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| The '''pathogens''' are a list of possible entries that make up the sub-code for diagnoses categorizes as [[Infections]]. | | 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: |
| | {{subcat collapsible|supercategory = Pathogens}} |
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| == Pathogen Table ==
| | Pathogens are coded as their own diagnosis codes: |
| For an up-to-date list of pathogens, see your PDA. This is the list as of May 08 and for orientation only.
| | {{ListICD10Category | categoryName = Pathogens}} |
| ===Bacteria=== | |
| *Acinetobacter -- R
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| *Actinobacillus actinomycetemcomitans -- C-B
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| *Bacteriods fragilis -- R
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| *Campylobacter -- R
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| *Citrobacter diversus -- R
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| *Citrobacter feundii -- R
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| *Clostridium botulinum + R
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| *Clostridium difficle + R
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| *Clostridium perfingens + R
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| *Clostridium tentani + R
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| *Corynebacterium diphtheriae + R
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| *E Coli -- R
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| *Enterobacter -- R
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| *Enterococcus faecalis + C
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| *Haemophlilus influenzae -- R C B
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| *Haemophilus ducreyi -- R
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| *Haemophilus parainfluenzae -- R
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| *Kebsiella pneumoniae -- R
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| *Legionella sp – legionella pneumophilia R
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| *Listeria monocytogenes + R
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| *Moraxella catarrhalis -- R
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| *Morganella morganii -- R
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| *Mycoplasma pneumoniae
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| *Neisseria gonorrhoeae -- C
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| *Proteus mirabilis -- R
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| *Pseudomonas aeruginosa -- R
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| *Salmonella -- R
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| *Serratia -- R
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| *Shigella -- R
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| *Staphylococcus aureus + C
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| *Staphylococcus epidermidis + C
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| *Streptococcus agalactiae Group B + C
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| *Streptococcus pneumoniae + C
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| *Streptococcus pyogenes Group A + C
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| *Streptococcus viridans + C
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| ===Fungi===
| | 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. |
| Aspergillus species
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| Blastomyces,
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| Candida,
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| Crytococcus,
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| Histoplasma
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| ===Virus===
| | Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions. |
| Adenoviruses,
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| Cytomegaloviruses,
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| Epstein-Barr virus,
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| Herpes simplex,
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| Herpes zoster,
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| West Nile
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| ===Parasites=== | | == NOS pathogens == |
| Cryptosporidium,
| | *In each of those categories there are a number of specific bugs with their own codes (e.g. B95.3 is Strep pneumoniae) |
| Giardia Lamblia,
| | *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: |
| Malaria,
| | **[[Bacteria, NOS]] |
| Pneumocystis carinii (PCP),
| | **[[Virus, NOS]] |
| Toxoplasma gondii
| | **[[Fungus or yeast, NOS]] |
| | **[[Nontuberculous mycobacteria]] |
| | **[[Other type of infectious organism, NOS]] |
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| == Data Integrity Rules== | | === NOS vs Unknown in the context of pathogens === |
| Needs cleanup...
| | *We must distinguish '''NOS''' from '''unknown'''. |
| ' infection without pathogen | | **''NOS'' means that we do know the bug, but it's not in our list of specific pathogens |
| If isInfection And path_s = "" Then
| | **''[[Infectious organism, unknown]]'' means we assume that there IS in fact a pathogen, but we have no idea about it's actual identity. |
| MsgBox ("The Diagnosis '" & Dx_s & "' for patient " & Form_View.Pat_ID & " is an infection, but no pathogen is listed for it. Please enter a pathogen.")
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| uncheck Form_View.Diag_Complete
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| Form_View.Label_Diagnosis_check.BackColor = abnormal
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| End If
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| ' non-infection with pathogen
| | === Special Codes === |
| If (Not isInfection) And path_s > "" Then
| | * [[Not an Infection (ICD10 pathogen alternative)]] - included for [[cross check]]s when entering [[:Category:Potential infection]]s |
| MsgBox ("The Diagnosis '" & Dx_s & "' for patient " & Form_View.Pat_ID & " is not an infection, but the pathogen '" & path_s & "' is listed for it. Please remove the pathogen.")
| | * [[Infectious organism, unknown]] - eg for negative culture |
| Form_View.Label_Diagnosis_check.BackColor = abnormal
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| uncheck Form_View.Diag_Complete
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| End If
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| {{Discussion}} | | {{Data Integrity Check List}} |
| == Discussion ==
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| * fix integrity section --[[User:Ttenbergen|Ttenbergen]]
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| * definition needs to be fixed --[[User:Ttenbergen|Ttenbergen]]
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| * how do we capture neuro syphyllis??? The pathogen that causes syphyllis treponema pallidum is not on the available pathogen list. 59990 was used as an alternative. please help--[[User:JHutton|JHutton]] 14:38, 12 June 2008 (CDT)
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| * how do we capture neuro syphyllis??? The pathogen that causes syphyllis treponema pallidum is not on the available pathogen list. 59990 was used as an alternative. please help--[[User:JHutton|JHutton]] 14:38, 12 June 2008 (CDT)
| | == Related Articles == |
| ** Trish Pending[[User:TOstryzniuk|TOstryzniuk]] 18:23, 17 June 2008 (CDT)
| | {{Related Articles}} |
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| * Sputums for AFB (Acid Fast Bacilli). As per Dr. Kumar: a negative AFB culture is considered a '''negative culture''' and should '''not''' to be coded as '''NO C&S culture sent'''.--[[User:FLindell|FLindell]] 15:33, 6 August 2008 (CDT)
| | [[Category:ICD10]] |
| ** Fran, what's an AFB, and how does this entry relate to the pathogens? Can you give a little more detail? Thanks--[[User:Ttenbergen|Ttenbergen]] 16:09, 6 August 2008 (CDT)
| | [[Category:Pathogens| *]] |
| ***AFB is defined as Acid Fast Bacilli, which is a laboratory test used to identify certain types of bacteria such as mycobacteria that cause TB. There was a question from data collectors about how to capture this sputum sample. I guess the fact that the sputum sample is used to categorize the pathogen is why the discussion was placed here.--[[User:JHutton|JHutton]] 12:49, 11 August 2008 (CDT)
| | [[Category:Infectious disease| *]] |
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| {{stub}}
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| [[Category:Data_Collection_Guide]] | |
| [[Category:Data Integrity Rules]]
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| [[Category:Trish Pending]]
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| [[Category: Questions]]
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