Query check ApARF CRF: Difference between revisions

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{{Data Integrity Check

| DIC_summary = [[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient.

|DIC_summary=[[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient.

| DIC_related_concepts = ARF (APACHE);Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5

|DIC_related_concepts=ARF (APACHE);Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5

| DIC_firmness = hard check ~~(not allowed) or soft check (allowed, but give error; in CFE this means it has to go into the ... table, and cross checks have to consider that table)~~

|DIC_firmness=hard check

~~| DIC_timing =~~

|DIC_coding=query ''Check_ApARF_CRF ''

~~| DIC_app = CCMDB.mdb~~

|DIC_implementation_date=date change was rolled out / first applied

| DIC_coding = query ''Check_ApARF_CRF ''

|DIC_status=needs review

~~| DIC_status = needs review~~

|DIC_app=CCMDB.mdb

| DIC_implementation_date = date change was rolled out / first applied

}}

== ICD10 ==

*[[ARF (APACHE)]]

*[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]

*If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney.

can ~~not be coded together.~~

**So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney.

*Thus, even though it is possible for an AKI to become fixed/permanent and become any level (1-5) of CRF -- this usually takes time (weeks to months) and for simplicity in coding, except for the case above where a renal TP occurred, the rule is that no single record should have both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code.

~~{{DA | Does this only apply when they are specifically~~ [[~~Admit Diagnosis~~]], [[~~Acquired Diagnosis~~]] ~~or [[Comorbid Diagnosis]]? }}~~

**This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency.

== See also ==

@@ Line 1: / Line 1: @@
 {{Data Integrity Check
-| DIC_summary = [[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient.
+|DIC_summary=[[ARF (APACHE)]] and [[CRF - Chronic Renal Failure]] can not be coded together for the same patient.
-| DIC_related_concepts = ARF (APACHE);Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
+|DIC_related_concepts=ARF (APACHE);Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
-| DIC_firmness = hard check (not allowed) or soft check (allowed, but give error; in CFE this means it has to go into the ... table, and cross checks have to consider that table)
+|DIC_firmness=hard check
-| DIC_timing =
+|DIC_coding=query ''Check_ApARF_CRF ''
-| DIC_app = CCMDB.mdb
+|DIC_implementation_date=date change was rolled out / first applied
-| DIC_coding = query ''Check_ApARF_CRF ''
+|DIC_status=needs review
-| DIC_status = needs review
+|DIC_app=CCMDB.mdb
-| DIC_implementation_date = date change was rolled out / first applied
 }}
 == ICD10 ==
 *[[ARF (APACHE)]]
-*[[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]]
+*If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney.
-can not be coded together.
+**So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney.
+*Thus, even though it is possible for an AKI to become fixed/permanent and become any level (1-5) of CRF -- this usually takes time (weeks to months) and for simplicity in coding, except for the case above where a renal TP occurred, the rule is that no single record should have both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code.
-{{DA | Does this only apply when they are specifically [[Admit Diagnosis]], [[Acquired Diagnosis]] or [[Comorbid Diagnosis]]? }}
+**This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency.
 == See also ==