Query check CCI ICD10 Dialysis no Dx: Difference between revisions

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{{Data Integrity Check
{{Data Integrity Check
|DIC_summary=If there is a [[TISS28]] entry for Hemodialysis there should be a corresponding Dx.
|DIC_summary=If a profile has one of the [[#Dialysis CCI Items]] there should also be one of the [[#Dialysis qualifying Dxs]].
|DIC_related_concepts=Intermittent hemodialysis (TISS Item); Peritoneal dialysis (TISS Item); CRRT (TISS Item); {{#ask: [[Concept:Acute renal failure]]|default=none found|format=plainlist|link=none|limit=100|sep=;}}
|DIC_related_concepts= Peritoneal dialysis (TISS Item); CRRT (TISS Item); Intermittent hemodialysis (TISS Item); {{#ask: [[Concept:Acute renal failure]]|default=none found|format=plainlist|link=none|limit=100|sep=;}}; Kidney, acute renal failure, postprocedural;Kidney, acute renal failure NOS;Kidney, acute tubular necrosis (ATN);Hyperkalemia;Congestive heart failure with pulmonary edema;Fluid overload;Acidosis, NOS;Kidney, renal tubular acidosis (RTA, all types);Aspirin or other salicylate or NSAID, overdose/toxicity;Antiseizure drug NOS, overdose/toxicity; Insulin or other antidiabetes drug, overdose/toxicity;Psychiatric drug NOS, overdose/toxicity;Drug or biological substance/agent NOS, overdose/toxicity;Alcohol (ethanol), poisoning;Toxic alcohols, poisoning;Calcium channel blocker, overdose/toxicity
|DIC_firmness=hard check
|DIC_firmness=hard check
|DIC_timing=complete
|DIC_timing=complete
|DIC_coding=query ''NDC_Dxs_vs_TISS_Dialysis''
|DIC_coding=query ''check_CCI_ICD10_Dialysis_no_Dx''
|DIC_implementation_date=2019/01/06
|DIC_implementation_date=2021-10-27
|DIC_status=ready to implement
|DIC_status=implemented
|DIC_LProblem=No
|DIC_app=CCMDB.accdb
|DIC_app=Centralized data front end.accdb
|DIC_backlogged=No
}}
}}
{{Discuss | Discussed 10:00, 2019 August 22 (CDT) - list looks like a good start, ready to implement. }}


If there is a [[TISS28]] entry for Hemodialysis there should be a corresponding Dx.
If a profile has one of the [[#Dialysis CCI Items]] there should also be one of the [[#Dialysis qualifying Dxs]].


=== Dialysis TISS Items ===
=== Dialysis CCI Items ===
*{{TISS w Nr | Intermittent hemodialysis (TISS Item)}} (T32)
*{{ CCIWithCode | CRRT (TISS Item)}}
*{{TISS w Nr | CRRT (TISS Item)}} (T33)
*{{ CCIWithCode | Peritoneal dialysis (TISS Item)}}
*{{TISS w Nr | Peritoneal dialysis (TISS Item)}} (T34)
*{{ CCIWithCode | Intermittent hemodialysis (TISS Item)}}
*{{ CCIWithCode | PD (Peritoneal dialysis)}}
*{{ CCIWithCode | HD (Hemodialysis)}}
*{{ CCIWithCode | CRRT (incl volume removal via PRISMA device)}}


=== Dialysis qualifying Dxs ===
=== Dialysis qualifying Dxs ===
all [[#Dialysis requiring Dxs]] plus:
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90}}
[[Concept:Chronic Kidney Disease]]:
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89}}
{{#ask: [[Concept:Chronic Kidney Disease]]
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59}}
|default=none found
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29}}
|format=UL
*{{ICD10WithCode | Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15}}
|limit=10}}
*{{ICD10WithCode | Chronic kidney/renal disease, NOS (stage unspecified)}}
*[[Hyperkalemia, severe or symptomatic]]
*{{ICD10WithCode | Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic}}
*[[Congestive heart failure with pulmonary edema]]
*{{ICD10WithCode | Kidney, acute renal failure, postprocedural}}
*[[Fluid overload]]
*{{ICD10WithCode | Kidney, acute renal failure NOS}}
*Metabolic acidosis: [[Acidosis, NOS]] or [[Kidney, renal tubular acidosis (RTA, all types)]]
*{{ICD10WithCode | Kidney, acute tubular necrosis (ATN)}}
*{{ICD10WithCode | Hyperkalemia}}
*{{ICD10WithCode | Congestive heart failure with pulmonary edema}}
*{{ICD10WithCode | Fluid overload}}
*Metabolic acidosis:  
**{{ICD10WithCode | Acidosis, NOS}}
**{{ICD10WithCode | Kidney, renal tubular acidosis (RTA, all types)}}
*Drug overdoses and poisonings -- the main ones are:
*Drug overdoses and poisonings -- the main ones are:
** Aspirin & other salicylates --   [[Aspirin or other salicylate or NSAID, overdose/toxicity]]
** Aspirin & other salicylates -- {{ICD10WithCode | Aspirin or other salicylate or NSAID, overdose/toxicity}}
** Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates --     [[Antiseizure drug NOS, overdose/toxicity]]
** Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates -- {{ICD10WithCode | Antiseizure drug NOS, overdose/toxicity}}
** Metformin -- [[Insulin or other antidiabetes drug, overdose/toxicity]]
** Metformin -- {{ICD10WithCode | Insulin or other antidiabetes drug, overdose/toxicity}}
** Lithium -- [[Psychiatric drug NOS, adverse effect]]
** Lithium -- {{ICD10WithCode | Psychiatric drug NOS, overdose/toxicity}}
** Theophylline -- [[Drug or biological substance/agent NOS, overdose/toxicity]]
** Theophylline -- {{ICD10WithCode | Drug or biological substance/agent NOS, overdose/toxicity}}
** Alcohols -- [[Alcohol (ethanol), poisoning]] or [[Toxic alcohols, poisoning]]
** Alcohols --  
** Diltiazem -- [[Calcium channel blocker, overdose/toxicity]]
*** {{ICD10WithCode | Alcohol (ethanol), poisoning}}
*** {{ICD10WithCode | Toxic alcohols, poisoning}}
** Diltiazem -- {{ICD10WithCode | Calcium channel blocker, overdose/toxicity}}
** Occasionally a few others (rare)
** Occasionally a few others (rare)


== Checks ==
Allan confirmed that we would not need to add covid because if used in that context, renal failure would also be coded.
=== Has [[#Dialysis TISS Items]] but no [[#Dialysis qualifying Dxs]] ===
If meets following the entry is an error:
* at least one of [[#Dialysis TISS Items]]
* '''doesn't have''' one [[#Dialysis qualifying Dxs]]


== Log ==
== Log ==
* Removed the part of the check that ensured that dxs that appear to require dialysis get it within 3 days. With KDIGO definitions this is no longer true.
* 2024-04-24 - changed from [[Psychiatric drug NOS, adverse effect]] to [[Psychiatric drug NOS, overdose/toxicity]] [[User:Ttenbergen|Ttenbergen]] 09:50, 2024 April 24 (CDT)


== Related articles ==
== Related articles ==
{{Related Articles}}
{{Related Articles}}


[[Category: TISS28 checks]]
[[Category:TISS28 check]]
[[Category: ICD10 Dx check]]
[[Category:ICD10 Dx check]]
[[Category:Dialysis]]