Allan's links

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Revision as of 07:44, 2021 August 5 by Ttenbergen (talk | contribs) (removed old answered question)
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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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Automatically generated list

edit page question ModDate
edit page question ModDate
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 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
      • Discussed with Allan, he will contact Don Thiessen. Ttenbergen 10:53, 2021 August 5 (CDT)
      • Allan confirmed that he will follow up. Ttenbergen 10:42, 2021 September 7 (CDT)
  • 2021-09-07 3:42:00 PM
    edit Non-standard ICD10 Diagnoses
  • That link is broken, do you use a different reference now?
  • CIHI listing

      • I have contacted CIHI to find new link, there are problems on their web site. Ttenbergen 10:50, 2021 October 28 (CDT)
    2021-10-28 3:50:44 PM
    edit External User Portal for the Manitoba Critical Care and Medicine Databases Can you make sure that the following lives in the pages linked above, and no duplicating details remain in here?
  • Previously, a single database record represented a patient under the care of a single ICU service, regardless of physical location. Thus when a patient moved from one ICU service to another (e.g. MICU to SICU at HSC) a new record was begun, and the same for when an IM ward patient moved from service to service (including even moving from teaching to non-teaching and vise versa). But this is artificial, because from the patient perspective, such moves are really parts of a single episode of inpatient care.
  • Our eventual goal is to have a single record include all such changes and comprise all direct ICU-to-ICU changes (and all ward-to-ward changes) even across different Winnipeg hospitals. We are not there yet though.
  • Beginning 10/1/2020 for Grace Hospital, and 10/15/2020 for Health Sciences Centre and St. Boniface Hospital, we moved part-way in this direction by: (a) having all moves within IM ward services in a single hospital be a single record, (b) having direct movement back and forth between MICU and SICU at Health Sciences Centre being a single record. See PatientFollow Project for details on the transition. Thus, the period on any of these ICU services: IICU at HSC, ICMS as St. B, CICU at St. B, and the ICU at Grace Hospital --- is represented in a single record in the database.
  • 2021-11-18 3:42:18 PM
    edit Medical noncompliance Como Admit Acquired Primary Limits 2021-11-03 2:50:40 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 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 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 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 2021-09-22 7:41:20 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 2021-07-08 7:52:50 PM
    edit Cardiac arrest Como Admit Acquired Primary Limits 1/ Dx grouping - this is part of both of those discussion
  • This question was answered, just leaving this as an example of the more general discussion above:
  • 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
  • 2021-09-07 3:52:15 PM
    edit Previous Service field For non in-patients admitted direct to med via ER from endoscopy-is this considered ambulatory care? Also, for gastroenterology service what is entered: other (known but not on list)? Thanks! 2021-11-10 4:29:09 PM
    edit Hypomagnesemia, severe or symptomatic Per EPR normal Mg++ range is 0.63-0.94 mmol/L, to confirm are collectors to enter according to the guidelines above? Thanks! 2021-11-25 11:28:17 PM
    edit Template:ICD10 Guideline Admit vs Acquired Rules 1 and 2 are clear, could rule 3 be further clarified 2021-09-22 7:41:20 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 Admit Diagnosis Rules 1 and 2 are clear, could rule 3 be further clarified 2021-04-01 5:06:34 PM
    edit External User Portal for the Manitoba Critical Care and Medicine Databases You will probably want Database Request Process, but not sure where in here. 2021-11-18 3:42:18 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.
  • 2021-07-21 8:31:28 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