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| {{ICD10 category|Pathogens}} | | {{ICD10 category|Pathogens}} |
| {{ICD10 category|Virus}} | | {{ICD10 category|Virus}} |
| | {{ICD10 category|COVID}} |
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| == Additional Info == | | == Additional Info == |
| * follow the same rules as usual for [[Primary Admit Diagnosis]]; that way our long term reporting doesn't get any weird discontinuities and if we need to report something for COVID we can still find that it was associated with the same priority:
| | This is the [[Pathogen]] code for the "SARS-COV-2" virus. |
| ** it's only the primary if it meets the criteria in [[Primary Admit Diagnosis]], e.g. if they also have a stroke or trauma COVID might not be related to primary at all
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| ** code the infection as primary, not the pathogen
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| *This is intrinsically a code for a viral pathogen officially called "SARS-COV-2". It causes a disease called "COVID-19", that has multiple manifestations, with more likely to be identified over time.
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| **The main manifestation known as of April 2020 is a viral pneumonia which can evolve into [[ARDS (noncardiogenic pulmonary edema)]]. To code this viral pneumonia, use [[Pneumonia, viral]] with the bug being [[COVID-19 (SARS-COV-2)]].
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| **If as may be the case, there is a viral encephalopathy due to this bug, then you'd code it as [[Encephalitis, meningoencephalitis, myelitis, encephalomyelitis, viral]] with the bug being the same.
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| **If you have an asymptomatic patient who has tested positive, you can link this with [[Carrier of infectious disease, unspecified]].
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| **If you have a covid positive patient with GI symptoms only, you can combine with [[Gastrointestinal infection (gastroenteritis, colitis), viral]]
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| == Data Collection Instructions ==
| | {{ICD10 Guideline COVID linker}} |
| === Will be used for MCHP (Manitoba Center for Health Policy) ===
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| Data about COVID is sent to MCHP so please adhere to the guidelines below closely so our data is well understood.
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| === Coding Suspected infection ===
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| If patient is a '''COVID suspect'''- combine [[COVID-19 (SARS-COV-2)]] with [[Observation for suspected infection NOS]] linked with the same number (don’t link it with any other infection code if not confirmed) Leave the code in, even if they later come up as a negative.
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| === Coding symptomatic infection ===
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| '''COVID positive''' patients- combine [[COVID-19 (SARS-COV-2)]] with other appropriate diagnosis such as [[Pneumonia, viral]], [[ARDS (noncardiogenic pulmonary edema)]]
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| === Coding asymptomatic infection ===
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| Combine [[COVID-19 (SARS-COV-2)]] with [[Viral infection, NOS]]
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| * To be added [[Carrier of infectious disease, unspecified]] as discussed at Task meeting November 18, 202 and combined with COVID-19 (SARS-COV-2) for asymptomatic carriers of COVID-19 (SARS-COV-2). This code will be used instead of [[Viral infection, NOS]] (Instruction needs cleaning up once carrier code added).
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| === Coding hospital acquired COVID ===
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| Add [[Nosocomial_infection,_NOS]] to what you would already code for this infection (ie might be different if symptomatic or not, or suspected etc, use the rules described elsewhere for that part).
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| === Isolation ===
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| Enter CCI [[Isolation, infectious]] if it is happening
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| === Infection status ===
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| *As we do with all infections, we do the best possible to identify the bug. Sometimes we're left without a clear, laboratory identification of the bug and then we use one or another of the "wastebasket codes"
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| **For example if the team believes this is likely a virus but doesn't know which one then use [[Virus, NOS]]
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| **For example if the team doesn't know what kind of bug it is, but believes it is infectious then use [[Infectious organism, unknown]]
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| ==== Presumed infections ====
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| If the team believes that this is COVID-19 (even without clear cut lab confirmation), then use [[COVID-19 (SARS-COV-2)]] as the organism - of course anybody seeking to do definitive analysis of all COVID-19 cases will need to obtain and use the data on confirmed cases from [[Cadham]].
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| ==== Confirmed infections ====
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| Done by [[Cadham]] Lab
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| ==== Delayed lab results ====
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| *Regarding people who either die or are discharged from hospital with their COVID-19 lab test still pending, follow the usual rules i.e: [[Lab_and_culture_reports#How_long_to_wait_for_a_result]] or [[Attribution of infections]]
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| **Note that this test is done by [[Cadham]] Lab and not by the usual DSM lab.
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| ==== Cohorting and other location located issues related to COVID ====
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| See
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| * [[:Category:2020 COVID unit transition]]
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| * [[COVID Designated Ward]]
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| * [[Boarding Loc]]
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| ==== When info about COVID status is found out long after locations are entered ====
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| When Reviewing a chart in MR and you find a COVID positive or COVID suspect patient that occurred BEFORE the new COVID positive/suspect wards were opened, use [[Service Location]] home ward location and use the appropriate [[COVID-19 (SARS-COV-2)]] or [[Observation for suspected infection NOS]] code.
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| When reviewing a chart in MR and you find a COVID suspect patient on your home ward and the patient is transferred to another location where the diagnosis of COVID positive is made, check the date/time the swab was sent. If it was sent less than 48 hours after admission code this as an [[Admit Diagnosis]], if the swab was sent greater than 48 hours after admission code this as an [[Acquired Diagnosis]]
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| {{Discuss | who = Julie | | |
| * how should this be done now under [[PatientFollow Project]] / [[Boarding Loc]] ? Is it even still applicable? Likely should live under [[Boarding Loc]] instead and just be linked from here? Ttenbergen 12:24, 2020 October 29 (CDT)
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| }} | |
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| === Other info ===
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| * [https://en.wikipedia.org/wiki/Severe_acute_respiratory_syndrome_coronavirus_2 Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)]
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| * [https://en.wikipedia.org/wiki/Coronavirus_disease_2019 Coronavirus disease 2019 (COVID-19)]
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| == Alternate ICD10s to consider coding instead or in addition == | | == Alternate ICD10s to consider coding instead or in addition == |
| '''Only use this for COVID-19 (SARS-CoV-2)''' - not other [[Coronavirus]] | | '''Only use this for COVID-19 (SARS-CoV-2)''' - not other [[Coronavirus]] |
| | {{ListICD10Category | categoryName = COVID }} |
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| == Candidate [[Combined ICD10 codes]] == | | == Candidate [[Combined ICD10 codes]] == |
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| == Related CCI Codes == | | == Related CCI Codes == |
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| == Reporting ==
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| Main office has [[Form Covid_rept]] to report on this infection.
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| {{Data Integrity Check List}} | | {{Data Integrity Check List}} |