Please advise on the following scenario regarding presentation day.

The patient was admitted without meeting severe sepsis criteria.
On day 6 of admission the MD documents "severe sepsis".
Five days later, hospital day 11, the MD documents "sepsis on admission with 
septic shock".
Which day is presentation day?
Day 6 when MD wrote "severe sepsis" OR day 11 when MD wrote "septic shock on 
admission" which would actually mean presentation day was  day of admission?

Thank you for your help.


Marlene Kennard, MA RRT CPHQ
Quality Improvement Consultant
TMF Health Quality Institute
Bridgepoint I, Suite 300 | 5918 West Courtyard Drive | Austin, TX 78730-5036
Phone: 512-677-0712
Fax: 512-334-1787
Email: [email protected]<mailto:[email protected]>

[cid:[email protected]]



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