Pathogens: Difference between revisions

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~~{{ICD10}}~~

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:

~~Need to reconcile this article with ICD10. New category containing ICD10 pathogens is [[:Category:Pathogens]]. See also~~ [[~~Not an Infection (~~ICD10 ~~pathogen alternative)~~]].

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

Pathogens are coded as their own diagnosis codes:

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

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

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.

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

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

~~Follow up all culture reports up to 5 days after discharge from unit~~. ~~If pathogen~~ is ~~still~~ not ~~available~~ then, ~~enter~~ [[Unknown ~~Pathogen~~]].

== 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 ===

*[[~~No Culture Sent or Resulted~~]]

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

*[[~~Unknown Pathogen~~]]

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

~~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)?~~

~~== Coding when antibiotics are given but no cultures ==~~

~~If there is evidence of an ongoing infection~~, ~~even if no further~~ culture ~~code the previous pathogen.~~

~~If no culture is sent then we choose the subcode [[No Culture Sent or Resulted]]~~

== {{~~CCMDB Data Integrity Checks~~}} ==

== Related Articles ==

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

*'''no infections without pathogens'''

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

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

[[Category: ~~UPL~~]]

[[Category:ICD10]]

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

[[Category:Pathogens| *]]

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

[[Category:Infectious disease| *]]

@@ Line 1: / Line 1: @@
-{{ICD10}}
+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:
-Need to reconcile this article with ICD10. New category containing ICD10 pathogens is [[:Category:Pathogens]]. See also [[Not an Infection (ICD10 pathogen alternative)]].
+{{subcat collapsible|supercategory = Pathogens}}
-The '''pathogens''' are a list of possible entries that make up the sub-code for diagnoses categorized as [[:Category: Infection | Infection]].
+Pathogens are coded as their own diagnosis codes:
-*Refer to: [[UPL]] - [[Universal Pathogen List]], for a list of "bugs" we track.
+{{ListICD10Category | categoryName = Pathogens}}
-*The pathogen subcodes are drawn from the '''[[table S_Pathogens]]''' table in [[CCMDB.mdb]].
+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.
-==The 5 day post discharge RULE for Culture report follow up==
+Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions.
-Follow up all culture reports up to 5 days after discharge from unit. If pathogen is still not available then, enter [[Unknown Pathogen]].
+== 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 ===
-*[[No Culture Sent or Resulted]]
+* [[Not an Infection (ICD10 pathogen alternative)]] - included for [[cross check]]s when entering [[:Category:Potential infection]]s
-*[[Unknown Pathogen]]
+* [[Infectious organism, unknown]] - eg for negative culture
-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)?
-== Coding when antibiotics are given but no cultures ==
-If there is evidence of an ongoing infection, even if no further culture code the previous pathogen.
-If no culture is sent then we choose the subcode [[No Culture Sent or Resulted]]
+{{Data Integrity Check List}}
-== {{CCMDB Data Integrity Checks}} ==
+== Related Articles ==
-The [[CCMDB.mdb]] runs checks for the following:
+{{Related Articles}}
-*'''no infections without pathogens'''
-*'''no non-infections with pathogens'''
-For details, see the coding in Access.
-[[Category: UPL]]
+[[Category:ICD10]]
-[[Category: Infection|*]]
+[[Category:Pathogens| *]]
-[[Category: Diagnosis Coding]]
+[[Category:Infectious disease| *]]