COVID-19 (SARS-COV-2): Difference between revisions
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**If as may be the case, there is a viral encephalopathy due to this bug, then you'd code it as [[Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral]] with the bug being the same. | **If as may be the case, there is a viral encephalopathy due to this bug, then you'd code it as [[Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral]] with the bug being the same. | ||
== Data Collection Instructions == | |||
==== | ==== Will be used for MCHP (Manitoba Center for Health Policy) ==== | ||
# If patient is a COVID suspect- combine [[COVID-19 (SARS-COV-2)]] with [[Observation for suspected infection NOS]] linked with the same number (don’t link it with any other infection code if not confirmed) Leave the code in, even if they later come up as a negative | # If patient is a '''COVID suspect'''- combine [[COVID-19 (SARS-COV-2)]] with [[Observation for suspected infection NOS]] linked with the same number (don’t link it with any other infection code if not confirmed) Leave the code in, even if they later come up as a negative | ||
# COVID positive patients- combine [[COVID-19 (SARS-COV-2)]] with other appropriate diagnosis such as [[Pneumonia, viral]], [[ARDS (noncardiogenic pulmonary edema)]] | # '''COVID positive''' patients- combine [[COVID-19 (SARS-COV-2)]] with other appropriate diagnosis such as [[Pneumonia, viral]], [[ARDS (noncardiogenic pulmonary edema)]] | ||
# CCI isolation code if to use?: there is a question over here; https://ccmdb.kuality.ca/index.php?title=Isolation,_infectious#Using_this_code_during_CO | # CCI isolation code if to use?: there is a question over here; https://ccmdb.kuality.ca/index.php?title=Isolation,_infectious#Using_this_code_during_CO | ||
{{Discuss| | |||
* All hospital patients on AGMP need AGMP Isolation Precautions. This change occured approximately 2 weeks ago. We will need a tab in the CCI Pick list for this type of isolation because it is not for infection precautions.[[User:Gens|Gens]] 14:52, 2020 April 28 (CDT) | |||
** If it isn't for infection precautions, then what is it for? I thought this was to reduce risk of COVID. Please explain the distinction so we can figure out how the code you are requesting would be different from the one you already have. Or, Gladys, if you realize it really isn't different, please remove the discussion. Ttenbergen 16:54, 2020 April 29 (CDT)}} | |||
=== Infection status === | === Infection status === | ||
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**Note that this test is done by [[Cadham]] Lab and not by the usual DSM lab. | **Note that this test is done by [[Cadham]] Lab and not by the usual DSM lab. | ||
===Special Circumstances=== | ==== Cohorting in HSC ICUs ==== | ||
As of 2020-04-01 at HSC all CC patients with an "unknown" contact history (even traumas and emergent OR's) are admitted to MICU first, and once their COVID swab comes back negative they are moved to SICU where they normally would be admitted (tracked in [[ICUotherService]]). | |||
To show that a patient like this is in MICU rather than SICU, code [[Observation for suspected infection NOS]] with [[{{PAGENAME}}]] as one of the later codes, but still code the [[Primary Admit Diagnosis]] as the thing that put them in an ICU, ie. the trauma or the emergent OR. | |||
==== Special Circumstances ==== | |||
When Reviewing a chart in MR and you find a COVID positive or COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code. | When Reviewing a chart in MR and you find a COVID positive or COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code. | ||
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==== COVID status in [[Oculys]] ==== | ==== COVID status in [[Oculys]] ==== | ||
'''Number (but not identifiers)''' of COVID suspect and confirmed patients is available in a report in [[Oculys]], see that page for more info. | '''Number (but not identifiers)''' of COVID suspect and confirmed patients is available in a report in [[Oculys]], see that page for more info. | ||
=== Other info === | === Other info === | ||
Revision as of 12:25, 4 May 2020
| ICD10 Diagnosis | |
| Dx: | COVID-19 (SARS-COV-2) |
| ICD10 code: | U07.1 |
| Pre-ICD10 counterpart: | none assigned |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | none |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
- This is intrinsically a code for a viral pathogen officially called "SARS-COV-2". It causes a disease called "COVID-19", that has multiple manifestations, with more likely to be identified over time.
- The main manifestation known as of April 2020 is a viral pneumonia which can evolve into ARDS (noncardiogenic pulmonary edema). To code this viral pneumonia, use Pneumonia, viral with the bug being COVID-19 (SARS-COV-2).
- If as may be the case, there is a viral encephalopathy due to this bug, then you'd code it as Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral with the bug being the same.
Data Collection Instructions
Will be used for MCHP (Manitoba Center for Health Policy)
- If patient is a COVID suspect- combine COVID-19 (SARS-COV-2) with Observation for suspected infection NOS linked with the same number (don’t link it with any other infection code if not confirmed) Leave the code in, even if they later come up as a negative
- COVID positive patients- combine COVID-19 (SARS-COV-2) with other appropriate diagnosis such as Pneumonia, viral, ARDS (noncardiogenic pulmonary edema)
- CCI isolation code if to use?: there is a question over here; https://ccmdb.kuality.ca/index.php?title=Isolation,_infectious#Using_this_code_during_CO
|
|
Infection status
- As we do with all infections, we do the best possible to identify the bug. Sometimes we're left without a clear, laboratory identification of the bug and then we use one or another of the "wastebasket codes"
- For example if the team believes this is likely a virus but doesn't know which one then use Virus, NOS
- For example if the team doesn't know what kind of bug it is, but believes it is infectious then use Infectious organism, unknown
Presumed infections
If the team believes that this is COVID-19 (even without clear cut lab confirmation), then use COVID-19 (SARS-COV-2) as the organism - of course anybody seeking to do definitive analysis of all COVID-19 cases will need to obtain and use the data on confirmed cases from Cadham.
Confirmed infections
Done by Cadham Lab
Delayed lab results
- Regarding people who either die or are discharged from hospital with their COVID-19 lab test still pending, follow the usual rules i.e: Lab_and_culture_reports#How_long_to_wait_for_a_result or Attribution of infections
- Note that this test is done by Cadham Lab and not by the usual DSM lab.
Cohorting in HSC ICUs
As of 2020-04-01 at HSC all CC patients with an "unknown" contact history (even traumas and emergent OR's) are admitted to MICU first, and once their COVID swab comes back negative they are moved to SICU where they normally would be admitted (tracked in ICUotherService).
To show that a patient like this is in MICU rather than SICU, code Observation for suspected infection NOS with COVID-19 (SARS-COV-2) as one of the later codes, but still code the Primary Admit Diagnosis as the thing that put them in an ICU, ie. the trauma or the emergent OR.
Special Circumstances
When Reviewing a chart in MR and you find a COVID positive or COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use Service Location home ward location and use the appropriate COVID-19 (SARS-COV-2) or Observation for suspected infection NOS code.
When reviewing a chart in MR and you find a COVID suspect patient on your home ward and the patient is transferred to another location where the diagnosis of COVID positive is made, check the date/time the swab was sent. If it was sent less than 48 hours after admission code this as an Admit Diagnosis, if the swab was sent greater than 48 hours after admission code this as an Acquired Diagnosis
COVID status in Oculys
Number (but not identifiers) of COVID suspect and confirmed patients is available in a report in Oculys, see that page for more info.
Other info
Alternate ICD10s to consider coding instead or in addition
Only use this for COVID-19 (SARS-CoV-2) - not other Coronavirus
Candidate Combined ICD10 codes
Related CCI Codes
Reporting
Main office has Form Covid_rept to report on this infection.
Data Integrity Checks (automatic list)
none found
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