Allan's links

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Allan offered to help us out with the documentation. This page lists things that need attention.

specific questions for Allan

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  • does these mean you need to put both below in the article of concerns with question? Why?
    • No you don't need to put both. Not sure what happened there. Actually there is an easier way altogether, so I updated it to that. Once you read and understood pls remove the discussion. Ttenbergen 12:02, 2021 March 17 (CDT)
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* <put your concern here>}}

Automatically generated list

edit page question ModDate
edit page question ModDate
edit What is a service admission
  • Allan discussed with someone at STB what should be entered for Service with STB mgr of admitting Chantal Plaetnik.
  • Confirmed with Allan that this is still in progress and should move forward today. Ttenbergen 09:46, 2020 November 26 (CST)
  • STB Med flagged various pts where Service in Cognos doesn't match with services in orders. There is still something going on here, and I don't know how to troubleshoot it. Ttenbergen 12:01, 2020 December 10 (CST)
2021-03-18 8:43:02 PM
edit Template:ICD10 Guideline Signs Symptoms Test Results not needed when cause known
  • Apply it to symptoms, physical exam findings, and radiologic findings, but NOT to laboratory findings.
    • I don't know which those would be. If we go through with this definition we should just stick them into a : or similar. Category:Testing also contains non-lab findings. Where would this leave things like Fecal occult blood test, positive? The "What links here" link on the left would show all that currently links to this page.
  • 2020-11-02 2:37:57 AM
    edit EMIP
  • Scenario...
    • (1) Internal Med answered consult but deferred to ICMS and admitted under Critical care. Profile should be under Critical care and not Med?
    • (2) Rural Pt was accepted by Internal Med but deteriorated enroute to Winnipeg. Transport team transferred to ER resusc room and ICMS consulted and admitted pt. Is this an EMIP/Medicine profile? Or straight Critical care profile? Thank you. p:Mailah Damian ---2021_Mar_16
  • 2021-03-16 5:38:51 PM
    edit What is a service admission
  • Service history information is available in EPR, but the data collector role doesn't have access to it. INC000004363742 was created to get access. As of 2020-11-25, this was put on hold by eHealth.
    • Allan will follow up with Don Thiessen. Ttenbergen 09:46, 2020 November 26 (CST)
      • Trish emailed Allan for involvement 2021-01-20
  • 2021-03-18 8:43:02 PM
    edit Paralytic syndrome, NOS
  • There isn't a specific code for non traumatic cauda equina syndrome
  • Causes of non traumatic Cauda Equina Syndrome include
    • A severe ruptured disk in the lumbar area, spinal stenosis,spinal lesion or malignant tumor, spinal infection, inflammation, hemorrhage, or pathological fracture
  • Google search of ICD 10 cauda equina syndrome is G83.4 under diseases of nervous system. Should non traumatic cauda equina syndrome be coded using this code and perhaps combined with cause if known?

    2021-03-17 8:20:14 PM
    edit Swap Locations
  • Would it make sense to talk to STB about how the swing beds are used by ER? I don't think talking to anyone about how the swing beds are used by er would be helpful. I've explained in great detail a number of times, to a number of people why this occurs. I can't think of anything different that could potentially be done to work around the issue as it occurs in the first place. DPageNewton 10:59, 2020 December 3 (CST)
  • 2021-03-29 2:59:31 PM
    edit Process for bad data in Cognos
  • who would this be?
  • 2021-06-15 9:39:50 PM
    edit Pre-admit Inpatient Institution field 1
  • what should be the pre-admit entry for those, then?
  • 2021-04-30 3:04:05 AM
    edit Interstitial lung disease, NOS 1

    This says to include

      • Langerhans cell histiocytosis
    But we had a code for that, and when we retired it we stated to use Malignancy (clonal disorder) of blood or lymphoid tissue, NOS instead. Which is it?
    2021-03-19 6:09:03 PM
    edit Immunodeficiency state, NOS are these following all addressed in the above? {sc:steroids, immunosuppressives, antibodies, SCID, } 2021-04-01 9:01:32 PM
    edit Controlling Dx Type for ICD10 codes Como Admit Acquired Primary Limits 1/ Dx grouping - this is part of both of those discussion
    • I have emailed Allan the table with all Dxs to set them as Como_allowed, Admit_allowed, Acquired_allowed. Will set up infrastructure to contain this once I have data. Ttenbergen 12:31, 2019 February 13 (CST)
      • Allan won't have a chance to review until at least mid Sept 2019
    2019-10-04 4:07:08 PM
    edit Admit Diagnosis Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review 2021-04-01 5:06:34 PM
    edit Acquired Diagnosis / Complication Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review 2021-04-01 5:05:28 PM
    edit Comorbid Diagnosis Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review 2021-04-01 4:47:38 PM
    edit Template:ICD10 Guideline Como vs Admit Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review 2021-04-01 4:47:28 PM
    edit Template:ICD10 Guideline Admit vs Acquired Como Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review 2021-04-01 5:05:06 PM
    edit S ICD10 Charlson Como patterns table Como Admit Acquired Primary Limits - this is part of that discussion - if we want to limit some of these to not being allowed as admits, it will likely have to be done here.
  • AG REPLY --- yes we can and should go through ALL ICD10 codes and indicate which of the 3 Dx Types they're allowed in (ie deal with Controlling Dx Type for ICD10 codes). AG needs to be reminded to deal with this around June 2019
  • 2021-03-17 8:02:34 PM
    edit Check ICD10 some cant be primary Como Admit Acquired Primary Limits - Category:Mechanism would need to be excluded as well, and so would past history, and quickly the list gets so large again that we are back at discussing Controlling Dx Type for ICD10 codes where we should simply include "Primary"-ability.
  • AG OBSERVATION --- we will just take care of this when we take care of Admit/Comorbid/Acquired
  • 2019-09-22 4:44:08 PM
    edit Cardiac arrest Como Admit Acquired Primary Limits 1/ Dx grouping - this is part of both of those discussion
  • Should we be coding cardiac arrest as a comorb if they have a past history of cardiac arrest? Or is it considered resolved? Some of us are coding it as a comorb and some of us aren't. Thanks - Brynn
    • TT note: See Controlling Dx Type for ICD10 codes - we can instruct not to code this specific code as a comorbid, but the problem is likely more widespread and should be addressed that way; Just leaving it here as an example.
  • 2021-02-22 7:38:59 PM
    edit S ICD10 APACHE Dx patterns table dx grouping

    if you have a reference, ideally online, for what you used to make the APACHE comorbid ranges, please add it here.

    • AG NOTE TO SELF -- you have to go through and confirm the ICD10/CCI codes to automatically code for the AP2 comorbs
    But mainly I used this ref: https://rstudio-pubs-static.s3.amazonaws.com/231351_940f14aa51a6427a9e92d5a04daefc3e.html
    2021-03-24 3:09:24 PM
    edit Admit Diagnosis Rules 1 and 2 are clear, could rule 3 be further clarified 2021-04-01 5:06:34 PM
    edit Acquired Diagnosis / Complication Rules 1 and 2 are clear, could rule 3 be further clarified 2021-04-01 5:05:28 PM
    edit Template:ICD10 Guideline Admit vs Acquired Rules 1 and 2 are clear, could rule 3 be further clarified 2021-04-01 5:05:06 PM
    edit Non-standard ICD10 Diagnoses That link is broken, do you use a different reference now? CIHI listing 2021-02-22 7:13:18 PM
    edit Blood Product Data z
    • Identified as something we should do to streamline data collection. I have made this page to document progress toward this import.
    2020-04-23 4:25:35 PM
    edit ABG Data z
  • Identified as something we should do to streamline data collection. I have made this page to document progress toward this import. Blood gas data is in DSM listing; need to compare to see if we can use it
  • 2020-04-23 4:25:45 PM
    edit Direct Data Access for RIS/PACS z
  • Identified as something we should do; the notes below are quite old but might still be a starting point.
  • 2020-04-23 4:25:57 PM
    edit Template:ICD10 Guideline MRSA z "It was decided that Allan with contact Dr. Embil after COVID is over and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it." - did anything come of that? 2021-01-12 8:59:00 PM