Episode 7: Abstraction in Action: How Did You Code the Lily Flamingo Case?
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Episode 7: Abstraction in Action: How Did You Code the Lily Flamingo Case?
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The chart is abstracted. The codes are selected. Now it’s time to compare notes.
In Episode 6, we worked through the fictional Lily Flamingo trauma case together. In Episode 7, I’m walking you through my abstraction decisions — from mechanism and injury coding to pre-existing conditions and the documentation details that influenced my choices.
We’ll talk through:
• Fall mechanism and location
• Forehead abrasion and contusion
• Pneumothorax and pulmonary contusion
• Multiple rib fractures — and why this wasn’t coded as flail chest
• Splenic injury
• Pelvic fractures
• L2 and L3 transverse process fractures
• Possible loss of consciousness and why I didn’t capture a head injury
• COPD as a pre-existing condition when emphysema is documented
• Why your current coding resources should ALWAYS be within reach
And remember:
Don’t abstract what you THINK happened. Only abstract what you can SUPPORT.
That one is worth repeating until it’s hammered into our brains.
Did you abstract something differently? Did you choose a different code? Have a coding pearl, question, suggestion, or topic you want covered in a future episode?
📧 TheTraumaPulse@gmail.com
I want to hear from you. Different interpretations give us an opportunity to open the coding books, talk through the documentation, and learn together.
Today’s PULSE Pearl:
“Don’t abstract what you think happened. Only abstract what you can support.”
Consistency Creates Confidence.
The Trauma Pulse — a podcast with a purpose.
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