Change for Apache Chronic to ICD10 from separate variable

We used to collect Chronic Health APACHE as its own variable. When we moved to ICD10 collection we realized we would be able to tag which diagnoses make up APACHE Comorbidities in ICD10 codes and then start using those for the calculation of the APACHE Score in Created Variables CC maker query/Created Variables CC table.

Before we actually change over to using ICD10 instead of Chronic Health APACHE, we need to be sure that the data is equivalent. Tina set up Created_APACHEChronic_comparison query. This query lists almost 5000 records for which there are inconsistencies.

MetCa

• Checked 4 and in all cases the mets had not been code in ICD10; seems to be a problem at HSC and STB but not GRA (ex: H8_HSC_SICb-2690, H8_HSC_CC-3317, HSC_SICd-2596, HSC_SICb-2216)

7CVS minExert

• Angina was never coded; this may be consistent with not coding every toenail when dealing with an ICU patient? This seems to only be a problem at STB. (ex: STB_MICU-32783, STB_CICU-16181, STB_ACCU-40208)

Questionable: STB_CICU-16388 Angina pectoris, stable or NOS, which according to its page doesn't map to APACHE como.

8ImmunoComp

Drug-induced immunosuppression was added 2021-04-19 to make sure this situation can be encoded with just CCI/ICD10 codes. Any Profile with Dispo after 2021-04-19 should have either a immunosupporessing dx or the drug code. (emailed Lisa examples S7_STB_ACCU-34329, H9_HSC_CC-3499 (HIV?), H8_HSC_CC-3165)