CRRT Project: Difference between revisions

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* '''Form not done''' (call Ryan 7-3699)
* '''Form not done''' (call Ryan 7-3699)
* '''Form missing''' (call Ryan 7-3699)
* '''Form missing''' (call Ryan 7-3699)
{{ICD10}}
{{Discuss@task
| We should make sure that these have corresponding ICD10 codes with our [[Reasoning around moving to ICD10 and our subset of it]]. Link sent to Allan.
}}


=== follow-up when the data is not on the chart ===
=== follow-up when the data is not on the chart ===
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*Critical Care Program: Jodi Walker Tweed, Ryan Holland
*Critical Care Program: Jodi Walker Tweed, Ryan Holland
*Renal Program: Dr. Joe Bueti, Dr Herman Lam
*Renal Program: Dr. Joe Bueti, Dr Herman Lam
== ICD10 ==
{{ICD10}}
{{Discuss@task
| We should make sure that these have corresponding ICD10 codes with our [[Reasoning around moving to ICD10 and our subset of it]]. Link sent to Allan.
}}
=== equivalent ICD10 dxs ===
As emailed by Allan Garland 2017-11-18:
He is comfortable with these:
* AKI pre-renal  --> [[Prerenal uremia/state]] (R39.2)
* AKI shock sepsis --> [[Shock, septic]] (R57.2)
* AKI shock no sepsis --> [[Shock, NOS]] (R57.9)
* AKI hepatorenal --> [[Hepatorenal syndrome]] (K76.7)
* AKI cardiorenal --> [[Kidney disease, hypertensive]] (I12)
* AKI contrast  --> [[Kidney, nephropathy, drug or toxin induced]] (N14.2) '''AND'''
**  --> [[Drug or biological substance/agent NOS used appropriately, adverse effect (reaction, allergy, hypersensitivity)]] (T88.7)
* AKI drug  --> [[Kidney, nephropathy, drug or toxin induced]] (N14.2) '''AND'''
**  --> [[Drug or biological substance/agent NOS used appropriately, adverse effect (reaction, allergy, hypersensitivity)]] (T88.7)
* AKI glomerulonephritis  --> [[Nephritic syndrome, acute]] (N00)
* AKI interstitial nephritis  --> [[Kidney, tubulo-interstitial nephritis/disease]] (N12)
* AKI urinary obstruction  --> [[Kidney, obstructive or reflux nephropathy/uropathy]] (N13.9)
* ESRD continuous CRRT  --> [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] (N18.5)
* ESRD intermittent HD  --> [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] (N18.5)
* Overdose  --> [[Drug or biological substance/agent NOS, overdose/poisoning]] (T50.9)
* Fluid reduction --> [[Fluid overload]] (E87.7)
There are concerns about these:
* AKI endogenous  --> [[Kidney, acute renal failure NOS]] (N17.9)
* AKI exogenous  --> [[Kidney, acute renal failure NOS]] (N17.9)
* AKI postop  --> [[Iatrogenic problem NOS, related to a surgery or procedure, NOS]] (T81.8)
* AKI thrombotic  --> [[Thromboembolism/embolism, renal vein]] (I83.2) '''OR'''
**  --> [[Kidney, infarction or ischemia]] (N28.0)
From email:
The ones in BLACK (ie the first set) I'm comfortable with.  But note that 2 of them require 2 codes combined.
The ones in RED (ie the second set) don't have specific ICD10 codes.  I don't even know what they mean by AKI endogenous and exogenous.  And AKI thrombotic is nonspecific in that it could be EITHER of the 2 ICD10 codes I listed there. 
Note that I only here tried to find ICD10 codes for the causes. The coders would still need to code the acute kidney failure, if present (i.e. [[Kidney, acute renal failure NOS]], [[Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic]] or [[Kidney transplant, failure or rejection or unspecified complication]]).
Because I wasn't able to map EVERY one of their entities, we probably need to talk more about how to move forward on this item.




[[Category:L TmpV2 Data]]
[[Category:L TmpV2 Data]]
[[Category:All Projects ICU only]]
[[Category:All Projects ICU only]]