Conversion from our old diagnosis schema to ICD10/CCI: Difference between revisions

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This article outlines how we will transition from the [[:Category:Diagnosis Coding|old diagnosis schema]] to [[ICD10]] and [[CCI]]. Process has been in the works since at least 2016.
This article outlines how we will transition from the [[:Category:Diagnosis Coding (old)|old diagnosis schema]] to [[ICD10]] and [[CCI]]. Process has been in the works since at least 2016.
   
   
As of 18:59, 2017 September 16 (CDT), some of the discussion about this continues in [[Task Team Meeting - Rolling Agenda and Minutes]].
== Timeline ==
== Timeline ==
Current Timeline is this:
* 2018-May-ish: request to collect ICD10 and CCI data for at least two patients per week
* in progress now:  
* 2018-08-01 implementation of CCMDB.accdb cross-checks starts  
** groupings for reports
* 2010-10-18:  [[Primary Admit Diagnosis]] needs to be entered for all patients, old style DX
** Groupings for Charlson, Apache Dxs, Alert score, Overstay
* 2018-08-01 implementation of CCMDB.mdb cross-checks starts  
* 2018-10-01 all initial cross-checks implemented
* 2018-10-01 all initial cross-checks implemented
* 2018-12-01 implementation of CFE/TISS cross checks complete
* 2018-12-01 implementation of CFE/TISS cross checks complete; suggestion of full ICD10/CCI coding for pts expected to be discharged after 2019-01-01
* '''no''' FULL double-coding for all patients is expected
* 2019-01-01 - enter complete [[ICD10 collection]] and [[CCI Collection]] for patients with [[Dispo DtTm]] >= 2019-01-01
* 2019-01-01 start date:  move to only code using ICD10/CCI 
* 2022-03-28 - deleted all test ICD10 entered up to Dec 31,2018.
 
== Phase-in of collection requirements ==
We are now requiring:
* 2018-earlier: request to collect ICD10 and CCI data for at least two patients per week
* 2010-10-18:  [[Primary Admit Diagnosis]] needs to be entered for all patients, old style DX continues as before.  i.e.  This does not replace entering a primary DX in old schema.
 
== Transition plan ==
Allan confirmed with Bojan that this will work for him.
 
{{DT | transition plan to CCI/ICD10 details...}}
This question is still in flux, the current proposal is:
 
*Patient events (dx or procedure) on or after the changeover date will be coded as ICD10, every one before as old code. (i.e. this changeover will be event date based, not admit or dispo date based.)
**I.e. a patient who straddles both periods will have some old and some new dx codes.
*Only the primary diagnosis would also be translated from old to new for all still there after changeover date.
 
* Depending on how we resolve [[Converting Lab Counts to CCI]], we will also need to make a plan for that.


== Data ==
== Data ==
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* [[R Filter Field]]
* [[R Filter Field]]


Dx Code mapping:
Dx Code mapping was not possible:
* [[Translation of Dx Data from CCMDB schema to ICD10/CCI]]
* [[Translation of Dx Data from CCMDB schema to ICD10/CCI]]


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== Collection Interface ==
== Collection Interface ==
[[Patient viewer tab ICD10]] and [[Patient viewer tab CCI]] have been added in [[Patient Viewer]].
[[Patient Viewer Tab ICD10]], [[Patient Viewer Tab CCI_Pick]] and [[Patient Viewer Tab CCI_Comp]] have been added in [[Patient Viewer]].


Completion of new items for CCI/ICD10 in [[CCMDB.mdb Data Integrity Checks]].
Completion of new items for CCI/ICD10 in [[CCMDB.accdb Data Integrity Checks]].


== Documentation / wiki ==
== Documentation / wiki ==
=== ICD10 ===
=== [[ICD10 collection]] ===
Articles for each new DX are available on the wiki. Where possible the new article will contain a link to the related old article(s). See [[ICD10 Diagnosis List]].
Articles for each new DX are available on the wiki. Where possible the new article will contain a link to the related old article(s). See [[ICD10 Diagnosis List]].


=== CCI ===
=== [[CCI Collection]] ===
Articles are now on wiki, see [[CCI Picklist]] and [[CCI Component]].
Articles are now on wiki, see [[CCI Picklist]] and [[CCI Component]].
== Decisions made but not yet documented elsewhere ==
=== ICD10 / CCI Groupings for Reports ===
We need ways to group ICD10 codes for reports.
Allan has provided a listing.
Tina has set up structure so that any dx can be part of any number of groupings (like wiki categories):
* [[S ICD10 Blocks table‎]]
* [[S ICD10 Block Dxs table]]
'''need to populate'''
{{discussion}} This conversation is not finished yet. At last count Julie was still wondering how she will group these. Ttenbergen 15:52, 2018 March 6 (CST)


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

Latest revision as of 11:14, 2022 April 7

This article outlines how we will transition from the old diagnosis schema to ICD10 and CCI. Process has been in the works since at least 2016.

Timeline

  • 2018-May-ish: request to collect ICD10 and CCI data for at least two patients per week
  • 2018-08-01 implementation of CCMDB.accdb cross-checks starts
  • 2010-10-18: Primary Admit Diagnosis needs to be entered for all patients, old style DX
  • 2018-10-01 all initial cross-checks implemented
  • 2018-12-01 implementation of CFE/TISS cross checks complete; suggestion of full ICD10/CCI coding for pts expected to be discharged after 2019-01-01
  • 2019-01-01 - enter complete ICD10 collection and CCI Collection for patients with Dispo DtTm >= 2019-01-01
  • 2022-03-28 - deleted all test ICD10 entered up to Dec 31,2018.

Data

Diagnoses / ICD10

Diagnosis data will be stored in the L_ICD10 table. The codes will be provided by the s_ICD10 table.

Special consideration will need to be given to:

Dx Code mapping was not possible:

Procedures / CCI

See CCI Data Structure.

Collection Interface

Patient Viewer Tab ICD10, Patient Viewer Tab CCI_Pick and Patient Viewer Tab CCI_Comp have been added in Patient Viewer.

Completion of new items for CCI/ICD10 in CCMDB.accdb Data Integrity Checks.

Documentation / wiki

ICD10 collection

Articles for each new DX are available on the wiki. Where possible the new article will contain a link to the related old article(s). See ICD10 Diagnosis List.

CCI Collection

Articles are now on wiki, see CCI Picklist and CCI Component.

Related Articles

Related articles:
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