Check Renal Tasks
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
- you can have a renal transplant in comorbid and HD or PD task can still be checked as a patient with a failed renal transplant can require dialysis again Lisa Kaita 12:04, 2017 April 26 (CDT)
which dxs?
- 350 ARF (Diagnosis)
- 351 CRF - Chronic Renal Failure as comorbid
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:
which dxs?
- 350 ARF (Diagnosis)
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)
- from ! Automated Data Integrity Checks:
- there are exceptions: If Grace and VIC Med send patient for dialysis to HSC or STB, then they return back to medicine bed, TASK will be marked with dialysis for their site. (As per Trish, I think)
- Except those, community sites should not have dialysis task, right? Ttenbergen 17:14, 27 October 2008 (CDT)
- So these locations would not admit patients who are, say, on home peritoneal dialysis?
- DC never encounter such case
- at the Grace those patients with CRF ie on HD or PD are not admitted here, we have had one case where a patient was transferred to HSC for acute HD and then transferred back to the Grace, this was many years ago, not sure about the VGHLisa Kaita 12:20, 2017 April 26 (CDT)
- DC never encounter such case
- there are exceptions: If Grace and VIC Med send patient for dialysis to HSC or STB, then they return back to medicine bed, TASK will be marked with dialysis for their site. (As per Trish, I think)
palliation?
- Could any of (e) or (f) be OK if the patient is palliative? (Tina)
- Yes. Found cases of palliative with dialysis. (Julie)
- Yes, but could a palliative patient not also arrive and not get dialysis even if they are CRF? (Tina)(all from old discussion during ! Automated Data Integrity Checks)
- Yes. Found cases of palliative with dialysis. (Julie)
Do we need to exclude palliative pts in this check? If so, based on what? Ttenbergen 21:02, 2014 April 30 (CDT) Template:Discussion
Renal Transplant not present
If 351 in comorbid Dx AND Admit DX 1 = 893 (pre op admission) AND complication = 805-4 or 805-5 then TASK DIALYSIS should not be marked.-PTorres 16:06, 21 October 2008 (CDT). Not sure if Julie applies this detail or not.Trish Ostryzniuk 11:45, 2014 February 4 (CST)
- No dialysis prior to transplant while waiting in hospital? No dialysis after transplant if things go wrong? That restriction could lead to errors being listed. Ttenbergen 12:37, 2014 May 5 (CDT)
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