Allan's links

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Allan offered to help us out with the ICD10 documentation. Here are a few links to get started.

specific questions for Allan

Add to this by adding the following to the article:

{{Discuss | who = all, Allan, ... | question = 
* <put your concern here>}}

Automatically generated list

  • current # of questions: 57
edit page question
edit Guideline for coding organ donation after death
  • I had one patient where they withdrew care in the unit then went directly to the OR to harvest the organs. What do we do in this case?--LKolesar 08:03, 2019 June 5 (CDT)
edit Organ donor (organ/tissue donation by the donor)
  • If I understand Guideline for coding organ donation after death right we will not actually be coding Organ donor (organ/tissue donation by the donor) for deceased patients , since that will always happen elsewhere, and pt won't come back to us after, so not our dx. If I understand that right we should probably put a one-liner here to make that clear since it's a bit counter-intuitive. And likely at that page as well.
  • What date in the Acquired Diagnosis do you put for this code? Do you use the date that they decide the pt will be an organ donor? Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date?
    • These patients go to a different ward after transplant, right? So we would likely not currently track the CCI for this. Maybe transplants are something we should track if they are at the end of stay. I'll flag this for Allan.
      • I am referring to an organ donor (not a transplant recipient). Most donors go to the morgue after donating their organs in the OR. I am not asking about CCI, just the date for the acquire ICD10 code. I am not sure who wrote the above comment.
edit Query check ICD10 mechanism vs trauma
edit Combined ICD10 codes
edit ICD10 Diagnosis
  • Would it be of value to the program if a code to reflect abnormal coagulation profiles was added? Perhaps: Abnormal Coagulation Profile R79.1? (Pam)
edit 24 Hour Intensivist Presence: A Pilot Study of Effects on ICU Patients, Families, Doctors and Nurses
  • how did the database program support this publication?
edit Antibiotic Resistant Organism
  • It is awkward to work with/find readily available specific information as to the antibiotics included in the general antibiotic resistant

articles. Some articles include links to sites that may/may not be that helpful in determination of inclusion antibiotics.

  • Would it be possible to include a listing of common antibiotics in the general antibiotic resistant articles? It would be helpful for collectors to

have an inclusion list in those articles to use as a quick and easy reference. p:Pam Piche

    • Pam Piche: Question from Allan: I'm not quite sure what you're asking here. Is it which antimicrobials are for which type of bug (bacteria, fungal, etc), or something else?? Please expand on your question.
    • I was thinking along the lines of a listing of inclusion antibiotics such as is available in ICU Pharm flow tab (when hovering over category). I was wondering if such a listing would be helpful in quick determination of inclusion antibiotics?
edit Iatrogenic codes in ICD10
  • The instruction for HAP is different here than the Hospital-acquired pneumonia (HAP) in ICD10 page.--Jvelasco 07:56, 2019 July 16
    • this spot here should probably just be a link to that other page, with coding details living there only. Otherwise these will just get out of sync again. Ttenbergen 12:52, 2019 July 18 (CDT)
edit Severe sepsis
  • What is the definition of "organ failure" as it pertains to severe sepsis? For example, is an acute rise in Cr (AKI) enough to meet the definition or does the patient have to be on dialysis? Could we have some criteria for the failure of different organs? --Jvelasco 15:32, 2019 May 21 (CDT)
  • AG INFO: This is a very hard issue that everybody around the world is struggling with. The SEPSIS-3 guidelines operationalizes it by defining it as a certain rise in SOFA score from baseline. BUT it's not a very good clinical definition because obtaining the baseline sofa data is a lot of work. So I'll contemplate this.
edit Depression (major depressive disorder, recurrent depression)
edit Template:ICD10 Guideline overdose
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Antibiotic/antimicrobial, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Hormone or hormone agonist NOS, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Aspirin or other salicylate or NSAID, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Acetaminophen (tylenol, paracematol), overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Cocaine, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Opioid/narcotic, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Hallucinogen, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Benzodiazepine, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Antiseizure drug NOS, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Tricyclic antidepressant, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Antidepressant drug NOS, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Psychiatric drug NOS, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Beta-blocker, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Anticoagulant, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Calcium channel blocker, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Cardiac/cardiovascular drug NOS, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Drug or biological substance/agent NOS, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Iatrogenic, complication of medical or surgical care NOS
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Anesthetic gas, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Sedative or hypnotic, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Thrombolytic drug, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Antineoplastic/chemotherapy or immunosuppressive drugs, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Neuromuscular blocker/paralytic, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Anti-arrythmic, overdose/toxicity
  • Would appreciate some guidance in priorizing and picking a primary diagnosis in some of these cases.
  • For example, if the patient overdoses on multiple drugs (calcium channel blocker, Ace inhibitor, ETOH, ASA, Tylenol, Ramipril, etc.) and there are many diagnostic issues then how do we priorize this?
  • Do we put the worst drug first? (ie. CCB)
  • Do we put the suicide attempt code first?
  • Do we put the respiratory failure first?
  • Do we put the acidosis first?
    • Other issues:
  • Kidney failure
  • Aspiration pneumonitis
  • Electrolyte disturbances
    • Also when we list all the drugs one by one as overdoses should we use the same priority number for all of them? It is rarely clear the exact quantity of each drug so it is very difficult to know how to priorize this.
edit Abdomen or lower back or pelvis, soft tissues, open wound, injury/trauma but how would one then code those?
edit Admit Diagnosis Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review
edit Template:ICD10 Guideline Como vs Admit Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review
edit Comorbid Diagnosis Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review
edit S ICD10 Charlson Como patterns table Como Admit Acquired Primary Limits - this is part of that discussion - if we want to limit some of these to not being allowed as admits, it will likely have to be done here.
  • AG REPLY --- yes we can and should go through ALL ICD10 codes and indicate which of the 3 Dx Types they're allowed in (ie deal with Controlling Dx Type for ICD10 codes). AG needs to be reminded to deal with this around June 2019
edit Check ICD10 some cant be primary Como Admit Acquired Primary Limits - Category:Mechanism would need to be excluded as well, and so would past history, and quickly the list gets so large again that we are back at discussing Controlling Dx Type for ICD10 codes where we should simply include "Primary"-ability.
  • AG OBSERVATION --- we will just take care of this when we take care of Admit/Comorbid/Acquired
edit Controlling Dx Type for ICD10 codes Como Admit Acquired Primary Limits / Dx grouping - this is part of both of those discussion
  • I have emailed Allan the table with all Dxs to set them as Como_allowed, Admit_allowed, Acquired_allowed. Will set up infrastructure to contain this once I have data. Ttenbergen 12:31, 2019 February 13 (CST)
    • Ignore until at least April.
edit S ICD10 APACHE Dx patterns table dx grouping

if you have a reference, ideally online, for what you used to make the APACHE comorbid ranges, please add it here.

  • AG NOTE TO SELF -- you have to go through and confirm the ICD10/CCI codes to automatically code for the AP2 comorbs
But mainly I used this ref: https://rstudio-pubs-static.s3.amazonaws.com/231351_940f14aa51a6427a9e92d5a04daefc3e.html
edit S AP Chronic Dx grouping
edit LOS Medicine per ward stay Hi Dr. Garland,A thought came up after the last Task meeting related to the discussion on using Service LOS vs. Physical bed LOS (location). We also have A/D/H service patients go to the ward D5. This ward is typically less acute and patients will transfer to D5 from all of the medicine wards (A4/H4/D4/B3/H7). The patients retain their service (A/D/H) while they are on D5, some patients will switch attending (to the D5 Attending), others will stay with the same Attending they had prior to arrival on D5, but the service will remain the same. The Attendings on D5 do not have a specific service and, there is no rule as to which patients switch to the D5 attending. Some patients will be discharged from D5 still under the same Attending that cared for them prior to arrival on D5. When patients leave A4/D4/H4/B3/H7 their profiles are completed (discharged) by the designated ward collector and a new profile is created by the D5 collector.Thanks, Val Penner, May 16.19
edit Blood Product Data I have made this page to document progress toward this import.
edit Aborted Procedure I have to find a CCI code for a patient who was given cardiac anaesthesia for a scheduled aortic valve replacement, but upon TEE intraop, was found to not need the procedure. She was brought to ICCS for recovery, weaning & extubation
edit Cardiac pacemaker or defibrillator, adjustment/management is this code intended just for adjustments to permanent pacemakers or should the adjustments made to temporary pacing via epicardial wires be included here?
edit Transition to Database Server q
  • Would you be able to get an account on the REDCap test server for Tina to check if this would be an option for us?
  • You were going meet with Dr. Renner to find out if he can help us make this a priority for either Digital Health or CHI.
edit Query check ICD10 only 1 stage of renal failure q

According to our collection instructions for Admit Diagnosis and Comorbid Diagnosis, and the instructions for these codes (e.g. Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90, the diagnoses could be coded as both an Admit Diagnosis and Comorbid Diagnosis. Right now this cross check prevents that.

  • Do we want to be able to code these as both admit and como?
  • Would both need to be the same code?
edit Cardiac arrest q I seem to remember discussing at task that, specifically, don't code it if no CPR occurs. If I remember that correctly we should specify that and the rationale here, since we don't usually not-code diagnoses just because they are not treated.
edit Encephalopathy, toxic Some parts of the following should probably go back in there, emailed Allan.

incl drug-induced (also code drug if known) except

edit Pneumonia, ventilator-associated (VAP) There is often a difficulty in trying to apply this criteria in the neuro population, as they will have elevation in both T and WBC for very long periods which are not related to infection, and obviously already have a change in LOC. How should we deal with this issue? (Joyce)
edit Bacteremia This lists as Apache Neuro and is in APACHE Acute Dxs in ICD10 codes because it is in the following range:

Nonop - Large categories - Neuro NOS - A17. - A69.22

When we touched on this at an Allan's list meeting you agreed that probably wasn't right. Emailed Allan. Ttenbergen 15:42, 2019 June 25 (CDT)
edit Bed borrow we want to unify this concept; started discussion today Ttenbergen 14:33, 2019 April 9 (CDT)
  • we are seeing at Grace, a number of patients that are admitted from a GRA ward into the GRA ER under ICU care until bed is available in Grace ICU. Unlike CON or OAKs, that if patient needs ICU, and no bed, they go to ER, under ER service care until ICU bed available. At Grace, this is a bed borrow by ICU service in ER dept, but our TMP project does not have to ITEM for GRA ER for this purpose. As discussed in Task, we will likely be seeing more of this and we need to find out if ICU would like to know how much time patients spends in ER like this. We need to decide how we are going to capture this.
  • GRA_MICU-10422
  • GRA_MICU-10458
  • UPDATE: on May 2.19 we added GRA ER as item in TMP for Project Borrow arrive. At a later time we also added GRA_MICU
  • UPDATE: June 12.19 - planned changes - not yet active - Boarding Loc
  • UPDATE: July 18.19 - target start date - Sept 1.19 for new admits. Please see Boarding Loc article.
edit Guideline for coding organ donation after death What are the instructions for this? Would they go through the exercise of declaring such a patient's Brain death or would we capture them as Acquired Diagnosis MAID and Dispo "Death - to OR" or more problematically "Death - to other ICU" ?
edit Abdomen or lower back or pelvis, soft tissues, open wound, injury/trauma What would be used for non-surg wound infection? Soft Tissue Infection (includes Cellulitis)?
edit ICUotherService When a CICU pt is in MICU under MICU service we do not have an option in the drop down for this (this occasionally happens when they have no beds). We also do not have an option for an MICU pt in CICU under CICU service (although I do not know if this ever happens but I suppose it could happen).--LKolesar 14:02, 2019 May 3 (CDT)
edit Organ donor (organ/tissue donation by the donor) Why would it not be an Acquired Diagnosis? They may have been admitted for Preparatory care (incl preop optimization), no? Or would they then not be on a ward where we collect because we are not surgical?
edit Query check ICD10 ESRD and AKI only if transplant Would the past history really allow for this? i think only a CCI makes it OK to have both an ESRD and an AKI dx in same patient.

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