Trauma diagnoses
Improving Physician Documentation Specificity
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
| A-C | D-P | P-Z |
|---|---|---|
| Acute kidney failure/injury | Coagulopathy | Pulmonary contusion1 |
| Adverse effects and poisoning | Demand ischemia | Pulmonary insufficiency |
| Alcohol/drug abuse and dependence | Encephalopathy | Respiratory failure |
| Anemia | Fractures, traumatic vertebral | Sepsis |
| Brain hemorrhage | Fractures, traumatic | Shock2 |
| Brain compression1 | Hypotension | Spinal cord injury |
| Burns | Intracerebral or subarachnoid hemorrhage | Spinal column injury or disease |
| Cardiac contusion1 | Laceration | Sprain |
| Cerebral edema1 | Liver contusion1 | Subdural hemorrhage |
| Cerebral infarction/stroke | Pneumothorax | Venous embolism/thrombosis |
1 Link diagnostic study to clinical diagnosis. CT findings are not a diagnosis.
2 Document type (e.g., cardiogenic, hypovolemic, post-traumatic, septic) .
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
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Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
