Query check ApARF CRF: Difference between revisions

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{{LegacyContent
|explanation=retired as part of moving to ICD10
|successor=[[Query check ICD10 ESRD vs AP ARF]]
|content=
{{Data Integrity Check
{{Data Integrity Check
|DIC_summary=[[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient.
|DIC_summary=[[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient.
|DIC_related_concepts=ARF (APACHE);Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
|DIC_related_concepts=ARF (APACHE);Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
|DIC_firmness=hard check
|DIC_firmness=hard check
|DIC_coding=query ''Check_ApARF_CRF ''
|DIC_coding=query ''Check_ApARF_CRF ''
|DIC_implementation_date=date change was rolled out / first applied
|DIC_implementation_date=
|DIC_status=needs review
|DIC_status=retired
|DIC_app=CCMDB.mdb
|DIC_app=CCMDB.accdb
}}
}}


== ICD10 ==
See [[Query check ICD10 ESRD vs AP ARF]] for corresponding check in ICD10
*[[ARF (APACHE)]] checked and no [[Transplant]] means patient must not have
** [[Comorbid Diagnosis]] of [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
** [[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]]
 
*If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney.
**So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney.
*Thus, even though it is possible for an AKI to become fixed/permanent and become any level (1-5) of CRF -- this usually takes time (weeks to months) and for simplicity in coding, except for the case above where a renal TP occurred, the rule is that no single record should have both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code. 
**This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency.
 
{{Discuss | who = Julie | question =
*[[ARF (APACHE)]] should be always be NO when the person has comorbid [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]  or having  [[Renal dialysis care, including dialysis itself]] in ICD10 diagnosis.  --[[User:JMojica|JMojica]] 12:28, 2018 November 13 (CST)
** A person with ARF would have dialysis, though, right? So probably more like ARF can't have ESRD or dialysis as [[Comorbid Diagnosis]]?
}}


== See also ==
== See also ==
*[[Renal Coding Considerations (old)]]
*[[Renal Coding Considerations (old)]]
*[[Renal Coding Considerations for ICD10]]


== Log ==
== Log ==
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{{Related Articles}}
{{Related Articles}}


 
}}
 
[[Category:Data Collection Guide]]
[[Category:Data Collection Guide]]
[[Category: ICD10 Dx check]]
[[Category: ICD10 Dx check]]

Latest revision as of 23:06, 2019 October 2

Legacy Content

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Data Integrity Checks
Summary: ARF (APACHE) and CRF - Chronic Renal Failure can not be coded together for the same patient.
Related: ARF (APACHE), Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
Firmness: hard check
Timing: always
App: CCMDB.accdb
Coding: query Check_ApARF_CRF
Uses L Problem table: not relevant for this app
Status: retired
Implementation Date:
Backlogged: true
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See Query check ICD10 ESRD vs AP ARF for corresponding check in ICD10

See also

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