192 Chapter 8 • Sepsis due to urinary tract infection is labelled “Extrathoracic pathology” • For fever during chemotherapy and tumor fever, please also check the diagnostic labels “Extrathoracic pathology” and “No pathology” to decide which label is most applicable 30. Other thoracic pathology Includes all thoracic diagnoses that are not mentioned in this handbook. Please specify the diagnosis in the open text field of the assessment form. Please keep in mind: this should be a clear diagnosis and not a list of symptoms or complaints. Everything below the diaphragm is considered extrathoracic pathology. Some examples of what may be indicated in the EHR: • Gastroesophageal reflux disease is labelled “Other thoracic pathology” • Tietze syndrome is labelled “Other thoracic pathology” • Exacerbation of, or new, bronchiectasis is labelled “Other thoracic pathology” • Tako Tsubo cardiomyopathy is labelled “Other thoracic pathology” • Renal asthma is labelled “Other thoracic pathology” • Pathology of the stomach (i.e. peptic ulcer disease) is labelled “Extrathoracic pathology” Exception: • Please refer hemoptysis without an explanatory cause to the Adjudication Committee. 31. Extrathoracic pathology Includes all extrathoracic diagnoses, where the diaphragm is considered the border between thorax and abdomen. Please specify the diagnosis in the open text field of the assessment form. Please keep in mind: this should be a clear diagnosis and not a list of symptoms or complaints. This label can be assigned in two situations: • This is the only diagnostic label for this patient • This diagnostic label is combined with another label, but this diagnosis is relevant for the ED presentation Please keep in mind: pre-existing extrathoracic pathology should not be labelled, except when the pre-existing condition worsened and is relevant for the ED presentation. Some examples of what may be indicated in the EHR: • Peptic ulcer disease is labelled “Extrathoracic pathology” • CVC infection is labelled “Extrathoracic pathology” • Systemic allergic reaction is labelled “Extrathoracic pathology” • Panic attack is labelled “Extrathoracic pathology” • Anemia is labelled “Extrathoracic pathology” only when the anemia contributes to the complaints of the patient at ED presentation. For example: when a patient experiences dyspnea with a hemoglobin level below 5 mmol/L. When a patient
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