APACHE Acute Diagnoses: Difference between revisions

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This is about the disease category which is one of the components in the model of predicting hospital mortality. The other components of the model are the [[APACHE Score]] and the presence or absence of [[Emergency Surgery (concept)]].

{{Reporting Indicators

|description =This is about the disease category which is one of the components in the model of predicting hospital mortality. The other components of the model are the [[APACHE Score]] and the presence or absence of [[Emergency Surgery (concept)]].

This is not about [[Chronic Health APACHE]] or the [[APACHE Comorbid Diagnoses]].

| indicator_name = ICU Diagnostic Categories by APACHE II

| created_raw = Created

| program = Critical Care

| indicator_start_date = Oct 2016

| indicator_end_date =

}}

== How to Determine the Diagnosis Category For each Patient ==

*Each disease category or diagnosis leading to ICU admission has an associated weight in the model and varies for non-operative and post-operative patients.

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*Starting Jan 2019, Dr. Allan Garland did the mapping of the admit ICD10 codes and CCI codes to the diagnosis categories included in the model.

**The list of admit diagnosis ICD10 codes is shown in [[APACHE Acute Dxs in ICD10 codes]]

~~{{TT|~~

**The list of admit CCI procedures used in combination with the admit ICD10 codes is shown in

*** Need to document this. [[User:Ttenbergen|Ttenbergen]] 16:09, 2022 June 2 (CDT)

}}

== Implementation in CCMDB ==

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For a list of these CCI procedures on this wiki, see

* {{ TT| ~~same~~ as ~~above~~ }}

=== Notes from reviewing the list ===

{{TT | just Tina's working notes:

Scenarios:

* one of a * of ICD10s

* one of a * of ICD10s AND one of a * of ICD10s

* one of a * of ICD10s AND an ICD10 with a word in it

* one of a * of ICD10s AND one of a * of CCIs

* one of a * of CCIs

* two or more of a * of ICD10s

AND any admit procedure is EITHER:

(a) of the form 1.AA.xx, 1.AB.xx, 1.AC.xx, 1.AE.xx, 1.AD.xx, 1.AG.xx, 1.AJ.xx, 1.AK.xx, 1.AN.xx, 1.AP.xx

:: where “xx” {{=}} any of 13, 51, 52, 53, 56, 57, 59, 72, 76, 80, 87, 89, 90, 91

or

(b) 2.AA.71.yy, 2.AB.71.yy, 2.AC.71.yy, 2.AE.71.yy, 2.AD.71.yy, 2.AG.71.yy, 2.AJ.71.yy, 2.AK.71.yy, 2.AN.71.yy, 2.AP.71.yy

:: where “yy” {{=}} any of 70.^, 71.^

* one of a * of ICD10s AND (one of * of CCI1 and a * of CCI2)

** might be able to do a pattern recognition on that? Or a regular expression?

}}

{{TT |

* I will need to re-think how these are documented on the wiki as well, as the current schema was based on individual dxs meeting criteria and this is quite different. [[User:Ttenbergen|Ttenbergen]] 10:39, 2022 November 15 (CST)

}}

Allan updated the original list and documented some reasons for decisions at item 13 in [[Task Team Meeting - Rolling Agenda and Minutes 2022#‎ICU Database Task Group Meeting – July 13, 2022]].

== Reporting of the Eight Major Diagnostic Categories ==

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*Graphically as stackable vertical bar chart

*Time period - quarterly

==Report Users==

*Critical Care Directors and Site Managers

*Critical Care Quality Improvement Team (QIT)

==SAS Program==

*S:\MED\MED_CCMED\Julie\SAS_CFE\CC_reports\ChartReport\1-prepCC_QI_startJan2022.sas

@@ Line 1: / Line 1: @@
-This is about the disease category  which is  one of the components in the model of predicting hospital mortality.  The other components of the model are the [[APACHE Score]] and the presence or absence of [[Emergency Surgery (concept)]].
+{{Reporting Indicators
+|description =This is about the disease category  which is  one of the components in the model of predicting hospital mortality.  The other components of the model are the [[APACHE Score]] and the presence or absence of [[Emergency Surgery (concept)]].
 This is not about [[Chronic Health APACHE]] or the [[APACHE Comorbid Diagnoses]].
+| indicator_name = ICU Diagnostic Categories by APACHE II
+| created_raw = Created
+| program = Critical Care
+| indicator_start_date = Oct 2016
+| indicator_end_date =
+}}
 == How to Determine the Diagnosis Category For each Patient ==
 *Each disease category or diagnosis leading to ICU admission has an associated weight in the model and varies for non-operative and post-operative patients.
@@ Line 19: / Line 25: @@
 *Starting Jan 2019, Dr. Allan Garland did the mapping of the admit ICD10 codes and CCI codes to the diagnosis categories included in the model.
 **The list of admit diagnosis ICD10 codes is shown in [[APACHE Acute Dxs in ICD10 codes]]
-{{TT|
-**The list of admit CCI procedures used in combination with the admit ICD10 codes is shown  in
-*** Need to document this. [[User:Ttenbergen|Ttenbergen]] 16:09, 2022 June 2 (CDT)
-}}
 == Implementation in CCMDB ==
@@ Line 41: / Line 43: @@
 For a list of these CCI procedures on this wiki, see
-* {{ TT| same as above }}
+=== Notes from reviewing the list ===
+{{TT | just Tina's working notes:
+Scenarios:
+* one of a * of ICD10s
+* one of a * of ICD10s AND one of a * of ICD10s
+* one of a * of ICD10s AND an ICD10 with a word in it
+* one of a * of ICD10s AND one of a * of CCIs
+* one of a * of CCIs
+* two or more of a * of ICD10s
+AND any admit procedure is EITHER:
+(a) of the form 1.AA.xx, 1.AB.xx, 1.AC.xx, 1.AE.xx, 1.AD.xx, 1.AG.xx, 1.AJ.xx, 1.AK.xx, 1.AN.xx, 1.AP.xx
+::     where “xx” {{=}} any of 13, 51, 52, 53, 56, 57, 59, 72, 76, 80, 87, 89, 90, 91
+or
+(b) 2.AA.71.yy, 2.AB.71.yy, 2.AC.71.yy, 2.AE.71.yy, 2.AD.71.yy, 2.AG.71.yy, 2.AJ.71.yy, 2.AK.71.yy, 2.AN.71.yy, 2.AP.71.yy
+::     where “yy” {{=}} any of 70.^, 71.^
+* one of a * of ICD10s AND (one of * of CCI1 and a * of CCI2)
+** might be able to do a pattern recognition on that? Or a regular expression?
+}}
+{{TT |
+* I will need to re-think how these are documented on the wiki as well, as the current schema was based on individual dxs meeting criteria and this is quite different. [[User:Ttenbergen|Ttenbergen]] 10:39, 2022 November 15 (CST)
+}}
+Allan updated the original list and documented some reasons for decisions at item 13 in [[Task Team Meeting - Rolling Agenda and Minutes 2022#‎ICU Database Task Group Meeting – July 13, 2022]].
 == Reporting  of the Eight Major Diagnostic Categories ==
@@ Line 47: / Line 76: @@
 *Graphically as stackable vertical bar chart
 *Time period - quarterly
+==Report Users==
+*Critical Care Directors and Site  Managers
+*Critical Care Quality Improvement Team (QIT)
 ==SAS Program==
 *S:\MED\MED_CCMED\Julie\SAS_CFE\CC_reports\ChartReport\1-prepCC_QI_startJan2022.sas