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Lists all pages in. For those that were added with Template:Discuss it also lists the question. The old ones added with Template:Discussion only list the page.

There are currently 350 questions on this wiki.

 Summary
"almost same patient" checkIf we need this page at all it needs to be integrated better.
24 Hour Intensivist Presence: A Pilot Study of Effects on ICU Patients, Families, Doctors and Nurses
  • how did the database program support this publication?
72hr Readmission Rate to ICUNot those that were discharged home or elsewhere?
  • Is this the same as Re-admission? Ttenbergen 12:03, 2017 July 5 (CDT)
    • similar but specific with ICU. I will do a separate one for Med and delete the Re-admission after.
ADL General Collection InformationWhat else in addition to ALERT Scale Calculation uses this?
ALERT Scaleneed tie-it-together page.
APACHE Acute Diagnosesneed here some general info what these are, links to wiki articles they are actually related to under old coding scheme, etc. I need help with this because I don't know if any of this is on the wiki, or else what it is about. Ttenbergen 17:20, 2018 February 23 (CST)
APACHE Comorbid DiagnosesDx grouping
  • either need details or need to revise this when we re-group dxs; meeting booked with Julie and Allan 2019-01-20 Ttenbergen 15:42, 2019 January 3 (CST)
APACHE Comorbidities in ICD10 codesDx grouping
  • Need to update from Allan's email 2018-11-26, but he said he would need to review this in light of the changes that had been made to ICD10 and CCI since he and Julie discussed. Ttenbergen 00:36, 2018 November 27 (CST)
  • AaDO2I wonder if "null" is actually intended here, or if it was supposed to be 0. Ttenbergen 14:44, 2017 January 8 (CST)
  • AaDO2 is null if there is no data for FIO2, PaO2 and PaCO2. However, no data was set to zero value instead of null. In addition, AaDO2 and the corresponding score are required only when FIO2 >= 50%, otherwise should be treated as null. (Similarly with PO2 score, it is required when FIO2 < 50% and otherwise should be treated as null. When FIO2 =0, both AaDO2 and its score and PO2 score should be null.) Are we setting null to zero to facilitate the programming calculation? Is it possible to differentiate null from valid zero in both L_LOG and created_variables_CC - will the work be big? In L_LOG, these are the FIO2, CO2, PO2 and SerCO2. 14:49, 2017 March 16 (CDT)
  • Acute Kidney Injury in Critically Ill Patients Infected With 2009 Pandemic Influenza A (H1N1): Report From a Canadian Provincehow did we support this publication?
    Acute kidney injury in septic shock: clinical outcomes and impact of duration of hypotension prior to initiation of antimicrobial therapyhow did we support this publication?
    Adding a CCI or ICD10 entry in CFEwe need a better solution, I need to make that ID field populate automatically.
    Admit DiagnosisComo Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review
    An institutional review of fulminant hepatic failure in an urban Canadian centrehow did we support this publication?
    Angiogram, coronary (diagnostic cardiac catheterization)
  • I recall discussing this in TASK a while ago and I remember that we were talking about now coding both the diagnostic Angiogram, coronary (diagnostic cardiac catheterization) and therapeutic Angioplasty, coronary (with stenting) if both were done. I just want to make sure that we have the correct instructions here. --Jvelasco 12:24, 2019 April 17 (CDT)
  • Antibiotic Resistant Organism
    • It is awkward to work with/find readily available specific information as to the antibiotics included in the general antibiotic resistant

    articles. Some articles include links to sites that may/may not be that helpful in determination of inclusion antibiotics.

    • Would it be possible to include a listing of common antibiotics in the general antibiotic resistant articles? It would be helpful for collectors to

    have an inclusion list in those articles to use as a quick and easy reference. p:Pam Piche

      • Pam Piche: Question from Allan: I'm not quite sure what you're asking here. Is it which antimicrobials are for which type of bug (bacteria, fungal, etc), or something else?? Please expand on your question.
      • I was thinking along the lines of a listing of inclusion antibiotics such as is available in ICU Pharm flow tab (when hovering over category). I was wondering if such a listing would be helpful in quick determination of inclusion antibiotics?
    ApLab CompleteLegacy field cleanup.
    Artificial openings NOS care_q2 Very possibly we should eliminate this code as CCI code is better ?!?!?
    Atrial fibrillation and/or atrial flutter
    Automatic updating of MS Access Databases using scheduled tasksI think PHI copy automation uses this. It might accomplish this in a different way...
    Awaiting/delayed transfer to other care facility NOS
    BacteremiaThis lists in Apache Neuro because it is in the following range:

    Nonop - Large categories - Neuro NOS - A17. - A69.22

    When we touche on this at an Allan's list meeting you agreed that probably wasn't right.
    Base Population for ResearchThis page is linked from the front page, so we should either make it good or get rid of that. Is there anything on Publications that would be a good example for how our DB was used for this?
    Battery disposalcollectors, please document what your process is at your office location.Trish Ostryzniuk 17:38, 2019 March 5 (CST)
    Bed Census Data Processing Instructions
    • is this the current process, or is Bed_census.mdb? I think the process is better off here than in the .mdb article.


    • probably incomplete... Ttenbergen 18:17, 2016 April 14 (CDT) emailed Trish/PAgasa Ttenbergen 16:46, 2018 October 30 (CDT)
    Bed borrowwe want to unify this concept; started discussion today
    • pre-admission bed borrow vs post-admission bed borrow (vs current Off ward field) check box
    • also consider ECIP Ttenbergen 14:33, 2019 April 9 (CDT)
    • also related is our old concept Moves for Medicine
      we want to unify this concept; started discussion today Ttenbergen 14:33, 2019 April 9 (CDT)
    • we are seeing at Grace, a number of patients that are admitted from a GRA ward into the GRA ER under ICU care until bed is available in Grace ICU. Unlike CON or OAKs, that if patient needs ICU, and no bed, they go to ER, under ER service care until ICU bed available. At Grace, this is a bed borrow by ICU service in ER dept, but our TMP project does not have to ITEM for GRA ER for this purpose. As discussed in Task, we will likely be seeing more of this and we need to find out if ICU would like to know how much time patients spends in ER like this. We need to decide how we are going to capture this.
    • GRA_MICU-10422
    • GRA_MICU-10458
    • UPDATE: on May 2.19 we added GRA ER as item in TMP for Project Borrow arrive. At a later time we also added GRA_MICU
    • UPDATE: June 12.19 - planned changes - not yet active - Off ward loc
    Bed holdsJulie seems to set the limit at 1 day - emailed Julie Ttenbergen 10:07, 2016 November 10 (CST)
    duplication on wiki needs to be cleaned up once we are on same page
    Laura and Tina discussed this and there clearly are different understandings about this. Need to review. LKolesar 14:43, 2017 March 1 (CST)
    Bed occupancyIs this about Bed census.mdb or a different thing?
    with TMSX not having been around for a while, is this still relevant? Do you provide this data otherwise? Do we need to implement this?
    Bentall ProcedureAre these right? Or only the stenosis or insufficiency?
    Bi-monthly reportWhat is the Bi-monthly report?
    Bladder, disorder NOS
  • A bladder disorder does not necessarily mean that an infection is present. The check for pathogen should be removed.--CMarks 14:18, 2019 February 13 (CST)
    • The dx has been removed from the infection requiring pathogen category. Please try entering this again. If still a problem, post here, else pls remove the question. Ttenbergen 16:43, 2019 February 14 (CST)
  • Blood Product DataI have made this page to document progress toward this import.
    CAM positive (TISS Item)
    • Did these ever get better? Ttenbergen 12:44, 2017 May 11 (CDT) Does anything need to be done about this? Ttenbergen 20:15, 2018 November 27 (CST)
    CFE Data Integrity Checks
    CTECTU vs NTU
    Can't check ICD10 ARF vs APACHE ARFdefinition is changing so it might become possible soon to cross-check this.
    Cardiac/cardiovascular drug NOS, adverse effect
  • Is this the code we use for Amiodarone lung? --LKolesar 14:15, 2019 January 23 (CST)
  • Central Line Associated Blood-Stream Infection (CLA-BSI) rateWhat are the details?
    Centralized data front end.accdbStill has old name, need to update. Also, isn't really documented here yet
    Centralized data front end.accdb Change RequestPostal Code vs Pre-acute
    Linked pairs, better storage
    • 2019 March 01 - move priority number column for ICD10 to be after the primary type column. This would make it the same as CCMDB.
    • add TDI column to query L_CCI_Combined
    • fix dc treatment box that isn't showing up in form Ttenbergen 15:52, 2018 April 11 (CDT)
    • fix table reconnector to not look for L_Labs_DSM any longer, since it's now elsewhere. Ttenbergen 15:52, 2018 April 11 (CDT)
    • CCI and ICD10 make button for Pagasa


    • clean up the form (whatever that meant)
    • add button for link suspect queries to patient list
    • update Correcting suspect links
    Change Prioritiesis this Check Renal Tasks? If so, there are questions there. Ttenbergen 14:09, 2014 May 14 (CDT)
    Changing D IDs
    • Which program do you do this in? This may actually need to be different instructions for different scenarios.


    • what queries would get you to change a D_ID? We would want to cross-link them so they point to these instructions, and so these instructions can list them as cause.


    • what queries would get you to change a D_ID for medicine? We would want to cross-link them so they point to these instructions, and so these instructions can list them as cause.

    How about L TISS Form table, L TISS Item table and L Labs DSM table? Are there others I am not thinking about ? Ttenbergen 22:20, 2019 February 6 (CST)
    Characteristics Of ICU Patients Who Died Or Were Readmitted Within Seven Days Of Transferhow did we support this publication?
    Charlson Comorbid Score query
    • the query needs to be cleared out of CFE once we are done. Possibly sooner, I sort of doubt it is used.
    Chart Review ListsThis is linked from the front page and intended to give an idea of how one could use our data. Is there anything on Publications that would be a good example for how our DB was used for this? If not, should we take it out? With nothing here it doesn't look very good coming from front page.
    Check CCI CXR vs LOSwould we not use Accept DtTm here? Because we could have CXRs on days before arrival...
    started implementation but had question for Julie, added below
    Check CRF vs ARF across multiple encountersI think this section is largely old rules that no longer apply with how we define Comorbid Diagnosis now, ie if something was clearly present before admission we can now code it, even if it had not been diagnosed. Are any of these still required, with that in mind? Ttenbergen 21:17, 2018 October 26 (CDT)
    • Using the ICD10 renal codes, we still need to know when the transition from acute to chronic occurs - so we can decide whether the multiple encounters consistency checking is still relevant. --JMojica 11:51, 2018 November 14 (CST)
      1. is the transition on the next hospital stay? Example in this hospital stay, patient is diagnosed with ARF and stayed continuously in both ICU and ward in same or different hospital. On the next hospital stay, he is now chronic renal patient.
      2. Or the transition is on the next ICU or ward stay? Ex. the first stay is ICU and diagnosed with ARF. then patient was transferred in a ward of same or diff hospital - is he now a chronic renal patient?
      • The data collection instructions are in the related pages, and additional info is in Renal Coding Considerations for ICD10, but they are a beast of a network of concepts. Those might tell you how we currently propose to collect the renal codes, but not necessarily what you or the users of the data would want. Usually these cross checks would be driven by what you need for data requests, so do our proposed instructions line up with how you want to use this? Or is this maybe too case-by-case of a concept to even make a cross check? Ttenbergen 18:59, 2019 January 6 (CST)
    Check ICD10 some cant be primaryComo 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
    Check Inf Potential Infection must have pathogen or alt combined code
  • This would cause extra collection work, since there are quite a few potential infections (most of the NOS codes are potential infections), and a lot of them would not usually be infections. Do we really want to do this or can we decline it?
  • Check TISS Intubation consistent
    • this cross check would not know the difference between (on one day, intubated, extubated, and reintubated) vs (intubated and then extubated); while this hopefully not too common of a thing, would it cause false positives for Pagasa to run after? Ttenbergen 11:33, 2018 October 29 (CDT)
      • yes that is correct because both have a difference of zero. Using the cut off GTE Abs(2) will get true negatives and not false positives. This query considers only the counts and not the dates which will have numerous scenarios and too complicated to define. For those having a difference of -1,0,1 , there are also the possibility for incorrect sequence of dates of intubation or extubation - this is not captured in the query. If you have other suggestions, let us know.--JMojica 12:19, 2018 October 29 (CDT)
        • What I was trying to say is that I am worried this would be a false positive, which will then create work load for Pagasa and/or Collectors to confirm. Do we really want cross checks that bring up potential errors? We have talked about this before, but never really come up with a general answer. Should we take it to task meeting? Ttenbergen 23:45, 2018 October 29 (CDT)
        • Are you saying I should use "difference between A and B can be -2, -1, 0, 1, 2. Other values will be questionable?
          • The basic scenarios are
            • 1. no new insert and no extubation (0-0=0) ,
            • 2. no new insert and then extubated - this assumes currently with tube and then extubated (0-1=-1),
            • 3. insert new tube and no extubation(1-0=1),
            • 4) insert new tube and then extubated (1-1=0). When there are 2 insertions, the valid number of extubations =1,2,3 even if occurring at same or different days as insertion day, the difference will either be -1,0,1. Same holds true with 3 insertions or 4 insertions. there will be definite errors if the difference is >= 2 or <= -2. Having 1 insertion and 3 extubations or 3 insertions and 1 extubation are not possible and are errors.
              • Scenario: Pt arrives intubated. On day 1, they are extubated. On day 2 they are intubated, extubated and then intubated again on the same day, which will look on TISS as one insertion on that day and one removal. If you then had a removal the next day you will have an error because you have a count of 3 extubations with only 1 intubation.
              • yes, this scenario if indeed correct has to be checked with the dates and also not that frequent. I found a case of 3 days extubations and 1 day insertion which is questionable because the 2nd day extubation (4/18/2018) is not the same day as the insertion day (4/16/2018) and the 3rd extubation day is 4/23/2018 - is there a missing insertion before 4/23 or an extra extubation 4/18 or 4/23? Actually, the most common cases are either extubations >= 2 and zero intubations or zero extubation and intubations >= 2 which we assume as missed bubble that is why -2 and 2 are not included in the acceptable values. When I discussed with Trish the scenario you have cited, she said we still need an audit so we are aware and clear about the cases of two insertions done in a day.--JMojica 10:19, 2018 November 21 (CST)

    I will have to sit down with this and work through it.

    Check VAP acquired only first encounterWe decided that VAP can actually happen in medicine if pt admitted from ICU. How would we deal with that for this check?
    Check drugs vs TISSHave all info now, Allan confirmed drug list. Once implemented let Julie know so she can not do this in SAS any longer
    Check organ donors must be dead
    Check pre acute consistentwhat exactly do we want to check for? Please also have a look at the stuff below that doesn't specifically have your name. This requested check ties into a bunch of things and if we want the check we need to be sure that instructions stay consistent and lose ends are tied up.
    There was a previous attempt to address some of this in Care levels in the community; this page and it need to be consistent, and consistently linked from the relevant field definitions. If we can get it short enough we might make a template to apply the instructions to each of the field pages.
    How does Chronic Health Facility fit into this?
    There was talk about comparing Postal Codes to known PCH Postal Codes. Since these might Include other buildings at the same site that are not PCHs, this check can at best be a soft check. Please add the list of these postal codes here.
    • from a data perspective, what do you mean by "admitted directly"? If I were to build a check, where would I find that? OR maybe I don't need to know, but then I need to have a definition of what combination of data would be an error.

    Integrity check


    • ... unless they are discharged somewhere else entirely, like another ward. So what do we really mean with this? That they can't come from one PCH and go to another or maybe "home" after all?
      • I realize this maybe hard to do. what I mean here is that if one is already a PCH resident, when leaving the hospital, the dispo location must be a PCH location too. or is a patient is already in CHF, the destination when leaving the hospital must either be a CHF or another PCH.


    • Need to look at the PCH Postal code data.

    It may be relevant to this check that we have ICD10 Imprisonment/incarceration and other info in Prison / Jail / Correctional Institution.
    Chest Physio (TISS Item)sounds to me like this is still done differently by different people. Ttenbergen 12:58, 2017 July 27 (CDT)
    Chronic Health APACHEDx grouping
    • AG REPLY -- Tina I don't know what the question is here.
      • just flagging it to sort with the others so we can deal with it when we address them.
    Chronic kidney disease (chronic renal insufficiency, uremia) Stage 1
    Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5
    Chronic kidney disease, NOS (stage unspecified)
    Cleaning up a failed send
  • How do you figure out why it happened? What are likely scenarios here? Is this related to Procedure when there are differences between L Log and L PHI or Orphans in Centralized data.mdb?
  • Clinically significant gastrointestinal bleeding in critically ill patients in an era of stress prophylaxishow did we support this publication?
    Collection Location Service TypeWhat is CTE? I am adding it for now because not having it is breaking SMW, but we really should not have it here if it isn't defined.
    Colonized with organism (not infected)make sure this is consistent with Lab and culture reports
    • Are all of these actually things that can colonize without infection? We should only list those here that can. I started adding in links but then decided to hold off in case a lot of them drop off this list. Ttenbergen 15:34, 2018 November 28 (CST)
    • The above list is those organisms that require isolation. You may want to move this list to the Isolation, infectious section.--LKolesar 07:06, 2018 December 24 (CST)
    Comfort Care
    • There had been a reference that this could stop when ICD10 comes. Why was that? Is it because we will start collecting Palliative care? Because that is not really the same definition...

    We will need to update a the reference to this in Palliative_care#This_code_vs_Comfort_Care once decided.

    Community Nursing Home Location Helper
    Community-acquired pneumonia (CAP) in ICD10What does that even mean, since we don't have a code for CAP?
    Comorbid DiagnosisComo Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review
    Comparison of ICU Antibiotic Use and Costs in Pnuemonia Admission in Two Urban Centershow did we support this publication?
    Comparison of ICU Investigation Patterns & Costs in Two Urban Centershow did we support this publication?
    Completeness of TISS records
    • we will track the TISS outstanding status in the L_PHI.notes field
    • that field will be made available in CFE underneath notes field
    • email button will be changed to store in L_PHI.notes
    • Pagasa will clear notes field when done
    • update definition for "vetted" to reflect it does not include TISS
    • move all TISS queries into CFE
    Confidential waste disposal
    Constructing episodes of inpatient care: data infrastructure for population-based researchhow did we support this publication?
    Contingency locations
    Continuous Stayneed to integrate Julie's definition pasted here into this page
    Controlling Dx Type for ICD10 codesnot needed at go-live; Need to export the list and plan process that includes the extra items below. To export, see S_ICD10_table#Query_to_populate_s_ICD10_table_from_wiki.
    Como Admit Acquired Primary Limits / 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)
      • Ignore until at least April.
    Conversion from our old diagnosis schema to ICD10/CCItransition plan to CCI/ICD10 details...
    need to confirm this is documented, as in tied together and interlinked from relevant places
    Correcting suspect linksupdate when the button has been added: When done, click the ... button to confirm all link_suspects queries are clean.
    Crash TISS MDB
  • TISS28 Form Scanning doesn't have a step for run reports... is this still a thing?
  • Critical Care Vital Signs MonitoringIt says that CCVSM is in Quarterly report. If CCVSM is no longer, is it still in quarterly?
    Critical Care and Medicine Database Core CurriculumHow does Critical Care and Medicine Database Core Curriculum co-exist with Data Collector Portal? The audience is different, one is for newbies and one as day-to-day reference, but how does that change what needs to be told, without just duplicating all? Ttenbergen 21:08, 2019 January 3 (CST)
    DSM Lab Extract
    Data Collector PortalHow does Critical Care and Medicine Database Core Curriculum co-exist with Data Collector Portal? The audience is different, one is for newbies and one as day-to-day reference, but how does that change what needs to be told, without just duplicating all? Ttenbergen 21:08, 2019 January 3 (CST)
    Data Processorleave these for now, Tina will go over these and take those that are not really data processing out of the category before we try to address the rest.
    Data collector's binderIs there other stuff in there? This page is likely only worth keeping if it is linked from Critical Care and Medicine Database Core Curriculum, and before that it should get good content. Should we make it good or get rid of it?
    Data dictionarysomething went wrong with this query and it has no data
    Attempt at a easier to follow data dictionary. Is this what you had in mind?
     Yes, this is what I have in  mind. Thanks.  Some suggestions: 
    
    • I just notice some start dates are not the actual start dates - It is important for the users to know how far back the data are available so they can decide the covered period of their study. is it possible to change the date to actual earliest collection start date (not 1 Jan 1900). --JMojica 10:05, 2019 January 3 (CST)
      • The start and end dates are stored on the individual pages. If the list shows 1900 then they were not filled in. If you know what they are and fill them in then this page will list them. I can also change the default if-not-filled value in templates to something other than 1900-01-01. I just needed a value for ranges and filters to work. Ttenbergen 14:49, 2019 January 3 (CST)
    • add a column for program (Critical care only or Medicine only or both).
      • I can do that, but the table is already getting quite wide for a web page. Can we lose any of the columns we currently have? The info you mean is always visible in the pages themselves as well, in case that's sufficient. But, yes, we can tweak what the tables should show. It is done in Template:DataDictionaryQuery (details visible once you edit it...) and removing fields would be easy enough. I can show you how to add fields. Or I can add them once we confirm what we want.

    Tina has changed the ICD10 and CCI templates to use a startdate of 2019-01-01 and will change other default dates as I receive dates Julie wants me to use.
    Deceased patients
    Definition of an ICU admissionThe following was written here, is it true? : For ICU patients collection starts at unit Arrive DtTm.
    Delirium daysWhat are the details?
    Differences Between Intensive Care Unit Admissions Located In Rural And Urban Hospitals In A Canadian Populationhow did we support this publication?
    Direct Data Access for RIS/PACSZ) Should we pursue this now? Where would it be on our priorities? It might be related to CCI coding.
    Discharge RegisterThe following needs clarification, I don't have a report in front of me, how would a new collector read which of these are EMIPs and which not? Emailed Laura Ttenbergen 16:53, 2019 January 3 (CST)
    • is this just available for STB or is this how GRACE and HSC can find in EPR?Trish Ostryzniuk 18:01, 2019 January 3 (CST)
    • I would think that all the hospitals have this because it is just a demographic issue and I believe that everyone has access to this, just get them to test it in other centers to make sure.--LKolesar 07:56, 2019 January 4 (CST)
    DiscussSteering
    Distinct Determinants of Short-term and Long-term Mortality After Critical Illnesshow did we support this publication?
    Drug or biological substance/agent NOS, adverse effect
  • Had code T88.7 when we first started but was later changed to this code. I have deleted the original code from the tables, but it might still linger in other references. Once you are sure you don't need this info, please delete the comment. Since this would only exist in test data we don't need to keep it long-term.
  • EMIP
    EPRwe need to update this...
    EPR Reports
    • Is it only your sites, or all sites in Regional.
    • Do you use them to obtain transfers admits and discharges?
    Early Administration of Crystalloid Fluids Reduces Mortality in Septic Shockhow did we support this publication?
    Early combination antibiotic therapy yields improved survival compared with monotherapy in septic shock: a propensity-matched analysishow did we support this publication?
    Early intravenous unfractionated heparin and mortality in septic shockhow did we support this publication?
    Effects of a Resource Mangement System on ICU Laboratory Utilizationhow did we support this publication?
    Effects on patients, physicians and families of 24 hour, on-site intensivist coverage in academic and community ICU carehow did we support this publication?
    Eliminating a diagnosis from collection
    Eliminating distinction between different ward typesany of Julie's Reporting that use this concept?
    CTU vs NTU - we decided at task that we wanted to eliminate the distinction. A lot of things are part of their network of information, so we will need to work out the details above before we can move ahead.
    • I believe it was only related to transfer ready DtTm between CTU and NTU not eliminate the concept. Medicine program would have to weigh in. Trish Ostryzniuk 16:11, 2018 July 30 (CDT)
      • I seem to remember the reason to stop doing this also involved that we have more and more locations that don't fall into a clean place. For now we pretend we can give medicine this data, but is it true and meaningful? Ttenbergen 15:51, 2018 July 31 (CDT)
        • Allan will contact the medicine stakeholders about eliminating this distinction. Will email Mary-Ann Lynch, VanAmeyde, Griffin. Ttenbergen 12:18, 2019 January 24 (CST)
          • pinged again for Allan to Follow-up. Ttenbergen 13:44, 2019 February 25 (CST)
    • AG REPLY: DONE. NOBODY is using or seeking this info. So let's stop collecting it.
    Employee Assistance Program
    Encounter processing
  • says inactive, but do you actually do this? Is there anything else to it? Do we have, and do you run any multi-encounter checks yet? I guess a lot of the PLs kind of are those...
  • Ethical and practical considerations of withdrawal of treatment in the Intensive Care Unithow did we support this publication?
    External Files
    Facilitated Management of Serial numbers
    FinalCheck field
    FirstName fieldunder #Legacy info it said we stopped messing with names so cross checks with old data would work. If we no longer do that we should fix the reasoning there.
    please confirm what we actually do now:
    Fixing a D ID in TISS28.mdbPagasa will test the quicker way, and if satisfied, will clean out the two old methods.
    Flagging for TISS
    Focus moving from ICD10 tab to Dispo tab when trying to enter a dx
  • Is anyone else encountering this and can give me any pattern to consistently cause it to happen? Ttenbergen 14:08, 2019 March 20 (CDT)
  • GRA CAU
    GRA Medicine Collection Guide
    • CTU vs NTU
    Gender Differences in Intensive Care Utilizationhow did we support this publication?
    General Collection PracticesI have linked this from Critical Care and Medicine Database Core Curriculum, but it likely needs updating. Unless we don't want it at all.
    General Diagnosis Coding GuidelinesI have linked this from Critical Care and Medicine Database Core Curriculum, but it likely needs updating. Unless we don't want it at all.
    So, collectors, almost 10 years after I initially asked that question, did these guidelines ever become useful?
    Grace Nursing Home Ward
    Guideline for coding organ donation after death


    • People have expressed concern about the that there might be significant interventions listed on TISS in the time between Brain death and pt leaving the unit; will we continue to do TISS for this, and how will TISS scores for this time affect any reporting? If we exclude the time from LOS it will mess with the N for this.



    The following in Correcting suspect links will need to be updated for this:


    • Re-admission - based on how just plain transfers are exempted from this, it might be affected. Please see and fix page for more.


    • As per Allan, "It’s necessary to avoid double counting the death for patients who transfer after brain death".
    • Mortality and readmission report - that page has very limited information. Is this report still done? If so, can we update that and make sure this change won't mess with it?
    • Are there other reports that count death rates or mortality? If so we should make a page for it and add it to Category:End-of-life related data and make sure it records how we will address this scenario. Ttenbergen 16:04, 2019 May 21 (CDT)


    • transfer delays (Transfer Delay - currently says it's only for survivors. Is that still true? If so it will need to be adjusted. Is that actually right, to exclude deceased pt? They were still delayed while alive. Excluding them may be inconsistent with our definition of Transfer Ready as the first time they are ready.


    • Julie, which reports and what linking will be affected by this, so we can update the related wiki pages?
      • Firstly, Medicine is the only one which report linked admissions during a hospitalization. If a medicine patient happens to go to an ICU, died, an organ donor and move to another ICU , this rule is saying do not consider the second ICU. what will be the LOS of that hospitalization - I presume this rule will exclude the second ICU stay, is that correct?


    • I had one patient where they withdrew care in the unit then went directly to the OR to harvest the organs. What do we do in this case?--LKolesar 08:03, 2019 June 5 (CDT)
    H1N1seems odd that we would have done a flu study only for 1 month in a summer...
    HD (Hemodialysis)
    • I need clarification on this one-if a patient is either dialysed in Emerg, or on a different ward, (ie. anytime during the current hospitalization prior to coming to your area), are we to enter this only as an admit CCI?Mlagadi 10:26, 2019 February 11 (CST)
      • Please have a look at Admit Procedure, it should explain whether to code a procedure or not. There is no explicit exception for Dialysis. If the info there does not give you the answer you need, please elaborate. If the info is there, then, would you have looked there? How can we make clearer to look there? Ttenbergen 11:53, 2019 February 13 (CST)


    • We used to have a special procedure for indicating if a renal transplant patient received dialysis post transplant under the tasks. If we are now only coding HD once, it will often be missed if the patient required HD post renal transplant. Do we care about collecting this information? There is the post procedural renal failure code that will be coded in the acquireds, but this does not automatically mean that they received dialysis.
      • AG REPLY -- I don't see any special reason to need this info. Unless Julie tells us it's being requested, I think we can do without it.
        • Julie, what are your thoughts on this? Ttenbergen 11:53, 2019 February 13 (CST)
    HSC CAUOK, now clearer what CBA is, but I still don't understand: why it is in the HSC CAU page?
    not summarized
    Do we need to know more about the CBA designation or process, should it affect our reporting?
    HSC Electronic Patient Record
    • This is common to all sites, right, not just HSC? See comment at EPR where the non-site-specific stuff should live.
    HSC IICU
    • physical location will move from JJ to GA7, Date:?
    • expanded to 8 beds, Date: ?
    HSC IICU Collection GuideIs this still relevant after workload redistribution? Ttenbergen 11:47, 2015 May 20 (CDT) And is this how you want it?
    HSC Med nonteaching contingency bedsenter HSC_B5 stop date when known
    Those are now endoscopy, right? If so can we take this section out? Trish Ostryzniuk 17:50, 2018 July 30 (CDT)
    When did the H4 contingency beds close? Are they closed for good? If so, do we need that info any longer? It should not affect our data or processes going forward , nor help make sense with old data, right?
    HSC SICUwho is unit clerk?
    Health Care Utilization Before and After Intensive Care Unit Admission in Rheumatoid Arthritishow did we support this publication?
    Health Sciences Center Office
    Heart transplant, failure or rejection or unspecified complicationis the following actually specfic to heart transplants? If not, it should be moved into Template:ICD10 Guideline Transplant so it will show in all the transplant failure pages.
    Height and weightZ) decided to revisit SOFA scoring 6 months after ICD10 so same should likely go for this.
    High Rates of Mortality and Technique Failure in Peritoneal Dialysis Patients After Critical Illnesshow did we support this publication?
    High dose chemotherapy as primary admitThis page is listed as an exception in Definition of a Medicine Service admission so I wanted to make sure we include that instruction with the new codes. However, what _is_ the new code for this? Found nothing suitable in CCI Picklist, CCI component 2 codes - what was done, and ICD10 Diagnosis List only has Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect which doesn't seem a real match either. In general we would only code the cancer now, right, but this is a bit of a special case, so do we want to treat it separately?
    • AG REPLY -- we don't need this at all and there's no way to code it specifically in ICD10 -- except that such an admission would have the Dx code of the cancer being treated, and the CCI code for the chemotherapy
      • emailed Julie and Trish to make sure they are comfortable with this.
        • Trish, if you are fine with how this is or isn't addressed in ICD10 going fwd, pls remove the tag
    High occupancy increases the risk of early death or readmission after transfer from intensive carehow did we support this publication?
    Hospitalization in Winnipeg, Canada due to Occupational Disease: A Pilot StudyI see Pat's name... did this actually use the DB or just a collector? how did we support this publication?
    How many ICU beds does a population need?Can we get any reference to this? It's not on pubmed... how did we support this publication?
    Hypertension, malignant_q2
    • I would like to submit the following definition for peer review and discussion for Malignant Hypertension. Malignant Hypertension is extremely high blood pressure that develops rapidly and causes some type of organ damage. "Normal" blood pressure is <140/90. A person with Malignant Hypertension has a BP typically >180/120 --mvpenner 11:02, 2015 April 15
      • had a brief look at https://en.wikipedia.org/wiki/Hypertensive_emergency and it looks like additional things need to be present to define as hypertension. would you be OK if we just linked to there as we do fro many articles? Ttenbergen 15:27, 2015 April 15
        • Thank you!--mvpenner 06:04, 2015 April 16
          • Does that mean you agree that adding a link would be a solution/improvement? Ttenbergen 17:39, 2015 April 16
            • Thank Tina. I agree with posting the link, but also see benifit in having a brief summary in the definitions.--mvpenner 07:56, 2015 April 20 (CDT)
              • Sure, but it needs to include all the relevant parts. From reading the wikipedia entry I didn't think the one you proposed would. Could someone more medical weigh in? I am just looking at it from a consistency angle... Ttenbergen 13:55, 2015 April 20
              • I think the abbreviated definition is clear and helpful. More info would probably make it less readableMlagadi 15:13, 2019 May 14 (CDT)
                • I absolutely agree that any additional text makes is extra text to read ;-) but I want to make sure we don't leave out something vital. I'll leave this on Allan's list for now, hopefully we can get an answer at our next meeting.
    Hypokalemia, severe or symptomatic_q Are we supposed to enter this only once per admission, or every time this occurs? Some patients will have multiple days in which their electrolytes will meet these criteria. This question applies for other imbalances, such as magnesium, sodium, phosphate...Mlagadi 09:19, 2019 May 1 (CDT)
    ICD/CCI remove once old pt goneICD/CCI remove once old pt gone 1
    ICD10 Diagnoses and CCI Codes that need to be coded togetherunmaintainable. emailed Trish to see if she is ok with us taking this out. Ttenbergen 12:05, 2019 February 1 (CST)
    ICD10 Dx sorting issuesWhat does everyone think, would this be a possible and worthwhile thing to add? Am I missing something and there would be an easier way to do this? Ttenbergen 10:57, 2018 August 2 (CDT)
    • This is an older discussion and I think the form has changed since. Do we still have sorting issues in the ICD10 form? If I don't hear anything I will set this to fixed and clear this out in a month or so. Ttenbergen 21:14, 2019 March 9 (CST)
    ICD10 Guideline Como vs AdmitComo Admit Acquired Primary Limits - this is part of that discussion - if we limit which admits will count as comos we need to review
    ICU Acquired Antibiotic Resistant Organism (ARO) rateWhat are the details?
    Is it still defined just around those? Should it now be defined around Category:Antibiotic resistance?
    Is it really only colonization, or does/should this include infections? Category:Antibiotic resistance?
    ICU Acquired Catheter-associated Urinary Tract Infection (CAUTI) rateThere was no significance in your PPT.
    What are the details?
    Based on which dxs and delays?
    ICU Acquired SepsisNothing was listed in your power point, what is the significance?
    What are the details?
    Is this based on Shock, septic? Severe sepsis? Dx Date? Anything else?
    Are other dxs included?
    ICU Acquired Ulcer RateWhat are the details?
    ICU Interfacility TransferWhat are the details?
    ICU MortalityWhat are the details?
    Does this also consider any of the Diagnosis implying death?
    Allan says don't include Brain death admits in the numerator or denominator ?
    ICU Resource Utilization - Chest XraysWhat are the details?
    Is this DSM Lab Extract?
    ICU Resource Utilization - Creatinine TestsWhat are the details?
    Is this DSM Lab Extract?
    ICU Var 6 - AMADid we transition the following into tmp or otherwise? Ttenbergen 13:58, 2017 June 6 (CDT) If we did not then this question can just be removed, but if we did move this elsewhere we should explain where to.
    ICUotherServiceWhen a CICU pt is in MICU under MICU service we do not have an option in the drop down for this (this occasionally happens when they have no beds). We also do not have an option for an MICU pt in CICU under CICU service (although I do not know if this ever happens but I suppose it could happen).--LKolesar 14:02, 2019 May 3 (CDT)
    ID cardsThis is info we might best keep in collaboration with the Internal Medicine folks, as it should be the same and we could learn from each other / prevent duplication. would it be OK to move this to
  • https://wiki.umintmed.ca/index.php?title=Arrange_for_ID_Badge_%26_Access
  • with a link from here? Trish, you and I at least would still have rights to edit it there, if other CCMDB people need an account we can get it for them. Emailed Trish Ttenbergen 11:28, 2018 March 20 (CDT)

      • Tina, I prefer not to move there as I don't need to be log into another Wiki. Trish Ostryzniuk 17:50, 2019 April 3 (CDT)
        • You would only need to log in if you need to edit, and that would only be once in a blue moon. There would be several advantages: more people to keep it up to date, and maybe putting ourselves on the map a bit more as part of the department.
    Iatrogenic, mechanical complication/dysfunction, internal prosthetic device or implant or graft NOS_q2 CCMDB is giving an error message saying "has trauma mechanism but no related trauma", cannot send - Joanna Velasco May 29, 2019
    Iatrogenic, thromboembolism, as complication of line/infusion/transfusion/injection_q
    • I have had a few patients with a thrombus in their lines and also in veins related to line insertions. I wanted to use this code but does this include just the thrombus or does it have to be a thromboembolism?--LKolesar 12:33, 2019 May 13 (CDT)
    Identifying ICU admissionsmultiple questions, especially for HSC and GRA
  • Grace, are collectors now able to use EPR Reports to generate own transfer, admit and discharge reports?Trish Ostryzniuk 11:35, 2016 May 20 (CDT)
  • no access to ERP reports yet to generate our our listsMschaffer 08:57, 2016 May 31 (CDT)


    • what are those plans? Are we still planning to? Ttenbergen 09:31, 2016 November 10 (CST)
    Increased Incidence of Critical Illness Among Patients with Inflammatory Bowel Disease: a Population-based Studyhow did we support this publication?
    Initiation of Inappropriate Antimicrobial Therapy Results in a Fivefold Reduction of Survival in Human Septic Shockhow did we support this publication?
    Instructions for importing a batch of DSM Data1 I have to make/fix a connector module for this.
    There is a newly found and new added query for each; why are there two and can I delete one set?
    Intensive Care Unit admission following successful cardiopulmonary resuscitation: resource utilization, functional status and long term survivalhow did we support this publication?
    Isolation, infectiousFor patients who are admitted and have pre existing MRSA to code infectious isolation as an acquired CCI code is counterintuitive if it is present and treated with isolation on admission. Pre existing colonization would be included as an ADMIT DX if treated with isolation, and the isolation would be included as an admit CCI procedure.
    • I agree, it does feel counterintuitive, but if we are following the WIKI guidelines, it seems like this is how we are supposed to code it. I think their is currently a lot of discrepancy in how this is being coded.
      • there seems to be confusion all around when to code something as an admit vs acquired vs comorbid. One example we have seen, someone comes in to ICU with stab would injury to heart, has had cardiac arrests, and is in shock. We see the trauma injury to heart coded as comordid. Need to discuss collection instruction tweek that would help
        • Allan recently updated Admit Procedure with info that is relevant to this. I wonder if the instructions on this page are just a remnant from an earlier iteration of the Admit instructions. As I read the current ones, you would not code this. But yes, good we are taking it to Task...
    Kidney, acute tubular necrosis (ATN)
  • If a patient has ATN on admission and later requires CRRT for kidney failure, do we need to put an acquired code of Kidney, acute renal failure NOS or not? The crrt goes into the CCI codes. --LKolesar 12:11, 2018 December 5 (CST)
    • What is special about this dx that would have you not code it? Is it that you are wondering whether coding a CCI means you don't have to code a dx? They are different things, you would still need to code the dx. Am I misunderstanding the question? Ttenbergen 07:09, 2018 December 14 (CST)
  • ATN does not necessarily imply the need for dialysis but if this distinction is no longer necessary, then I won't worry about it.--LKolesar 07:41, 2018 December 31 (CST)
    • Laura, are you concerned about this in terms of whether a cross check would find a dx that explains the CRRT, or where are you coming from with this question? Ttenbergen 20:03, 2018 December 31 (CST)
  • Kidney, renal failure/insufficiency/uremia, unspecified as acute or chronic_q2
    • This specific kidney code states it is "unspecified as acute or chronic". I tried to use this code to hook up to make a uremic pericardial effusion/ pericarditis but I get the error message because this is a Stage 5 CRF patient. Because this code is unspecified I think it should be allowed to use it in this case unless there is a better option for chronic uremia causing pericarditis and effusion. Need advice on this. --LKolesar 11:52, 2019 May 6 (CDT)
    L Hospitalization tablez
  • implementation was never finalized, and it wasn't tested and isn't used.
    still need to figure out if I need an s_table for this.
  • L ICD10 APACHE Dx query
  • You and Allan discussed what should be on the list. At some point we will need to integrate the result into this query. Did you end up including Acquireds? Since the first 24hrs might include them, but they might happen later, and the difference is not clear from Dx_Date? Ttenbergen 20:20, 2018 November 24 (CST)
  • L ICD10 subform
    • I changed this around a bit so there is a background that ties the types together on the left, and the priorities on the right. Also changed it so that the priorities use different colours than the types. It doesn't look particularly nice, but the point was to group things better. So, does it do that? If not, do you have a suggestion what would (ideally without taking up much more space). Also, yuck, even if it does the trick, how would we make it look a bit less awful? Please comment below. Ttenbergen 22:06, 2018 November 24 (CST)
    LOSthis article has evil twins, need to reconcile, search for LOS Ttenbergen 21:13, 2014 October 23 (CDT)
    Are LOS Medicine per hospital admission and LOS Medicine per ward stay evil twins of one of the below? If so pls move the link under that section.Ttenbergen 15:34, 2016 April 18 (CDT)
    LOS Medicine per hospital admissionthis still talks about TMSX... what is the new status of this field?
    I think you made several of these at some point. Did we do anything even categorize them? If we annotate them right we can include them in the Data dictionary ...
    LOS Medicine per ward stayHi Dr. Garland,A thought came up after the last Task meeting related to the discussion on using Service LOS vs. Physical bed LOS (location). We also have A/D/H service patients go to the ward D5. This ward is typically less acute and patients will transfer to D5 from all of the medicine wards (A4/H4/D4/B3/H7). The patients retain their service (A/D/H) while they are on D5, some patients will switch attending (to the D5 Attending), others will stay with the same Attending they had prior to arrival on D5, but the service will remain the same. The Attendings on D5 do not have a specific service and, there is no rule as to which patients switch to the D5 attending. Some patients will be discharged from D5 still under the same Attending that cared for them prior to arrival on D5. When patients leave A4/D4/H4/B3/H7 their profiles are completed (discharged) by the designated ward collector and a new profile is created by the D5 collector.Thanks, Val Penner, May 16.19
    ward LOS vs Service LOS - Val Penner - HSC-D5 follow up from May 7 task meeting- May 16.19
    Lab Collection Process
    Lab and culture reportsyou wanted to remove stuff from here that's already in the infection guidelines instead.
    LastName fieldplease confirm what we actually do now:
    Length of Stay (ICU Report)What are the details?
    This is per ICU, not across ICUs, right? How do we make the definition specific for this?
    Is this based on Accept DtTm or Arrive DtTm?
    Length of Time for Transfer from ED to ICU within same facilityNo significance in your ppt?
    What are the details?
    Link suspect mismatch to ours incomplete query
  • There is a query Link suspect mismatch to ours incomplete2 (with a 2 at the end) in CFE. What is the story, and which one do you actually use?
  • Linking in centralized data front end.mdbWhy are these not the same as below? What are we doing now? Do these need to be done in a specific order?
    List of Factor affecting data quality
    • These points about improving APACHE were made a long time ago. Since then we added a listing for default values and ranges, and the BP Helper button, and the reference values and ranges on the Patient viewer tab APACHE. Would you say that these issues are addressed or is this still a problem?

    These comments were made a long time ago, before we used EPR, and before we split the admit time into Accept DtTm and Arrive DtTm. Are any of these still relevant? If not I would like to clean them out.
    We certainly have more guidelines now than we did in 2011... is this still a concern?
    List of ICD10 Diagnoses we don't code
    List of diagnoses affecting Overstay Project (pre-ICD10)
    • in reconciling these, a lot are based on Charlson Comorbidities in ICD10 codes, so whatever we use there should be consistent with here.
      • Allan was OK with these at list meet today Ttenbergen 14:58, 2019 February 25 (CST)
    List of diagnosis codes corresponding to Charlson Comorbidities (pre ICD10)
    Manitoba Health Crosschecking Background
    Manitoba Health Crosschecking Reconciling Returned Data
    Manitoba Health Crosschecking Sending Data
    Mechanism of injury: other NOS_q2

    How are we supposed to code injuries sustained from an assault not involving a weapon?? Would it be this code in this article(Mechanism of injury NOS), or Mechanism of injury: struck by an inanimate moving object/blunt trauma?--Mlagadi 09:55, 2019 June 3

    • so was person assaulted by punches/kicks? If so, a fists or feet are not inanimate objects, therefore.....Allan, what is the mechanism to be used. Staff are having trouble fitting clear issues into some slot.
    Medical Assistance In Dying
  • When we started out this dx used code U23, but then as of 2018-07-17 ICD10 actually added a code for this so we changed ours to that code. I don't really think we are interested in keeping that very early test data, so this comment can probably just go, and we can delete them. I am removing the code from our s_ICD10 table.
  • Medical ward admissions among HIV-positive patients in Winnipeg, Canada, 2003–10how did we support this publication?
    Medworxx
    Minutes Team Meeting October 1, 2014
    Mortality and readmission report
    • who is this report given to? thank you--TOstryzniuk 18:40, 30 November 2010 (CST) Ttenbergen 23:43, 2017 June 7 (CDT)

    What is the Mortality and readmission report report?
    Night Time DischargesWhy only to wards? How about to home?
    Non-standard ICD10 DiagnosesDx grouping
    • With our addition of codes, collectors may use one of our codes rather than the closest standard ICD10 code. In that case, the dx would not show up in the range. How should we address this? The most likely candidates above seem Bronchiolitis obliterans organizing pneumonia (BOOP, cryptogenic organizing pneumonia (COP)) and SARS (severe acute respiratory syndrome)
      • AG REPLY -- for this nonstd BOOP code, there are no existing issues regarding any of the comorbid groups (e.g. Charlson)
        • Allan, could you confirm that that this is what we found when we looked into BOOP.
    • AG REPLY --- so far Tina the only 2 U-codes that would ever be a primary dx are U04 and U14.68 -- which belong respectively to ICD10 chapters J and E. But whenever we add a new U-code we need to remember to decide which chapter (if any) it needs to be included under. Tina to add to template.
    Notes field
  • Do you use diagnosis information before patients are complete, e.g. Primary Admit Diagnosis?
  • Yes, I use the primary diagnosis for the reason of readmission even if the record status is incomplete. --JMojica 09:07, 2018 December 6 (CST)
    
    Nursing WorkloadWhat are the details?
    Average or mean? Different in description and definition.
    Object with variable error
    Off ward fieldCurrent way of checking through transfer list from ER will miss off ward patients who arrived at off-ward locations from elsewhere than emerg. Laura and Tina discussed, did not find solution yet, should be rare, though. 13:41, 2017 March 1 (CST)
    We collect data on some patients who never arrive on one of our units, e.g. EMIPs any other scenarios? There was a page for the HSC off warders I think...)
    Organ donor (organ/tissue donation by the donor)Why would it not be an Acquired Diagnosis? They may have been admitted for Preparatory care (incl preop optimization), no? Or would they then not be on a ward where we collect because we are not surgical?
    • If I understand Guideline for coding organ donation after death right we will not actually be coding Organ donor (organ/tissue donation by the donor) for deceased patients , since that will always happen elsewhere, and pt won't come back to us after, so not our dx. If I understand that right we should probably put a one-liner here to make that clear since it's a bit counter-intuitive. And likely at that page as well.
    • What date in the Acquired Diagnosis do you put for this code? Do you use the date that they decide the pt will be an organ donor? Or would you prefer the date the patient goes to the OR (which would be the same as the discharge date?
      • These patients go to a different ward after transplant, right? So we would likely not currently track the CCI for this. Maybe transplants are something we should track if they are at the end of stay. I'll flag this for Allan.
        • I am referring to an organ donor (not a transplant recipient). Most donors go to the morgue after donating their organs in the OR. I am not asking about CCI, just the date for the acquire ICD10 code. I am not sure who wrote the above comment.
    Out of Memory Error
    Outreach efforts
    Over Census at MidnightWhat are the details?
    PHI Loader.accdb
    • Don't know what to solution is yet as Tina hot sure why to problem is occurring.>
    PHIA policy
    PL Chart 9 Digit
    PL SamePHIN Site Diff chart1 this query has reached the 2GB limit, must see if I can lean it out or otherwise reduce the size
    PL missing L Tables content
    • Pagasa, could you please log here when this query lists errors, and what was found to be the problem (ie whether there was data in CCMDB.mdb that didn't make it, or no data in first place.
    Palliative Service
    • there was a question about palliation at beginning vs end of stay. It was discussed at task but never cleaned up. Could you have a look a this page? If this is all no longer an option, please delete the section. If it was resolved, then what did we decide? Or was that why we starte Comfort Care? Ttenbergen 00:01, 2018 November 27 (CST)
    Panelling or Discharge PlanningThat link no longer goes anywhere, the heading is not on that page. Can the reference be deleted from here, or do we need to review? And, how will this affect the use of the Category:Awaiting/delayed transfer codes? Ttenbergen 14:51, 2018 September 6 (CDT)
    Parasitic infection, NOS_q2 This code requires a pathogen, however there is a very short list for parasitic pathogens and this is the only option for a parasite that is not on the list. For example trichomonas. I think we should be able to put this option without a specific pathogen as it should be implied. --LKolesar 13:19, 2019 May 6
    Past history, transplanted kidney
    Patient copier button
    Patient viewer
    • I just tried to finally do this and realized have no note on what that old tab order was. I know we discussed it back when we made this change. If anyone still has the order around, please put it here and I will change the order back to that.
    Pharm Flow Completelegacy data field
    Physical rehabilitation care
    • what is cardiac rehab and does this mean most STB CICU should automatically be applying this code for most patients even if it is standard orders for care?


    _q2

    • why are we collecting this type of intervention, for what purpose and when should this be coded as a significant acquired DX problem? It is showing up in STB_CICU as one of the most common acquire codes? Is this not part of standard orders for care for post surgical pts? Some are applying this code when physio comes to see pts, others are would use this code if it is a significant reason impacting LOS. We are not consistent to be looking in charts if physio came and did the work or not. --Julie and Trish. * I agree, most surgical patients get physio consults. Is it important to track who gets physio consults or is this also for nurses who provide physical rehab care or is this for occupational therapy?? We have chest physio on the tiss. To me this is not a diagnosis and am wondering why it is even in the ICD 10 codes.--LKolesar 07:44, 2019 May 7 (CDT)
    Pneumonia, ventilator-associated (VAP)where is that list of sources, did it get lost in an edit?
    Is the following only for the immunocompromised patients, or for all?
    As you are likely aware, it is important to establish a specific incident date for a VAP. When a VAP swoop is done, the chart is audited for VAP bundle compliance during the previous 72 hours of patient care.
  • Before this new criteria was implemented, we used the date the culture from the ETT was sent and was positive for a pathogen. I think we need to have clear guidelines as to which date to choose now with the new criteria. The options are:
    • 1.Date when all criteria are met.
    • 2.When all criteria are met except the CXR if the CXR was done later.
    • 3.At first evidence that a potential VAP is brewing. (eventually does meet all the criteria).
  • We would appreciate your expertise in determining what is best. I will forward your recommendations to the VAP committee here and we should have it written into our wiki criteria as well. Thanks so much! Laura, as per email to Allan- May 16.19
  • Postoperative laboratory and imaging investigations in intensive care units following coronary artery bypass grafting: A comparison of two Canadian hospitalshow did we support this publication?
    Potential Change
    Pre op Admit-Cardiovasc PatientThis is not coded under ICD10 or CCI. Do we report this, and therefore need to accommodate otherwise, or how will we treat this? We have Preparatory care (incl preop optimization) but that doesn't capture the full concept. Ttenbergen 22:45, 2018 November 27 (CST)
    Pre-2017-07-30 Overstay Predictor Project Collection Instructions
    Pre-OP Admit - Research Patient - CardiovascularThis is not coded under ICD10 or CCI. Do we report this, and therefore need to accommodate otherwise, or how will we treat this? We have Preparatory care (incl preop optimization) but that doesn't capture the full concept. Ttenbergen 22:45, 2018 November 27 (CST)
    Pre-linking checksnot working right now due to PL_SamePHIN_Site_Diff_chart size limit
    This automatic list includes an PL missing L Tables content - where does it fit in into the order in which you run these above? It is likely a very first thing, right?
    Preparatory care (incl preop optimization)needs to go elsewhere
    Previous Location field
  • In the instructions above it says to select "other - known but not listed" this is not in the dropdown as an option.
  • Turns out location missing/unknown wasn't implemented either. Is there any concern if we implement this now?
  • Previous Service field
    • The Registry Patient Type field was replaced by the Previous Service field, how will the patient types be derived from the previous service field? the s_previous_service table must have a column defining the patient type.
      • Patient Type is Surgical if previous service is Cardiac Surgery, General surgery ,etc.,
      • Patient type is Cardiac if previous service is Cardiology,
      • what about Patient type Medical? if Ob/Gyne or Emergency Medicine, is it Medical type? how about critical care?
      • It was also mentioned earlier to use the diagnosis instead, can we begin working on this? --JMojica 15:48, 2019 May 21 (CDT)
      • If I remember right it the Registry Patient Type data was supposed to be inferred from several fields, not just Previous Service field, but I can't remember the details either. We can absolutely add a column for this to s_previous_service table once we know what we need. Ttenbergen 12:49, 2019 June 4 (CDT)
    Primary Admit Diagnosis
    • They are used in the periodic quarter and fiscal year reports of both the Critical Care and Medicine Programs. (Julie)
      • are the two I linked to above those reports? Ttenbergen 14:03, 2015 April 20 (CDT)


    • How will the primary admit dx involving ICD10 be handled - another query? or be combined to Primary_admit of old dx? --JMojica 09:17, 2019 January 31 (CST)
      • I have built query Query L_ICD10_primary and documented it. Julie, once you have found this and read it, please delete.


    • The query Primary_admit of CFE contains multi records per D_ID. These are the records with admit dates before or on Dec 31, 2018 and are still in the unit by Jan 1, 2019. The L_Dxs of these cases have all the same priority number.
    Printer
    Procedure when there are differences between L Log and L PHIWhy, what does that tell you? The only way I can imagine this would happen is if the record was deleted in centralized L_Log. In that case, if you are lucky and there is still a ccmdb_data with the completed/sent record, you can follow the Re-sending data process. If not, find it in a previous version of Centralized data.mdb, print or write down all data for the record, and manually re-enter it in a CCMDB.mdb and follow the Re-sending data process. Or what do you do? Ttenbergen 21:38, 2019 February 6 (CST)
    Processing errors in patient data


    Automate the populating of notes so button just does it.

    • raise an input box for a summary, if gets content put data and content into Notes, else put nothing.
    Project ABO TEE
  • If there is no TEE done pre-CPB (cardiopulmonary bypass), then can you use a pre-op standard Echo-cardiogram for this?--LKolesar 13:19, 2015 September 16 (CDT)
    • Could you ask the cardiologists who wanted this data this question? Ttenbergen 22:28, 2019 March 9 (CST)
  • Project Borrow arrivedid they ever get back to us? no response from HSC SICU --JMojica 10:14, 2019 May 6 (CDT)
    Proposed Notes field default
    QA Infection VAPwill we still need to collect this in ICD10, since I think all the data now lives in the dx codes as well. I am holding off on implementing Query s tmp QAInf tmp no dx until resolved. same reply as in QA CLI. --JMojica 12:04, 2018 December 27 (CST)
    QA Septic ShockIs "Every entry for project QA Septic must have either a date or a time." a request for a cross check? or does that check exist already?
    Quarterly reportWhat is the Quarterly report report?
    Query Import request matcherThis part of the cross-check is now well understood and ready to program.
    This one is fairly easy, Pagasa will try to make it.
    Query NDC CLI AcqDX but NoCLI DateinTMPV2ICD/CCI remove once old pt gone
    Query NDC CLI No AcqDX but CLI DateinTMPV2ICD/CCI remove once old pt gone
    Query NDC CLI unacceptable dateICD/CCI remove once old pt gone
    Query NDC CLI vs DX but no TISS17 CentralLineICD/CCI remove once old pt gone
    Query NDC VAP AcqDX but NoVAP DateinTMPV2ICD/CCI remove once old pt gone
    Query NDC VAP No AcqDX but VAP DateinTMPV2ICD/CCI remove once old pt gone
    Query NDC VAP no TISSFYI Maybe
    Query NDC VAP unacceptable dateICD/CCI remove once old pt gone
    Query TISS Errors ETT consistent
  • A patient might arrive intubated, so there would be no intubation. Does this check really make sense? Ttenbergen 23:23, 2019 March 25 (CDT)
  • Query TISS Errors NrTISSDays NE LOSTina to break out this standard check information to a different page to link to... and clean up duplication
    Query TISS Errors missing dayswhich report/s are these actually included in?
    Query check CCI must have entryPatients without CCI entries are slipping through and found by PL missing L Tables content , must fix PTorres 09:42, 2019 February 7 (CST)
    Query check ICD10 ESRD vs AP ARF
    • some of these give false positives for transplants, review what's up.
      • I have heard nothing else about these false positives I think - are they still an issue? Ttenbergen 15:19, 2019 June 18 (CDT)
    Query check ICD10 ESRD vs ARF
    • some of these give false positives for transplants, review what's up.
      • I have heard nothing else about these false positives I think - are they still an issue? Ttenbergen 15:19, 2019 June 18 (CDT)
    Query check ICD10 duplicatesthe count is wrong, there wasn't a quick fix, so disabling the query for now. Ttenbergen 15:56, 2019 March 27 (CDT)
    Query check ICD10 mechanism vs traumasee DA above if this has not been addressed before Task.
    The outcome of this might cause a change to Template:ICD10 Guideline Iatrogenic and/or Template:ICD10 Guideline Trauma w mechanism
    Query check ICD10 needs awaiting if TR Dt and Dispo Dt on diff daysThere are transfer ready reasons that would not result in an awaiting code. These resulted in false positives. If we want to check for date diff but no awaiting code we will need to enumerate these reasons, and all need to be present in data. I will put aside this half of the query until we address that. Details in wiki page.
    Query check ICD10 only 1 stage of renal failure
    Query check long transfer delay


    • Requiring notes to have content is really a very soft error check... do we need to consider something better?
    Query s ICD10 Chapter block dxsany other plans for these?
    Questioning data back to collectorsz
    • Possible future scenario: The data processor puts the concern into the Notes field and sets the RecordStatus field to "questioned". Next time the collector sends, the record is returned to the laptop by a series of queries. The collector updates the record, sets it to "complete" and sends it in with the next round of sends, at which time it will be processed like any other record.

    This process is more automated and would need to be validated before we could implement. It would be the least work for all involved, though, I think.

    We keep discussing this, talked about it again today. Ttenbergen 17:44, 2016 December 1 (CST)
    Questions
    R Filter Fieldmove into dx and eliminate this field
    ICD/CCI remove once old pt gone
    Re-admission
    Reassessing Disparities in Access to Intensive Care Using a New Methodologyhow did we support this publication?
    Reconnect CFE and initial error checksre-name these so not PL any more
    Fix why it gives this error as part of fixing DSM process.
    Tina will fix Query check CCI must have entry so those are caught going forward.
    Recurrent seizures following cardiac surgery - risk factors and outcomeshow did we support this publication?
    Regional EPR AccessI emailed Joy Lyn Roxas to find out if regular accounts team and Acute care actually share these instructions; if not this might be our problem. Ttenbergen 16:52, 2019 April 17 (CDT)
    Removal of Foreign Body
    • Does this include removal of medical devices (ie. ureteric stent/prosthetic devices...)?Mlagadi 11:36, 2019 May 16 (CDT)
    Repeat clicks being needed when entering CCI PX Typeinvestigate and fix
    Reporting from ICD10/CCI
    • Different procedures would be listed with the same CCI code; will Julie easily interpret and utilize CCI codes for reporting?
    • Do we care that we will not be able to differentiate between a Blakemore tube from an Upper GI scope with banding or hemostasis, when in CCI they both look the same: (T) Stomach, pylorus... and Control of Bleeding. --LKolesar 14:11, 2018 May 1 (CDT)
      • discussed at task 14:08, 2018 June 20 (CDT), Julie to review what she needs and we will discuss again Ttenbergen 14:08, 2018 June 20 (CDT)
    Requested CCMDB changes for the next version
    Requested TISS changes for the next versionWhat is the intended use of these reports?
    Resistance to antimicrobials, methicillin (anti-staph penicillins)
    • Julie, the above question specifically affects some projects you work with as well - do you think unifying this rule will be a problem for any of them?


    Also affected are :

    Does anyone think making this one rule for all will be a problem?

    Resource Use
    Resource Utilization After Survival From Critical Illnesshow did we support this publication?
    Respiratory failure (insufficiency) NOS, acute
    Respiratory tract, foreign body in
    Risk factors associated with recurrent seizures following cardiac surgery
    Risk factors for seizures in cardiac surgery ICU Patients
    River Ridge Transition Care Environment
    Room nrlegacy data
    S AP ChronicDx grouping
    S ICD10 APACHE Como patterns table
    S ICD10 APACHE Dx patterns tabledx 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
    S ICD10 Chapter block pattern tableJust storing this here for now, it should really be integrated into the SMW like the Charlson and Apache ones. Generated by query CCMDB.mdb.s_ICD10_Chapter_block_pattern_wikimaker.
    S ICD10 Charlson Como patterns tableComo 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
  • S TISS Report tableTISS: not really sure where and how this is used, will need to update
    S dispo chooser
  • is pre-populating the hospital filter with "local" helpful or not? I can take that out. Ttenbergen 21:50, 2016 March 24 (CDT)
  • S dispo.loc typeThis value is not yet encoded on the wiki as Property:Collection Location Location Type for locations that have their own article, but maybe it should be. Should it be? Ttenbergen 09:46, 2017 November 9 (CST)
    Indeed, what is the description? Especially in contrast to S dispo.service type; when you give the answer, please put it behind "element_description" above and delete this question.
    S dispo.service typeDo you know what is the description? Especially in contrast to S dispo.loc_type. How do you use this? Please put the answer in the element_description above
    SAS Data Integrity ChecksNow that we have a structure for cross-checks we should add those you do in SAS to here as well, using the same structure as for those listed in Data Integrity Checks Ttenbergen 20:46, 2018 October 26 (CDT)
    SOFA scoringZ) decided to revisit 6 months after ICD10
    STB ACCU Collection GuideThis section deals with old dx codes. If the section is still relevant, and still specific to STB ACCU, then pls update these to new dxs.
    STB B5If you check Definition of a Medicine Service admission is that still true? Ttenbergen 21:07, 2018 November 24 (CST)
    STB CICU Collection Guide
    • This detail should not be on the public wiki, so I moved Info to the CICU collector profile page for now as that is not public. Need to think more about were else this would better live in Private Wiki. Thanks for posting this info. Trish Ostryzniuk 11:19, 2019 February 27 (CST)
      • While the password protected wiki is relatively secure, I would prefer if this info did not live on a web based platform. Could we put a file on the regional server? Ttenbergen 19:16, 2019 March 9 (CST)
    STB Cardiac Care patientsCan you confirm new facts now that we are eliminating Registry Patient Type. (obviously this is a pretty old question...)
    STB E5Is that exception about radiology still true? Ttenbergen 21:03, 2018 November 24 (CST)
    STB E6
    • are you still running these? Ttenbergen 21:06, 2018 November 24 (CST)
    STB MICU Collection Guide
    • With the new instructions for Contacting Quality Officer and Manager for VAPs and CLIs, can we discontinue that sheet? We should not be retaining patient info once we are done dealing with it. Ttenbergen 10:26, 2017 September 18 (CDT)
      • Basil Evan , QI officer, is asking that perhaps a worksheet be submitted to him regarding which criteria were met for either VAP for CLI when collector make determination from chart. Perhaps we could make a checklist in TMP instead in regards to which criteria are met for these two special projects instead of paper worksheets that are different at each collection site? Suggestions? --Trish Ostryzniuk 17:14, 2018 November 19 (CST)
      • added to tmp was abandoned. Trish Ostryzniuk 18:46, 2019 February 4 (CST)
        • Emailed Trish "What do you mean by was abandoned, the question or the project or the paperwork?" Ttenbergen 22:29, 2019 February 5 (CST)
    STB Medicine Collection Guide
    STB Medicine Workload splitting
    STB VAP CommitteeNo longer Lois, who goes now?
    Is this a committee that is basically convened when a local collector rings the alarm? Do you get invited to this? We should document this so that collectors covering can follow the same process, and also so other sites might be able to investigate similar opportunities. Ttenbergen 21:22, 2017 September 22 (CDT)
    STEMI
    • Will this still be relevant after ICD10? Will it still be relevant only to STB?
    Sandy Kroegerwhat is the successor page where the instructions for setting up an account are actually given? Maybe Regional EPR Access for EPR, but how about regular account?
    Scanning Publications
    Scanning to network
    Scheduled TasksDo we still schedule Backup Checker?
    Searching the wikiThere are ongoing problems searching the wiki. Better search functionality would be nice
    planning to try ElasticSearch when I next update the wiki software via elastica or CirrusSearch - timeframe: next 2 months Ttenbergen 13:53, 2019 February 13 (CST)
    Seizures following cardiac surgery: the impact of tranexamic acid and other risk factorshow did we support this publication?
    Seizures following cardiac surgery: the impact of tranexamic acid and other risk factors (Abstract)how did we support this publication?
    Septic shock in chronic dialysis patients: clinical characteristics, antimicrobial therapy and mortalityhow did we support this publication?
    Serial numberhow about HSC EMIP and STB EMIP? Ttenbergen 16:29, 2016 March 14 (CDT)
    How much of the following is legacy? What is the current state? Ttenbergen 16:29, 2016 March 14 (CDT)
    Severe SepsisI don't think this was ever implemented, can't find any evidence of it. Do we need it? Ttenbergen 11:04, 2018 September 25 (CDT)
    Severe sepsis_q
    • What is the definition of "organ failure" as it pertains to severe sepsis? For example, is an acute rise in Cr (AKI) enough to meet the definition or does the patient have to be on dialysis? Could we have some criteria for the failure of different organs? --Jvelasco 15:32, 2019 May 21 (CDT)
    Severity of illnessWhat are the details?
    Is this average as in description or mean as in definition?
    Sex fieldIf EPR stores current, and a lot of our data comes only from EPR or chart, then for any patients where we don't have a previous, recognizable encounter, we may not be storing their sex assigned at birth even now. Is this true? If so, do we want to change how we treat this field as a result?
    Sharing Of information Survey Feb 8.13
    Sneezing
    Standard error messagesmore informative error messages requested
    Start Date field
    Start Time field
    Statistical AnalysisThis article will likely be one of the more common landing points for external users. What do we want to tell them? Do we have any project articles we want to link in that especially highlight what we can do? ALERT Scale?Ttenbergen 22:50, 2017 June 7 (CDT)
    StatusReport.bat
    Stimulants incl. methamphetamine, poisoningThis is categorized both as Iatrogenic and as poisoning by non-pharmaceuticals - seems inconsistent. Meth would be non-pharm maybe, but other stimulants might (?) be iatrogenic, so maybe this is right. Just confirming.
    System resource exceededQuery tweaked and wifi disabled; let's see if this does it. Ttenbergen 13:20, 2019 March 13 (CDT)
    As of Wednesday Apr 17 is this still a problem? Ttenbergen
    TISS Form (TISS28)
    TISS at 2300 Hours
    TISS28 Form Scanning
  • Put the queries in a drop down list or accessible through a button in TISS.mdb, similar to way queries are set up in CFE. Trish Ostryzniuk 11:21, 2019 February 7 (CST)

    • If a frozen version is kept available during TISS scanning anyways then there is no reason to not do these checks in CFE, is there? Or rather, collectors sending would not be the reason. Pagasa, let's talk about this. Maybe we can make this more convenient for you. Or write down the actual reason why it can't be done. Ttenbergen 00:34, 2017 November 12 (CST)
      • Discussed this with Pagasa. It would mean doing scanning during send time, and likely doing all fixes during pull time, so all checks could actually be done form CFE. Discussed also w Pagasaa that we would delete the error checks from TISS so there is no duplicates getting out of sync
    TISS28 backup and start.vbsDo you still use this? It is not linked, so as part of what process?
    TISS28 data and collection problems
    Team Meeting December 14, 2016
    Team Meeting June 14, 2018
    Team Meeting November 29, 2018
    Team Meeting November 30, 2017
    Team Meeting September 22, 2016
    Temporary page to list dxs documented as requiring treatment to be coded
    • Tina -- to deal with these, let's make a template and put it in all the ICD10 pages that link to the list right below here. That template to say: This is an entity which you SHOULD code even if it is not being treated.
      • I have made Template:ICD10 Guideline code even if not treated; should it be applied to the new codes or only those old pages?
        • We need to decide were to put that info; adding it to old pages is probably not the right place. ICD10 collection might be it - will people look there?
          • Emailed Trish about this. Ttenbergen 09:07, 2019 April 30 (CDT)
    The ALERT scale: an observational study of early prediction of adverse hospital outcome for medical patientshow did we support this publication?
    The Accuracy of Administrative Data for Identifying the Presence and Timing of Admission to Intensive Care Units in a Canadian Provincehow did we support this publication?
    The ability to achieve complete revascularization is associated with improved in-hospital survival in cardiogenic shock due to myocardial infarction: Manitoba cardiogenic SHOCK Registry investigatorshow did we support this publication?
    Thyroid disorder, NOS
    • How to code a tumor that is on a specific organ but we don't have a DX code and the type of tumor is NYD (Example:thyroid tumor NYD) (see ICD10 collection#Regarding "Suspected" Diagnoses.)
      • I don’t understand what the new version would mean as a statement, so it might still need clarification. Ttenbergen 09:35, 2019 April 30 (CDT)
    Tracheostomy care
    Transfer Ready DtTm fieldwould need to be reconciled as part of Eliminating distinction between different ward types
    Transfer time rule
    • will we still want this now that we have Visit Admit DtTm field and will hopefully eventually move to using the EPR to glean arrive and dispo? Ttenbergen 17:06, 2016 May 25 (CDT)
      • deferring the question to after when Julie has done the new multiple encounter linking with Dispo. Ttenbergen 15:58, 2016 June 27 (CDT)

    with transfer tracker gone, what will be the official instructions for this? Ttenbergen 16:36, 2017 June 21 (CDT)
    Transfer-for Organ Transplantation
    • Do we use this in a specific report? If not we should probably consider dropping it, it's an odd thing to collect.Ttenbergen 23:00, 2012 December 12 (EST)
      • we have 12 in ICU database to date. 2 coded in 2011 and 1 in 2010......rest random back to 1994.
        • Julie, do you use this? Do we need to do anything about this DX? A counterpart does not exist in ICD10. Ttenbergen 19:49, 2018 November 27 (CST)
    Transition to Database ServerJulie, can you confirm that SAS would be able to connect to an MS SQL Server via ODBC? Ttenbergen 22:02, 2018 March 14 (CDT)
    You were going to follow up with the new CHI person to make sure they are aware.
    Transitional CareIs this part of any reports? Ttenbergen 10:03, 2017 November 9 (CST)
    • I recently had a patient discharged to Misericordia Transitional Care Unit. Should we be adding this as an option to our dispo field? The only other options were Winnipeg PCH or Institution NOS.Mlagadi 10:41, 2019 May 2 (CDT)
      • Flagging for Julie, since what we should collect should really be driven by what people want ask. Julie, if you prefer pls flag for the task meeting by replacing the first line of the discussion with DiscussTask.


    • I had a discharge to Misercordia Hospital yesterday, and the notes indicated that it was a “transitional care unit”. My only options from the Dispo drop down would be “Institution, NOS”, or “Winnipeg PCH”. I usually put PCH for all of my transfers to Misericordia, but I’m not sure this is the most accurate in this situation. The patient did not have a paneling code, nor was paneling ever mentioned. --Michelle - May 2.19
    Utilization of intensive care unit beds in a Canadian populationhow did we support this publication?
    VIC S3
    • Tina this table is not consistent with the VIC MICU table above. which one do we want to keep? Trish Ostryzniuk 18:42, 2017 November 20 (CST)
      • what do you mean?
    Vacation and staff shortage collection prioritiesFor coverage on the medicine ward isn't the overstay project the priority and not the discharges. Are we not trying to generate a color on admissions as soon as possible to identify reds and letting managers know as soon as possible? GHall 11:51, 2017 August 14 (CDT)
    Validation against Patient Registry DataThis page was started long ago to keep track of our attempt to get access to the registry. I think it would be good to re-convene on it so we have a central point where past efforts and current efforts can be tracked. That would also make it easier to take it to task or steering and have consistent info. Do you have a log of this somewhere? We can rename it if you want.
    Value of postprocedural chest radiographs in the adult intensive care unithow did we support this publication?
    Variation in diagnostic testing in ICUs: a comparison of teaching and nonteaching hospitals in a regional systemhow did we support this publication?
    Ward admission log formsI think you really mean the EPR in general. We should probably review that page and the local ones since we use it rather more specifically now than when we first started. Actually, what we probably want is a page for EMR Web Reports. Or do we need specific pages for specific reports that we use, so we can link to them? Ttenbergen 16:11, 2019 May 17 (CDT)
    Wireless networking
    • NB: most areas require a re-boot to wireless system when moving through the site areas.
      • Is this still true with Windows 10? It really should no longer be an issue with W10 so if it is pls let me know. Ttenbergen 09:52, 2019 March 28 (CDT)


    • Do the following still not have wifi? :

    No wireless:

    • Death desk
      • The death desk can be slow sometimes.--Jvelasco 07:33, 2019 March 22 (CDT)
        • so it has wifi now, then? Ttenbergen 09:52, 2019 March 28 (CDT)