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| {{ICD10 category|Pathogens}} | | {{ICD10 category|Pathogens}} |
| {{ICD10 category|Virus}} | | {{ICD10 category|Virus}} |
| | {{ICD10 category|COVID}} |
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| == Additional Info == | | == Additional Info == |
| *This is intrinsically a code for a viral pathogen officially called "SARS-COV-2". It causes a disease called "COVID-19", that has multiple manifestations, with more likely to be identified over time.
| | This is the [[Pathogen]] code for the "SARS-COV-2" virus. |
| **The main manifestation known as of April 2020 is a viral pneumonia which can evolve into [[ARDS (noncardiogenic pulmonary edema)]]. To code this viral pneumonia, use [[Pneumonia, viral]] with the bug being [[COVID-19 (SARS-COV-2)]].
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| **If as may be the case, there is a viral encephalopathy due to this bug, then you'd code it as [[Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral]] with the bug being the same.
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| *As we do with all infections, we do the best possible to identify the bug. Sometimes we're left without a clear, laboratory identification of the bug and then we use one or another of the "wastebasket codes"
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| **For example if the team believes this is likely a virus but doesn't know which one then use [[Virus, NOS]]
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| **For example if the team doesn't know what kind of bug it is, but believes it is infectious then use [[Infectious organism, unknown]]
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| {{Discuss|Currently at HSC all cc patients with an "unknown" contact history (even traumas and emergent OR's) are admitted to MICU first, and once their COVID swab comes back negative they are moved to SICU where they normally would be admitted. Do we put [[Observation for suspected infection NOS]] as the primary admit code, followed by all the other reasons for the admission in the MICU profile? If so, do we link it with any other code to indicate that the observation is for possible COVID? --[[User:Jvelasco|Jvelasco]] 09:23, 2020 April 7 (CDT)}}
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| === Presumed infections ===
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| If the team believes that this is COVID-19 (even without clear cut lab confirmation), then use [[COVID-19 (SARS-COV-2)]] as the organism - of course anybody seeking to do definitive analysis of all COVID-19 cases will need to obtain and use the data on confirmed cases from [[Cadham]].
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| === Confirmed infections ===
| | {{ICD10 Guideline COVID linker}} |
| Done by [[Cadham]] Lab
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| === Delayed lab results ===
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| *Regarding people who either die or are discharged from hospital with their COVID-19 lab test still pending, follow the usual rules i.e: [[Lab_and_culture_reports#How_long_to_wait_for_a_result]] or [[Attribution of infections]]
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| **Note that this test is done by [[Cadham]] Lab and not by the usual DSM lab.
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| === Other info ===
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| * [https://en.wikipedia.org/wiki/Severe_acute_respiratory_syndrome_coronavirus_2 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)]
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| * [https://en.wikipedia.org/wiki/Coronavirus_disease_2019 Coronavirus disease 2019 (COVID-19)]
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| == Alternate ICD10s to consider coding instead or in addition == | | == Alternate ICD10s to consider coding instead or in addition == |
| '''Only use this for COVID-19 (SARS-CoV-2)''' - not other [[Coronavirus]] | | '''Only use this for COVID-19 (SARS-CoV-2)''' - not other [[Coronavirus]] |
| | {{ListICD10Category | categoryName = COVID }} |
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| == Candidate [[Combined ICD10 codes]] == | | == Candidate [[Combined ICD10 codes]] == |