Query check CCI ICD10 Dialysis no Dx: Difference between revisions
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*[[Hyperkalemia]] | *[[Hyperkalemia, severe or symptomatic]] | ||
*[[Congestive heart failure with pulmonary edema]] | *[[Congestive heart failure with pulmonary edema]] | ||
*[[Fluid overload]] | *[[Fluid overload]] | ||
Revision as of 15:28, 2019 April 17
| Data Integrity Checks | |
| Summary: | If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx. |
| Related: | Intermittent hemodialysis (TISS Item), Peritoneal dialysis (TISS Item), CRRT (TISS Item), Kidney, acute renal failure NOS, Kidney, acute renal failure, postprocedural, Kidney, acute tubular necrosis (ATN), Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic |
| Firmness: | hard check |
| Timing: | complete |
| App: | Centralized data front end.accdb |
| Coding: | query NDC_Dxs_vs_TISS_Dialysis |
| Uses L Problem table: | No |
| Status: | needs review |
| Implementation Date: | 2019/01/06 |
| Backlogged: | true |
If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx.
Dialysis TISS Items
- Intermittent hemodialysis (TISS Item) (T32)
- CRRT (TISS Item) (T33)
- Peritoneal dialysis (TISS Item) (T34)
Dialysis qualifying Dxs
all #Dialysis requiring Dxs plus: Concept:Chronic Kidney Disease:
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59
- Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29
- Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
- Chronic kidney/renal disease, NOS (stage unspecified)
- Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic
- Hyperkalemia, severe or symptomatic
- Congestive heart failure with pulmonary edema
- Fluid overload
- Metabolic acidosis: Acidosis, NOS or Kidney, renal tubular acidosis (RTA, all types)
- Drug overdoses and poisonings -- the main ones are:
- Aspirin & other salicylates -- Aspirin or other salicylate or NSAID, overdose/toxicity
- Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates -- Antiseizure drug NOS, overdose/toxicity
- Metformin -- Insulin or other antidiabetes drug, overdose/toxicity
- Lithium -- Psychiatric drug NOS, adverse effect
- Theophylline -- Drug or biological substance/agent NOS, overdose/toxicity
- Alcohols -- Alcohol (ethanol), poisoning or Toxic alcohols, poisoning
- Diltiazem -- Calcium channel blocker, overdose/toxicity
- Occasionally a few others (rare)
Checks
Has #Dialysis TISS Items but no #Dialysis qualifying Dxs
If meets following the entry is an error:
- at least one of #Dialysis TISS Items
- doesn't have one #Dialysis qualifying Dxs
Log
- Removed the part of the check that ensured that dxs that appear to require dialysis get it within 3 days. With KDIGO definitions this is no longer true.