COVID-19 (SARS-COV-2): Difference between revisions
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* There are rumors that work is under way to get the COVID status into an Oculys report. Is anyone aware of whether this has been set up and how you would access it? Ttenbergen 16:11, 2020 April 21 (CDT) | * There are rumors that work is under way to get the COVID status into an Oculys report. Is anyone aware of whether this has been set up and how you would access it? Ttenbergen 16:11, 2020 April 21 (CDT) | ||
**Covid suspected & confirmed cases are visible in Oculys for each ward in the Location Occupancy field | |||
**This has been set up at the Grace. To access Oculys click on the EPR tab and the Oculys folder comes up on the screen. Click on the Oculys folder, and each site will pop up. Everyone needs to get their own site login and password. The total number of positve/suspect COVID cases are listed as well as the number of positive cases on each ward.[[User:Gens|Gens]] 07:18, 2020 April 22 (CDT)}} | **This has been set up at the Grace. To access Oculys click on the EPR tab and the Oculys folder comes up on the screen. Click on the Oculys folder, and each site will pop up. Everyone needs to get their own site login and password. The total number of positve/suspect COVID cases are listed as well as the number of positive cases on each ward.[[User:Gens|Gens]] 07:18, 2020 April 22 (CDT)}} | ||
**if the Oculys app needs to be available from home, an individual account needs to be set up through ehealth; otherwise is accessible with a site universal user name & password at each site | |||
==== Presumed infections ==== | ==== Presumed infections ==== | ||
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]]. | 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]]. |
Revision as of 16:02, 2020 April 22
ICD10 Diagnosis | |
Dx: | COVID-19 (SARS-COV-2) |
ICD10 code: | U07.1 |
Pre-ICD10 counterpart: | none assigned |
Charlson/ALERT Scale: | none |
APACHE Como Component: | none |
APACHE Acute Component: | none |
Start Date: | |
Stop Date: | |
External ICD10 Documentation |
This diagnosis is a part of ICD10 collection.
Additional Info
- 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.
- 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).
- 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.
Cohorting in HSC ICUs
As of 2020-04-01 at HSC all CC patients with an "unknown" contact history (even traumas and emergent OR's) are admitted to MICU first, and once their COVID swab comes back negative they are moved to SICU where they normally would be admitted (tracked in ICUotherService).
To show that a patient like this is in MICU rather than SICU, code Observation for suspected infection NOS with COVID-19 (SARS-COV-2) as one of the later codes, but still code the Primary Admit Diagnosis as the thing that put them in an ICU, ie. the trauma or the emergent OR.
MCHP (Manitoba Center for Health Policy) Coding
- 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
- COVID positive patients- combine COVID-19 (SARS-COV-2) with other appropriate diagnosis such as Pneumonia, viral, ARDS (noncardiogenic pulmonary edema)
Julie will run her reports looking for these codes in any priority for all patients, which is why even if they are a suspect patient that is ultimately negative, Julie will be able to capture these patients.
Infection status
- 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"
- For example if the team believes this is likely a virus but doesn't know which one then use Virus, NOS
- For example if the team doesn't know what kind of bug it is, but believes it is infectious then use Infectious organism, unknown
Lab results in Oculys
|
- if the Oculys app needs to be available from home, an individual account needs to be set up through ehealth; otherwise is accessible with a site universal user name & password at each site
Presumed infections
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.
Confirmed infections
Done by Cadham Lab
Delayed lab results
- 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
- Note that this test is done by Cadham Lab and not by the usual DSM lab.
Other info
Alternate ICD10s to consider coding instead or in addition
Only use this for COVID-19 (SARS-CoV-2) - not other Coronavirus
Candidate Combined ICD10 codes
Related CCI Codes
Reporting
Main office has Form Covid_rept to report on this infection.
Data Integrity Checks (automatic list)
App | Status | |
---|---|---|
Query check ICD10 Inf Potential Infection must have pathogen or alt | CCMDB.accdb | declined |
Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogen | CCMDB.accdb | implemented |
Check Inf Infection with implied pathogen must not have a pathogen combined code | CCMDB.accdb | implemented |
Query check ICD10 Inf Infection req Pathogen must have one | CCMDB.accdb | implemented |
Query Check Inf Pathogens must have Infection requiring pathogen or Potential Infection | CCMDB.accdb | implemented |
Related Articles
Show all ICD10 Subcategories