Pathogens: Difference between revisions

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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}}


== 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}}
Acinetobacter --  R
Actinobacillus actinomycetemcomitans --  C-B
Bacteriods fragilis --  R
Campylobacter --  R
Citrobacter diversus --  R
Citrobacter feundii --  R
Clostridium botulinum +  R
Clostridium difficle +  R
Clostridium perfingens +  R
Clostridium tentani +  R
Corynebacterium diphtheriae +  R
E Coli --  R
Enterobacter --  R
Enterococcus faecalis +  C
Haemophlilus  influenzae --  R  C  B
Haemophilus ducreyi --  R
Haemophilus  parainfluenzae --  R
Kebsiella pneumoniae --  R
Legionella sp – legionella pneumophilia     R
Listeria monocytogenes +  R
Moraxella catarrhalis --  R
Morganella morganii --  R
Mycoplasma pneumoniae
Neisseria gonorrhoeae --  C
Proteus mirabilis --  R
Pseudomonas aeruginosa --  R
Salmonella --  R
Serratia --  R
Shigella --  R
Staphylococcus aureus +  C
Staphylococcus epidermidis +  C
Streptococcus agalactiae  Group B +  C
Streptococcus pneumoniae +  C
Streptococcus pyogenes  Group A +  C
Streptococcus viridans +  C
===Fungi===
Aspergillus species
Blastomyces
Candia
Crytococcus
Histoplasma


===Virus===
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.
Adenoviruses
Cytomegaloviruses
Epstein- Barr virus
Herpes simplex
Herpes zoster


===Parasites===
Information about pathogens can be found in the patient's chart's [[Lab and culture reports]]; see that page for specific use instructions.
Cryptosporidium
Giardia Lamblia
Malaria
Pneumocystis carinii (PCP)
Toxoplasma gondii


== 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.


== Data Integrity ==
=== Special Codes ===
Needs cleanup...
* [[Not an Infection (ICD10 pathogen alternative)]] - included for cross checks when entering [[:Category:Potential infection]]s
'  infection without pathogen
* [[Infectious organism, unknown]] - eg for negative culture
    If isInfection And path_s = "" Then
        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.")
        uncheck Form_View.Diag_Complete
        Form_View.Label_Diagnosis_check.BackColor = abnormal
    End If


'  non-infection with pathogen
{{Data Integrity Check List}}
    If (Not isInfection) And path_s > "" Then
        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.")
        Form_View.Label_Diagnosis_check.BackColor = abnormal
        uncheck Form_View.Diag_Complete
    End If
 
== do before de-stubbing ==
* fix integrity section
* needs definition fixed


{{stub}}
== Related Articles ==
[[Category:Data_Collection_Guide]]
{{Related Articles}}
 
[[Category: ICD10]]
[[Category: Pathogens| *]]
[[Category: Infectious disease| *]]

Latest revision as of 16:51, 2019 October 30

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:

Pathogens

Pathogens are coded as their own diagnosis codes:

Pathogens codes:

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

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

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

Data Integrity Checks (automatic list)

 AppStatus
Query check ICD10 Inf Potential Infection must have pathogen or altCCMDB.accdbdeclined
Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogenCCMDB.accdbimplemented
Check Inf Infection with implied pathogen must not have a pathogen combined codeCCMDB.accdbimplemented
Query check ICD10 Inf Infection req Pathogen must have oneCCMDB.accdbimplemented
Query Check Inf Pathogens must have Infection requiring pathogen or Potential InfectionCCMDB.accdbimplemented

Related Articles

Related articles:
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