Definition
The diagnosis established at the conclusion of the patient's attendance in an emergency department to be mainly responsible for occasioning the attendance following consideration of clinical assessment, as represented by a code.
Components
Data Element (this item)
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Data Element ConceptEmergency department stay—principal diagnosis
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Object ClassEmergency department stay
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PropertyPrincipal diagnosis
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Value DomainDiagnosis code X(18)
Representation
This representation is based on the value domain for this data element, more information is available at " Diagnosis code X(18) ".| Data Type | String |
|---|---|
| Format | X(18) |
| Maximum character length | 18 |
Comments
Guide for use:
An emergency department care episode ends when either the patient is admitted, died or, if the patient is not to be admitted, when the patient is recorded as ready to leave the emergency department or when they are recorded as having left at their own risk.
The phrase 'at the conclusion' in the definition refers to evaluation of findings interpreted by the clinician available at the end of the emergency department episode. This may include information gained from the history of illness, any mental status evaluation, specialist consultations, physical examination, diagnostic tests or procedures, surgical procedures and pathological or radiological examination.