InterQual Level of Care 2018 Index 2018 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. Produced in Cork, Ireland. 1 InterQual® Level of Care 2018 Index

Copyright 2018 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. Produced in Cork, Ireland. 1

InterQual® Level of Care 2018 Index

Acute Pediatric Criteria

The Index is an alphabetical listing of conditions and/or diagnoses designed to guide the user to

the criteria subset where a specific condition or diagnosis may be found. The actual criteria may

be worded differently from that of the listed condition or diagnosis.

Index Words by Subset

Subset Criteria/Diagnosis

ACETAMINOPHEN OVERDOSE ACETAMINOPHEN OVERDOSE

APAP OD

APAP OVERDOSE

PARACETAMOL OD

PARACETAMOL OVERDOSE

TOXIC INGESTION

TOXIC LEVEL OF DRUGS OR CHEMICALS

ACUTE KIDNEY INJURY (AKI) ACUTE KIDNEY INJURY

CONTINUOUS RENAL REPLACEMENT THERAPY

DIALYSIS

HEMODIALYSIS

NEPHROTOXIC

PERITONEAL DIALYSIS



ANEMIA / BLEEDING

ANEMIA

ANTERIOR EPISTAXIS

BLEEDING

COAGULOPATHY

DYSFUNCTIONAL UTERINE BLEEDING

EMBOLI

EPISTAXIS

ESOPHAGEAL VARICEAL HEMORRHAGE

GASTROINTESTINAL BLEEDING

GI BLEEDING

GROSS HEMATURIA

HEMATEMESIS

HEMATOCHEZIA

HEMATURIA

HEMOLYTIC ANEMIA

HEMOPHILIA

HEMOPTYSIS

HYPOTENSION, ORTHOSTATIC

LOWER GI BLEEDING

MELENA

NON-VARICEAL BLEEDING

POSTERIOR EPISTAXIS

RECTAL BLEEDING

RUPTURED VARICES

UPPER GI BLEEDING

UTERINE BLEEDING



ANEMIA / BLEEDING (cont’d) VAGINAL BLEEDING

VARICEAL HEMORRHAGE

VARICEAL RUPTURE

VON WILLEBRAND'S DISEASE

ANTEPARTUM

BLEEDING

CERCLAGE

DECREASED FETAL MOVEMENT

FETAL ANEMIA

FETAL ASCITES

FETAL COMPROMISE

FETAL MOVEMENT, ABSENT / DECREASED

GESTATIONAL DIABETES MELLITUS

HYPEREMESIS GRAVIDARUM

LABOR AND DELIVERY

NAUSEA AND VOMITING OF PREGNANCY

PLACENTA ABRUPTIO

PLACENTA PREVIA

PREMATURE RUPTURE OF MEMBRANES (PROM)

PRETERM LABOR

PROLAPSE

UTERINE BLEEDING

UTERINE CONTRACTIONS

VAGINAL BLEEDING

VOMITING



ASTHMA ASTHMA

STATUS ASTHMATICUS

WHEEZING

BONE MARROW TRANSPLANT / STEM CELL

TRANSPLANT (BMT / SCT)

BONE MARROW TRANSPLANT (BMT)

MYELOABLATIVE THERAPY

PRETRANSPLANT CONDITIONING REGIMEN

STEM CELL TRANSPLANT (SCT)

SUBMYELOABLATIVE THERAPY

BRONCHIOLITIS BRONCHIOLITIS

BRONCHOPULMONARY DYSPLASIA (BPD)

BRUE BRIEF RESOLVED UNEXPLAINED EVENT

BRUE

CARBON MONOXIDE POISONING CARBON MONOXIDE

CARBOXYHEMOGLOBIN

CEREBRAL EDEMA

POISONING

CELLULITIS ANIMAL BITE TO FACE

ANIMAL BITE TO HAND

CELLULITIS

HUMAN BITE TO FACE

HUMAN BITE TO HAND

ORBITAL CELLULITIS

PERI-ORBITAL CELLULITIS



CROUP CROUP

CYSTIC FIBROSIS

CYSTIC FIBROSIS

HEMOPTYSIS

PULMONARY EXACERBATION

PULMONARY INFILTRATE

RESPIRATORY FAILURE

RESPIRATORY INSUFFICIENCY

WORK OF BREATHING

DEHYDRATION OR GASTROENTERITIS

ABDOMINAL PAIN

DEHYDRATION

DIARRHEA

GASTROENTERITIS

OLIGURIA

VOMITING

DIABETES MELLITUS DIABETES

DIABETES MELLITUS

HYPERGLYCEMIA

DIABETIC KETOACIDOSIS DIABETES

DIABETES MELLITUS

DIABETIC KETOACIDOSIS (DKA)

HYPERGLYCEMIA

ELECTROLYTE OR MINERAL IMBALANCE

DIABETES INSIPIDUS

ELECTROLYTE



ELECTROLYTE OR MINERAL IMBALANCE (cont’d) ELECTROLYTE OR MINERAL IMBALANCE

HYPERCALCEMIA

HYPERKALEMIA

HYPERNATREMIA

HYPOCALCEMIA

HYPOKALEMIA

HYPOMAGNESEMIA

HYPONATREMIA

HYPOPHOSPHATEMIA

MUSCLE WEAKNESS

OSMOLALITY, SERUM HIGH OR LOW

OSMOLALITY, URINE HIGH OR LOW

RENAL INSUFFICIENCY

SIADH

SODIUM, ELEVATED

SODIUM, LOW

TETANY

VENTRICULAR ECTOPY

EPILEPSY EPILEPSY

POSTICTAL

SEIZURE

STATUS EPILEPTICUS

FAILURE TO THRIVE

ABUSE OR NEGLECT

FAILURE TO GAIN WEIGHT

FAILURE TO THRIVE (FTT)



FAILURE TO THRIVE (cont’d) GROWTH FAILURE

MALABSORPTION

MALNUTRTION

WEIGHT LOSS

WEIGHT, FAILURE TO GAIN

GENERAL MEDICAL:

CARDIOVASCULAR

HEART BLOCK

PULMONARY ARTERIAL HYPERTENSION

SYNCOPE

GENERAL MEDICAL:

CARDIOVASCULAR OR PERIPHERAL VASCULAR

ARRHYTHMIA

CARDIAC ARREST

CARDIAC TAMPONADE

CHEST PAIN

CYANOSIS

DEEP VEIN THROMBOSIS

HEART FAILURE

KAWASAKI DISEASE

PERICARDIAL EFFUSION

PERICARDITIS

PERIPHERAL ARTERY OCCLUSION

PULMONARY ARTERY HYPERTENSION

SYNCOPE

THROMBOCYTOPENIA

VENTRICULAR ASSIST DEVICE (VAD)


GENERAL MEDICAL:

EATING DISORDER

DEHYDRATION

EATING DISORDER

GROWTH FAILURE

MALNUTRITION

GENERAL MEDICAL:

GASTROINTESTINAL

ABDOMINAL PAIN

VOMITING

GENERAL MEDICAL:

GASTROINTESTINAL OR BILIARY

ABDOMINAL PAIN

ASCITES

BOWEL OBSTRUCTION

CHOLECYSTITIS

CHRONIC PANCREATITIS

CONSTIPATION

DEHYDRATION

DIARRHEA

GASTROESOPHAGEAL REFLUX

HEPATIC ENCEPHALOPATHY

HEPATIC DISEASE

ILEUS

JAUNDICE

OBSTRUCTION, BOWEL

OBSTRUCTION, INTESTINAL VOMITING

GENERAL MEDICAL:

GENERAL

DANGER TO SELF

HOMICIDAL OR HOMICIDE RISK

HYPERTHERMIA

PAIN

SUICIDAL OR SUICIDE RISK


GENERAL MEDICAL:

GENITOURINARY

ACUTE RENAL FAILURE (ARF)

BLOCKAGE OF BLADDER

BLOCKAGE OF RENAL PELVIS

BLOCKAGE OF URETER

HYDRONEPHROSIS

NEPHROTIC SYNDROME

PRIAPISM

RENAL CALCULUS

RENAL FAILURE

GENERAL MEDICAL:

HEMATOLOGY OR ONCOLOGY

PURPURA

THROMBOCYTOPENIA

GENERAL MEDICAL:

NEUROLOGICAL

CEREBRAL EDEMA

CEREBRAL HEMORRHAGE

HYDROCEPHALUS

MENTAL STATUS CHANGE

MIGRAINE

NEUROLOGIC DEFICIT

GENERAL MEDICAL:

RESPIRATORY

ALLERGIC REACTION

ANAPHYLAXIS

ANGIOEDEMA

DYSPNEA

HYPERTONIA

PLEURAL EFFUSION

PNEUMOMEDIASTINUM

PNEUMOTHORAX

PULMONARY EMBOLUS


GENERAL MEDICAL:

RESPIRATORY (cont’d)

PULMONARY INFARCT


GENERAL MEDICAL:

SKIN

ERYTHEMA MULTIFORME MAJOR

STEVENS-JOHNSON SYNDROME

WOUND DEHISCENCE

WOUND, OPEN

GENERAL MEDICAL:

TOXIC EXPOSURE OR INGESTION

ALCOHOL INTOXICATION

DETOXIFICATION

DRUG INTOXICATION

OVERDOSE (OD)

POISONING

TOXIC INGESTION

TOXIC LEVEL OF DRUGS OR CHEMICALS

GENERAL MEDICAL:

TRANSPLANT

GRAFT DYSFUNCTION

GRAFT REJECTION

GRAFT VS HOST DISEASE (GVHD)

TRANSPLANT COMPLICATIONS

TRANSPLANT REJECTION / DYSFUNCTION

GENERAL SURGICAL

ANTICOAGULANT BRIDGING

COMPLICATIONS OF AMBULATORY SURGERY

DESIGNATED INPATIENT PROCEDURE

HEART TRANSPLANT

HEART-LUNG TRANSPLANT

HIGH RISK FOR THROMBOEMBOLISM


GENERAL SURGICAL (cont’d)

KIDNEY TRANSPLANT

LIVER TRANSPLANT

LIVING DONOR

LUNG TRANSPLANT

MEDICALLY COMPLEX CHILD

NECROTIZING FASCIITIS

PREOP BLOOD SUGAR CONTROL

PREOP BOWEL PREP

PREOP HYDRATION FOR SICKLE CELL DISEASE

PREOP TRANSPLANT

SMALL BOWEL TRANSPLANT

SOLID ORGAN TRANSPLANT

VENTRICULAR ASSIST DEVICE (VAD)

GENERAL TRAUMA

ABDOMINAL ORGAN CONTUSION

HEMOPERICARDIUM

HEMOPERITONEUM

SEIZURE

SPINAL CORD INJURY (SCI)

SPINAL FRACTURE OR SUBLUXATION

SPLEEN INJURY

WOUND, OPEN

GENERAL TRAUMA:

CARDIOVASCULAR

CHEST TRAUMA

ELECTRICAL INJURY


GENERAL TRAUMA:


CARDIAC ARREST

CARDIAC TAMPONADE


GENERAL TRAUMA:


(cont’d)

CHEST TRAUMA

COMPARTMENT SYNDROME


VASCULAR COMPROMISE

GENERAL TRAUMA:

EYE

BURNS (THERMAL / ELECTRICAL / CHEMICAL)

HYPHEMA

INTRAOCULAR PRESSURE, ELEVATED

OCULAR TRAUMA

GENERAL TRAUMA:

GENERAL

ABDOMINAL TRAUMA

ABUSE OR NEGLECT

BLEEDING

DISSEMINATED INTRAVASCULAR COAGULATION (DIC)

FOREIGN BODY

HIGH RISK TRAUMA

HYPOTHERMIA

INTRACRANIAL OR INTRACEREBRAL BLEEDING

LIVER INJURY

MOTOR VEHICLE TRAUMA

ORGAN CONTUSION

ORGAN INJURY

PAIN

RETROPERITONEAL ORGAN CONTUSION

SNAKEBITE

SPLEEN INJURY

GENERAL TRAUMA:

MUSCULOSKELETAL

CERVICAL SPINE INJURY (CSI)

DISLOCATION


GENERAL TRAUMA:

MUSCULOSKELETAL (cont’d)

FACIAL FRACTURE

FRACTURE

PELVIC FRACTURE

GENERAL TRAUMA:

NEUROLOGICAL

CEREBRAL CONTUSION

CEREBRAL EDEMA

CEREBRAL HEMORRHAGE

COMA

CONCUSSION

CONTUSION

EPIDERMAL HEMATOMA

HEAD INJURY

HEAD TRAUMA

HEMATOMA

LETHARGY

SUBCAPSULAR HEPATIC HEMATOMA

SUBDURAL HEMATOMA

GENERAL TRAUMA:

RESPIRATORY

DECOMPRESSION SICKNESS

FLAIL CHEST

HEMOTHORAX

INHALATION, SMOKE

LUNG INJURY

NONFATAL DROWNING

PNEUMOTHORAX

PULMONARY EDEMA

SMOKE INHALATION


GENERAL TRAUMA:

SKIN

BURNS (THERMAL / ELECTRICAL / CHEMICAL)

HEMATOLOGY / ONCOLOGY:

ACUTE LEUKEMIA

ACUTE LEUKEMIA

ACUTE LYMPHOMA

LEUKEMIA

LEUKEMIA, ACUTE

LYMPHOMA

LYMPHOMA, ACUTE


BRAIN MALIGNANCY

BRAIN MALIGNANCY

BRAIN METASTASIS

BRAIN METS

BRAIN TUMOR

MALIGNANCY, BRAIN

HEMATOLOGY / ONCOLOGY: CHEMOTHERAPY

CHEMO

CHEMOTHERAPY

CHEMOTHERAPY COMPLICATIONS


HEMOLYTIC UREMIC SYNDROME

HEMOLYTIC UREMIC SYNDROME

HUS


MALIGNANT DISEASE

CANCER

MALIGNANT DISEASE

MALIGNANT PLEURAL EFFUSION

SPINAL CORD COMPRESSION

TUMOR


TUMOR LYSIS SYNDROME

TUMOR LYSIS SYNDROME


HYPERBILIRUBINEMIA

ACUTE BILIRUBIN ENCEPHALOPATHY

BILIRUBIN

G6PD DEFICIENCY

HYPERBILIRUBINEMIA

JAUNDICE

KERNICTERUS

HYPERTENSION HYPERTENSION

HYPERTENSIVE EMERGENCY

HYPERTENSIVE URGENCY

ORTHOSTATIC HYPERTENSION

PULMONARY ARTERY HYPERTENSION

HYPERTENSIVE DISORDERS OF PREGNANCY

ECLAMPSIA

HELLP SYNDROME

HYPERTENSION

PREECLAMPSIA

PREGNANCY INDUCED HYPERTENSION

SCOTOMA

SEIZURE

THROMBOCYTOPENIA

HYPOGLYCEMIA DIABETES

DIABETES MELLITUS

HYPOGLYCEMIA

INFECTION:

CNS

BRAIN ABSCESS

CEREBRAL EDEMA

ENCEPHALITIS

FUNGAL INFECTION


INFECTION:

CNS (cont’d)

INTRACRANIAL PRESSURE (ICP)

LYME

VIRAL INFECTION

INFECTION:

ENDOCARDITIS

ARRHYTHMIA

ENDOCARDITIS

INFECTION:

GENERAL

BACTERIAL TRACHEITIS

CENTRAL VENOUS CATHETER INFECTION

DENGUE

EBOLA

EBOLA VIRUS DISEASE (EVD)

EPIGLOTTITIS

FEVER

FUNGAL INFECTION

INTRAOCULAR ABSCESS

INTRAOCULAR INFECTION

LESION, THROAT

MASTOIDITIS

MONONUCLEOSIS

NEUTROPENIA

PERIORBITAL INFECTION

PERITONSILLAR ABSCESS

RETROPHARYNGEAL ABSCESS

TOXIC APPEARING

TUBERCULOSIS

TYPHOID FEVER


INFECTION:

GI / GYN

ABDOMINAL PAIN

ABSCESS

BILIARY SEPSIS

CLOSTRIDIUM DIFFICILE

COLITIS

INTRA-ABDOMINAL ABSCESS

OVARIAN CYST

OVARIAN MASS

PELVIC ABSCESS

PELVIC INFLAMMATORY DISEASE

SEPSIS

SPONTANEOUS BACTERIAL PERITONITIS

TUBO-OVARIAN ABSCESS

INFECTION:

MUSCULOSKELETAL

JOINT EFFUSION

OSTEOMYELITIS

SEPTIC ARTHRITIS

SEPTIC JOINT

INFECTION:

PNEUMONIA

ABSCESS

EMPYEMA

INFECTION

PLEURAL EFFUSION

PNEUMOCYSTIS JIROVECII

PNEUMONIA


SEPTIC SHOCK


INFECTION:

PYELONEPHRITIS

BACTERIURIA

LEUKOCYTE ESTERASE (+) POSITIVE ON UA

NITRITE (+) POSITIVE ON UA

PYELONEPHRITIS

PYURIA

URINALYSIS, ABNORMAL

URINARY TRACT INFECTION

INFECTION:

SEPSIS

FEVER

INFECTION

SEPSIS

SEPTIC SHOCK

SEVERE INFECTION

SUSPECTED SEPSIS

SYSTEMIC INFECTION

INFECTION:

SKIN

ABSCESS

DEHISCENCE

HERPES SIMPLEX

HERPES ZOSTER

STAPHLOCOCCAL SCALDED SKIN SYNDROME

WOUND DEHISCENCE

WOUND INFECTION

LABOR AND DELIVERY

BLEEDING

CESAREAN DELIVERY

ECLAMPSIA

HELLP SYNDROME

HYPERTENSION


LABOR AND DELIVERY (cont’d)

INDUCTION

INDUCTION OF LABOR

LABOR AND DELIVERY

SEIZURE

TERM LABOR

VAGINAL DELIVERY

WOUND DEHISCENCE

MENINGITIS BACTERIAL MENINGITIS

FUNGAL MENINGITIS

LYME MENINGITIS

MENINGITIS

SUSPECTED MENINGITIS

VIRAL MENINGITIS

NURSERY

ABO INCOMPATIBILITY

APGAR

BIRTH TRAUMA

DEXTROCARDIA

G6PD DEFICIENCY

GENETIC DISEASE

GROUP B STREP (GBS)

HYALINE MEMBRANE DISEASE (HMD)

HYPERALERTNESS OR HYPERACTIVITY

HYPERAMMONEMIA

INFANT OF DIABETIC MOTHER (IDM)

MECONIUM ASPIRATION

MECONIUM ILEUS


NURSERY (cont’d) MURMUR

NECROTIZING ENTEROCOLITIS (NEC)

PERINATAL HYPOXIA OR HYPERCARBIA

PREMATURITY

RETAINED FETAL LUNG FLUID

RH INCOMPATIBILITY

SHORT BOWEL SYNDROME

SMALL FOR GESTATIONAL AGE (SGA)

SYPHILIS

TEMPERATURE INSTABILITY

NURSERY:

NEWBORN LEVEL I

FAILURE TO THRIVE (FTT)

HEALTHY NEWBORN

NURSERY:

SPECIAL CARE LEVEL II

APNEA

APNEA OF PREMATURITY

BRADYCARDIA

GLUCOSE IMBALANCE

INBORN ERROR OF METABOLISM

NURSERY:

NEONATAL INTENSIVE CARE LEVEL III

APNEA

APNEA OF PREMATURITY

BRADYCARDIA

ELECTROLYTE IMBALANCE

GLUCOSE IMBALANCE

HYDROCEPHALUS

HYPOVOLEMIA

NURSERY:

NEONATAL INTENSIVE CARE LEVEL IV

HEMODYNAMIC INSTABILITY


PANCREATITIS

ABDOMINAL PAIN

ACUTE PANCREATITIS

BILIARY SEPSIS

CHOLANGITIS

ELEVATED AMYLASE

ELEVATED LIPASE

PANCREATIC INFLAMMATION

PANCREATITIS

POSTPARTUM COMPLICATION AFTER DISCHARGE

BLEEDING

ECLAMPSIA

HELLP SYNDROME

HYPERTENSION

PREECLAMPSIA

SEIZURE

THROMBOCYTOPENIA

RHABDOMYOLYSIS OR CRUSH CRUSH SYNDROME

RHABDOMYOLYSIS

SICKLE CELL CRISIS ACUTE CHEST SYNDROME (ACS)

APLASTIC CRISIS

HYPOVOLEMIA

SICKLE CELL CRISIS

SPLENIC SEQUESTRATION

VASO-OCCLUSIVE CRISIS (VOC)


WITHDRAWAL SYNDROME ALCOHOL WITHDRAWAL

DETOXIFICATION

DRUG WITHDRAWAL

WITHDRAWAL SYNDROME

Documents

InterQual Level of Care 2018 Index 2018 Change Healthcare LLC and/or one of its subsidiaries. All Rights Reserved. Produced in Cork, Ireland. 1 InterQual® Level of Care 2018 Index