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by E. Lamb
Thursday, October 18, 2018
Blue Baby Syndrome/High Nitrates 1 T. Conn Hi Tami,We haven't looked into this in TN, but if it were me, I'd start by looking at discharge diagnosis codes (maybe D74 - Methemoglobinemia?) and use those to figure out what chief complaint terms, age cut offs, etc. get at what you'd really want to be looking at. Better yet, if there's a patient you know of that has been diagnosed with the condition and shows up in your data, I'd use them as a starting place to try to build a definition. You'll need to figure out how to balance sensitivity versus specificity in your query too. I'm assuming it's a very rare event, so you might also need to go digging in some older data sources (like hospital discharge data) to try and figure out what "normal" looks like, since Methemoglobinemia can be caused by things other than nitrate exposure. TL;DRTo throw an idea out there, maybe start with the ICD10 code D74 (Methemoglobinemia) and SNOMED codes for methemoglobinemia (38959009 is what looked to me like the general code, but there were also very specific ones, which may or may not be a realistic expectation of the data you are receiving) and work backwards from there? Hope that helps!Caleb
by C. Wiedeman
Tuesday, September 18, 2018
Carbon Monoxide (CO) surveillance 4 N. Close NH established a small carbon monoxide workgroup starting in 2008 after a major ice storm caused a major power outage and approximately 70 people sought medical attention at local hospitals. Out of this workgroup New Hampshire law now requires the installation of carbon monoxide detectors in rental units and in single- and multi-family units built or substantially renovated after January 1, 2010. We average about 100 CO exposures annually (carbon monoxide is not reportable but monitored daily) using the chief complaint text for emergency department encounters reported through Automated Health Emergency Department Data (AHEDD). AHEDD is searched for clinical language associated with CO exposures. We have had issues at ice rinks so now we have mandated annual inspections from our fire marshal’s office.
by K. Dufault
Thursday, May 3, 2018
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