Query check CCI ICD10 Dialysis no Dx

Data Integrity Checks
Summary:	If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx.
Related:	Intermittent hemodialysis (TISS Item), Peritoneal dialysis (TISS Item), CRRT (TISS Item), Kidney, acute renal failure NOS, Kidney, acute renal failure, postprocedural, Kidney, acute tubular necrosis (ATN), Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic
Firmness:	hard check
Timing:	complete
App:	Centralized data front end.accdb
Coding:	query NDC_Dxs_vs_TISS_Dialysis
Uses L Problem table:	No
Status:	needs review
Implementation Date:	2019/01/06
Backlogged:	true

• Cargo

• SMW

• Categories:  

• form:

If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx.

Dialysis TISS Items

• T32 - Intermittent hemodialysis (TISS Item) (T32)
• T33 - CRRT (TISS Item) (T33)
• T34 - Peritoneal dialysis (TISS Item) (T34)

Dialysis qualifying Dxs

all #Dialysis requiring Dxs plus: Concept:Chronic Kidney Disease:

• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90
• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89
• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59
• Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29
• Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
• Chronic kidney/renal disease, NOS (stage unspecified)
• Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic

• Hyperkalemia, severe or symptomatic
• Congestive heart failure with pulmonary edema
• Fluid overload
• Metabolic acidosis: Acidosis, NOS or Kidney, renal tubular acidosis (RTA, all types)
• Drug overdoses and poisonings -- the main ones are:
  • Aspirin & other salicylates -- Aspirin or other salicylate or NSAID, overdose/toxicity
  • Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates -- Antiseizure drug NOS, overdose/toxicity
  • Metformin -- Insulin or other antidiabetes drug, overdose/toxicity
  • Lithium -- Psychiatric drug NOS, adverse effect
  • Theophylline -- Drug or biological substance/agent NOS, overdose/toxicity
  • Alcohols -- Alcohol (ethanol), poisoning or Toxic alcohols, poisoning
  • Diltiazem -- Calcium channel blocker, overdose/toxicity
  • Occasionally a few others (rare)

Checks

Has #Dialysis TISS Items but no #Dialysis qualifying Dxs

If meets following the entry is an error:

• at least one of #Dialysis TISS Items
• doesn't have one #Dialysis qualifying Dxs

Log

• Removed the part of the check that ensured that dxs that appear to require dialysis get it within 3 days. With KDIGO definitions this is no longer true.