Conversion from our old diagnosis schema to ICD10/CCI: Difference between revisions

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This article outlines how we will transition from the [[:Category:Diagnosis Coding|old diagnosis schema]] to [[ICD10]] and [[CCI]]. Process has been in the works since at least 2016.
This article outlines how we will transition from the [[:Category:Diagnosis Coding (old)|old diagnosis schema]] to [[ICD10]] and [[CCI]]. Process has been in the works since at least 2016.
   
   
As of 18:59, 2017 September 16 (CDT), some of the discussion about this continues in [[Task Team Meeting - Rolling Agenda and Minutes]].
== Timeline ==
* 2018-May-ish: request to collect ICD10 and CCI data for at least two patients per week
* 2018-08-01 implementation of CCMDB.accdb cross-checks starts
* 2010-10-18: [[Primary Admit Diagnosis]] needs to be entered for all patients, old style DX
* 2018-10-01 all initial cross-checks implemented
* 2018-12-01 implementation of CFE/TISS cross checks complete; suggestion of full ICD10/CCI coding for pts expected to be discharged after 2019-01-01
* 2019-01-01 - enter complete [[ICD10 collection]] and [[CCI Collection]] for patients with [[Dispo DtTm]] >= 2019-01-01
* 2022-03-28 - deleted all test ICD10 entered up to Dec 31,2018.


== Data ==
== Data ==
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* [[Dispo_field]] - organ donor check.  
* [[Dispo_field]] - organ donor check.  
* [[R Filter Field]]
* [[R Filter Field]]
Dx Code mapping was not possible:
* [[Translation of Dx Data from CCMDB schema to ICD10/CCI]]


=== Procedures  / [[CCI]] ===
=== Procedures  / [[CCI]] ===
Procedure data will be stored in the [[L_CCI table]]. The codes will be provided in the [[s_CCI table]].
See [[CCI Data Structure]].
 
Special consideration will need to be given to:
* [[Registry Patient Type#Conversion from our old diagnosis schema to ICD10/CCI]]


== Collection Interface ==
== Collection Interface ==
[[Patient viewer tab ICD10]] will be added in [[Patient Viewer]].
[[Patient Viewer Tab ICD10]], [[Patient Viewer Tab CCI_Pick]] and [[Patient Viewer Tab CCI_Comp]] have been added in [[Patient Viewer]].
 
Need to address [[Facilitating diagnosis entries]].
 
== Documentation ==
Tina will import articles for each new DX onto the wiki. Where possible the new article will contain a link to the related old article(s). All will need to be reconciled with current diagnoses.
 
See also:
* [[Diagnoses that likely have criteria based on article size]]
 
== Conversion ==
*  How will we import dxs that are in s_alldiagnoses but not currently allowed to be collected? Ttenbergen 18:37, 2017 September 18 (CDT)
** They are on Allan's conversion list already.
 
* What will we do with [[:Category:Task Elements]]; they don't fit into ICD10/CCI (or do they)? emailed Allan. Ttenbergen 20:17, 2017 September 18 (CDT)
** Leave them in the L_Dsx table. Rename tab to "Tasks"
 
* Take the extra info out of the dx name; add a column that says "important extra info", make wiki link more visible in ccmdb when that is the case.
 
* {{discussion}} are any ICD10s always in pairs/triplets/etc? if we have column for this we can do cross-checks. Any other cross checks like that? Emailed Allan. Ttenbergen 20:29, 2017 September 18 (CDT)
** Allan will review. Ttenbergen 15:51, 2017 September 19 (CDT)


* {{discussion}} CCI - should we move the imaging labs collection in with this? Emailed Allan... Ttenbergen 19:51, 2017 September 18 (CDT)
Completion of new items for CCI/ICD10 in [[CCMDB.accdb Data Integrity Checks]].


* {{discussion}} CCI, should we include a location of procedure? We keep discussing similar concepts and procedure on unit would have impact on workload. Emailed Allan. Ttenbergen 19:51, 2017 September 18 (CDT)
== Documentation / wiki ==
=== [[ICD10 collection]] ===
Articles for each new DX are available on the wiki. Where possible the new article will contain a link to the related old article(s). See [[ICD10 Diagnosis List]].


* {{discussion}} Important complications Ttenbergen 16:10, 2017 September 19 (CDT)
=== [[CCI Collection]] ===
Articles are now on wiki, see [[CCI Picklist]] and [[CCI Component]].


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


[[Category: ICD10/CCI Conversion|*]]
[[Category: ICD10/CCI Conversion| *]]

Latest revision as of 11:14, 2022 April 7

This article outlines how we will transition from the old diagnosis schema to ICD10 and CCI. Process has been in the works since at least 2016.

Timeline

  • 2018-May-ish: request to collect ICD10 and CCI data for at least two patients per week
  • 2018-08-01 implementation of CCMDB.accdb cross-checks starts
  • 2010-10-18: Primary Admit Diagnosis needs to be entered for all patients, old style DX
  • 2018-10-01 all initial cross-checks implemented
  • 2018-12-01 implementation of CFE/TISS cross checks complete; suggestion of full ICD10/CCI coding for pts expected to be discharged after 2019-01-01
  • 2019-01-01 - enter complete ICD10 collection and CCI Collection for patients with Dispo DtTm >= 2019-01-01
  • 2022-03-28 - deleted all test ICD10 entered up to Dec 31,2018.

Data

Diagnoses / ICD10

Diagnosis data will be stored in the L_ICD10 table. The codes will be provided by the s_ICD10 table.

Special consideration will need to be given to:

Dx Code mapping was not possible:

Procedures / CCI

See CCI Data Structure.

Collection Interface

Patient Viewer Tab ICD10, Patient Viewer Tab CCI_Pick and Patient Viewer Tab CCI_Comp have been added in Patient Viewer.

Completion of new items for CCI/ICD10 in CCMDB.accdb Data Integrity Checks.

Documentation / wiki

ICD10 collection

Articles for each new DX are available on the wiki. Where possible the new article will contain a link to the related old article(s). See ICD10 Diagnosis List.

CCI Collection

Articles are now on wiki, see CCI Picklist and CCI Component.

Related Articles

Related articles:
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