CCMDB.mdb Change Log 2009

The CCMDB.mdb Change Log logs changes made to the CCMDB.mdb, including lock-downs when one person is making changes so that no one else makes changes at the same time. New entries should be made at the top to be immediately apparent. Discussions should be added at the level of individual changes if they correspond to a change, and at the end of the article if they relate to the change process in general. When a change is tested and rolled out it is also documented here.

• see CCMDB Change Log for 2008 for changes made and rolled out in 2008.

The 2009 CCMDB Change Log

April 2, 2009

• DX code 763-41 Impella-percutaneous VAD added to s_alldiagnosis tables in both Access (ccmdb.mdb) and HanDBase.
• tested
• rolled out to all sites.TOstryzniuk 17:35, 2 April 2009 (CDT)

March 19, 2009

RE: Cooling Protocol Var 2 TAG for Witnessed Cardiac Arrest (100-2).

• XBR added to Var 2 s_variables for HanDBase & ACCESS and form view in ACCESS.
• Version Feb 6.09 tested, rolled out.--TOstryzniuk 15:26, 19 March 2009 (CDT)
• Go HERE to review information regarding data integrity check rule.--TOstryzniuk 15:26, 19 March 2009 (CDT)
  • Tina still needs to program this rule into newer version of ACCESS so that check is automated. The version rolled out (Feb 6.09 ver) has information on the ACCESS form and s_table however the rule is not programmed into the new version that was being tested before she left on vacation.--TOstryzniuk 15:26, 19 March 2009 (CDT)

March 10, 2009

• S_LOCATION for HanDBase updated on regional server added HSC_TEST.
  • NEW ACCESS (ccmdb.mdb) development & testing- Tina copied down to TEST_TRISH on Regional Server for testing.
    • trish copied to desktop, sych'd and copied back up to TEST_TRISH.
• testing in progress.--TOstryzniuk 16:48, 10 March 2009 (CDT)
  • • • Progress of testing ACCESS: Lots of bugs. Problem items sent to Tina. No further testing until Tina returns from vacation and changes are made for further testing
        • suggestion to Tina: It would be helpful to have version numbers associated with CCMDB.mdb's so that we can keep track of updates.--TOstryzniuk 17:53, 16 March 2009 (CDT)

February 12, 2009

• copying down ccmdb for requested chances as per below Ttenbergen 11:24, 12 February 2009 (CST)
• added following
  • ICU Patients with Witnessed Cardiac Arrest (100-02) must have ICU Var 2= (BRR or XBR)
  • Check adm/discharge location against ICU patient location, can't be same
  • MI TPA 10210 you must not coexist with other MI 102-XX Note: update Myocardial infarction when uploading update!
• for future laptop use
  • added "Show FinalChecks" button to be able to list and delete all files with FinalCheck set, e.g. after sending
  • added capability to add new records in Access. This required major changes, so thorough testing for weird errors is required. Ttenbergen 16:43, 26 February 2009 (CST)
• Trish, let me know when you are ready to test and roll, for now I have not put it onto Trish_test as I will be adding more for the laptop functionality. Since you are on vacation right now I don't want to be held up until you are done testing. LEt me know when you have a chance.Ttenbergen 14:14, 18 February 2009 (CST)

February 6, 2009

• TASK bug Feb 5.09 (if CPAP YES then Isolation set to TOTAL when files are SENT out from ACCESS)
• Tested. Bug elimimated--GONE!
• Copied to MASTER on Regional Server
• updated rolled out to all PDA's (version Feb 6.09).--TOstryzniuk 18:52, 6 February 2009 (CST)

February 5, 2009

Tina is stealing the master file to fix a bug.Ttenbergen 18:02, 5 February 2009 (CST) Fixed the bug listed in IT Bugs#Tasks Isolation Bug, sent to Trish for testing. Ttenbergen 18:18, 5 February 2009 (CST)

January 30, 2009

• s_tmp MOVES table
• the ward STB_B3 has been added to the moves table (s_tmp) for ccmdb & HanDBase.
• Master ccmdb on Regional Server updated
• rolled out
• TOstryzniuk 14:56, 30 January 2009 (CST)

January 14, 2009

• s_FIO2 table's for ACCESS (ccmdb) and HanDBase updated to include OxyMask FIO2 guess-ta-mits.
• Master on Regional Server updated.
• rolled out
• TOstryzniuk 19:06, 14 January 2009 (CST)

Requested CCMDB changes for the next version

• this information was transferred here from ccmdb change log for 2008.TOstryzniuk 15:06, 29 December 2008 (CST)
  • There are changes in the master version that were not part of the version current changes are based off. These changes need to be added to the change version before sending it life!

March 2.09-NO LABS and NO Pharmacy

• CHANGE Suggestion: next ACCESS version there should be 2 separate check boxes for NO lab and NO Pharm TOstryzniuk 13:29, 2 March 2009 (CST)
  • March 30, 2009-Hi Trish, We had the same issue with comorbids, and what we did was add a comorbid entry that says “no comorbids”. We then made Access deal with stripping that out. I think this would be better than adding a checkbox. If you add this to the requested changes” I’ll put it in. Tina
    • sounds good. Go for it.--TOstryzniuk 17:55, 30 March 2009 (CDT)

• • • • PROBLEM: there are a few patients who do not have any labs & pharmacy data from the items we are tracking. ACCESS will not allow a collector to SEND if there is no data in BOTH LAB and PHARM. One site's workaround is to put EKG into lab field for the sole purpose of getting past this ACCESS restriction. This is not an acceptable workaround.--TOstryzniuk 13:29, 2 March 2009 (CST)

Checks and Updates

(currently all done, ready for roll-out)?

• What does this mean? TOstryzniuk 13:29, 2 March 2009 (CST)

BRR, XBR & T6

• If Cardiac Arrest Witnessed 100-2 in ADMIT or COMPLICATION DX slot then the following must also be marked:
• For CCMDB.mdb:
  • ICU Var 2 – “BRR” or “XBR”

• For Data Cleaner:
  • ICU Var 2 – “BRR” or “XBR”

AND

• • TISS item T6-hypothermia/hyperthermia blanket

I put this back in here, not sure where it went.--TOstryzniuk 15:02, 3 April 2009 (CDT)

• what happened to the BRR XBR check that was in this article? I put it into BRR article under data integrity rule.TOstryzniuk 15:31, 23 March 2009 (CDT)

Updates required for Laptops

• automate the backup to the server
• automate a backup to the SD card
• automate checking for new front-end on every log in to the network
• Must be able to enter new files into Access

QA Functionality

Facilitate exchange of patient discharge times

DCs have to know the discharge times for patients arriving at their wards from another collected ward. We should automate that rather than have them exchange manually. Might be an extension of the status file for Julie...Ttenbergen 16:05, 3 February 2009 (CST)

• moved a note into Admit, Transfer and Discharge date and time, as this is unrelated to updates to the program. Ttenbergen 09:27, 11 February 2009 (CST)

Logging errors in the CCMDB.mdb

Add a table to the CCMDB that records every time an error is generated with the following details:

• Date/time of error
• patient ID (Hosp Loc Serial)
• Field Identifier
• error descriptor (text)
• erroneous value

Make that table sync to a central repository on send.

Defer or in Discussion

ARF & CRF & ARI Integrity Check

• if CRF (351) in comorbid then ARF (Diagnosis (350) or ARI (364) cannot be in admit or complication. (see CRF vs ARF, ARI, Renal Transplant)

Discussion

• The 364 is new since the discussion about the cleaner. What is it about? Ttenbergen 15:55, 5 November 2008 (CST)
  • Yes, since I have been further reviewing patient profiles in more detail from the problems that SAS has generated, I see renal insufficiency (364)being coded in admit or complication DX slots for patients who have a comorbid condition of chronic renal failure (351).
• The article CRF vs ARF, ARI, Renal Transplant also mentions something about transplant. Is that still accurate? Ttenbergen 14:12, 18 February 2009 (CST)

Ensure that date/time formats are explicit

Make sure that Access explicitly looks for the format set out in Date and Time Format, rather than using the PC format. Template:Discussion

Discussion

• Right now CCMDB.mdb uses dd-mmm-yyyy, e.g. 12 Jan 2009. This is less ambiguous than the standard set out on the wiki. I think it's the better option since it eliminates the chance for transposition errors. I think we should use this format for collection. This does not affect how it is sent to Ed, or how it is stored in Ed's program. If Trish is OK with this, this section should be removed from the change log and Date and Time Format should be updated accordingly. Ttenbergen 12:58, 12 February 2009 (CST)

take out Autopsy YES OR NO

• ACCESS program is affected because of the way S or E is tied to autopsy on PDA.
• PDA Reader or master database utility programs are not affected if this field is left BLANK.
• needs to be approved by Critical Care before implementation of change.

TOstryzniuk 16:29, 12 December 2008 (CST)

• Approved, leave blank.TOstryzniuk 05:24, 19 January 2009 (CST)

Discussion

Julie and Dr. Garland are currently working on moving the whole survive/expire issue into a "Dispo" field. I suggest we wait until they are done rather than implementing this twice. The advantage is that their change will use a data approach (discharge-to has a table) whereas editing the survive/expire options would be a manual change on HanDBase (notoriously unreliable). Ttenbergen 13:56, 10 February 2009 (CST)

APACHE II Screen

• get rid of fields that are not long being collected on the APACHE II screen (SAPS II items).
• total Bilirubin, CPAP, urine CC;s, Urea,SAP_Systolic,
• also - eliminate APACHE II Active TX field.

Discussion

• Is this for the CCMDB or for HanDBase? Bad idea to mess with HanDBase as it reverts and causes errors for unknown reasons. Since we are moving away from HanDBase, we should leave this alone and let it resolve itself. If it is about an issue in the CCMDB.mdb, please explain further. Ttenbergen 13:56, 10 February 2009 (CST)
  • CCMDB.mdb only since we are stuck with Handibase and it's problems until everyone is on laptops.TOstryzniuk 13:28, 9 March 2009 (CDT)

Patient TYPE for Registry - eliminate this field

• ACCESS program is affected because it requires this field to be filled in before sending is allowed.
• PDA Reader or master database utility programs are not affected if this field is left BLANK
• needs to be approved by Critical Care before implementation of change.

TOstryzniuk 16:29, 12 December 2008 (CST)

• approved, leave blank. TOstryzniuk 05:27, 19 January 2009 (CST)

Discussion

This can be removed in Access and in the output, but I would suggest leaving it alone on the PDA for now due to HanDBase. Access would no longer check for it. If that is OK, this can be moved to "Checks and Updates".Ttenbergen 14:00, 10 February 2009 (CST)

APACHE II ACTIVE TX-eliminate this

• ACCESS program is affected because it makes this a required field (though my understanding is that many data collectors have set default for boxed to be checked).
• PDA Reader or master database utility programs are not affected if this field is left BLANK
• needs to be approved by Critical Care before implementation of this change

TOstryzniuk 16:29, 12 December 2008 (CST)

• Approved, leave blank. TOstryzniuk 05:25, 19 January 2009 (CST)

Discussion

• are you saying that ccmdb.mdb will not allow sending a pt with unchecked active tx? Ttenbergen 14:25, 11 February 2009 (CST)
  • YES.TOstryzniuk 13:35, 9 March 2009 (CDT)

s_Fi02 table in Handibase

• The S_FI02 (note: with a zero rather than a capital o) is a relic we have been unable to get rid of due to technical problems. It is the mis-spelled table name for S_FIO2 (i.e. capital o). Nothing can be done about it until the PDAs are all gone, so this should be taken out of the change log. (see S FI02 for details; remove the link from there if this is taken out of here.)

Ttenbergen 13:30, 10 February 2009 (CST)

Ensure discharge time = 0:00 can't get through

to implement check mentioned in Admit, Transfer and Discharge date and time but not currently working Template:Discussion

Discussion

• Check appears to be working for Admit and Discharge. Can't run check for Transfer time because transfer time is not mandatory. If there is a bug in this, please describe. Ttenbergen 12:47, 18 February 2009 (CST)