Query check ICD10 ESRD vs AP ARF: Difference between revisions

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{{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; ICD10 Guideline for Renal Coding
|DIC_firmness=hard check
|DIC_firmness=hard check
|DIC_coding=query ''check_ICD10_ESRD_vs_AP_CRF''
|DIC_coding=query ''check_ICD10_ESRD_vs_AP_CRF''
|DIC_implementation_date=2018-11-24
|DIC_implementation_date=2018-11-24
|DIC_status=ready to implement
|DIC_status=retired
|DIC_app=CCMDB.mdb
}}
}}


== ICD10 ==
The definitions are not the same any more, so this cross check doesn't make sense.  
*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 =  
{{Collapsable
*[[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)
| always= was
** A person with ARF could have dialysis, though, right, to treat the ARF? So, how about
| full= *''[[ARF (APACHE)]] checked and no [[(T) Kidney]]+[[Transplant]] / [[Past history, transplanted kidney]] / [[Kidney transplant, failure or rejection or unspecified complication]] means patient must not have  
***''[[ARF (APACHE)]] checked and no [[(T) Kidney]]+[[Transplant]] / [[Past history, transplanted kidney]] / [[Kidney transplant, failure or rejection or unspecified complication]] means patient must not have  
** ''[[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]
**** ''[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
** ''[[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]]
**** ''[[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]]
** Don't know if we can make that any tighter...
***OK --[[User:JMojica|JMojica]] 16:48, 2018 November 19 (CST)-
}}
}}
See [[Query check ApARF CRF]] for corresponding old dx check.


== See also ==
== See also ==
*[[Renal Coding Considerations for ICD10]]
*[[ICD10 Guideline for Renal Coding]]
*[[Query check ApARF CRF]] - query in old dx coding schema


== Log ==
== Log ==
* [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2022#ICU Database Task Group Meeting – July 13, 2022| 2022-07-13 #8]] - definitions were changed again, so it might now be possible to cross check this again
* 2020-06-02 - retired check when the definitions were changed so this check no longer made sense
* [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2020#ICU Database Task Group Meeting – May 26, 2020|2020-05-26 #6]] - Decision that these are not comparable because they follow different definitions


== Related Articles ==
== Related Articles ==

Latest revision as of 14:25, 2022 August 9

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, ICD10 Guideline for Renal Coding
Firmness: hard check
Timing: always
App: not entered
Coding: query check_ICD10_ESRD_vs_AP_CRF
Uses L Problem table: not relevant for this app
Status: retired
Implementation Date: 2018-11-24
Backlogged: true
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The definitions are not the same any more, so this cross check doesn't make sense.

was   

See also

Log

  • 2022-07-13 #8 - definitions were changed again, so it might now be possible to cross check this again
  • 2020-06-02 - retired check when the definitions were changed so this check no longer made sense
  • 2020-05-26 #6 - Decision that these are not comparable because they follow different definitions

Related Articles

Related articles:
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