Pathogens

The pathogens are a list of possible entries that make up the sub-code for diagnoses categorized as Infection.

• Refer to: UPL - Universal Pathogen List, for a list of "bugs" we track.

• The pathogen subcodes are drawn from the S_Pathogens which is table in HanDBase on the PDA and also in also in the Access database also know as: CCMDB.mdb.

Special Codes

Could someone please fill in specifics about how or when these are to be used? Specifically, if we know specific bugs, are there any that should be coded implicitly even if there are others (ie precedence rules)?

• Sputums for AFB (Acid Fast Bacilli). As per Dr. Kumar: a negative AFB culture is considered a negative culture and should not to be coded as NO C&S culture sent.--FLindell 15:33, 6 August 2008 (CDT)

Discussion

Template:Discussion Question:

• should be be tracking Swine flu? - Laura Kolesar, STB

• • FROM DR. KUMAR:
    • Trish, don’t add a new code for swine flu. We already have a subcode in the pathogen list: use subcode (#75) for influenza virus, this is good enough. We get few enough cases that if we want to review, we can just look at more closely during the period that swine flu hit....within a few years, it’ll just be another influenza case --Dr. Anand Kumar, June 1.09
      • What are we supposed to do with the CAP cases that are presumed to be H1N1(Swine flu) but are discharged or die prior to notification from Cadham lab that they are indeed positive for the virus? The information won't be on KEA.Please advise as I have 2 cases and 1 patient has left the hospital without confirmation yet from the lab.I think if we are treating them for flu virus we should code it even if the results aren't in. Then if those charts need review they could be pulled.

Data Integrity Rules

The CCMDB.mdb runs checks for the following:

• no infections without pathogens
• no non-infections with pathogens

For details, see the coding in Access.