Query check ApARF CRF: Difference between revisions
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== ICD10 == | == ICD10 == | ||
*[[ARF (APACHE)]] | *[[ARF (APACHE)]] checked and no [[Transplant]] means patient must not have | ||
** [[Comorbid Diagnosis]] of [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] | |||
** [[Comorbid Diagnosis]] of [[Renal dialysis care, including dialysis itself]] | |||
*If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney. | *If a person has pre-existing [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] then they cannot ''subsequently'' have any of the various Acute Renal Failure/AKI diagnoses '''UNLESS''' they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney. | ||
**So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney. | **So we will use the rule that no single database record can include both [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney. | ||
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**This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency. | **This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency. | ||
{{Discuss | who = | {{Discuss | who = Julie | question = | ||
*[[ARF (APACHE)]] should be always be NO when the person has comorbid [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or having [[Renal dialysis care, including dialysis itself]] in ICD10 diagnosis. --[[User:JMojica|JMojica]] 12:28, 2018 November 13 (CST) | *[[ARF (APACHE)]] should be always be NO when the person has comorbid [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or having [[Renal dialysis care, including dialysis itself]] in ICD10 diagnosis. --[[User:JMojica|JMojica]] 12:28, 2018 November 13 (CST) | ||
** A person with ARF would have dialysis, though, right? So probably more like ARF can't have ESRD or dialysis as [[Comorbid Diagnosis]]? | |||
}} | |||
== See also == | == See also == | ||
Revision as of 01:25, 2018 November 18
| Data Integrity Checks | |
| Summary: | ARF (APACHE) and CRF - Chronic Renal Failure can not be coded together for the same patient. |
| Related: | ARF (APACHE), Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 |
| Firmness: | hard check |
| Timing: | always |
| App: | CCMDB.mdb |
| Coding: | query Check_ApARF_CRF |
| Uses L Problem table: | not relevant for this app |
| Status: | needs review |
| Implementation Date: | date change was rolled out / first applied |
| Backlogged: | true |
ICD10
- ARF (APACHE) checked and no Transplant means patient must not have
- If a person has pre-existing Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 then they cannot subsequently have any of the various Acute Renal Failure/AKI diagnoses UNLESS they got a renal transplant in between --- so the ESRD is before the TP and the AKI is in the new/transplanted kidney.
- So we will use the rule that no single database record can include both Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 and an ARF/AKI code unless a kidney transplant occurred and the ARF/AKI is for the transplanted kidney.
- Thus, even though it is possible for an AKI to become fixed/permanent and become any level (1-5) of CRF -- this usually takes time (weeks to months) and for simplicity in coding, except for the case above where a renal TP occurred, the rule is that no single record should have both Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5 and an ARF/AKI code.
- This really is only an issue for patients with very long hospital stays, and we've decided we can live with this small, uncommon inconsistency.
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See also
Log
- updated as of CCMDB.mdb Change Log 2011#ver 2011-12-09 Ttenbergen 13:27, 11 December 2011 (CST)
- implemented CCMDB.mdb Change Log 2009#v1.90. Ttenbergen 15:50, 29 September 2009 (CDT)