View source for Query check ICD10 ESRD and AKI only if transplant

{{Data Integrity Check
|DIC_summary=A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI.
|DIC_related_concepts=Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15; Kidney Transplant Coding Guidelines; (T) Kidney; Transplant; Kidney, acute renal failure NOS; Kidney, acute renal failure, postprocedural; Kidney, acute tubular necrosis (ATN); Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic
|DIC_firmness=soft check
|DIC_timing=complete
|DIC_coding=Query check_ICD10_ESRD_and_AKI_only_if_transplant
|DIC_implementation_date=2023-05-24
|DIC_status=implemented
|DIC_app=CCMDB.accdb
|DIC_backlogged=No
}}
{{DISPLAYTITLE:Query check_ICD10_ESRD_and_AKI_only_if_transplant }}

This check will always need to be consistent with [[Kidney Transplant Coding Guidelines]].

==Concepts==
* Kidney transplant CCI: [[(T) Kidney]] - [[Transplant]]
* AKI: 
::{{#ask: [[Concept:Acute renal failure]]
  | format = UL}}
* ESRD:  [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]

==Limitations==
Due to the way that ESRD and AKI are defined there are some scenarios in which a pt could actually have ESRD and then get an AKI. For example, someone can have a GFR <15 and not be on dialysis, and then get an AKI that puts them on dialysis. There are probably other scenarios. 

So, we can not have a ''hard'' check for this, where a collector would not be able to send. Instead we will implement a "soft check" that gives a warning but allows the collector to click past. <!-- discussed by Allan and Tina 2021-01-12 -->

== See also ==
* [[Query check_ICD10_ESRD_vs_kidney_transplant]]

== Related articles ==
{{Related Articles}}

[[Category: ICD10]]
[[Category: ICD10 Dx check‎]]