Query check ICD10 ESRD and AKI only if transplant
| Data Integrity Checks | |
| Summary: | A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI. |
| Related: | Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15, ICD10 Guideline for Renal Coding |
| Firmness: | soft check |
| Timing: | complete |
| App: | CCMDB.accdb |
| Coding: | Query check_ICD10_ESRD_and_AKI_only_if_transplant |
| Uses L Problem table: | not relevant for this app |
| Status: | ready to implement |
| Implementation Date: | |
| Backlogged: | true |
This check will always need to be consistent with Kidney Transplant Coding Guidelines.
Due to the way that ESRD and AKI are defined there are some scenarios in which a pt could actually have ESRD and then get an AKI. For example, someone can have a GFR <15 and not be on dialysis, and then get an AKI that puts them on dialysis. There are probably other scenarios.
So, we can not have a hard check for this, where a collector would not be able to send. Instead we will implement a "soft check" that gives a warning but allows the collector to click past.