Query check ICD10 ESRD and AKI only if transplant: Difference between revisions

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| DIC_summary = A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI.
| DIC_summary = A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI.
| DIC_related_concepts = Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15; Renal Coding Considerations for ICD10
| DIC_related_concepts = Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15; Renal Coding Considerations for ICD10
| DIC_firmness = hard check  
| DIC_firmness = soft check  
| DIC_timing = complete
| DIC_timing = complete
| DIC_app = CCMDB.accdb
| DIC_app = CCMDB.accdb
| DIC_coding = Query check_ICD10_ESRD_and_AKI_only_if_transplant
| DIC_coding = Query check_ICD10_ESRD_and_AKI_only_if_transplant
| DIC_status = needs review
| DIC_status = ready to program
| DIC_implementation_date =  
| DIC_implementation_date =  
}}
}}
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This check will always need to be consistent with [[Kidney Transplant Coding Guidelines]].
This check will always need to be consistent with [[Kidney Transplant Coding Guidelines]].


Allan originally said:
Due to the way that ESRD and AKI are defined there are some scenarios in which a pt could actually have ESRD and then get an AKI. For example, someone can have a GFR <15 and not be on dialysis, and then get an AKI that puts them on dialysis. There are probably other scenarios.  
* Tina will ensure that the error trapping in place allows an individual to have ESRD as a comorbid and AKI in the same record only if the person also has a CCI code for the kidney transplant OR has the ICD10 code of [[Past history, transplanted kidney]].
 
{{DA | Would the past history really allow for this? i think only a CCI makes it OK to have both an ESRD and an AKI dx in same patient. }}
 


So, we can not have a ''hard'' check for this, where a collector would not be able to send. Instead we will implement a "soft check" that gives a warning but allows the collector to click past. <!-- discussed by Allan and Tina 2021-01-12 -->


== Related articles ==
== Related articles ==

Revision as of 16:49, 2021 January 12

Data Integrity Checks
Summary: A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI.
Related: Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15, Renal Coding Considerations for ICD10
Firmness: soft check
Timing: complete
App: CCMDB.accdb
Coding: Query check_ICD10_ESRD_and_AKI_only_if_transplant
Uses L Problem table: not relevant for this app
Status: ready to program
Implementation Date:
Backlogged: true
  • Cargo


  • SMW

"ready to program" is not in the list (needs review, ready to implement, implemented, not feasible, declined, retired, not entered) of allowed values for the "DICStatus" property.

  • Categories: 
  • form:

This check will always need to be consistent with Kidney Transplant Coding Guidelines.

Due to the way that ESRD and AKI are defined there are some scenarios in which a pt could actually have ESRD and then get an AKI. For example, someone can have a GFR <15 and not be on dialysis, and then get an AKI that puts them on dialysis. There are probably other scenarios.

So, we can not have a hard check for this, where a collector would not be able to send. Instead we will implement a "soft check" that gives a warning but allows the collector to click past.

Related articles

Related articles:
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