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Combined ICD10 codes: Difference between revisions

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To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient viewer tab ICD10]] need to be grouped together.
To code some diagnoses as part of [[ICD10 collection]], several lines of entries in the [[Patient Viewer Tab ICD10]] need to be grouped together.


To group diagnoses together, use the same [[Dx Priority]] for all of them.
To group diagnoses together, use the same [[Dx Priority]] for all of them.
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*link codes to “create” an entity for which no separate ICD10 code exists, such as retroperitoneal hemorrhage,  
*link codes to “create” an entity for which no separate ICD10 code exists, such as retroperitoneal hemorrhage,  
*to connect cause with effect(s), e.g. a trauma combined with all the separate fractured bones.
*to connect cause with effect(s), e.g. a trauma combined with all the separate fractured bones.
{{Discuss | who = Allan| question =
* See [https://ccmdb.kuality.ca/index.php?title=Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2019#ICU_Database_Task_Group_Meeting_.E2.80.93_July_16.2C_2019  July 16.19 ICU TASK meeting minutes.
*Julie and Allan to review.}}


=== Q&A: Just How Far Should You Go in Linking Cause and Effect Diagnoses? ===
=== Q&A: Just How Far Should You Go in Linking Cause and Effect Diagnoses? ===
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     Drug-induced thrombocytopenia
     Drug-induced thrombocytopenia


{{Discuss | who = Allan | question =
*What about when there's a diagnosis (A) which is a known risk factor for another diagnosis (B).  But in fact B is influenced by other things, not only A. In this case, do NOT combine A and B.
*I have a lot of diabetes patients, and their associated complications. I know we are supposed to link the diabetes with their associated complications, but just how far do we go? e.g. We all know that diabetics are at higher risk of heart attack and stroke, and we do indeed have a cardiovascular complication for diabetes. If we have a diabetic that has had for example a stroke and a heart attack, do you want us to link the stroke and heart attack with the cardiovascular complications (which is with the diabetes mellitus), or should we enter the stroke and heart attack as separate co-morbids. In the case of diabetes in particular, we would be assuming that the higher risk of cardiovascular events is caused by the diabetes. These diabetics, because of their higher risk of significant complications related to their diabetes could easily have 15 or more lines of complications/comorbids, all related to the fact that they have diabetes. Should we be linking them all?  [[User:DPageNewton|DPageNewton]] 10:01, 2019 August 26}}
**Example:  Diabetes is a risk factor for MI. But so are hypertension, hyperlipidemia and genetic factors. So here do NOT combine the MI with the diabetes (or the hypertension or hyperlipidemia) because it's not a direct arrow from diabetes to MI. But of course, do code all of these diagnoses that are present (in the example that means code the diabetes and the MI, and hypertension if present, etc).
Thanks for clarifying the diabetes issue. [[User:DPageNewton|DPageNewton]] 12:21, 2019 October 10 (CDT)


=== Primary Admit Diagnosis in Combined Codes  ===
=== Primary Admit Diagnosis in Combined Codes  ===
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== CCMDB Data Integrity Checks ==
== CCMDB Data Integrity Checks ==
Some codes always need to be combined with one or more others. See [[Minimum combined codes]] for details.
Some codes always need to be combined with one or more others.  


Most infection codes require combined-coding of a pathogen (some have it implied, like [[Mumps]]), and some disorders can have a pathogen if their cause is infectious. See [[Bug required]] for details.
Most infection codes require combined-coding of a pathogen (some have it implied, like [[Mumps]]), and some disorders can have a pathogen if their cause is infectious. See [[Bug required]] for details.
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