Renal Coding Considerations (old): Difference between revisions

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These checks are currently done partly by Pagasa ([[! Automated Data Integrity Checks]]) and are about to be implemented in [[CCMDB.mdb]].

== Data Integrity Rules ==

If [[CRF - Chronic Renal Failure|CRF]] (351-00) ~~is coded as comorbid~~ then the following must not appear in Admit/Acquired codes

If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must not appear in Admit/Acquired codes

* [[ARI]] (364-00)

* [[Acute Tubular Necrosis | ATN]] (352-00)

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These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.

* If diagnosis [[CRF - Chronic Renal Failure]] exists, the ARF box must not be checked.

About to implement that. [[User:Ttenbergen|Ttenbergen]] 11:02, 20 August 2009 (CDT)

===discussion===

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* I think we decided to get rid of the renal transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not be removed. [[User:Ttenbergen|Ttenbergen]] 10:57, 23 April 2009 (CDT)

~~as moved from [[Requested CCMDB changes for the next version#ARF & CRF & ARI Integrity Check | Requested CCMDB changes for the next version]]:~~

* The 364 is new since the discussion about the cleaner. What is it about? [[User:Ttenbergen|Ttenbergen]] 15:55, 5 November 2008 (CST)

**Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364) being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).

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* If diagnosis [[CRF - Chronic Renal Failure]] exists, the ARF box must not be checked.

~~About to implement that. [[User:Ttenbergen|Ttenbergen]] 11:02, 20 August 2009 (CDT)~~

@@ Line 1: / Line 1: @@
+These checks are currently done partly by Pagasa ([[! Automated Data Integrity Checks]]) and are about to be implemented in [[CCMDB.mdb]].
 == Data Integrity Rules ==
-If [[CRF - Chronic Renal Failure|CRF]] (351-00) is coded as comorbid then the following must not appear in Admit/Acquired codes
+If comorbid [[CRF - Chronic Renal Failure|CRF]] (351-00) exists then the following must not appear in Admit/Acquired codes
 * [[ARI]]  (364-00)
 * [[Acute Tubular Necrosis | ATN]]  (352-00)
@@ Line 6: / Line 8: @@
 These rules are currently checked at the main office and result in calls for clarification from Pagasa if broken.
+* If diagnosis [[CRF - Chronic Renal Failure]] exists, the ARF box must not be checked.
+About to implement that. [[User:Ttenbergen|Ttenbergen]] 11:02, 20 August 2009 (CDT)
 ===discussion===
@@ Line 13: / Line 20: @@
 * I think we decided to get rid of the renal transplant part for this, right? If so, please remove both that part and this comment... Otherwise, the one-week clock is now ticking for its removal, pending an explanation why it should not be removed. [[User:Ttenbergen|Ttenbergen]] 10:57, 23 April 2009 (CDT)
-as moved from [[Requested CCMDB changes for the next version#ARF & CRF & ARI Integrity Check | Requested CCMDB changes for the next version]]:
 * The 364 is new since the discussion about the cleaner. What is it about? [[User:Ttenbergen|Ttenbergen]] 15:55, 5 November 2008 (CST)
 **Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364) being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).
@@ Line 19: / Line 26: @@
-* If diagnosis [[CRF - Chronic Renal Failure]] exists, the ARF box must not be checked.
-About to implement that. [[User:Ttenbergen|Ttenbergen]] 11:02, 20 August 2009 (CDT)