2023 Acil Tıp Kodlama Kılavuzu

Sayı ve Karmaşıklık

a. May require admission/aggressive treatment & care escalation. b. Threat to life/body function w/out treatment. c. Chronic problem worse from baseline. d. Problem is at its baseline. e. New, serious (not minor) undiagnosed problem. f. Serious systemic symptoms in associated illness. g. Extensive injury or impacting multiple body systems, has multiple treatment options, or morbidity. h. ≥2 problems that are self-limited. i. Problem is at its baseline. j. Low risk of morbidity, little-to-no mortality risk. k. New/recent problem, but stable. l. Relatively minor problem, but still needing hospital care. m. Problem that is self-limited.

Risk düzeyi

High: parenteral controlled substances, elective/emergency major surgery decision, hospitalized considered, or DNR/de-esc considered Moderate: prescription drug management, minor/major surgery decision, or limited by social DOH See Evidence for details.

İstenen testler

Unique item like a CBC, troponin, CT scan, EKG, etc.

Değerlendirilen test sonuçları (lab hariç)

Review of imaging, EKGs, etc.

İncelenen önceki dış notlar

Outside ED/hospital setting or specialty