have been in the ICU for a year. We are losing points and information about this patient as we are only counted for the top "9" with the highest priority. In my case I am deleteing numerous high priority complications because of this...so in the end... what is collected is not indicative of that patient at all????--Wturner 13:15, 7 February 2010 (CST)
    • Trish, I think the way I cleaned up the main section of this article means that the max # of points possible will be collected. This would mean that Wendy's concern is addressed, correct? If you agree, please remove this section. Ttenbergen 16:58, 2 November 2010 (CDT)
      • I don't know what you mean by point for complications?--TOstryzniuk 17:32, 3 November 2010 (CDT)
        • I meant that, with the changes I had made to the instructions, the most important complications would be the ones that would stay. Specifically, that as you run out of spots you delete the ones that are not as important so that we get the most importand complications within the limited number of spots available, rather than the original instructions to be entirely chronological. This still isn't a good way to do this; one way to fix would be to wait for the new repository with unlimited # of complications, another would be to add a column to prioritize s_alldxs into groups of prioirties for the dx (vs priorities for the collected dx), so that I could sort the list first by priority and then chronologically (would not work if we use the fact that the list is currently chronological for anything). This is a bit of a messy explanation, call if you want to talk about it.Ttenbergen 09:56, 4 November 2010 (CDT)

should it be "acquired diagnoses" or "complications"?

both terms are used to refer to problems, procedures, surgery that occur "AFTER" the patient is admitted to a unit.

Data Structure

Acquired Diagnoses are drawn from S_AllDiagnoses and stored in L_Dxs on the PDA and in the CCMDB.mdb.