View source for Change for Apache Chronic to ICD10 from separate variable

We used to collect [[Chronic Health APACHE]] as its own variable. When we moved to [[ICD10 collection]] we realized we would be able to tag which diagnoses make up [[APACHE Comorbidities in ICD10 codes]] and then start using those for the calculation of the [[APACHE Score]] in [[Created_Variables_CC_maker 2021 query]])/[[Created_Variables_CC_2021 table]]. 

== Implementation ==
[[Created Variables Common maker 2021 query]] uses [[created_APACHE_Chronic query]] to derive this. 

== Discrepancies ==
{{Collapsable 
| always=We found some, and some are in literature, but apparently the difference is not statistically significant, so we are going ahead anyway. [[User:Ttenbergen|Ttenbergen]] 19:57, 2022 February 17 (CST)

| full=

Before we actually change over to using ICD10 instead of [[Chronic Health APACHE]], we need to be sure that the data is equivalent. Tina set up ''Created_APACHEChronic_comparison query''. This query lists almost 5000 records for which there are inconsistencies. 

=== MetCa ===
*  Checked 4 and in all cases the mets had not been code in ICD10; seems to be a problem at HSC and STB but not GRA (ex: H8_HSC_SICb-2690, H8_HSC_CC-3317, HSC_SICd-2596, HSC_SICb-2216)

===7CVS minExert===
* Angina was never coded; this may be consistent with not coding every toenail when dealing with an ICU patient? This seems to only be a problem at STB. (ex: STB_MICU-32783, STB_CICU-16181, STB_ACCU-40208) 

Questionable: STB_CICU-16388 [[Angina pectoris, stable or NOS]], which according to its page doesn't map to APACHE como. 

=== 8ImmunoComp ===
''Drug-induced immunosuppression'' was added 2021-04-19 to make sure this situation can be encoded with just CCI/ICD10 codes. Any Profile with Dispo after 2021-04-19 should have either a immunosupporessing dx or the drug code. 
* emailed Lisa examples S7_STB_ACCU-34329, H9_HSC_CC-3499 (HIV?), H8_HSC_CC-3165 for more input [[User:Ttenbergen|Ttenbergen]] 10:07, 2021 December 9 (CST)
* see [[Past history of immunosuppressive drugs or corticosteroids]]

=== NoCH ===
There appear to be a lot of NoCH entries where DXs that might turn them into other values are present. Some common ones seem to be [[COPD, without exacerbation]], [[Asthma, without acute exacerbation]], [[Respiratory failure (insufficiency), chronic]], but there are many others. 

=== General distribution differences between laptops for APACHE Chronic ===
There appear to be differences between laptops for the distribution of APACHE Chronic values. Some may be legitimate due to differences between sites.
* Emailed Julie and Lisa to find out if they have thoughts on these numbers. [[User:Ttenbergen|Ttenbergen]] 11:16, 2021 December 9 (CST)
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== Related articles == 
{{Related Articles}}

[[Category:APACHE II]]
[[Category:ICD10]]
[[Category:Change explainer page]]