Task Team Meeting - Rolling Agenda and Minutes 2026

List of items to bring to task meeting

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wiki page	question	Last modified
Chronic Health Facility	We have had patients admitted from the chronic care unit at Deer Lodge (DLC) (they live there) the nurses check off PCH for where they reside (on DPST), for Pre acute living situation field we enter Chronic Health Facility and for dispo we enter Deer Lodge, should we be considering this a PCH? Lisa Kaita 12:32, 24 November 2025 (CST) They live there, so that makes this also related to Collection of locations on the spectrum between home and PCH. Ttenbergen 18:00, 27 November 2025 (CST) so we will continue to enter as Chronic health facility for now Lisa Kaita 07:43, 28 November 2025 (CST)	2025-11-28 1:43:16 PM
Diabetes mellitus chronic complication: Nephropathy	I have a patient that has had a pancreas transplant and this has cured his diabetes. He still has retinopathy, neuropathy, etc. Can I code all of the complications of diabetees without linking them to Diabetes mellitus type 1, with chronic complication (code complications separately)"Mlagadi 09:17, 4 February 2026 (CST) The program should let you do it - I added the tag that would flag cross checks for this diagnosis to the bottom of this wiki page and it finds nothing. I'll leave for Task to answer whether that is how we want to code it. Ttenbergen 09:59, 4 February 2026 (CST)	2026-02-04 3:59:30 PM
Dispo field	JALT I thought we had decided at JALT to collect this as presented by EPR... do I remember this wrong? I had already added it in CCMDB.accdb Change Log 2025#2025-03-11-1. Ttenbergen 22:52, 11 March 2025 (CDT) Yes, I saw that, come to think of it I don't think we decided, not in my notes, but we can use it and I will change the wiki instructions Lisa Kaita 11:25, 13 March 2025 (CDT) If we are going to collect this detail for dispo, should we consider whether or not to also look at SH in preadmit living situation?, currently lumped with community facility with support. Lisa Kaita 14:45, 16 April 2025 (CDT) The entry name includes "TRSF" - is the entry for the previous location equivalent in EPR? Ttenbergen 23:30, 16 April 2025 (CDT) no because the previous location would usually be <site>_ER Lisa Kaita 09:53, 28 May 2025 (CDT) Sorry, I should have asked about "pre-hospital location in ADT". Ttenbergen 16:21, 28 May 2025 (CDT)	2026-01-27 5:10:08 PM
Pre acute living situation field	We found some cases where, during the same hospitalization, there are different values for this. For example, the first ward admission may have "house" and the immediate next ICU admission may have "PCH". I think there is no scenario where that makes sense. If you can think of one, tell me. For existing data like this, how would we best treat it heuristically. Would the first record be more likely to be right because the chart is still cleaner and easier to follow? Or would a later record be more likely to be correct since more of the patient's story would have emerged? Thoughts? This may arise when we complete the profiles separately ie. medicine done before ICU or vice versa, and more information may be more available in the chart, or it may have been an error where one was updated the other was not Lisa Kaita 15:32, 26 November 2025 (CST)	2025-12-17 6:07:30 PM
Publications, abstracts, presentations using the Critical Care and Medicine Database	This page is an indicator of how we fulfill the research component of the CCMDB#Purpose and Mission. To keep it useful and representative of current work, entries need to be added on an ongoing basis as new outputs occur. To make this reliable, how do we build this into our workflow (e.g., as part of the Database Request Process), so the record stays current with minimal overhead? At present this relies on post-hoc updates from requestors, which has had limited uptake.	2025-12-31 8:13:08 PM
Selkirk Mental Health Centre	JALT - Mental Health Facilities in Addition to Selkirk Should we add Eden Mental Health Centre as well? Are there others, like addiction treatment facilities (eg Bruce Oake), that we should code either as a group or individually? If we don't think this information is needed, should we also de-list our entry for Selkirk for consistency? Another option is to rename the selkirk entry and use it as an aggregate location going fwd.	2025-12-17 6:03:11 PM
Selkirk Mental Health Centre	JALT - Mental Health Facility Coding vs PCH currently aggregated as "PCH" because S dispo.loc type is PCH. That seems wrong. Should it be changed to “unknown/other” or to a new category “Mental Health”? And should we add Eden Mental Health Centre as well? Ttenbergen 16:21, 29 October 2025 (CDT) Julie reviewed, only 6 cases in our data (are we coding this consistently?). Julie emailed OK with “unknown/other”, but also raised how Pre acute living situation should be coded.	2025-12-17 6:03:11 PM
Sex field	I just came across an incomplete record (from S9 laptop) that has a sex entry "Undiff". Our dropdown doesn't contain this so this likely came from Cognos. If this is now being coded in EPR, and considering that this would affect the "biological sex" we use in defining this, should we introduce this as an option? If we do not want to introduce this as an option, do our cross checks catch this? They might not, since this could not have been entered manually. Ttenbergen 00:16, 12 November 2025 (CST)	2025-11-12 6:16:35 AM
St.Amant	Since 2022: Pre acute living situation for patients where Dispo is St Amant has been recorded as: 23 Chronic Health Facility 14 Community Facility with support 5 Personal Care Home 2 House 1 other - known but not listed 1 Apartment Pre acute living situation for patients where Previous Location is St Amant has been recorded as: 1 Apartment 1 Personal Care Home How are we using this code, and how should we use it? Ttenbergen 16:07, 29 October 2025 (CDT) * When I have seen this in a chart the address is usually 440 River Road, which is the St Amant facility, I code it as per the wiki instructions, as a chronic care facility. I know that St Amant has several group homes as well, but I wouldn't know their addresses and the documentation is usually not that specific to include who manages the group home. With the new dispo options, group homes would be transfer to group/supportive housing Lisa Kaita 15:46, 26 November 2025 (CST)	2025-11-26 9:46:22 PM
Template:Decubitus Stage not indicated Details	This instruction is taken from old dx Decubitus (pressure) ulcer, stage not indicated; since we will now have a series of codes for suspected deep tissue injury, we need to change this, but what should be here, and what should move into Template:Decubitus Deep Tissue Damage Details? Ttenbergen 15:29, 30 June 2025 (CDT) This page should remain the same, deep tissue injury is really considered to be a different way to stage/document decubitus ulcers An unstageable ulcer is still used in documentation and grading of decubitus ulcers Lisa Kaita 20:23, 7 October 2025 (CDT)	2025-10-08 1:25:23 AM
Template:Decubitus Stage not indicated Details	This instruction is taken from old dx Decubitus (pressure) ulcer, stage not indicated; since we will now have a series of codes for suspected deep tissue injury, we need to change this, but what should be here, and what should move into Template:Decubitus Deep Tissue Damage Details? Ttenbergen 15:29, 30 June 2025 (CDT) This page should remain the same, deep tissue injury is really considered to be a different way to stage/document decubitus ulcers An unstageable ulcer is still used in documentation and grading of decubitus ulcers Lisa Kaita 20:23, 7 October 2025 (CDT)	2025-10-24 2:28:08 PM

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ICU Database Task Group Meeting – November 27, 2025 (copied for continuity, will be removed once the first minutes for 2026 are here)

• Present: Lisa, Pagasa, Julie, Tina, Val, Jen, Michelle, Joanna, Mailah, Dan, Allan
• Minutes prepared by: AG
• Action items in BOLD

1. Update regarding: [i] Collection of data on homelessness, [ii] the Collection of locations on the spectrum between home and PCH, and [iii] seeking to deal with the current difference in lists of locations for Pre acute living situation and Dispo

• These coding of these 3 issues are related
• We are currently doing a 2 month temporary data collection project (ending Jan 17, 2026), on Non-traditional locations: Project NonTradLoc
  • It will provide us with a more complete understanding of source and disposition locations.
  • We will use that information to devise a not-too-large list of location categories, and for rare locations use a category of "other"

2. Regarding database Re-platforming -- Allan informed the group that we are looking into using REDCap. More to come.

3. Allan presented the updated plan for tracking ICU service (see Minutes from November 27, 2025 JALT Meeting)

4. Allan presented the plan for keeping track of transfers for bed management using a new ICD10 diagnosis Transfer for bed management

2025...

Also see Task Team Meeting - Rolling Agenda and Minutes 2025