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| This article provides general information about collecting and coding a [[CCI Procedure]]. | | This article provides general information about collecting and coding a [[CCI Procedure]]. |
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| They are entered in [[CCMDB.mdb]] in the [[Patient viewer tab CCI]] on the [[Patient viewer tab CCI]]. | | They are entered in [[CCMDB.accdb]] in the [[Patient Viewer Tab CCI_Pick]] and [[Patient Viewer Tab CCI_Comp]] on the [[Patient Viewer]]. |
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| There are some [[ICD10 Diagnoses and CCI Codes that need to be coded together]]. For background information, see [[CCI]] and [[Reasoning around moving to CCI and our subset of it]].
| | For background information, see [[CCI]] and [[Reasoning around moving to CCI and our subset of it]]. |
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| == Introduction to [[CCI]] Procedure Coding == | | == Collection instructions == |
| *For all interventions we are keeping track of:
| | ===Start Date: Jan 1, 2019 === |
| **[[Px Type]] - whether the procedure was occurred ''before'' and associated with the with the patients's admission to the unit OR was done '''after''' admission.
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| **[[Px_Date]] - Date of procedure
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| **[[Px_Count]] - the number of '''separate''' times it was done on a '''given day'''
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| *The categories (corresponding to [[CCI]] chapter numbers chapters) are:
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| **1. [[Therapeutic Procedure]]
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| **2. [[Diagnostic Procedure]]
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| **3. [[Imaging Procedure]]
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| **5. [[Obstetric Procedure]]
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| **8. [[Miscellaneous Procedure]] - currently only [[Administration of intravenous immunoglobulin]]
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| **It's usually easy to figure out which category to use, but sometimes an intervention can be both therapeutic and diagnostic
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| **Rule: when you have a procedure that has '''both''' therapeutic and ''diagnostic'' aspects, '''ONLY code the therapeutic part'''.
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| ***Example: diagnostic cardiac catheterization at same sitting as stent placemen -- here only code [[Coronary angioplasty with stenting]], but don't code [[Coronary angiogram (diagnostic cardiac catherization)]].
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| == Steps in selecting and entering CCI procedure in [[CCMDB]] == | | === Selecting and entering [[CCI]] procedure in [[CCMDB]] === |
| Follow these steps, in this order: | | Follow these steps, in this order: |
| # if no procedures were performed, see [[#No Procedures Performed]]
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| # for every procedure: | | # for every procedure: |
| ## check if the procedure is listed in the [[CCI Picklist]] in the [[L_CCI_Picklist subform]] which is the top half of the CCI screen. Select from drop down list. | | ## check if the procedure is listed in the [[CCI Picklist]] in the [[L_CCI_Picklist subform]] which is the top half of the CCI screen. Select from drop down list. |
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| ##* pick the left column, [[CCI component 1 codes - what organ was something done to]]. | | ##* pick the left column, [[CCI component 1 codes - what organ was something done to]]. |
| ##** if there are too many and you only want to see e.g. the therapeutic ones and not the imaging ones, use the [[L_CCI_Component_subform#CCI_Chooser (the "?" button)]]. In the form it opens you can filter by the [[CCI Category]]. | | ##** if there are too many and you only want to see e.g. the therapeutic ones and not the imaging ones, use the [[L_CCI_Component_subform#CCI_Chooser (the "?" button)]]. In the form it opens you can filter by the [[CCI Category]]. |
| ##* in the column on the right, pick the [[CCI component 2 codes - what was done]]. | | ##* in the column on the right, pick the [[CCI component 2 codes - what was done]]; the component on the right has to be of the same ''diagnostic / therapeutic / imaging'' kind as the component 1 - if you try to mix types you will get an error. |
| ## whether CCI picklist or CCI component, | | ## whether CCI picklist or CCI component, |
| ### enter a [[Px_Type]] - "[[Admit Diagnosis | admit]]" or "[[Acquired Diagnosis / Complication | acquired]]" | | ### enter a [[Px_Type]] - "admit" ([[Admit Procedure]]) or "acquired" ([[Acquired Procedure]]) |
| ### enter a [[Px_Date]] - Date of procedure | | ### enter a [[Px_Date]] - Date of procedure '''for acquired px only''' |
| ### enter a [[Px_Count]] - the number of '''separate''' times it was done''' '''''on a given day | | ### enter a [[Px_Count]] - the number of '''separate''' times it was done''' '''''on a given day |
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| === Before You Decide to NOT Code a Procedure === | | ==== productivity features ==== |
| *We're not looking to code procedures that not either: (a) on the picklist, or (b) able to be constructed from it's components [e.g. a body part, and what was done to that body part].
| | To reduce clicks to enter same Picklist entries for additional days, there are some extra buttons: |
| *The main issue here is that among the lists "what was done", we haven't included EVERY possibility. | | * "x2" will duplicate this line with the next date |
| **For example, in the Imaging Procedures, besides some plain X-rays contained in that picklist, the "what type of imaging study was done" does NOT include plain x-rays. Thus we're not enabling creation of a plain X-ray of other body part other than those contained in the picklist.
| | ** "+" and "-" will up or down the date by one day, to make the copy more useful |
| **Similarly, for the Therapeutic Procedures, there is a list of approximately 30 items of "what was done" to the chosen body part. So some items of "what was done" are not available and you won't be able to code such procedures. | | * [[Blue button in CCI Picklist]] will fill a range of dates |
| ***'''BUT, before you decide this is the case, you will need to become very familiar with the descriptions of EACH of the "what was done" items that ARE available'''. For example the item '''[[Bypass]]''' includes creating a ostomy (which includes a colostomy and even a tracheostomy).
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| ****See '''[[CCI component 2 codes - what was done]]''' | |
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| | == Collection modes == |
| | <!--As discussed [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes#ICU_Database_Task_Group_Meeting_.E2.80.93_October_31.2C_2018]] --> |
| | *We code CCI procedures in 5 different [[CCI Collection Mode]]s''': |
| | {{:CCI collect each}} |
| | {{:CCI collect count each}} |
| | {{:CCI collect count days}} |
| | {{:CCI collect count units}} |
| | {{:CCI collect first}} |
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| == Collection Instructions for Therapeutic Procedures == | | === List of CCI Elements and their collection modes === |
| === Which procedures to collect/include ===
| | {{Collapsable |
| *Here are the '''rules''' for what we will code and what we won't code:
| | | always= picklist |
| *1. Include ''all '''[[CCI procedures we don't code|codable]]''' procedures'' done '''outside the patient’s unit'''.
| | | full= |
| *2. Include '''all of the following '''[[CCI procedures we don't code|codable]]''' procedures''' done on the unit:
| | {{#ask: [[Has CCI Picklist Code::+]][[Has StopDate::>{{CURRENTDAY}} {{CURRENTMONTHNAME}} {{CURRENTYEAR}}]] |
| **(a) any procedure that '''uses an endoscope''' -- whether inserted through an orifice, incision or wound
| | |?Has CCI Collection Mode |
| **(b) all codable '''[[Diagnostic Procedure]]s'''
| | |format=broadtable |
| **(c) all codable '''[[Imaging Procedure]]s'''
| | |link=all |
| **(d) all codable '''[[Obstetric Procedure]]s'''
| | |limit=1000 |
| **(d) all codable '''[[Miscellaneous Procedure]]s'''
| | |class=sortable wikitable smwtable |
| *3. In addition to (1) and (2) code the following (and '''only''' the following) procedures done in the patient’s unit - but '''only the FIRST TIME (date) IT WAS DONE''' during the patient’s stay on that unit
| | }} }} |
| ** Sublist of these procedures that are chosen from the Picklist:
| | {{Collapsable |
| *** [[Hemodialysis (intermittent)]]
| | | always= component 2 list |
| *** [[Peritoneal dialysis]]
| | | full= |
| *** [[Plasmapheresis]]
| | {{#ask: [[Has CCI 2 Code::+]][[Has StopDate::>{{CURRENTDAY}} {{CURRENTMONTHNAME}} {{CURRENTYEAR}}]] |
| *** [[Mechanical ventilation, noninvasive]] - includes CPAP, BiPAP, and classic NIV (where a mask is connected to a regular ventilator)
| | |?Has CCI Collection Mode |
| *** [[Isolation, infectious]]
| | |format=broadtable |
| ** Sublist of these procedures that are coded in the usual CCI manner, i.e. using components:
| | |link=all |
| *** PEG -- for which you combine the body part [[Therapeutic Intervention on Stomach, Pylorus]] with "what was done" as [[Bypass]]
| | |limit=1000 |
| *** debridement -- for which you combine the body part, with the "what was done" CCI code [[Excision, Resection, partial]]
| | |class=sortable wikitable smwtable |
| *** tracheostomy placement (i.e. done bedside) -- combine code for body part [[Therapeutic Intervention on Trachea]] with "what was done" as [[Bypass]]
| | }} }} |
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| === Repeated procedures === | |
| If a procedure is done repeatedly on the same day, only enter it once but count it in [[Px_Count]].
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| Procedures done on a different day should be entered again with a different date. This should be really quick by using the "duplicate" button.
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| === Related Imaging, Diagnostic and Therapeutic procedures performed at the same time ===
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| Some interventions consists of imaging and/or diagnostic and/or therapeutic procedures.
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| For these, '''only code the most invasive part''' that implies the other/s. Do '''not''' code the implied codes. For endoscopic inspection/explorations, code only the '''"furthest/deepest"''' area assessed.
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| Examples:
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| * for a [[Coronary angiogram (diagnostic cardiac catherization)]] where [[Coronary angioplasty with stenting]] happens in the same sitting, only code the [[Coronary angioplasty with stenting]].
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| * if a tissue [[Biopsy]] is done as part of an invasive [[Inspection, Exploration]] code only the [[Biopsy]].
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| === We are not tracking all possible procedures === | |
| We are not tracking all possible procedures; see [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]] and [[CCI procedures we don't code]] for more info.
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| | == Special Cases == |
| === No Procedures Performed === | | === No Procedures Performed === |
| If no procedures were performed you still need to enter something so we can test that procedures were not just forgotten. Enter [[No Procedure Performed]] as an Admit procedure into the [[CCI Picklist]], the top of the tab. | | If no procedures were performed '''enter [[No procedure performed]] as an [[Admit Procedure]] with a [[Px Count]] of 1 into the [[CCI Picklist]]''', the top of the tab. Do not enter any procedrues into the CCI Component section, ie leave it as "[[No procedure entered]]". Entering this will mean at least one CCI entry is present when [[Query check CCI must have entry]] checks that entering procedures was not just forgotten. |
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| == Procedures not coded == | | === Moved patients === |
| See [[CCI procedures we don't code]]
| | *There are important issues/rules for admit procedure coding when a patient is being transferred from one unit/ward to another unit/ward -- and this is even more complicated if in between leaving one unit/ward and arriving on another unit/ward, the patient stops in a procedure area and gets one or more procedures. |
| | *Here are the guidelines for these situations: |
| | **(i) Transfer from collecting location A to collecting location B without any stop in between where procedures might occur -- all procedures done before leaving location A will be collected by location A only. |
| | **(ii) Transfer from collecting location A to collecting location B WITH a stop in between where procedures occur -- all procedures done before leaving location A will be collected by location A only, while procedures done at the stop in between will be coded by location B only. |
| | **(iii) Transfer from noncollecting location A (which includes ED) to collecting location B without any stop in between where procedures might occur -- any qualifying admit procedures done before leaving location A will be collected by location B |
| | **(iv) Transfer from noncollecting location A (which included ED) to collecting location B WITH a stop in between where procedures occur -- all procedures done before leaving location A or during the stop in between will be coded by location B only. |
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| == Questions? == | | === Procedures we don't code === |
| {{discussAllan | various CCI questions, at least some can likely be answered on the spot, others might need to go to task}}
| | We are not tracking all possible procedures. If a procedure can not be coded using the picklist or combined method, then we likely are not interested in coding it. |
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| === additional codes? ===
| | See [[List of CCI procedures we don't code]] for procedures we explicitly don't collect. If you come across a procedure you were not able to code, but think we probably should be coding, please note it [[List of CCI procedures we don't code|there]]. |
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| * There is a diagnostic thoracentesis on the [[CCI Picklist]] but not a therapeutic one. This should be on the picklist as it is very common.
| | See [[Reasoning around moving to CCI and our subset of it#Why do we not include the entire set of CCI codes]] and [[List of CCI procedures we don't code]] for more info. |
| ** As opposed to coding it as [[Therapeutic Intervention on Thoracic Cavity, anything inside, NOS]], [[Drainage, Evacuation]]? Ttenbergen 16:11, 2018 April 5 (CDT)
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| * I tried putting in a diagnostic bronchoscopy. I put in Diagnostic Intervention on the lung but there is no option in the second component to capture taking a sample of secretions for culture. --[[User:LKolesar|LKolesar]] 12:26, 2018 March 20 (CDT) | | === Don't code sub-procedures that are part of a larger procedure === |
| ** For diagnostic the only options are [[Inspection, Exploration]] and [[Biopsy]], so you are correct. Are we OK with that? Ttenbergen 19:00, 2018 March 22 (CDT)
| | *Do not code a procedure that is part of a "Bigger" procedure already coded. |
| | '''Example:''' In the course of many or most CABG surgeries, there is placement (or replacement) of chest tubes, pacer wires, arterial lines, central lines, and vein harvest, but do NOT code those procedures separately, since they are "included" in the CABG code. |
| | *On the other hand, things done in OR that are NOT part of the standard procedure (e.g. for someone coming out from OR after CABG who now has ECMO, Swan-Ganz, IABP), you SHOULD code these as [[Admit Procedure]]). |
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| * Also, at the task group meeting, Dr Garland said that Pacemaker insertion and ICD insertion would be on the picklist because they look the same done in the component entry section. I guess this item has not been added yet.
| | === Related Imaging, Diagnostic and Therapeutic procedures performed at the same time === |
| | | *When at the same sitting both diagnostic and therapeutic procedures are done, then CODE THEM BOTH |
| {{discussion}} how do we code closure of a surgical incision done later. Many times if a patient bleeds excessively or if they expect a lot of edema or a requirement for further future surgery, they leave the surgical incision open. When the patient eventually goes back for closure, how do we code this in CCI--[[User:LKolesar|LKolesar]] 13:34, 2018 April 9 (CDT)? | | {{ex|* a cardiac cath is done and then a stent is placed -- code the diagnostic cath and the therapeutic stenting. |
| *{{discussion}}How do we code an intubation, I used therapeutic intervention on the lung and is it an internal device or external? Lois
| | * for an [[Angiogram, coronary (diagnostic cardiac catheterization)]] where [[Angioplasty, coronary (with stenting)]] happens in the same sitting, code both}} |
| | | * if a tissue [[Biopsy (non-endoscopic)]]/[[Biopsy (endoscopic)]] is done as part of an invasive [[Inspection, Exploration (non-endoscopic)]]/[[Inspection, Exploration (endoscopic)]] code both |
| *{{discussion}}I cannot find [[Albumin 5pct]] and [[Albumin 25pct]] on the picklist. Are we not still counting these? Lois
| | *When multiple procedures are done at one sitting, code them all |
| | | {{Ex|if a CT of chest, abdomen and pelvis is done, code them all}} |
| | | *For endoscopic inspection/explorations, code only the '''"furthest/deepest"''' area assessed. |
| *{{discussion}} for a lumbar puncture, I put interventions on the spinal cord or spinal canal. Do I use drainage, evacuation for this? They just take a sample of CSF but there is no sample option.--[[User:LKolesar|LKolesar]] 13:32, 2018 May 2 (CDT) | |
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| *{{discussion}}: I notice that isolation, infectious is now added to the pick list in CCI. We don't have to code reverse isolation? --[[User:LKolesar|LKolesar]] 08:07, 2018 May 9 (CDT)
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| === Ability to differentiate in reports ===
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| {{discussion}}
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| * I do not see how we are going to differentiate a VAD from AV ECMO as they are both installation of external device on the heart??--[[User:LKolesar|LKolesar]] 12:26, 2018 March 20 (CDT)
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| ** Laura, does having [[ECMO, VA]] and [[ECMO, VV]] address this question? If so, please take it out. If not, please clarify. Ttenbergen 17:13, 2018 May 8 (CDT)
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| * I see you have put ECMO on the picklist. How do we put VAD's in the component method?
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| {{discussion}}
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| * How do we differentiate a Blakemore tube from an Upper GI scope with banding or hemostasis? They both look the same in CCI: Therapeutic Intervention on Stomach, pylorus... and Control of Bleeding. --[[User:LKolesar|LKolesar]] 14:11, 2018 May 1 (CDT)
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| === admit vs acquired dxs and the rule to only code if off unit ===
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| *For the procedures listed specifically like arterial lines, PEG, hemodialysis, etc. Do you want only if done during their stay or since arrival to the hospital, or if they already had this done prior to arrival. There are patients in the community with a PEG and on hemodialysis for example. --[[User:LKolesar|LKolesar]] 08:07, 2018 March 7 (CST) | |
| ** Ah! Yes, will our restrictions for procedures with [[Px Type]] "admit" be the same as for on unit?
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| === Coding GI Scopes ===
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| ** The GI Scopes are currently on the [[CCI Component]] list only and would be coded as [[Inspection, Exploration]]. The scope part would have been part 3 (how it was done) an we no longer code that.
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| {{DiscussTask | CCI codes GI scope as (body part), [[Inspection, Exploration]]. So, won't be able to identify those from laparoscopic surgery. Do we care? Ttenbergen 19:00, 2018 March 22 (CDT)}}
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| *{{discussion}} For upper GI scope, should it be coded diagnostic/therapeutic interventions on "stomach" or "small intestine"? (since duodenum is first part of small intestine). Also, if biopsy is done with inspection and exploration, but no interventions like clipping or to control bleeding, should that be coded as "biopsy" or "inspection, exploration"? --[[User:Malcudia|Malcudia]] 10:13, 2018 April 11 (CDT)
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| ** Re whether to code stomach or intestine, see [[#Related Imaging, Diagnostic and Therapeutic procedures performed at the same time]] above in this document. Re whether to code biopsy or exploration. I'll leave that open for now. Ttenbergen 10:57, 2018 April 11 (CDT)
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| === Which codes go on picklist ===
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| * What are the criteria for choosing the picklist items? I thought it was going to be procedures that are difficult to list by the component entry method and then more common procedures.
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| * There are quite a few uncommon (rarely seen) procedures in the pick list, is there a reason for this? Just wondering what the rationale is for these choices? Maybe these can be left off the picklist and just left to the component entry method. Just a suggestion. --[[User:LKolesar|LKolesar]] 13:32, 2018 March 15 (CDT)
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| * I see arterial blood gases are on the picklist. However, Dr Garland had said that arterial blood gases and venous blood gases will remain in our count list unlike all the other things we count. Should arterial blood gases be removed from the CCI pick list?--[[User:LKolesar|LKolesar]] 13:29, 2018 April 9 (CDT)
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| {{Discussion}}
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| *Your instructions for therapeutic procedures done in the unit exclude several important procedures that are commonly done in the unit. Just checking if this is correct... see list below: | |
| * What about chest tubes inserted in the unit?; ECMO inserted in the unit?; CRRT done in the unit? Intubations and central lines in the unit? Cardioversions and Defibs in the unit?; Pacemakers in the unit? IABP in the unit?etc. --[[User:LKolesar|LKolesar]] 13:59, 2018 April 20 (CDT)
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| === counts, and moving labs to CCI ===
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| {{DiscussTask | Lab counts}}
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| * I was not aware that we are moving all our count items to CCI and having to put a date for all blood products, CXR, echos, etc. This will definitely be more work than just counting the number of each. Who is requesting dates for every single item? There are additional diagnostic procedures on this list that we previously did not count. At one time we did not add other diagnostic counts because the data was not requested. Is all this additional data being requested now? (ie: EEG's, abdominal xrays, nuclear scans, urodynamic study, cardiac stress test, pulmonary function tests, etc). We used to go the steering committee for requests for additional data collection items, has this now changed?
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| {{DiscussAllan | repeated CXRs - if we do collect them it will be a nuisance; if we don't they won't compare to the labs count [[CXR]] we are doing now, that this is supposed to replace. How should we proceed?}} | |
| *Do we have to enter a CXR for each day it is done or can we enter CXR once and then keep using the times feature?
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| *For longer stay patients this could be 50 entries.
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| *Why do we need to know what day a CXR was done on? What is wrong with using the lab count feature we now use? The same for blood gases and scans.--[[User:LBilesky|LBilesky]] 14:05, 2018 January 19 (CST)
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| ** That is what is planned for now, but this might be worth talking about again to confirm it is worth it.
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| *** Does the pt travel out of the unit for this?
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| ===== ABG/VBG counts tests in CCI & concerns =====
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| {{DiscussAllan | repeated ABG/VBG counts - to many rows of data in CCI & lots of rows to scroll down to check what has been entered. time consuming.}}
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| *I have tested a few pts and included ABG/VBG counts. | |
| *What is this being used for?
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| *Is the counting necessary? This is a time Counting is a time consuming task, besides counting now also entering dates.
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| **Example: I had 2 pts that had 50-100 ABG/VBG's to count and enter dates for. I found there was too many rows of data in addition to the CCI being collected, so lots to scroll through to check what I had entered. [[p:Joanna Velasco]]
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| {{DiscussAllan | In some limited testing of the entering of counted labs in CCI, I find that it takes considerably longer to do this vs just counting the number of each item as we currently do it.-Laura}}
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| *For example:
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| one patient that was in ICMS for 3 weeks
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| *on ECMO had 86 ABG's done in their admission.
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| *It took me 15 minutes to just enter the ABG's in CCI.
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| *It only takes one minute to enter this item in the old count method off of EPR labs.
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| *If I spent the time to enter all the blood products, tests and labs, etc. It would have taken much longer. No one has that much extra time in their day to spend it putting in these CCI entries for every lab. It may work for short stay patients with minimal labs and procedures but not for more complex patients. We need to discuss this. --[[User:LKolesar|LKolesar]] 14:13, 2018 April 20 (CDT)
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| {{Discussion}}
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| **'''Laura,'''' we discussed your testing at task. A question came up in regards to what method did you use to enter these 86 ABG's?
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| ***Were you counting number of ABG PER day and then enter that count into CCI and assigning a date? or
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| ***Did you go from EPR to paper then into CCMDB CCI?
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| ***Did you use the + button? [[User:TOstryzniuk|Trish Ostryzniuk]]
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| ****I did the CCI entries exactly as directed using the + button for new entries and putting the # for each day in the column for that. I did it as efficiently as I could, I never use paper. You can likely see it in the profile if you would like to look at it. I think it was MICU profile #31216. I sent it in after April 17th. --[[User:LKolesar|LKolesar]] 07:10, 2018 April 26 (CDT)
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| ***** I had a look and there is nothing for CCI for profile indicated above. Only 19 row of label ACQUIRED, but no data. I will talk to Tina.[[User:TOstryzniuk|Trish Ostryzniuk]] 15:06, 2018 April 26 (CDT)
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| ****Entering these tests is very tedious and time consuming and it takes away from our time doing diagnostic coding. It took me 20 mins to enter just CXR's on a patient that was a long stay patient and I was only half done. --[[User:LKolesar|LKolesar]] 14:19, 2018 May 1 (CDT)
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| ==Date Integrity Checks ==
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| ==={{CCMDB Data Integrity Checks|ready to implement}} - Must have at least one entry ===
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| {{discussion}}
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| Will need to be implemented: to click complete:
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| * must have a other than [[No Procedure Performed]]
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| * code [[No Procedure Performed]] if there were no procedures
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| | === [[Aborted Procedure]] === |
| | *See [[Aborted Procedure]] for how to code |
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| | === Repeated procedures === |
| | If a procedure is done repeatedly '''on the same day''', only enter it once but count it in [[Px_Count]]. |
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| | Procedures done on a '''different''' day should be entered again with a different date. This should be really quick by using the "duplicate" button. |
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| ==={{CCMDB Data Integrity Checks|ready to implement}} - CCI Procedure vs [[Previous Location]] Cross Check === | | ==Data Integrity Checks == |
| If from OR or PACU, must have at least 1 CCI
| | {{Collapsable |
| | | always= List of cross-checks |
| | | full= {{#ask: [[DICSummary::+]] [[Category:CCI Px check]] |
| | |?DICSummary = summary |
| | |?DICStatus = implementation status |
| | |sort=DICStatus, DICSummary |
| | |default=No corresponding old article found |
| | |format=broadtable |
| | |limit=100 |
| | |link=all |
| | |headers=show}} }} |
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| == Related Articles == | | == Related Articles == |
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| == related literature == | | == related literature == |
| [https://secure.cihi.ca/free_products/Coding%20standard_EN_web.pdf CIHI.ca coding standard CCI] | | [https://secure.cihi.ca/free_products/CodingStandards_v2018_EN.pdf CIHI.ca coding standard CCI] |
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| [[category: ICD10/CCI Conversion]] | | [[category: ICD10/CCI Conversion]] |
| [[Category: CCI| *]] | | [[Category:CCI| *]] |