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| {{Data Integrity Check | | Listing of ICD10 related checks. |
| | DIC_summary = Can't have duplication of ICD10 diagnoses: | | |
| *[[Dx Type]] = [[Acquired Diagnosis]] – no same ('''[[Dx_Date]] and''' ICD10 dx)
| | {{#cargo_query: |
| *[[Dx Type]] = [[Admit Diagnosis]] or [[Comorbid Diagnosis]] – no same ICD10 code
| | tables=DataIntegrityChecks,Discussions,_pageData |
| *[[Dx Type]] = [[Comorbid Diagnosis]] - must have at least one, which might be [[No Comorbidities (ICD10 code)]]
| | |join on=DataIntegrityChecks._pageName=_pageData._pageName,DataIntegrityChecks._pageName=Discussions._pageName |
| *[[Check dx primary integrity]]
| | |fields= |
| *There must not be a [[No Dx Entered]] entry.
| | CONCAT("\[\{\{fullurl:",DataIntegrityChecks._pageName, "{{!}}action=edit\}\} edit]")=edit, |
| | DIC_related_concepts = [[ICD10 Diagnosis]], [[Acquired Diagnosis]], [[Admit Diagnosis]], [[Comorbid Diagnosis]], [[Dx Type]]
| | DataIntegrityChecks._pageName=page, Status, Timing, Firmness, Summary, question, who |
| | DIC_firmness = hard check | | |where=App="CCMDB.accdb" and _pageData._categories HOLDS "ICD10 Dx check" |
| | DIC_timing = complete | | |order by=question |
| | DIC_app = CCMDB.mdb | | |limit=1000 |
| | DIC_coding = how to find this in containing program, eg. SAS file, function name, query name... | | |more results text=see all checks |
| | DIC_status = ready to implement | | |offset=some number |
| | DIC_implementation_date = date change was rolled out / first applied | | |default=Nothing found |
| | |format=dynamic table |
| | |rows per page=1000 |
| }} | | }} |
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| [[Category: ICD10]] | | [[Category: ICD10]] |
| [[Category: ICD10 Dx check]] | | [[Category: ICD10 Dx check | * ]] |
Listing of ICD10 related checks.
| edit | page | Status | Timing | Firmness | Summary | question | who |
| edit | page | Status | Timing | Firmness | Summary | question | who |
| edit | Query check ICD10 mechanism vs trauma | implemented | | hard check | Traumas need mechanisms, and mechanisms need traumas (see also Template:ICD10 Guideline Trauma w mechanism). | | |
| edit | Query check ApARF CRF | retired | always | hard check | ARF (APACHE) and CRF - Chronic Renal Failure can not be coded together for the same patient. | | |
| edit | Query check ICD10 CLI vs CCI CentralLine | implemented | complete | hard check | Checks for critical care patients who have a Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) but no T17 - Central venous catheter (TISS Item). | | |
| edit | Query check ICD10 date | implemented | complete | hard check | Acquired Diagnosis / Complication must have Dx Date or Dx Date unknown, other Dx Type must have neither, and must be Admit DtTm<Dx_Date<Dispo_DtTm | | |
| edit | Query check ICD10 ESRD vs kidney transplant | implemented | complete | hard check | If there is a Past history, transplanted kidney then there can only be Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15 if there is also Kidney transplant, failure or rejection or unspecified complication | | |
| edit | Query check ICD10 stroke | declined | | hard check | Stroke, NOS can not be coded with other stroke codes. | | |
| edit | Query check ICD10 Inf Potential Infection must have pathogen or alt | declined | always | hard check | every dx in Category:Potential infection must have a dx in Category:Pathogens or Not an Infection (ICD10 pathogen alternative) as Combined ICD10 codes. | | |
| edit | Check if awaiting code is primary dx then Transfer Ready DtTm must be equal to Arrive DtTm | declined | always | hard check | If an ICD10 code in Category:Awaiting/delayed transfer is Primary Admit Diagnosis/Dx Primary then Transfer Ready DtTm must equal "Arrive DtTm" | | |
| edit | Query check ICD10 dx implying death must have appropriate dispo | implemented | | hard check | If dx is (Brain death;Medical Assistance In Dying;Sudden cardiac death (and died)) then Dispo field must be one of the Deceased patients options | | |
| edit | Query check ICD10 ESRD vs ARF | not feasible | complete | hard check | Can't have ESRD and acute renal failure, except if there was a transplant during this ward stay | | |
| edit | Can't check ICD10 ARF vs APACHE ARF | declined | always | hard check | Can't have ESRD and acute renal failure | | |
| edit | Query check ICD10 duplicates | declined | complete | hard check | Admit and Comorbid ICD10 Diagnoses (except for Category:Pathogens or Category:Antibiotic resistance and Category:Mechanism and Colonized with organism (not infected)) can't be entered in duplicate. | | |
| edit | Query check ICD10 ESRD and AKI only if transplant | implemented | complete | soft check | A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI. | | |
| edit | Query check ICD10 trach dxs consistent | implemented | | hard check | Tracheostomy related CCI and ICD10 codes must be consistent with each other. | | |
| edit | Query check ICD10 only 1 stage of renal failure | implemented | complete | hard check | can only have one stage of renal failure in Comorbid Diagnosis and in Admit Diagnosis | | |
| edit | Query check ICD10 needs awaiting if TR Dt and Dispo Dt on diff days | declined | complete | hard check | Any patient with a with Transfer Ready DtTm and Dispo DtTm on different days has to have one of the "awaiting" codes and vice versa. | | |
| edit | Controlling Dx Type for ICD10 codes | declined | complete | hard check | Some dxs can't be Dx Types Primary Admit Diagnosis, Comorbid Diagnosis, Admit Diagnosis or Acquired Diagnosis | | |
| edit | Query check ICD10 awaiting has Transfer Ready DtTm | implemented | complete | hard check | Any patient who has code in Category:Awaiting/delayed transfer has to have a (Transfer Ready DtTm or Transfer Ready DtTm tmp entry) on a different day than their Dispo DtTm. | | |
| edit | Query check CCI ICD10 Dialysis no Dx | implemented | complete | hard check | If a profile has one of the #Dialysis CCI Items there should also be one of the #Dialysis qualifying Dxs. | | |
| edit | Query check AIDS vs HIV | implemented | always | hard check | A record can not have both AIDS (disease due to HIV) and HIV infection, asymptomatic | | |
| edit | Query check dx primary lowest priority | implemented | | hard check | The dx with Dx Primary checked should be one of the group of Combined ICD10 codes with the lowest Dx Priority. | | |
| edit | Query check ICD10 Comorbids NoComo code but others | implemented | complete | hard check | If No Comorbidities (ICD10 code) is entered, there must really be no other comorbidities coded | | |
| edit | Query check eliminated ICD10 | implemented | | hard check | disallows any currently entered diagnosis that has been eliminated | | |
| edit | Query check dx primary not exactly one | implemented | always | hard check | There has to be exactly one dx per patient with Dx Primary checked, and it has to be an Admit Diagnosis | | |
| edit | Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogen | implemented | | hard check | every dx in Category:Antibiotic resistance must have a dx in Category:Infection with implied pathogen or in Category:Pathogens as Combined ICD10 codes. | | |
| edit | Query s tmp QASeptic tmp no dx | implemented | | hard check | CC pt has QA Septic Shock tmp entry and no Septic Shock/Shock, septic dx | | |
| edit | Query check hernia type vs complication | implemented | | hard check | any abdominal hernia complication dx must have an abdominal hernia type dx coded. | | |
| edit | Query check VAP admit must be from ICU | retired | complete | hard check | VAP should only be Admit Diagnosis when Previous Location is an ICU. | | |
| edit | Query check ICD10 Inf Infection req Pathogen must have one | implemented | | hard check | every dx in Category:Infection requiring pathogen must have a dx in Category:Pathogens or Category:Double duty pathogen as Combined ICD10 codes. | | |
| edit | Query check ICD10 unfilled | implemented | complete | hard check | ICD10 entry with missing Dx_Type, Dx_Priority or No Dx Entered | | |
| edit | Check Inf Infection with implied pathogen must not have a pathogen combined code | implemented | | hard check | every dx in Category:Infection with implied pathogen must not have a dx in Category:Pathogens as Combined ICD10 codes. | | |
| edit | Query s tmp QASeptic Dx no tmp ICD10 | implemented | | hard check | CC patient has Septic Shock/Shock, septic dx and no QA Septic Shock tmp entry | | |
| edit | Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | implemented | | hard check | Dxs in Category:Pathogens (but not in Category:Double duty pathogen) must have either a Category:Infection requiring pathogen or Category:Potential infection as Combined ICD10 codes. | | |
| edit | Query check ICD10 Comorbids Dx present | implemented | complete | hard check | All complete patients must have at least one ICD10 entry for Dx Type Comorbid Diagnosis, which might be No Comorbidities (ICD10 code). | | |
| edit | Query check ICD10 trach has trach but no TISS | implemented | always | soft check | If there is a Tracheostomy, has one (Z93.0) ICD10, there should likely be a T23 - Trach Tube Present (TISS Item) | | |
| edit | Sub Dx Checker | implemented | | hard check | Runs most Category:Old_dx_check, Category:ICD10 Dx check, Category:CCI Px check, and a few other checks for dxs | | |
| edit | Query check ICD10 chronic vent acute resp failure | implemented | | hard check | Chronic dependence on mechanical ventilator should not be coded with Respiratory failure (insufficiency) NOS, acute | | |
| edit | Query check CCI TISS CAM positive vs Dx | declined | always | hard check | Checks that each T9 - CAM positive (TISS Item) goes with an ICD10 code from Category:Delirium | | |
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