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, 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: | 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: | implemented |
| Implementation Date: | 2023-05-24 |
| Backlogged: | No |
This check will always need to be consistent with Kidney Transplant Coding Guidelines.
Concepts
- Kidney transplant CCI: (T) Kidney - Transplant
- AKI:
Limitations
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.