Query check ICD10 ESRD vs ARF: Difference between revisions
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Ttenbergen (talk | contribs) m (Text replacement - "Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5" to "Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5, GFR LT 15") |
Ttenbergen (talk | contribs) m (Text replacement - "Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5, GFR LT 15" to "Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15") |
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{{Data Integrity Check | {{Data Integrity Check | ||
|DIC_summary=Can't have [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5, GFR LT 15|ESRD]] and acute renal failure, except if there was a transplant during this ward stay | |DIC_summary=Can't have [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15|ESRD]] and acute renal failure, except if there was a transplant during this ward stay | ||
|DIC_related_concepts=Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5, GFR LT 15; {{#ask: [[Concept:Acute renal failure]]|format=plainlist|link=none|sep=; }}; Renal Coding Considerations for ICD10 | |DIC_related_concepts=Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15; {{#ask: [[Concept:Acute renal failure]]|format=plainlist|link=none|sep=; }}; Renal Coding Considerations for ICD10 | ||
|DIC_firmness=hard check | |DIC_firmness=hard check | ||
|DIC_timing=complete | |DIC_timing=complete |
Revision as of 15:17, 2019 June 18
Data Integrity Checks | |
Summary: | Can't have ESRD and acute renal failure, except if there was a transplant during this ward stay |
Related: | Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15, 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, Renal Coding Considerations for ICD10 |
Firmness: | hard check |
Timing: | complete |
App: | CCMDB.mdb |
Coding: | query check_ICD10_ESRD_vs_ARF |
Uses L Problem table: | not relevant for this app |
Status: | needs review |
Implementation Date: | 2018/12/26 |
Backlogged: | true |
Implements the rules written out in Template:ICD10 Guideline ESRD vs Acute renal failure:
ESRD vs Acute Renal Failure
- AND
- UNLESS the patient has had a renal transplant and the transplanted kidney was functioning (and thus can experience acute renal failure)
About "Acute on Chronic renal failure"
- Our definition for CRF includes two things, as above. If you are on dialysis then it is technically not possible to also have acute renal failure. And while our threshold of creatinine clearance < 15 ml/min USUALLY gets people on dialysis, that's not always the case. In other words, there are some people who don't need to start dialysis until their clearance is <10 or even 8 ml/min. THOSE people who by our definition have Stage 5 CKD cannot have ARF but rather this is considered a progression of their underlying disease. Instead of coding ARF, code the reason for dialysis ie. Fluid overload, Hyperkalemia, severe or symptomatic etc combined with Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15
- And of course, if you previously had Stage 5, were on dialysis, then got a successful renal transplant, then you CAN get acute renal failure in your graft.