Pathogens: Difference between revisions

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The ~~'''pathogens''' are a list of possible entries that make up the sub-code for diagnoses categorized as [[:Category: Infection | Infection]].~~

The [[ICD10 Diagnosis List]] contains specific codes for a number of different bacteria, viruses, fungi/yeast, mycobacteria and miscellaneous types of organisms. The entire list can be found in category and subcategories:

*Refer to: [[UPL]] - [[~~Universal Pathogen~~ List]], for a ~~list~~ of ~~"bugs" we track~~.

*The pathogen subcodes are ~~drawn from the '''[[S_Pathogens]]''' table in [[CCMDB.mdb]].~~

Pathogens are coded as their own diagnosis codes:

==~~The 5 day post discharge RULE~~ for ~~Culture report follow up~~==

They are always entered as [[Combined ICD10 codes]] with an [[Infections in ICD10|infection]], but not all infections require pathogens. See [[Template:ICD10 Guideline Infection]], [[Infections in ICD10]] for more info.

*~~Follow up all culture reports up to 5 days after discharge~~ from ~~unit~~.'''

Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions.

== NOS pathogens ==

*In each of those categories there are a number of specific bugs with their own codes (e.g. B95.3 is Strep pneumoniae)

*But obviously we can't list every bug of any type, so for each of those categories there is also a "wastebasket" code for "NOS". For example, if the bug is a specific bacteria but it's not in our list, then use [[Bacteria, NOS]], etc. These are:

**[[Bacteria, NOS]]

**[[Virus, NOS]]

**[[Fungus or yeast, NOS]]

**[[Nontuberculous mycobacteria]]

**[[Other type of infectious organism, NOS]]

=== NOS vs Unknown in the context of pathogens ===

*We must distinguish '''NOS''' from '''unknown'''.

**''NOS'' means that we do know the bug, but it's not in our list of specific pathogens

**''[[Infectious organism, unknown]]'' means we assume that there IS in fact a pathogen, but we have no idea about it's actual identity.

=== Special Codes ===

~~Could someone please fill in specifics about how or~~ when ~~these are to be used? Specifically~~, ~~if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?~~

* [[Not an Infection (ICD10 pathogen alternative)]] - included for [[cross check]]s when entering [[:Category:Potential infection]]s

* [[Infectious organism, unknown]] - eg for negative culture

== Data Integrity ~~Rules==~~

~~The [[CCMDB.mdb]] runs checks for the following:~~

*'''no infections without pathogens'''

*'''no non-infections with pathogens'''

~~For details, see the coding in Access.~~

== Related Articles ==

[[Category: ~~UPL~~]]

[[Category:ICD10]]

[[Category: ~~Infection~~|*]]

[[Category:Pathogens| *]]

[[Category: ~~Infection]]~~

[[Category:Infectious disease| *]]

~~[[Category: Diagnosis Coding]]~~

~~[[Category: Data Integrity Rules]]~~

~~[[Category: Questions Diagnosis~~]]

@@ Line 1: / Line 1: @@
-The '''pathogens''' are a list of possible entries that make up the sub-code for diagnoses categorized as [[:Category: Infection | Infection]].
+The [[ICD10 Diagnosis List]] contains specific codes for a number of different bacteria, viruses, fungi/yeast, mycobacteria and miscellaneous types of organisms. The entire list can be found in category and subcategories:
-*Refer to: [[UPL]] - [[Universal Pathogen List]], for a list of "bugs" we track.
+{{subcat collapsible|supercategory = Pathogens}}
-*The pathogen subcodes are drawn from the '''[[S_Pathogens]]''' table in [[CCMDB.mdb]].
+Pathogens are coded as their own diagnosis codes:
+{{ListICD10Category | categoryName = Pathogens}}
-==The 5 day post discharge RULE for Culture report follow up==
+They are always entered as [[Combined ICD10 codes]] with an [[Infections in ICD10|infection]], but not all infections require pathogens. See [[Template:ICD10 Guideline Infection]], [[Infections in ICD10]] for more info.
-*Follow up all culture reports up to 5 days after discharge from unit.'''
+Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions.
+== NOS pathogens ==
+*In each of those categories there are a number of specific bugs with their own codes (e.g. B95.3 is Strep pneumoniae)
+*But obviously we can't list every bug of any type, so for each of those categories there is also a "wastebasket" code for "NOS".  For example, if the bug is a specific bacteria but it's not in our list, then use [[Bacteria, NOS]], etc.  These are:
+**[[Bacteria, NOS]]
+**[[Virus, NOS]]
+**[[Fungus or yeast, NOS]]
+**[[Nontuberculous mycobacteria]]
+**[[Other type of infectious organism, NOS]]
+=== NOS vs Unknown in the context of pathogens  ===
+*We must distinguish '''NOS''' from '''unknown'''.
+**''NOS'' means that we do know the bug, but it's not in our list of specific pathogens
+**''[[Infectious organism, unknown]]'' means we assume that there IS in fact a pathogen, but we have no idea about it's actual identity.
 === Special Codes ===
-Could someone please fill in specifics about how or when these are to be used? Specifically, if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?
+* [[Not an Infection (ICD10 pathogen alternative)]] - included for [[cross check]]s when entering [[:Category:Potential infection]]s
+* [[Infectious organism, unknown]] - eg for negative culture
-== Data Integrity Rules==
+{{Data Integrity Check List}}
-The [[CCMDB.mdb]] runs checks for the following:
-*'''no infections without pathogens'''
-*'''no non-infections with pathogens'''
-For details, see the coding in Access.
+== Related Articles ==
+{{Related Articles}}
-[[Category: UPL]]
+[[Category:ICD10]]
-[[Category: Infection|*]]
+[[Category:Pathogens| *]]
-[[Category: Infection]]
+[[Category:Infectious disease| *]]
-[[Category: Diagnosis Coding]]
-[[Category: Data Integrity Rules]]
-[[Category: Questions Diagnosis]]