Dickinson EHRGO

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School

Dakota State University *

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Course

370

Subject

Health Science

Date

Jun 19, 2024

Type

docx

Pages

2

Uploaded by CountLyrebirdMaster720

Knowledge Activity: Inpatient Coding (Dickinson) Learning objectives 1. Apply current knowledge of electronic health records and location of information. 2. Locate structured and unstructured data in the patient chart for coding purposes. 3. Use outside resources in determining appropriate codes. Student instructions 1. If you have questions about this activity, please contact your instructor for assistance. 2. You will review the chart of Garrett Dickinson to complete this activity. Your instructor has provided you with a link to the Inpatient Coding (Dickinson) activity. Click on 2: Launch EHR to review the patient chart and begin this activity. 3. Refer to the patient chart and any suggested resources to complete this activity. 4. Document your answers directly on this activity document as you complete the activity. When you are finished, you will save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS). The activity Review the contents of the chart. Using your textbook and online resources, assign codes in the following table. Student Name: Patient data or codes Notes or comments (if applicable) Patient Name Garrett Dickinsion MRN MR159753 EHR Go Knowledge Activity: Inpatient Coding (Dickinson) CK1080.4 1 Archetype Innovations LLC ©2024
Facility Type Inpatient Service Location General Hospital Days or Units 1 Day 05/17/2023-05/18/2023 Principal Diagnosis Code R06.03 Acute Respiratory Distress (I would query about RSV being either upper or lower in this case because that diagnosis would have been different. The Rad report stated “perihilar” but stuck with the diagnosis of respiratory distress per the discharge summary) Secondary Diagnosis Code(s) (list all applicable) J45.909 Unspecified Asthma, Uncomplicated B97.4 Respiratory syncytial virus as the cause of diseases classified elsewhere E86.0 Dehydration Principal Procedure Code N/A Principal Procedure Date N/A Principal Procedure Provider N/A Secondary Procedure Code(s) (list all applicable) N/A MS DRG Code 204 Respiratory Signs and Symptoms Submit your work Document your answers directly on this activity document as you complete the activity. When you are finished, save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS). If you have any questions about submitting your work to your LMS, please contact your instructor. EHR Go Knowledge Activity: Inpatient Coding (Dickinson) CK1080.4 2 Archetype Innovations LLC ©2024
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