Soft checks

Some of our cross checks are implemented as "soft checks", where the collector can still send data even if a check is triggered. These are for scenarios where a trigger usually means that something went wrong, but there are scenarios where the entry is actually correct.

When multiple soft checks trigger, only one will be visible

One of the problems with our current implementation is that, if there is more than one triggered soft check, only one will be visible. This is because our original implementation relied on the idea that we only need to show one problem at a time, since that problem would have to be fixed, and when it gets fixed any other issue would then show up. Since the problem might never be fixed in the case of soft checks, only the last one checked would be visible.

List of soft checks

check	Status	Timing	Summary
check	Status	Timing	Summary
Function long LOS()	needs review	complete	LOS/Length of Stay should not be unlikely long based on historical LOS for a given ward (Service/Location field).
Link suspect mismatch pre inpt ours incomplete query	implemented	always	Checks for patients where Pre-admit Inpatient Institution is one of ours but we don't have a corresponding record.
Link suspect not same visitAdmitDtTm query	implemented	always	Checks for records that are likely part of the same admission but have different Visit Admit DtTm field.
PL Diff Phin SameLN FN DOB	implemented	always	Checks that there are no likely matches of this patient with a different PHIN (ie typos)
PL SamePHIN Site Diff chart	implemented	always	Another record exists for this site with the same PHIN and a different Chart number.
Query check CCI each count vs LOS	needs review	complete	Confirm that a Category:Labs Imaging count is not unreasonably high
Query check CCI TISS discontinuous ETT	implemented	complete	T22 - ETT Present (TISS Item) should start with an T40 - Insertion of ETT (TISS Item) and end with an T28 - Planned extubation (TISS Item) or T29 - Unplanned extubation (TISS Item).
Query check ICD10 ESRD and AKI only if transplant	implemented	complete	A patient who has an ESRD dx and an AKI dx is an error unless they also have a kidney transplant CCI.
Query check ICD10 trach has trach but no TISS	implemented	always	If there is a Tracheostomy, has one (Z93.0) ICD10, there should likely be a T23 - Trach Tube Present (TISS Item)
Query check long transfer delay	needs review	always	Is the Transfer Delay (Critical Care) or Transfer Delay (Medicine) unreasonably long?
Query check pt from ER	implemented	always	part of validating Boarding Loc
Query s tmp Boarding Loc ER delay reasonable	implemented	complete	Flags Boarding Loc entries for ERs where a second Boarding Loc entry exists that is less than 30 min later or more than 67 hours later for CC or more than 144 hrs later for Med

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