Mechanical Device Complications and Socioeconomic Circumstances

Mechanical Device Complications

Mechanical Device Complications

• Body system
• Type of device
• Specific complication
    --Breakdown
    --Displacement
    --Leakage
    --Infection
    --Hemorrhage
    --Pain
    --Embolism
    --Fibrosis
    --Other
• Episode of care
    --Initial encounter
    --Subsequent encounter
    --Sequela
• Document any associated
diagnoses/conditions

Socioeconomic and Psychosocial Circumstances

• Document problems related to:
    --Education/literacy
    --Employment/unemployment
    --Occupational exposure (specify)
    --Housing & Economic
    --Social environment
    --Upbringing
    --Primary support group/Family circumstances
    --Other psychosocial circumstances

Body Mass Index

• Adult BMI (21 years +):
    --19 or less
    --20.0–20.9
    --21.0-21.9
    --60.0–69.9
    --70+
• Document any associated diagnoses/conditions, such as morbid obesity,
malnutrition, etc.
• Pediatric BMI (ages 2–20):
    --Less than fifth percentile for age
    --Fifth percentile to less than 85th percentile for age
    --85th percentile to less than 95th percentile for age
    --Greater than or equal to 95th percentile for age

Reproductive Services

• Document reason for visit:
    --Contraceptive management (specify type)
    --Procreative management (specify type)
    --Pregnancy test or childbirth instruction
    --Pregnancy state, incidental
    --Elective termination of pregnancy
    --Supervision of normal pregnancy (specify trimester)
    --Antenatal screening of mother

Contact with and Exposure To

• Specify what the patient came into contact with, such as:
    --AIDS virus
    --Anthrax
    --Varicella
    --Mold
    --Second-hand tobacco smoke
    --Other (specify)