Admit Type for APACHE II: Difference between revisions

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''Note: This is'' '''''not''''' ''for [[Registry Patient Type]] which is part of registry screen.''
{{Data_element
{{Data_element
| field_name = Ap_AdmitType
| field_name = Ap_AdmitType
| CCMDB_label = Admit Type
| CCMDB_label = Admit Type
| CCMDB_tab = Apache
| CCMDB_tab = Apache
| element_description = Admit type for [[APACHE]]
| element_description = The Admit Type for APACHE II is a way to classify patients' surgical status and one of the elements used to generate the [[APACHE_Scoring_table#Chronic_Health_Score | APACHE score]].
| in_table = L_Log table  
| in_table = L_Log table  
| data_type = string
| data_type = string
Line 13: Line 12:
}}
}}


It is a way to classify patients surgical status and one of the elements used to generate the [[APACHE_Scoring_table#Chronic_Health_Score | APACHE score]]. The possible values are stored in [[S AP AdmitType]].
== Collection Instructions ==
 
Code as follows:
== Admit Type ==
* "Surgical Emergency" only if patient meets the criteria in [[Emergency Surgery (concept)]]
Go to: [[Emergency Surgery (concept)| Admission types]] for details.
* "Elective Surgery" only if the patient had surgery that didn't meet criteria in [[Emergency Surgery (concept)]], and '''was admitted directly from the OR or the Recovery Room'''
*"Medical" for all other patients (even those with recent surgeries)


== Relevance ==
== Relevance ==
Patients with:  
Patients with:  
*Chronic disease + emergent surgery or non operative (medical patient) = '''5''' points  
* [[Chronic Health APACHE]] + [[Emergency Surgery (concept)|emergent surgery]] or non operative (medical patient) = '''5''' points  
*Chronic disease + elective surgery = '''2''' points
* [[Chronic Health APACHE]] + elective surgery = '''2''' points
*No chronic disease = 0 points
* No [[Chronic Health APACHE]] = 0 points
 
== Potential Change ==
May 8.14: it was discovered that below is really '''not relevant''' now that we have discovered that ccmdb.mdb "sending" doesn't do it that way.- [[p:Tina Tenbergen]], [[User:TOstryzniuk|Trish Ostryzniuk]] 19:19, 2014 May 8 (CDT)
 
Task team meeting: [[p:Dr. Allan Garland]] decided to code as this because it is sufficient to do the scoring, even if it is not as granular as we could be.
{{Potential Change}}
We discussed difficulties related to APACHE ICU admission types.  These are in 3 categories:  elective surgical, emergent surgical, and nonsurgical (i.e. medical).  The single variable in Ed’s program is called “Elective surgical” and is coded Yes/No.  So it cannot accurately distinguish the 3 true categories.  However, by merging this variable with the pre-ICU location, we can appropriately re-create the correct variable.  Thus we’ll make a new variable that will identify the APACHE admission type, coded using “Elective surgical” and the pre-ICU location, as follows:
Elective surgical Pre-ICU location APACHE admit type
Yes any elective surgical
No OR or PACU emergent surgical
No not OR or PACU         medical
We also will consider, “later”, fixing this variable on the laptops to appropriately include all 3 options.


*Tina, I think this is fixed up with the move over to CFE?[[User:TOstryzniuk|Trish Ostryzniuk]] 17:35, 2015 May 11 (CDT)
== CCI has no concept for emergent ==
CCI has no way to code the concept of "emergent" so we need to continue to collect this item as is.


== [[Conversion from our old diagnosis schema to ICD10/CCI]] ==
== Implementation ==
{{CCI|needs review}}
The possible values are listed in [[S AP AdmitType table]].
{{DiscussAllan | If we include the concept of emergence in [[CCI]] procedure codes we may be able to eliminate manual collection of this and instead get more value out of the procedure entries.  Ttenbergen 19:43, 2017 September 16 (CDT)
**AG REPLY --- CCI does NOT have a way to do this, so it'll need to be continued as manual collection.
}}


== Related articles ==
{{Related Articles}}




[[Category: APACHE II]]
[[Category: APACHE II]]

Latest revision as of 13:28, 2022 January 6

Data Element (edit)
Field Name: Ap_AdmitType
CCMDB Label: Admit Type
CCMDB tab: Apache
Table: L_Log table
Data type: string
Length: 10
Program: Med and CC
Created/Raw: Raw
Start Date: 1988-07-11
End Date: 2300-01-01
Sort Index: 55

The Admit Type for APACHE II is a way to classify patients' surgical status and one of the elements used to generate the APACHE score.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Collection Instructions

Code as follows:

  • "Surgical Emergency" only if patient meets the criteria in Emergency Surgery (concept)
  • "Elective Surgery" only if the patient had surgery that didn't meet criteria in Emergency Surgery (concept), and was admitted directly from the OR or the Recovery Room
  • "Medical" for all other patients (even those with recent surgeries)

Relevance

Patients with:

CCI has no concept for emergent

CCI has no way to code the concept of "emergent" so we need to continue to collect this item as is.

Implementation

The possible values are listed in S AP AdmitType table.

Related articles

Related articles:
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