COVID-19 (SARS-COV-2)

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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.

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    • 2019-01-01
    • 2999-12-31
    • U07.1
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Additional Info

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.

Data Collection Instructions

will be used for MCHP (Manitoba Center for Health Policy)

  1. 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
  2. COVID positive patients- combine COVID-19 (SARS-COV-2) with other appropriate diagnosis such as Pneumonia, viral, ARDS (noncardiogenic pulmonary edema)
  3. CCI isolation code if to use?: there is a question over here; https://ccmdb.kuality.ca/index.php?title=Isolation,_infectious#Using_this_code_during_CO

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

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

Special Circumstances

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.

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

COVID status in Oculys

Number (but not identifiers) of COVID suspect and confirmed patients is available in a report in Oculys, see that page for more info.

  • All hospital patients on AGMP need AGMP Isolation Precautions. This change occured approximately 2 weeks ago. We will need a tab in the CCI Pick list for this type of isolation because it is not for infection precautions.Gens 14:52, 2020 April 28 (CDT)
    • If it isn't for infection precautions, then what is it for? I thought this was to reduce risk of COVID. Please explain the distinction so we can figure out how the code you are requesting would be different from the one you already have. Or, Gladys, if you realize it really isn't different, please remove the discussion. Ttenbergen 16:54, 2020 April 29 (CDT)
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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)

 AppStatus
Query check ICD10 Inf Potential Infection must have pathogen or altCCMDB.accdbdeclined
Check Inf Antibiotic resistance must have pathogen or Infection with implied pathogenCCMDB.accdbimplemented
Check Inf Infection with implied pathogen must not have a pathogen combined codeCCMDB.accdbimplemented
Query check ICD10 Inf Infection req Pathogen must have oneCCMDB.accdbimplemented
Query Check Inf Pathogens must have Infection requiring pathogen or Potential InfectionCCMDB.accdbimplemented

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