Pathogens

The ICD10 buglist contains specific codes for a number of different bacteria, viruses, fungi/yeast, mycobacteria and miscellaneous types of organisms.

Pathogens are coded as their own diagnosis codes:

They are enterd as Combined ICD10 codes with those diagnoses that require them:

Culture reports

Pathogens should only be coded if they have been lab confirmed. Template:Discussion is that true? how about suspected and treated...?

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)

Wastebasket codes

If you don't see the specific organism in your case, then there are wastebasket codes:

• Bacteria, NOS
• Virus, NOS
• Fungus or yeast, NOS
• Nontuberculous mycobacteria
• Infectious disease NOS OR for buglist organism NOS (when you don't have any idea even what type of bug it is)
• Not an Infection (ICD10 pathogen alternative) - included for now, not sure yet if it will be used to cross check pathogens Template:ICD10.

Special Codes

• 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)

Template:CCMDB Data Integrity Checks

Will need review with move to ICD10. Template:ICD10

See Check Infections must have pathogens

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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.

Culture reports (old)

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

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