Dickinson EHRGO
.docx
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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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