Files > INPATIENT DIAGNOSIS

name
INPATIENT DIAGNOSIS
number
356.9
location
^IBT(356.9,
description
This file is designed to hold all inpatient diagnoses. Per VHA Directive 10-93-142, this file definition should not be modified.
Fields
#NameLocationTypeDetailsIndexDescription
.01diagnosis(+)0;1POINTER80BThis is the diagnosis for this patient for this episode of care.
.02admission movement0;2POINTER405CThis field should point to the admission movement of the inpatient episode that this diagnosis is for. For ASIH movements it should point to the admission in the acute setting.
.03onset date this visit(+)0;3DATE-TIMEDThis is the date of the onset of this diagnosis for this episode of care. If the diagnosis is for an admission then the date of onset should be within the dates of admission and discharge. If the diagnosis is for an outpatient visit then the date of onset should be the visit date.
.04type0;4SET OF CODES1:PRIMARY
2:SECONDARY
3:ADMITTING
Enter 'PRIMARY' if this is the primary diagnosis for this date, enter 'SECONDARY' if this is not the primary diagnosis for this date. Enter "ADMITTING" if this is the admitting diagnosis.
.05poa indicator0;5SET OF CODESY:Yes
N:No
U:Insufficient Documentation
W:Clinically Undetermined
The Present On Admission (POA) for the Inpatient Diagnosis indicates if this condition was present at the time the patient was admitted. One of the following values should be assigned in accordance with the official coding guidelines: Y = Present at the time of inpatient admission N = Not present at the time of inpatient admission U = Documentation is insufficient to determine if condition is present on admission W = Provider is unable to clinically determine whether condition was present on admission or not

Referenced by 1 types

  1. CLAIMS TRACKING (356) -- admitting reason (icd)