DC Treatment: Difference between revisions

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The '''DC Treat''' checkbox on the Registry page of the PDA tracks the withdrawal of treatment in dying ICU patients when appropriate.
The concept encoded by this is slightly different than other [[:Category:End-of-life related data|End-of-life related data]] so it can not be transferred into new fields that encode related concepts, so we will keep it in the [[Centralized data.mdb]]'s [[L Log table]]. It has been removed from [[CCMDB.accdb]].
Withdrawal of treatment is not the same as withdrawal of care.  DC Treatment in an ICU setting occurs because it is often possible to maintain life for long periods of time without any hope of recovery.  Intensive care is a means of supporting organ systems and it is not always curative.  Prolonging the process of dying is not in the patient's best interests nor is it ethical. (Winter,B. & Cohen,S. (1999).  ABC of intensive care. Withdrawal of treatment. ''BMJ 319'', 306-308.)


== When to code "DC Treat" ==
{{Todo
* when the decision is made to discontinue treatment in ICU
| who = Tina
* even if [[Palliative Care]] (90400) is provided and coded
| todo_added = 2022-06-30
| todo_action = 2023-05-04
| question = _dev_CFE_Data
* The field has a length of 50 and should be reduced to 2 now that that's the longest content.
}}


== When not to code "DC Treat" ==
{{LegacyContent
* "DC Treat" is not coded on Medicine wards
|explanation=stopped collection in Medicine
|successor= various tmp and dx codes relating to palliative care and [[:category:End-of-life related data|End-of-life related data]]
|content=


{{Data_element
| field_name = R_dc_treat
| element_description = "DC" for critical care patients if life-support treatment is terminated, blank for all others.
| in_table = L_Log table
| data_type = string
| datafield_length=50
| program_collecting = CC
| created_raw = Raw
| data_element_sort_index = 12
| data_element_end_date = 2022-05-10
}}


== Additional info needed to de-stub ==
This field was also collected in Medicine until 2013-07-04. Collection stopped because the distinction is not clear enough for coding on a medicine ward.
* Is there an expectation to see DC patients survive their ICU stay? How sure of an expectation? Can this still be checked if the patient survives?  Usually DC treatment involves removing life support devices which subsequently results in death. However, occasionally the patient may survive to go to a Palliative care ward and in this event Palliative care should also be coded. --[[User:LKolesar|LKolesar]] 12:54, 8 May 2008 (CDT)


Defined as terminal withdrawal with expectation of death of:
* invasive mechanical ventilation (ET tube or trach)
* vasopressors or inotropes
* [[ECMO, VV]], [[ECMO, VA]]
* VAD (Ventricular assistive device)


{{Stub}}
== See Also ==
[[Category:Data Collection Guide]]
See: [[Comfort Care]]
 
== Log ==
* 2022-05-10 removed from collection screen
 
== Related articles ==
{{Related Articles}}
 
 
[[Category: Data Collection Guide]]
[[Category: Registry Data]]
[[Category: End-of-life related data]]
}}

Latest revision as of 11:56, 2023 July 6

The concept encoded by this is slightly different than other End-of-life related data so it can not be transferred into new fields that encode related concepts, so we will keep it in the Centralized data.mdb's L Log table. It has been removed from CCMDB.accdb.

_dev_CFE_Data

  • The field has a length of 50 and should be reduced to 2 now that that's the longest content.
  • added: 2022-06-30
  • action: 2023-05-04
  • Cargo


  • Categories

Legacy Content

This page contains Legacy Content.
  • Explanation: stopped collection in Medicine
  • Successor: various tmp and dx codes relating to palliative care and End-of-life related data

Click Expand to show legacy content.

 
 
 
 

Legacy Content

This page contains Legacy Content.
  • Explanation: This is a legacy data field, its DataElementEndDate is in the past.
  • Successor: No successor was entered

Click Expand to show legacy content.

Data Element (edit)
Field Name: R_dc_treat
CCMDB Label: not stated
CCMDB tab: not stated
Table: L_Log table
Data type: string
Length: 50
Program: CC
Created/Raw: Raw
Start Date: 1988-07-11
End Date: 2022-05-10
Sort Index: 12

"DC" for critical care patients if life-support treatment is terminated, blank for all others.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


This field was also collected in Medicine until 2013-07-04. Collection stopped because the distinction is not clear enough for coding on a medicine ward.

Defined as terminal withdrawal with expectation of death of:

  • invasive mechanical ventilation (ET tube or trach)
  • vasopressors or inotropes
  • ECMO, VV, ECMO, VA
  • VAD (Ventricular assistive device)

See Also

See: Comfort Care

Log

  • 2022-05-10 removed from collection screen

Related articles

Related articles:
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