Palliative Service: Difference between revisions
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==attempt to try and clarify above statement that is hard to follow == | ==attempt to try and clarify above statement that is hard to follow == | ||
{{Discuss@task}} | |||
*A patient under the care of Palliative Service should always be coded in tmp as receiving Comfort Care. | *A patient under the care of Palliative Service should always be coded in tmp as receiving Comfort Care. | ||
**Hi Julie, is this something new? because previous instructions, as per "comfort care", were that we were only to enter comfort care in the tmp if on admission the patient was deemed comfort care right from the onset. The patient may or may not be under the palliative service. These new instructions are quite different than the old instructions, as patients can be under the palliative service but NOT necessarily be comfort care. Also do the new instructions apply to anytime during or after admission? or just at the time of admission? Thanks! Lisa Kaita 09:18, 2017 February 16 (CST) | **Hi Julie, is this something new? because previous instructions, as per "comfort care", were that we were only to enter comfort care in the tmp if on admission the patient was deemed comfort care right from the onset. The patient may or may not be under the palliative service. These new instructions are quite different than the old instructions, as patients can be under the palliative service but NOT necessarily be comfort care. Also do the new instructions apply to anytime during or after admission? or just at the time of admission? Thanks! Lisa Kaita 09:18, 2017 February 16 (CST) | ||
Revision as of 00:17, 2017 February 21
Legacy Content
This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Palliative careClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
Category: Other Medical (old) |
|
Type: |
|
| Main Diagnosis: | Palliative Service |
| Sub Diagnosis: | PALLIATIVE SERVICE |
| Diagnosis Code: | 90400 - Palliative Service |
| Comorbid Diagnosis: | |
| Charlson Comorbid coding (pre ICD10): | |
| Program: | Critical Care and/or Medicine |
| Status: | Currently Collected
|
A patient will have a "diagnosis" of palliative care if the patient is either under the care of Palliative Service Team or that this Service has been consulted. We code Palliative Service as a diagnosis because we did not have a reasonable alternative way to code it when we started to collect it
See Comfort Care for collection instructions on that care goal.
Coding Instruction for Palliative Care Service
Palliative Service code should only be used as follows:
- ADMIT slots:
- only if the patient is either under the care of Palliative Service Team or that this Service has been consulted, even if the patient was not accepted to that service
- COMPLICATION slots:
- only if there is an actual consultation for Palliative Services after ward admission even if the patient was not accepted to that service
Purpose and Use
- Julie, how is this data used? Pls remove discussion once filled in. Ttenbergen 13:57, 2016 October 12 (CDT)
Related data
The diagnosis code Palliative Service is unrelated to a patient having ACP C or Comfort Care orders, but you might be able to code Comfort Care in that circumstance.
See also: Category:End-of-life related data
attempt to try and clarify above statement that is hard to follow
- A patient under the care of Palliative Service should always be coded in tmp as receiving Comfort Care.
- Hi Julie, is this something new? because previous instructions, as per "comfort care", were that we were only to enter comfort care in the tmp if on admission the patient was deemed comfort care right from the onset. The patient may or may not be under the palliative service. These new instructions are quite different than the old instructions, as patients can be under the palliative service but NOT necessarily be comfort care. Also do the new instructions apply to anytime during or after admission? or just at the time of admission? Thanks! Lisa Kaita 09:18, 2017 February 16 (CST)
- This is to be discussed in Task meeting. Continue the old instructions. JMojica 12:12, 2017 February 16 (CST)Trish Ostryzniuk 18:25, 2017 February 16 (CST)--Trish Ostryzniuk 18:25, 2017 February 16 (CST)
Legacy info
Before Nov 11, 2013 "90400 - "Palliative Care" used to be applied as a code if a patient was either: comfort care, ACP C, palliation, end of life care or consulted to palliative care service.