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, Kidney Transplant Coding Guidelines, (T) Kidney, Transplant |
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.
Kidney transplant CCI: (T) Kidney - Transplant
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.