Controlling Dx Type for ICD10 codes: Difference between revisions

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After considerable discussion over years it was decided that this would be very complicated to implement and that the effort wouldn't bring enough positive results to be worth it.
{{Collapsable| always=See proposed solution and discussion| full=


== Proposed Solution ==
== Proposed Solution ==
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** acquired_not_allowed ([[Acquired Diagnosis]])
** acquired_not_allowed ([[Acquired Diagnosis]])
** primary_not_allowed ([[Primary Admit Diagnosis]])
** primary_not_allowed ([[Primary Admit Diagnosis]])
{{Todo
| who = Tina
| question = _after
* Built query "z_ComoAdmAcqu_Primary_List", exported to excel, sent to Barret; Allan said this is low priority, so putting a review data of 3 months from now
* added this back to the task list, been almost 6 months
| todo_added = 2022-02-17 
| todo_action = 2022-08-10 
}}
* put cross checks into [[CCMDB.accdb]] to prevent bad entries
=== why do this change outside the wiki? ===
The change will require editing every single record in the [[ICD10 Diagnosis List]], so doing it on the wiki would be time-prohibitive. If we do it externally the new fields would be imported into the wiki, which would then again be the master repository for this.
* We will use a tool like [https://en.wikipedia.org/wiki/Wikipedia:AutoWikiBrowser AutoWikiBrowser] or similar to get the changes integrated into pages.
== Implementation ==
It was decided that this is worth doing, and that the above is a reasonable way to do it. Allan is working on generating the list.
== Wiki cleanups when done ==
{{Todo
| who = Tina 
| todo_added = 2022-02-17 
| todo_action =
| question = _after
Make sure that these examples that were mentioned over time are adressed:
* [[Medical noncompliance]] has some special rules around this
* [[Cardiac arrest]]
* [[Severe sepsis]], [[VAP]], recurrent Pneumonia should never be a [[Comorbid Diagnosis]]
* [[Past history, removal of breast (mastectomy)]] should never be an [[Acquired Diagnosis / Complication]] or [[Admit Diagnosis]]
}}


== If we do this, should we do more?  ==
== If we do this, should we do more?  ==
* Discussed but rejected possibility to restrict impossible dx / [[sex field]] combinations.  
* Discussed but '''rejected''' possibility to restrict impossible dx / [[sex field]] combinations.  
* this would be the right time to also fix/implement the following:  
* this would be the right time to also fix/implement the following:  
** is_pathogen: see [[:Category:Infection requiring pathogen]]
** is_pathogen: see [[:Category:Infection requiring pathogen]]
** pathogen requirement (see [[:Category:Infection requiring pathogen]], [[:Category:Infection requiring pathogen]], [[:Category:Potential infection]])
** pathogen requirement (see [[:Category:Infection requiring pathogen]], [[:Category:Infection requiring pathogen]], [[:Category:Potential infection]])
** min nr of combined codes field
** min nr of combined codes field
}}


== Related Articles ==
== Related Articles ==

Revision as of 09:57, 2023 April 27

Data Integrity Checks
Summary: Some dxs can't be Dx Types Primary Admit Diagnosis, Comorbid Diagnosis, Admit Diagnosis or Acquired Diagnosis
Related: ICD10 Diagnoses, Primary Admit Diagnosis, Comorbid Diagnosis, Admit Diagnosis, Acquired Diagnosis, Dx Type
Firmness: hard check
Timing: complete
App: CCMDB.accdb
Coding:
Uses L Problem table: not relevant for this app
Status: needs review
Implementation Date:
Backlogged: true
  • Cargo


  • SMW


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After considerable discussion over years it was decided that this would be very complicated to implement and that the effort wouldn't bring enough positive results to be worth it.

See proposed solution and discussion   

Proposed Solution

Encode which codes can not be of a particular type; this will likely be fewer checks, and it will also likely be an easier and more deterministic answer without ifs-thens-buts; it will be a slightly less tight check but with fewer false positives.

If we do this, should we do more?

Related Articles

Related articles:
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