Check Isolation Px vs Isolation Dx: Difference between revisions

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~~Any patient with a diagnosis worth~~ of ~~isolation should likely have an isolation task, and vice versa. This is an old check that~~ was ~~requested in~~ [[~~! Automated Data Integrity Checks~~]].

{{{LegacyContent

|explanation=Collection of [[Tasks Elements]] was discontinued as part of move to [[ICD10]]/[[CCI]].

|content=

*Isolation DX and TASK inconsistent

{Data Integrity Check

*not sure what codes are included here that [[~~:Category: Cleaner.mdb Data Integrity Checks | CCMDB Data Cleaner.mdb~~]] ~~check?~~

|DIC_summary=[[Isolation-Task]] should coincide with dxs requiring isolation

**99-22

|DIC_related_concepts=Isolation-Task

**99-24

|DIC_firmness=soft check

**99-48

|DIC_status=declined

**??84-48 & 85-48 - Trish to check with Dr. Kumar.

|DIC_LProblem=No

***collectors are not certain if colonized or just site infection.

|DIC_app=CCMDB.accdb

**** not sure what this means. if his is relating to how collection is supposed to happen than this is probably not the place to discuss it...Ttenbergen 16:47, 2012 November 5 (EST){{discussion}}

}}

*If the Isolations code is present then full dx column is not needed in the output.

Certain diagnoses are related to isolation. This [[cross check]] tests that [[Isolation-Task]] and isolation-requiring Dxs are present together. Some dxs should '''''always''''' lead to isolation, others would be a '''''reasonable reason''' for isolation. The isolation task '''may''' be coded for any that allow for isolation, but '''must''' be coded for those that require it.

[[~~User:PTorres|PTorres~~]] ~~17:07~~, ~~21 October 2008 (CDT)~~

** what does this mean? Ttenbergen 16:47, ~~2012 November 5 (EST){{discussion}}~~

== does this check make sense? ==

~~Is it reasonable to check this? It only is if we expect that task and dx should always match, in which case, what is the point of collecting this? Ttenbergen 16:47, 2012 November 5 (EST)~~

== Implementation ==

* Is it reasonable to check this? It only is if we expect that task and dx should always match, in which case, what is the point of collecting this? Or will this just lead to tons of false positives? Ttenbergen 17:19, 2017 April 26 (CDT)

suspect this is not implemented right now, if we want it implemented it needs to go into [[Requested Changes]]. Ttenbergen 16:47, 2012 November 5 (EST)

== check details and dx lists ==

*Are these just a coding aid or a first step toward a CCMDB Data Integrity Checks? Ttenbergen 17:39, 2014 October 2 (CDT)

** if this is for integrity checks then 99-22 and 99-24 we no longer isolate for these colonizations. Codes 84-48 and 85-48 are infections but we do not necessarily isolate for these, we would isolate if the wound/abscess grows an organism for which isolation is necessary. [[User:Lkaita|Lisa Kaita]] 13:05, 2017 April 25 (CDT)

*** The idea is to implement a [[cross check]] in [[CCMDB.accdb]] to improve consistency. Do the lists below look right for that? I already moved the two codes you mentioned above, thanks! Ttenbergen 17:19, 2017 April 26 (CDT)

=== dx codes necessitating isolation ===

* [[MRSA Colonization (without Infection)]]

*[[Soft Tissue Abscess]] with MRSA (84-48) & [[Soft Tissue Infection (includes Cellulitis)]] with MRSA (85-48)

How about in ICD10?

=== dx codes allowing isolation ===

* [[MRSA Colonization (without Infection)]] is 99, but not sure about those subcodes...

**99-22 ??

**99-24 ??

How about in ICD10?

== Implementation Status ==

* suspect this is not implemented right now, if we want it implemented it needs to go into [[Requested Changes]]. Ttenbergen 16:47, 2012 November 5 (EST)

== Firmness ==

This would need to be a soft check because the isolation task should come from a task having been perfomed. If they isolated and there was no dx, or we don't code the dx, it should still be possible to enter that isolation happened.

== CCI ==

When we move to [[CCI]], [[Isolation-Task]] will be replaced by [[Isolation, infectious]].

~~[[Category: Cleaner.mdb Data Integrity Checks]]~~

~~[[Category:CCMDB Data Integrity Checks]]~~

[[Category:Task Elements]]

[[Category:CCI Px check‎‎]]

}}

@@ Line 1: / Line 1: @@
-Any patient with a diagnosis worth of isolation should likely have an isolation task, and vice versa. This is an old check that was requested in [[! Automated Data Integrity Checks]].
+{{{LegacyContent
+|explanation=Collection of [[Tasks Elements]] was discontinued as part of move to [[ICD10]]/[[CCI]].
+|content=
-*Isolation DX and TASK inconsistent
+{Data Integrity Check
-*not sure what codes are included here that [[:Category: Cleaner.mdb Data Integrity Checks | CCMDB Data Cleaner.mdb]] check?
+|DIC_summary=[[Isolation-Task]] should coincide with dxs requiring isolation
-**99-22
+|DIC_related_concepts=Isolation-Task
-**99-24
+|DIC_firmness=soft check
-**99-48
+|DIC_status=declined
-**??84-48 & 85-48  - Trish to check with Dr. Kumar.
+|DIC_LProblem=No
-***collectors are not certain if colonized or just site infection.
+|DIC_app=CCMDB.accdb
-**** not sure what this means. if his is relating to how collection is supposed to happen than this is probably not the place to discuss it...Ttenbergen 16:47, 2012 November 5 (EST){{discussion}}
+}}
-*If the Isolations code is present then full dx column is not needed in the output.
+Certain diagnoses are related to isolation. This [[cross check]] tests that [[Isolation-Task]] and isolation-requiring Dxs are present together. Some dxs should '''''always''''' lead to isolation, others would be a '''''reasonable reason''' for isolation. The isolation task '''may''' be coded for any that allow for isolation, but '''must''' be coded for those that require it.
-[[User:PTorres|PTorres]] 17:07, 21 October 2008 (CDT)
-** what does this mean? Ttenbergen 16:47, 2012 November 5 (EST){{discussion}}
 == does this check make sense? ==
-Is it reasonable to check this? It only is if we expect that task and dx should always match, in which case, what is the point of collecting this? Ttenbergen 16:47, 2012 November 5 (EST)
-== Implementation ==
+* Is it reasonable to check this? It only is if we expect that task and dx should always match, in which case, what is the point of collecting this? Or will this just lead to tons of false positives? Ttenbergen 17:19, 2017 April 26 (CDT)
-suspect this is not implemented right now, if we want it implemented it needs to go into [[Requested Changes]]. Ttenbergen 16:47, 2012 November 5 (EST)
+== check details and dx lists ==
+*Are these just a coding aid or a first step toward a CCMDB Data Integrity Checks? Ttenbergen 17:39, 2014 October 2 (CDT)
+** if this is for integrity checks then 99-22 and 99-24 we no longer isolate for these colonizations.  Codes 84-48 and 85-48 are infections but we do not necessarily isolate for these, we would isolate if the wound/abscess grows an organism for which isolation is necessary. [[User:Lkaita|Lisa Kaita]] 13:05, 2017 April 25 (CDT)
+*** The idea is to implement a [[cross check]] in [[CCMDB.accdb]] to improve consistency. Do the lists below look right for that? I already moved the two codes you mentioned above, thanks! Ttenbergen 17:19, 2017 April 26 (CDT)
+=== dx codes necessitating isolation ===
+* [[MRSA Colonization (without Infection)]]
+*[[Soft Tissue Abscess]] with MRSA (84-48) & [[Soft Tissue Infection (includes Cellulitis)]] with MRSA (85-48)
+How about in ICD10?
+=== dx codes allowing isolation ===
+* [[MRSA Colonization (without Infection)]] is 99, but not sure about those subcodes...
+**99-22 ??
+**99-24 ??
+How about in ICD10?
+== Implementation Status ==
+* suspect this is not implemented right now, if we want it implemented it needs to go into [[Requested Changes]]. Ttenbergen 16:47, 2012 November 5 (EST)
+== Firmness ==
+This would need to be a soft check because the isolation task should come from a task having been perfomed. If they isolated and there was no dx, or we don't code the dx, it should still be possible to enter that isolation happened.
+== CCI ==
+When we move to [[CCI]], [[Isolation-Task]] will be replaced by [[Isolation, infectious]].
-[[Category: Cleaner.mdb Data Integrity Checks]]
-[[Category:CCMDB Data Integrity Checks]]
 [[Category:Task Elements]]
+[[Category:CCI Px check‎‎]]
+}}