Kidney, acute renal failure NOS: Difference between revisions

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{{Discuss | who = all | question =

* Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options for use on all medicine wards? [[User:Ppiche|Pamela Piche]] 13:30, 2018 October 25 (CDT)

** Note, all the ICD10 diagnosis codes are available in both ICU and Medicine -- there seems to have been some confusion about differential availability of diagnosis codes in ICU and Medicine, and that is no longer the case in ICD10.

** This question doesn't relate to ICU/medicine collecting differences, but rather to the fact that the old renal failure code was meant to apply ONLY to those patients requiring dialysis. Different hospitals were not allowed to enter renal failure codes, because their peripheral hospitals did not have the capability of performing dialysis. We need to make it clear that this new ICD10 code no longer implies dialysis was initiated, unless the [[Renal dialysis care, including dialysis itself]] code is also used.

*** Good point. This is sort of similar to how some other dx definitions and codes have changed significantly over time. But now that you say it I sure would not be able to remember what these things were. I could set up another template for the wiki to tag these, something like <nowiki>{{SignificantChangeICD10CCI | one sentence for the change since all it needs to do is highlight this}}</nowiki>, and then have a central page to list all the pages that use the template, with that reason. And highlight it on the pages where it is written, sort of similar to the question boxes we have now. An advantage to doing this is that we could also disappear (or at least make less prominent) the template in a year or two, when this is no longer news. If we did this I would have to rely on you guys to actually place that template. If I get 2-3 volunteers then let's discuss further. Or, as a much smaller scale, we could put this on the agenda for the [[Team Meeting November 29, 2018]]. }}

{{Discuss | who = all | question = Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options for use on all medicine wards? [[User:Ppiche|Pamela Piche]] 13:30, 2018 October 25 (CDT)

**Note, all the ICD10 diagnosis codes are available in both ICU and Medicine -- there seems to have been some confusion about differential availability of diagnosis codes in ICU and Medicine, and that is no longer the case in ICD10.

**This question doesn't relate to ICU/medicine collecting differences, but rather to the fact that the old renal failure code was meant to apply ONLY to those patients requiring dialysis. Different hospitals were not allowed to enter renal failure codes, because their peripheral hospitals did not have the capability of performing dialysis. We need to make it clear that this new ICD10 code no longer implies dialysis was initiated, unless the [[Renal dialysis care, including dialysis itself]] code is also used.}}

== Additional Info ==

*Acute renal failure (of any cause) is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).

@@ Line 11: / Line 11: @@
 {{ICD10 category|Renal/urinary}}{{ICD10 category|Renal failure}}
+{{Discuss | who = all | question =
+* Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options for use on all medicine wards? [[User:Ppiche|Pamela Piche]] 13:30, 2018 October 25 (CDT)
+** Note, all the ICD10 diagnosis codes are available in both ICU and Medicine -- there seems to have been some confusion about differential availability of diagnosis codes in ICU and Medicine, and that is no longer the case in ICD10.
+** This question doesn't relate to ICU/medicine collecting differences, but rather to the fact that the old renal failure code was meant to apply ONLY to those patients requiring dialysis. Different hospitals were not allowed to enter renal failure codes, because their peripheral hospitals did not have the capability of performing dialysis. We need to make it clear that this new ICD10 code no longer implies dialysis was initiated, unless the [[Renal dialysis care, including dialysis itself]] code is also used.
+*** Good point. This is sort of similar to how some other dx definitions and codes have changed significantly over time. But now that you say it I sure would not be able to remember what these things were. I could set up another template for the wiki to tag these, something like <nowiki>{{SignificantChangeICD10CCI | one sentence for the change since all it needs to do is highlight this}}</nowiki>, and then have a central page to list all the pages that use the template, with that reason. And highlight it on the pages where it is written, sort of similar to the question boxes we have now. An advantage to doing this is that we could also disappear (or at least make less prominent) the template in a year or two, when this is no longer news. If we did this I would have to rely on you guys to actually place that template. If I get 2-3 volunteers then let's discuss further. Or, as a much smaller scale, we could put this on the agenda for the [[Team Meeting November 29, 2018]]. }}
-{{Discuss | who = all | question =  Patients are frequently admitted with AKI as part of dx list to medicine wards. To confirm, with the move to ICD 10 are kidney failure codes available options for use on all medicine wards? [[User:Ppiche|Pamela Piche]] 13:30, 2018 October 25 (CDT)
-**Note, all the ICD10 diagnosis codes are available in both ICU and Medicine -- there seems to have been some confusion about differential availability of diagnosis codes in ICU and Medicine, and that is no longer the case in ICD10.
-**This question doesn't relate to ICU/medicine collecting differences, but rather to the fact that the old renal failure code was meant to apply ONLY to those patients requiring dialysis. Different hospitals were not allowed to enter renal failure codes, because their peripheral hospitals did not have the capability of performing dialysis. We need to make it clear that this new ICD10 code no longer implies dialysis was initiated, unless the [[Renal dialysis care, including dialysis itself]] code is also used.}}
 == Additional Info ==
 *Acute renal failure (of any cause) is an old term. Nephrologists want us to use the term Acute Kidney Injury (AKI).