Check Renal Tasks
Template:CCMDB Data Integrity Checks
dx implies task
If a medicine patient has LOS >= 3
- HD or PD task is required if all of the following are true:
- one of the following is present:
- Renal Transplant (80504 or 80505) is not present
task implies dx
If a medicine patient has LOS >= 3 and has a HD or PD task then must have one of the following dxs:
Questions prior to implementing
excluding community hospitals
Apparently neither HD nor PD is done at community hospitals.
- Dialysis Task must never be marked for
- GRA N3/N5/W3
- VIC N5/S3/S4/S5
- Since we only check patients with LOS>3, do we need to consider this? If a pt with CRF/ARF is in hospital longer than 3 days would dialysis not need to be accommodated? IE, would the patient then not need to be sent to a different hospital that can dialyze? Ttenbergen 21:02, 2014 April 30 (CDT)
palliation?
Do we need to exclude palliative pts in this check? If so, based on what? Ttenbergen 21:02, 2014 April 30 (CDT) Template:Discussion
moved content
This check could happen in CCMDB since data is already available there.
| iTISS Number | DX code | DX slots | Task code that should be present is: |
| if iT36 -100202 | Plus ARF is Present | in admit or complication DX | then 100201 Acute Hemodialysis |
| if iT36-100202 | Plus CRF is YES | in comorbid DX | AND NO Renal Transplant (80500) in admit or complications then 100202 Chronic Hemodialysis |
detail for above for ARF
| SAS Definition ARF | DX ARF (350, 352, 356) | in admit or complicDX | then = ARF |
| SAS Definition CRF | DX CRF (351) | in comorbid | then= CRF |
- What are these "SAS Definition"s? Ttenbergen 11:18, 2014 February 5 (CST)
- Yes the definition used in SAS. The hemodialysis item which is the only one with no one-to-one mapping has been done in consultation with Trish and Dr Roberts.
Implementation
Hardcoded in query Check_Renal_Tasks in CCMDB.mdb. This will need to be changed!
Start Date
TBA, once discussion above is resolved
Status
being implemented once discussion is resolved