Query check CCI ICD10 Dialysis no Dx: Difference between revisions

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[[TISS28]] applicable to dialysis: 32, 33 & 34.  Tina and Julie may review if they want to go there with this QA check.  yoy![[User:TOstryzniuk|Trish Ostryzniuk]] 18:02, 2014 April 30 (CDT)
{{Data Integrity Check
|DIC_summary=If a profile has one of the [[#Dialysis CCI Items]] there should also be one of the [[#Dialysis qualifying Dxs]].
|DIC_related_concepts= Peritoneal dialysis (TISS Item); CRRT (TISS Item); Intermittent hemodialysis (TISS Item); {{#ask: [[Concept:Acute renal failure]]|default=none found|format=plainlist|link=none|limit=100|sep=;}}; Kidney, acute renal failure, postprocedural;Kidney, acute renal failure NOS;Kidney, acute tubular necrosis (ATN);Hyperkalemia, severe or symptomatic;Congestive heart failure with pulmonary edema;Fluid overload;Acidosis, NOS;Kidney, renal tubular acidosis (RTA, all types);Aspirin or other salicylate or NSAID, overdose/toxicity;Antiseizure drug NOS, overdose/toxicity; Insulin or other antidiabetes drug, overdose/toxicity;Psychiatric drug NOS, adverse effect;Drug or biological substance/agent NOS, overdose/toxicity;Alcohol (ethanol), poisoning;Toxic alcohols, poisoning;Calcium channel blocker, overdose/toxicity
|DIC_firmness=hard check
|DIC_timing=complete
|DIC_coding=query ''check_CCI_ICD10_Dialysis_no_Dx''
|DIC_implementation_date=2021-10-27
|DIC_status=implemented
|DIC_app=CCMDB.accdb
}}


If a profile has one of the [[#Dialysis CCI Items]] there should also be one of the [[#Dialysis qualifying Dxs]].


=== Q2.3(new) - CRF/ARF vs [[:Category: TISS76 | TISS76]] items: 53, 54 and 55 ===
=== Dialysis CCI Items ===
''Note: must be tested after sending since TISS not available before.''
*{{ CCIWithCode | CRRT (TISS Item)}}
Any patient with '''all''' of the following is an error:
*{{ CCIWithCode | Peritoneal dialysis (TISS Item)}}
* ICU patient
*{{ CCIWithCode | Intermittent hemodialysis (TISS Item)}}
* (3 < LOS <= 10)  
*{{ CCIWithCode | PD (Peritoneal dialysis)}}
* (dx [[ARF (Diagnosis)|ARF(350)]] or como [[CRF - Chronic Renal Failure|CRF (351)]])  
*{{ CCIWithCode | HD (Hemodialysis)}}
* no (T53, T54, T55)
*{{ CCIWithCode | CRRT (incl volume removal via PRISMA device)}}
** no (T33/34/35) in TISS28


==== Q2.3 Discussion ====
=== Dialysis qualifying Dxs ===
*if community Hosp '''and''' admit or complication is ARF '''and''' patient discharged to teaching (HSC or STB), and TISS 53-55 not marked, this is okay, because community sent to teaching for dialysis. (Trish)
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1, GFR GT 90}}
** If LOS>3days this would be problematic to the patient, would it not. If the time restriction still stands, then the LOS check above already takes care of this. Are you ''sure'' you want patients with 351 who are not dialyzed for more than 3 days not to be flagged? [[User:Ttenbergen|Ttenbergen]] 14:14, 29 October 2008 (CDT)
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 2, GFR 60-89}}
**YES I am sure, otherwise we audit every single dialysis patient (like we are doing right now) to find out that most CRF pts don't have dialysis done daily anyways.  So 3 days or less without is fine. (Trish)
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 3, GFR 30-59}}
*** The above definition already excludes the patients with a LOS < 3. What I am wondering about is CRFs in community who are discharged to teaching '''after more''' than 3 days. Those should '''not''' be OK, right? [[User:Ttenbergen|Ttenbergen]] 14:20, 30 October 2008 (CDT)
*{{ICD10WithCode | Chronic kidney disease (chronic renal insufficiency, uremia) Stage 4, GFR 15-29}}
**If you are able to add this as a double check to CCMDB where the collector must verify TASK dialysis YES or NO if 351 before they send that would help. Currently cleaner mdb is generating too many checks only to find out that TASK item was indeed not missed for these patients.
*{{ICD10WithCode | Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15}}
*** If we come up with a consistent no-exception rule I can add it, otherwise it just becomes another "gopher" that will be ignored. If it is a check, it would have to be a show-stopper that they have to correct before being allowed to send. [[User:Ttenbergen|Ttenbergen]] 14:20, 30 October 2008 (CDT)
*{{ICD10WithCode | Chronic kidney/renal disease, NOS (stage unspecified)}}
*{{ICD10WithCode | Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic}}
*{{ICD10WithCode | Kidney, acute renal failure, postprocedural}}
*{{ICD10WithCode | Kidney, acute renal failure NOS}}
*{{ICD10WithCode | Kidney, acute tubular necrosis (ATN)}}
*{{ICD10WithCode | Hyperkalemia, severe or symptomatic}}
*{{ICD10WithCode | Congestive heart failure with pulmonary edema}}
*{{ICD10WithCode | Fluid overload}}
*Metabolic acidosis:
**{{ICD10WithCode | Acidosis, NOS}}
**{{ICD10WithCode | Kidney, renal tubular acidosis (RTA, all types)}}
*Drug overdoses and poisonings -- the main ones are:
** Aspirin & other salicylates -- {{ICD10WithCode | Aspirin or other salicylate or NSAID, overdose/toxicity}}
** Valproic acid, carbemazepine (Tegretol), phenytoin (Dilantin), barbiturates -- {{ICD10WithCode | Antiseizure drug NOS, overdose/toxicity}}
** Metformin -- {{ICD10WithCode | Insulin or other antidiabetes drug, overdose/toxicity}}
** Lithium -- {{ICD10WithCode | Psychiatric drug NOS, adverse effect}}
** Theophylline -- {{ICD10WithCode | Drug or biological substance/agent NOS, overdose/toxicity}}
** Alcohols --
*** {{ICD10WithCode | Alcohol (ethanol), poisoning}}
*** {{ICD10WithCode | Toxic alcohols, poisoning}}
** Diltiazem -- {{ICD10WithCode | Calcium channel blocker, overdose/toxicity}}
** Occasionally a few others (rare)


==== Q2.3 Programming Status - waiting for clarification ====
Allan confirmed that we would not need to add covid because if used in that context, renal failure would also be coded.
TRISH HERE:  I think the query looks fine.[[User:TOstryzniuk|TOstryzniuk]] 17:57, 29 October 2008 (CDT)
TINA HERE: There seem to be discussion items left, aren't there? [[User:Ttenbergen|Ttenbergen]] 14:22, 30 October 2008 (CDT)


*Consider outcome of ARF vs ARI discussion in Q2.2 for this query as well.
== Related articles ==
{{Related Articles}}


 
[[Category:TISS28 check]]
[[Category: TISS76 Checks]]
[[Category:ICD10 Dx check]]
[[Category: TISS28 Checks]]
[[Category:Dialysis]]

Revision as of 11:05, 2023 November 25

Data Integrity Checks
Summary: If a profile has one of the #Dialysis CCI Items there should also be one of the #Dialysis qualifying Dxs.
Related: Peritoneal dialysis (TISS Item), CRRT (TISS Item), Intermittent hemodialysis (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, Kidney, acute renal failure, postprocedural, Kidney, acute renal failure NOS, Kidney, acute tubular necrosis (ATN), Hyperkalemia, severe or symptomatic, Congestive heart failure with pulmonary edema, Fluid overload, Acidosis, NOS, Kidney, renal tubular acidosis (RTA, all types), Aspirin or other salicylate or NSAID, overdose/toxicity, Antiseizure drug NOS, overdose/toxicity, Insulin or other antidiabetes drug, overdose/toxicity, Psychiatric drug NOS, adverse effect, Drug or biological substance/agent NOS, overdose/toxicity, Alcohol (ethanol), poisoning, Toxic alcohols, poisoning, Calcium channel blocker, overdose/toxicity
Firmness: hard check
Timing: complete
App: CCMDB.accdb
Coding: query check_CCI_ICD10_Dialysis_no_Dx
Uses L Problem table: not relevant for this app
Status: implemented
Implementation Date: 2021-10-27
Backlogged: true
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If a profile has one of the #Dialysis CCI Items there should also be one of the #Dialysis qualifying Dxs.

Dialysis CCI Items

Dialysis qualifying Dxs

Allan confirmed that we would not need to add covid because if used in that context, renal failure would also be coded.

Related articles

Related articles:
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