Renal Coding Considerations (old): Difference between revisions

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=== Apache vs. ARF Dx ===

cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]

=== ARF transfer considerations ===

* When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there. Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF. When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)

== {{Data Integrity Checks}} that can '''not''' be checked before sending==

~~{{discussion}}~~ * ~~are all these in {{Cleaner.mdb Data Integrity Checks}} yet?~~

* [[Check CRF/ARF against TISS Dialysis]]

~~===ARF and ICU TISS ===~~

* TISS28 32 to 34: Don't forget to cross check the TISS form with the diagnosis and visa versa.

~~===ARF & TISS integrity checks===~~

* have TISS 32,33,34 but no Renal failure DX (350, 351, 352, 355, 356, 398, 450-499, 327, 357)

* from community hosp to teaching hosp with DX of 350 AND no dialysis on TISS at community hosp AND DX of 350 AND TISS 32,33 or 34 marked at teaching hospital, then the DX of ARF for community hospital is correct.

~~(This integrity check is for Julie only for her SASS program)~~

~~See comment for data collectors:~~

~~===ARF transfer considerations ===~~

** When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there. Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF. When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding. Trish please let me know if this is the way you also see it. I believe the above information for integrity checks is wrong. --[[~~User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)~~

~~{{discussion}}~~

~~Are you talking about the~~ ARF ~~checkbox in Apache or the DX? [[User:Ttenbergen|Ttenbergen~~]] ~~14:45, 21 July 2011 (CDT)~~

== Related Articles ==

@@ Line 24: / Line 24: @@
 === Apache vs. ARF Dx ===
 cross-checks impossible due to different definitions, see [[ARF (Diagnosis)]] and [[ARF (APACHE)]]
+=== ARF transfer considerations ===
+* When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there.  Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF.   When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding.  Trish please let me know if this is the way you also see it.   I believe the above information for integrity checks is wrong.  --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)
 == {{Data Integrity Checks}} that can '''not''' be checked before sending==
-{{discussion}} * are all these in {{Cleaner.mdb Data Integrity Checks}} yet?
+* [[Check CRF/ARF against TISS Dialysis]]
-===ARF and ICU TISS ===
-* TISS28 32 to 34: Don't forget to cross check the TISS form with the diagnosis and visa versa.
-===ARF & TISS integrity checks===
-* have TISS 32,33,34 but no Renal failure DX (350, 351, 352, 355, 356, 398, 450-499, 327, 357)
-* from community hosp to teaching hosp with DX of 350 AND no dialysis on TISS at community hosp AND DX of 350 AND TISS 32,33 or 34 marked at teaching hospital, then the DX of ARF for community hospital is correct.
-(This integrity check is for Julie only for her SASS program)
-See comment for data collectors:
-===ARF transfer considerations ===
-** When a pt starts out in a community hospital and is given a diagnosis of ARF by the doctors, please do not code ARF unless dialysis is started there.  Code ATN or ARI instead. If the pt is transferred to another center to start dialysis, the collector there will code ARF.   When a pt with ARF from a tertiary hospital is transferred to a community hospital and no dialysis is needed there, the data collectors at the community hospital should not be coding ARF because the renal failure is resolving. They can code ARI. This is my understanding.  Trish please let me know if this is the way you also see it.   I believe the above information for integrity checks is wrong.  --[[User:LKolesar|LKolesar]] 13:41, 20 July 2011 (CDT)
-{{discussion}}
-Are you talking about the ARF checkbox in Apache or the DX? [[User:Ttenbergen|Ttenbergen]] 14:45, 21 July 2011 (CDT)
 == Related Articles ==