Requested CCMDB changes for the next version: Difference between revisions

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''see the [[:Category: Development Documentation | Development Documentation Category]] for other development logs''
''see the [[:Category: Development Documentation | Development Documentation Category]] for other development logs''
== Requests ==
==== after fixing the CCI page names on wiki, '''add wiki link for CCI codes in CCMDB.accdb''' ====


=== screen refresh reductions ===
As part of troubleshooting Con's blinky screen Brendan suggested the following:


== Post-Roll-out Cleanup for DB update ==
There’s code you can put in, I forget what the commands actually are, but it turns off the screen refresh during functions so the user doesn’t see what’s happening. You’d turn the refresh off before the function starts, they’ll see a static screen until you tell it to turn the refresh on, where the screen will then load just one time and all of the new info, all the rows, any formatting, or populating, etc.. is done. Instead of refreshing 10 or 20 times, once for each row.
* Make sure that data mdb is no longer being rolled out in update batch file.  
 
== integrity checks checklist ==
{{#ask: [[DICStatus::ready to implement]][[DICApp::CCMDB.accdb]] OR [[DICStatus::needs review]][[DICApp::CCMDB.accdb]]
|?DICStatus = Status
|limit=20
|format=broadtable
|class=sortable wikitable smwtable
|default=No cross checks ready to implement
}}


== Bug Fixes ==
== Bug Fixes ==
=== Out of Memory ===
''see [[:Category:Bugs]] and especially [[:Category:Bugs needing input]] for bugs with their own article''
* Occasional [[Out of Memory Error]] when adding patients (both Pat and Deb reported this). [[User:Ttenbergen|Ttenbergen]] 18:18, 1 December 2010 (CST)
{{#ask: [[Category:Bugs]] [[Category:Bugs needing input]]
 
|?DICStatus = Status
== Functional Improvements ==
|?Modification date
=== Facilitate exchange of patient discharge times ===
|sort=Modification date
We discussed at the last collection meeting that I would set up a program to provide the collectors with admit/discharge info. We discussed whether to include Comos etc. in this, and it was decided not to - Julie will from now on treat ANY como on this admisssion as a como for all subsequent ward stays on that admission. (see also [[Admit, Transfer and Discharge date and time]])
|order=ascending
 
|limit=20
*When I spoke with Julie last week she said we did not have to compare comorbids any more.  Julie please confirm this on  the wiki.  --[[User:LKolesar|LKolesar]] 15:02, 19 November 2010 (CST)
|format=broadtable
 
  |link=all
===[http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Notes_field#Apache_secondary_upper_and_lower_limits Apache secondary upper and lower limit verifying abnormal Apache values by collectors using Access]===
  |class=sortable wikitable smwtable
Apache limits - upper and lower - set secondary limits for some of the values for Apache or MOST - these are values that can be occur, but are not the norm. Julie to review database and advise what the values will be.  Purpose, reduce checks and question to collectors--[[User:TOstryzniuk|TOstryzniuk]] 18:48, 5 November 2010 (CDT)
}}
 
=== Implement mean BP calculation tool on laptop ===
It would be beneficial to put in a mean BP helper (like the ABG helper) so that we could enter our systolic and diastolic BP's and it would automatically calculate the mean BP and perhaps even indicate the higher apache score and then we could pick the worst one. This would make apache scores more accurate.
 
=== BP calculator ===
* update or separate article when the BP helper using L_BPs is implemented


==Changes Under Discussion==
== Next Round of Data Changes ==
These requested changes can not be processed until the questions about them have been answered. Wherever possible the discussion should conclude in the home article of the topic. If a topic has no home article, it can be listed here.
Flag this in the relevant pages as follows so it lists properly in [[To do list]]. See there for actual changes requested.  


=== Early ID Study ===
{ {Todo
add [[Early_ID_study#Consistency_Checks]] once questions are answered. [[User:Ttenbergen|Ttenbergen]] 13:29, 24 December 2010 (CST)
| who = Tina
| todo_added = 2021-07-21
| todo_action =  
| question = Dev_CCMDB_Data / Dev_CCMDB depending on if CCMDB needs update first.
<provide details of change>
}}


=== Full Apache Score ===
== Bugs that need input ==
Add full apache score to the Viewer form
In order to troubleshoot bugs in the program we need to know how they happen. Any further feedback on these bugs might be the piece of the puzzle that allows me to fix the bug. If you find a new bug, you please document it.
* That one would need thorough testing to make sure I got the score right, e.g. enter 10 patients and check if their apache scores in ccmdb are what you would have calculated. Any volunteers for the testing? If it won't be validated I'd rather not add this to confuse anyone. [[User:Ttenbergen|Ttenbergen]] 11:05, 9 June 2010 (CDT)
{{#ask: [[Category:Bugs needing input]]
** Marie Laporte offered to help with this. I will let her know once I have implemented this. [[User:Ttenbergen|Ttenbergen]] 16:01, 2 July 2010 (CDT)
|?Modification date
{{discussion}}
|default=No corresponding old article found
* What would this "full apache score" be used for? Much of the diagnostic scoring seems to be documented only in the form of a [http://ltc.umanitoba.ca/ccmdb/images/a/ab/ApacheII_MacroDX_code_map.pdf macro] which will be a mess to decipher and implement in Access. What is the benefit? [[User:Ttenbergen|Ttenbergen]] 10:48, 29 October 2010 (CDT)
|format=broadtable
|limit=100
|link=all
|headers=show}}


=== Help to manage Serial numbers===
=== renal task checks ===
If I understand right data collectors currently collect one or more locations from one or more pools of serial number pools.
* [[Check Renal Tasks]]
Details of the serial number system are located in [[Serial number]]. This has been flagged as one reason why people find paper printouts of the most recent patients sent useful.
There are some possible changes identified that either need to be flagged as needing to be done, or where there is still a discussion going on.
Also related to this:
* confirm "if LOS <3 days and 350 in admit or acq or if 351 in com orbit, then a dialysis TASK item is ok not to be marked."
** right now this could go through
** this and related checks are all stuck in [[Check Renal Tasks]] questions
** this also shows up in [[Change_Priorities#Need_and_NDC:_for_ARF.2C_CRF_.26_Task_dialysis]]
=== Pharmacy reference ===
* '''reference sheet''' - some suggested we add a reference sheet. I could make a button on that screen to bring up a reference sheet. Problem is that would be at least the ''third'' copy of this information, leading to problems maintaining consistency. I would be willing to do it if we change the table with the info on the wiki to a plain-text formatted table that I can directly copy-and-paste into Access, e.g. something like
---------------------
| test | second test|
---------------------
| blah | blah blah  |
---------------------


Serial numbers have to be unique for a collection location, so if a ward like HSC_H4H is collected on by multiple collectors then a serial number must never be re-used. One way this is achieved is to assign blocks of numbers for each 100 possible serial numbers to a given collector.  
* If someone could set up the table on the wiki I will make a form with the content in the app. Any volunteers? I could add this to the next version easily. Ttenbergen 16:41, 2013 April 24 (EDT)
** No news in about a month. If anyone is interested in making that list, let me know and I'll put it into the CCMDB.accdb.
*** No one ever volunteered to provide the sheet, so taking out the question. If someone is willing to work on this, please add a discussion back in. Ttenbergen 19:39, 2019 November 13 (CST)


A study number must be entered before any other data since access uses it to set the relationships for the data. To accomplish that, function new_pat_id() opens a window requesting the serial number pops up when "add new patient" is clicked on the patient list.  
=== apache check no longer yellowing fields ===
apache check is no longer yellowing fields[[User:Ttenbergen|Ttenbergen]] 10:09, 10 January 2012 (CST)
*yes, it is no longer yellowing the field, just the error box below. Can't find trace of the code, and not sure when it was changed. Ponder whether to re-instate, error checking is still being called and still prevents sending... [[User:Ttenbergen|Ttenbergen]] 17:13, 2012 January 31 (CST)
**Do we want to re-implement this? Would take a few days of coding I think, so I haven't done it. Ttenbergen 16:58, 2012 October 1 (CDT)
***not sure what you mean no longer yellowing fields.  Do you mean where there is an error (limit) or missing data that is not yellowing? --[[User:TOstryzniuk|Trish Ostryzniuk]] 19:13, 2013 January 28 (EST)
**** been a while, I'll review and let you know what this is about. Ttenbergen 13:55, 2013 January 29 (EST)


Added question to [[Serial_number#Special-Use_Serial_Numbers]] to find out if any serial numbers need to be "reserved".  
== Previous requests that were not made (with reasons) ==
=== DOB format ===
* "when you create a new profile and have to fill in the DOB it is backwards to what is written in the chart, so when we go to enter the DOB we have to stop and  think about it to enter it in our computer.  It is written in all chart as day/month/year,  we use to be able to enter it that way and it would automatically fall into place" - Pat 09:29, 2013 December 19 (CST)
** there was discussion about doing this and we decided not to to keep dates consistent throughout the program.  


====Possible Solution====
=== prevent setting recordstatus from sent to complete ===
The program would provide a default serial number. For locations with only one serial pool, this would be a one-step, transparent process. Collectors with more than one serial number pools would get a dropdown list of possible pools; upon choosing one the program would default to serial (most recent+1). Collectors using only blocks of serial numbers would have to keep track if they are "leaving" their block (e.g. if you are using only 20-39 and the program defaults to 1140, you would have to realize that and change it to 1220).  
*Prevent RecordStatus of Sent files being changed from Sent to Incomplete if data altered after file sent in[[User:Mlaporte|Mlaporte]] 15:18, 2013 December 16 (CST)
** actually, need to be able to do that to re-send when needed.  


To accomplish this, the _info table would store
=== sending only lab/pharm sums to centralized_data.mdb ===
* variable: serial_pools, value: comma-separated list of wards
All the info that is actually needed in centralized is the sum of labs and pharmacy. Was hoping to send only that, but it would complicate synching with collector laptops while adding little value, so not doing that for now.
* for each ward, a variable "Serial_pool" & <ward> (e.g. Serial_pool_HSC_H4H) with the most recent value used, updated automatically by the serial wizard
We could re-visit this if it is a problem, or if those files get unwieldy large. Also, could run a "summarizer" across those files for complete records only.
Will leave alone unless main office really wants this done... Ttenbergen 12:35, 2013 November 11 (CST)


{{discussion}}
* Any thoughts about this? Do you think it would/wouldn't work or be helpful? Especially, do you think collectors would consistently "catch" the ends of blocks?
**This may not work as planned as there are times when the data collector assigns a number to a patient file in her log book but is unable to use it immediately and must use numbers out of order (even though the numbers are assigned in the right order).--[[User:CMarks|CMarks]] 08:39, 30 November 2010 (CST)
=== Facilitating diagnosis entries ===
As discussed at the [[Minutes_Team_Meeting_December_1%2C_2010#Restructuring_DX_codes_in_Access |Meeting]] Laura Kolesar is reviewing the names of the diagnoses we use to make it more likely that you get the right one when you start typing. Laura, any progress on this? [[User:Ttenbergen|Ttenbergen]] 19:24, 30 December 2010 (CST)
{{discussion}}
=== Extra "pathogens" ===
As part of an effort to reduce relying on paper notes during collection, Marie brought up the possibility to put ''"waiting for tests"'' and ''"review"'' as options into the pathogen dropdown and to conditional-format the field in orange if they are chosen. Of course, choosing them would also disable checking DX complete.
Some of you are entering [[Unknown Pathogen]], and then re-check all patients with unknown pathogens before sending.
{{Discussion}}
* Actually, I don't understand how this is better than just leaving the entry as "No Value" until you know what you will put there. This way you would get an error if you tried to set the dx to complete. Can someone explain to me how a different dropdown would improve upon this? I don't see how you use this in the field, so I might be missing something. [[User:Ttenbergen|Ttenbergen]] 19:43, 30 December 2010 (CST)
Also, some of you were addressing here how long they wait for a pathogen which is not immediately available; that is discussed in the article [[Pathogens]]. Here i am wondering if additional options would make collection easier.
=== change Final_checks to dropdown to allow for more options once we start to be able to send back data ===
* add s_FinalChecks, fix all spots that use FinalCheck (or make a function to check it)
== Bugs that need replicating ==
In order to troubleshoot bugs in the program we need to know how they happen. There are a number of articles about known bugs we are trying to fix in the [[:category:bugs | bugs category]]. Any further feedback on these bugs might be the piece of the puzzle that allows me to fix the bug.
== Previous requests that were not addressed (with reasons) ==
=== Default location field to main collection location ===
=== Default location field to main collection location ===
There have been requests to default the location field to the main (or only) collection location.  
There have been requests to default the location field to the main (or only) collection location.  
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Upon consultation with Trish it was decided not to risk an increase in errors to make this more convenient.  
Upon consultation with Trish it was decided not to risk an increase in errors to make this more convenient.  
* "There are a number of site collecting on 2 or more units using the same laptop.  We get ward location entry error when there is a default location set."  ... "--[[User:TOstryzniuk|TOstryzniuk]] 12:25, 20 October 2010 (CDT)"
* "There are a number of site collecting on 2 or more units using the same laptop.  We get ward location entry error when there is a default location set."  ... "--[[User:TOstryzniuk|TOstryzniuk]] 12:25, 20 October 2010 (CDT)"
PS: If I enable defaulting for anywhere then I would not be able to disable defaulting for other locations, so it was decided not to have defaulting. [[User:Ttenbergen|Ttenbergen]] 12:44, 12 January 2011 (CST)
I have, though, reduced the location list to only those wards at a given laptop's site. [[User:Ttenbergen|Ttenbergen]] 18:09, 14 July 2011 (CDT)


=== Cancel for Settings ===
=== Cancel for Settings ===
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No can do. There are is a sb-form in settings form that would not be cancelled, so having a cancel would be misleading.  
No can do. There are is a sb-form in settings form that would not be cancelled, so having a cancel would be misleading.  
=== Off-line copy of wiki for laptop ===
We found a way to do this, but it would add overhead work to the collectors' job and it would deter from using the wiki as a tool owned and updated by all, so Trish and Tina decided not to pursue this further.  [[User:Ttenbergen|Ttenbergen]] 15:01, 16 April 2010 (CDT)
* look into possibility of automatically downloading WIKI guide to laptop each day that it is synch'd.  (portable version of guideline)'''--[[User:TOstryzniuk|TOstryzniuk]] 20:11, 4 April 2009 (CDT)
*As moved from Diagnosis Coding:
::A suggestion has been put forth to Tina is to find a away to allow a downloaded copy of the WIKI guide on laptops, the collection tool we are moving to soon.    I think this would be an excellent solution if she can do this.    Collectors would then be able to search for info no matter where they are in the collection field and each time they synch there laptop, they would get updated WIKI items.  That is the plan............but waiting to here from IT support.
::It is challenge right now in that the guideline information is not easily and quickly accessible while you are doing your work in the unit or in medical records.  Most collectors must run back to their office or find a free computer to log in and look up guide info.   
::Keep in mind, guide information changes regularily, so what you print out one day is outdated the next for a number of articles. [[User:TOstryzniuk|TOstryzniuk]] 11:25, 29 April 2009 (CDT)
*April 2010 - Trish and Tina reviewed the apparent option to have a COPY of wiki on laptop.  Problem if implemented:
# if collectors will not have the most update the copy on laptop because changes and updates are happening daily on the MAIN copy here, and thus changes to instruction will get missed.
#2. Don't want multiple copies of instruction and information on multiple laptops that are not up to date.
#Collector questions and contribution to the Wiki cannot be added to copy of Wiki on laptop.  Questions and contribution must be made centrally not locally so that information is in ONE PLACE and the same for everyone.--[[User:TOstryzniuk|TOstryzniuk]] 19:11, 20 April 2010 (CDT)


=== APACHE lab value limit change request ===
=== APACHE lab value limit change request ===
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** Decided to leave limits be and have collectors enter limit values and email Pagasa with real values when extreme values are encountered. Contacted Pagasa to let us know if such emails become too frequent. [[User:Ttenbergen|Ttenbergen]] 08:53, 12 July 2010 (CDT)
** Decided to leave limits be and have collectors enter limit values and email Pagasa with real values when extreme values are encountered. Contacted Pagasa to let us know if such emails become too frequent. [[User:Ttenbergen|Ttenbergen]] 08:53, 12 July 2010 (CDT)


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[[Category: Development Documentation]]
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[[Category: CCMDB.accdb]]