Recording, coding and commissioning of acute kidney injury (AKI) activity: A report for discussion by NHS Kidney Care.

AKI has traditionally been under recognised, with poor visibility within the commissioning process and expert opinion suggests routine coding datasets are likely to miss many cases. The report below aims to set out how patients with AKI should be identified through clinical coding, the resultant commissioning Healthcare Resource Groups (HRGs) that are generated, and how the visibility of AKI can within commissioning be improved. This is demonstrated through a series of detailed clinical examples. It also provides recommendations to help improve patient care and better manage resources.