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Query NDC VAP no TISS: Difference between revisions

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--[[User:JMojica|JMojica]] 15:01, 2018 November 15 (CST){{Data Integrity Check
{{LegacyContent
| DIC_summary = If a patient has a [[Acquired Diagnosis]] [[VAP]] and no [[TISS28]] items [[Invasive Mechanical Ventilation (TISS Item)]] (T18) or [[Spontaneous breathing via ETT or Trach (TISS Item)]] (T19) then this is an error.  
|explanation= was declined, so legacy
| DIC_related_concepts = VAP; Invasive Mechanical Ventilation (TISS Item); Spontaneous breathing via ETT or Trach (TISS Item)
 
| DIC_firmness = hard check  
|content=
| DIC_timing =  
 
| DIC_app = Centralized data front end.accdb
{{Data Integrity Check
| DIC_coding = query ''NDC_VAP_no_TISS''
|DIC_summary=If a patient has a [[Acquired Diagnosis]] [[Pneumonia, ventilator-associated (VAP)]] and no [[TISS28]] items {{TISS w Nr | Invasive Mechanical Ventilation (TISS Item)}} (T18) then this is an error.
| DIC_status = needs review
|DIC_related_concepts=VAP; Invasive Mechanical Ventilation (TISS Item); Spontaneous breathing via ETT without PEEP/CPAP, with or without supplemental O2 (TISS Item)
| DIC_implementation_date = date change was rolled out / first applied
|DIC_firmness=hard check
|DIC_timing=always
|DIC_coding=query ''NDC_VAP_no_TISS''
|DIC_status=declined
|DIC_LProblem=No
|DIC_app=Centralized data front end.accdb
}}
}}


Only patients who are ventilated in hospital can have a ''complication'' dx of [[VAP]].
Only patients who are ventilated in hospital can have a ''complication'' dx of [[Pneumonia, ventilator-associated (VAP)]].


{{Discuss | who=Julie | question = 
This integrity check would not take into account {{TISS w Nr | Non-invasive CPAP or BIPAP (TISS Item)}}.
* Why would  [[Spontaneous breathing via ETT or Trach (TISS Item)]] T19 qualify for a VAP? Ttenbergen 18:31, 2018 August 16 (CDT)}}
** this should not be included for VAP. However, we need to have a separate consistency checks  for [[Spontaneous breathing via ETT or Trach (TISS Item)]] T19 - either T22 or T23 must be marked when [[Spontaneous breathing via ETT or Trach (TISS Item)]] T19 is marked . --[[User:JMojica|JMojica]] 15:01, 2018 November 15 (CST)


This integrity check does not and should not take into account [[Non-invasive CPAP or BIPAP (TISS Item)]].
===Declined ===
* [[Pneumonia,_ventilator-associated_(VAP)#VAPs_on_medicine_wards]] mentions to use the same rules as for other [[Acquired Diagnoses]], ie the dx is acquired where it first manifests, so this check or rule no longer makes sense.  


== Related articles ==
== Related articles ==
{{Related Articles}}
{{Related Articles}}
 
}}
[[Category:TISS28 checks]]
[[Category:TISS28 check]]
[[Category:Data Processing]]
[[Category:Data Processing]]
[[Category:VAP - Ventilator Associated Pneumonia]]
[[Category:VAP - Ventilator Associated Pneumonia]]
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