Conversion from our old diagnosis schema to ICD10/CCI

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Revision as of 14:48, 2018 September 11 by TOstryzniuk (talk | contribs) (→‎Timeline)
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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.

As of 18:59, 2017 September 16 (CDT), some of the discussion about this continues in Task Team Meeting - Rolling Agenda and Minutes.

Timeline

Current Timeline is this:

  • in progress now:
    • groupings for reports
    • Groupings for Charlson, Apache Dxs, Alert score, Overstay
  • 2018-08-01 implementation of cross-checks starts (incl TISS, CFE)
  • 2018-10-01 all initial cross-checks implemented
    • entry of Primary Admit Diagnosis in ICD10 becomes mandatory, old style DX continues as before. i.e. This does not replace entering a primary DX in old schema.
  • no FULL double-coding for all patients is expected
  • 2019-01-01 earliest possible date to only code ICD10; this might be later if double coding shows problems

Transition plan

Allan confirmed with Bojan that this will work for him.

transition plan to CCI/ICD10 details...

  • SMW


  • Cargo


  • Categories

This question is still in flux, the current proposal is:

  • Patient events (dx or procedure) on or after the changeover date will be coded as ICD10, every one before as old code. (i.e. this changeover will be event date based, not admit or dispo date based.)
    • I.e. a patient who straddles both periods will have some old and some new dx codes.
  • Only the primary diagnosis would also be translated from old to new for all still there after changeover date.

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:

Procedures / CCI

See CCI Data Structure.

Collection Interface

Patient viewer tab ICD10 and Patient viewer tab CCI have been added in Patient Viewer.

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

Documentation / wiki

ICD10

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.

All will need to be reconciled with the old diagnoses articles.

For an automatically generated list of articles that need review, see ICD10 Review List.

CCI

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

The following link will take you to a Semantic Mediawiki table that lists articles for ICD10 diagnoses that have been added to the wiki, and the degree to which their article integration has been completed:

For an automatically generated list of articles that need review, see CCI Review List.

Decisions made but not yet documented elsewhere

ICD10 / CCI Groupings for Reports

We need ways to group ICD10 codes for reports.

Allan has provided a listing.

Tina has set up structure so that any dx can be part of any number of groupings (like wiki categories):

need to populate

Template:Discussion This conversation is not finished yet. At last count Julie was still wondering how she will group these. Ttenbergen 15:52, 2018 March 6 (CST)

Related Articles

Related articles: