Query check ICD10 trach dxs consistent: Difference between revisions

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m (only true for acquired dxs, otherwise the dx might still be there but the trach was on previous location; updated query, confirmed it gets run)
 
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{{Data Integrity Check
{{Data Integrity Check
| DIC_summary = Tracheostomy related CCI and ICD10 codes must be consistent with each other.  
| DIC_summary = Tracheostomy related CCI and ICD10 codes must be consistent with each other.  
| DIC_related_concepts = Tracheostomy, has one; Tracheostomy care;  Tracheostomy complication, hemorrhage from site; Tracheostomy complication, malfunction; Tracheostomy complication, NOS; Tracheostomy complication, tracheo-esophageal fistula; Tracheostomy creation
| DIC_related_concepts = Tracheostomy, has one; Tracheostomy complication, hemorrhage from site; Tracheostomy complication, malfunction; Tracheostomy complication, NOS; Tracheostomy complication, tracheo-esophageal fistula; Trach Tube Present (TISS Item)
| DIC_firmness = hard check  
| DIC_firmness = hard check  
| DIC_timing =
| DIC_timing =
| DIC_app = CCMDB.mdb
| DIC_app = CCMDB.accdb
| DIC_coding = Query ''check_ICD10_trach_dxs_consistent''
| DIC_coding = Query ''check_ICD10_trach_dxs_consistent''
| DIC_status = implemented
| DIC_status = implemented
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}}
}}


* if any trach-implying dxs are present then pt must have at least one code that indicates that they have a trach :
* if any trach-implying [[Acquired Diagnoses]] are present then pt must have at least one CCI or ICD10 code that indicates that they have a trach :
** trach-implying dxs
** trach-implying dxs
*** {{ICD10WithCode|Tracheostomy complication, hemorrhage from site}}
*** {{ICD10WithCode|Tracheostomy complication, hemorrhage from site}}
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*** {{ICD10WithCode|Tracheostomy complication, tracheo-esophageal fistula}}
*** {{ICD10WithCode|Tracheostomy complication, tracheo-esophageal fistula}}
** code that indicates that they have a trach
** code that indicates that they have a trach
*** CCI - [[Tracheostomy creation]]
*** CCI - {{CCIWithCode| Tracheostomy creation}}
*** ICD10 - {{ICD10WithCode|Tracheostomy, has one}}
*** ICD10 - {{ICD10WithCode|Tracheostomy, has one}}
 
*** TISS - {{TISS w Nr | Trach Tube Present (TISS Item)}}
== False positives? ==
{{Discuss | who = Tina | question =
*This code could be used as an admit code if the patient is a transfer from another ICU.  For example, the patient was in ICMS and there had a trach created,  later, the patient was transferred to ICCS.  The data collector there will have "tracheostomy, has one" in her admit codes.  She would not put it in her comorbids.  Our integrity checks do not allow this it seems.  How do you want to resolve this?  --[[User:LKolesar|LKolesar]] 11:36, 2019 April 12
** I think I fixed this, pls confirm if it's still a problem. Ttenbergen 10:29, 2019 April 23 (CDT). Thanks Tina, I will try testing it today --[[User:LKolesar|LKolesar]] 07:02, 2019 April 26 (CDT).  It seems to be OK, it let me check off the diagnosis tab without error when I entered "tracheostomy, has one" as an admit code only. --[[User:LKolesar|LKolesar]] 09:47, 2019 April 30 (CDT)}}
*


== Log ==
== Log ==
* 2019-04-08 - removed [[Tracheostomy care]] from this query; changed how it is structured altogether to test new rule
* 2023-05-03 - tweaked definition and implemented
* 2022-09-28 - definition tweaked
* 2022-02-10 - reviewed the proposed addition and have concerns, flagged for Julie
* 2019-04-08 - removed [[Tracheostomy care]] (retired code) from this query; changed how it is structured altogether to test new rule
* 2019-03-20 - previously this also required one of the above if "has one" was present, but that makes no sense, because one could be present without additional care requirements, so have taken that part out. Ttenbergen 12:45, 2019 March 20 (CDT)
* 2019-03-20 - previously this also required one of the above if "has one" was present, but that makes no sense, because one could be present without additional care requirements, so have taken that part out. Ttenbergen 12:45, 2019 March 20 (CDT)
== Related articles ==
{{Related Articles}}


[[Category:Tracheostomy]]
[[Category:Tracheostomy]]
[[Category:ICD10 Dx check]]
[[Category:ICD10 Dx check]]
[[Category:CCI Px check‎]]
[[Category:CCI Px check‎]]
[[Category:TISS28 check]]

Latest revision as of 10:38, 2023 May 3

Data Integrity Checks
Summary: Tracheostomy related CCI and ICD10 codes must be consistent with each other.
Related: Tracheostomy, has one, Tracheostomy complication, hemorrhage from site, Tracheostomy complication, malfunction, Tracheostomy complication, NOS, Tracheostomy complication, tracheo-esophageal fistula, Trach Tube Present (TISS Item)
Firmness: hard check
Timing:
App: CCMDB.accdb
Coding: Query check_ICD10_trach_dxs_consistent
Uses L Problem table: not relevant for this app
Status: implemented
Implementation Date: 2019-01-22
Backlogged: true
  • Cargo


  • SMW


  • Categories: 
  • form:

Log

  • 2023-05-03 - tweaked definition and implemented
  • 2022-09-28 - definition tweaked
  • 2022-02-10 - reviewed the proposed addition and have concerns, flagged for Julie
  • 2019-04-08 - removed Tracheostomy care (retired code) from this query; changed how it is structured altogether to test new rule
  • 2019-03-20 - previously this also required one of the above if "has one" was present, but that makes no sense, because one could be present without additional care requirements, so have taken that part out. Ttenbergen 12:45, 2019 March 20 (CDT)

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