Pathogens

In ICD10 Pathogens are coded as their own diagnosis codes:

The 5 day post discharge rule for culture report follow up

Follow up all culture reports up to 5 days after discharge from unit. If pathogen is still not available then, enter Unknown Pathogen.

Waiting for lab microbiology results:(5 days usual for blood cultures, 2 week for Cadham)

• Blood product collection process to include those given during Plasmaphoresis and Dialysis.

Special Codes

• Not an Infection (ICD10 pathogen alternative)
• Template:ICD10 We used to have a code No Culture Sent or Resulted ; if we want cross-checks requiring this to be filled in we will need some sort of counterpart to that. Ttenbergen 20:03, 2017 December 3 (CST)
• Infectious disease NOS OR for buglist organism NOS

Template:CCMDB Data Integrity Checks

Will need review with move to ICD10. Template:ICD10

See Check Infections must have pathogens

Old coding

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 table S_Pathogens table in CCMDB.mdb.

Special Codes

• No Culture Sent or Resulted
• Unknown Pathogen

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)?

Coding when antibiotics are given but no cultures

If there is evidence of an ongoing infection, even if no further culture code the previous pathogen.

If no culture is sent then we choose the subcode No Culture Sent or Resulted