View source for Service tmp entry

{{Project
|ProjectActive=active
|ProjectProgram=CC and Med
|ProjectRequestor=internal
|ProjectCollectionStartDate=2020-10-15
|Project=Boarding Loc
}}

This data encodes which service is taking care of a patient. See [[Definition of a Critical Care Laptop Admission]] / [[Definition of a Medicine Laptop Admission]] for info on when a new profile should be started. 

== Data Collection Instructions ==
You can use the [["Make Service" button]] in [[Patient Viewer Tab Cognos ADT2]] to generate and populate these entries. 

=== How to enter this ===
Add an additional entry for service only if the service changes during their stay.
{{Ex | 
*E.G. patient X is in the ER and is accepted by HSC A medicine on Oct 15,2020@0900, On Oct 17,2020 @1500 HSC H medicine takes over his care
*in the TMP select '''Project Service''', '''Item''' choose HSC A medicine, column E enter Oct 15,2020, Column M enter 0900
*second entry in TMP would be '''project Service''', '''Item''' choose HSC H medicine, Column E enter Oct 17,2020, Column M enter 1500
}}
*Use tmp fields:
** project: '''Service'''
** item: '''no service entered''' is added by default to each new profile entered
*** change this to the applicable service; this will be the service as listed in the [[Cognos Report Integrator]] tools (see [[s_Cognos_Services table]] for a list of applicable services).
**select the appropriate service from the dropdown list

==== DtTm to use ====
* Edit the Service Start DtTm in the [[Patient Viewer Tab Cognos ADT2]]

* value is initially entered in [[CSS]] as per [[Using Cognos2 to keep track of patients]]
* once patient is discharged, set as per [[Definition of a Critical Care Laptop Admission]] or [[Definition of a Medicine Laptop Admission]]; except if within 30 min of time in Cognos, use Cognos time <!-- as per ICU Database Task Group Meeting – April 15, 2021 #4 -->
** at this point also update the first [[Boarding Loc]] DtTm as per [[DtTm for First Boarding Loc and First Service]]

{{Discuss | who = JALT | question = 
* If first service Start Dttm is before the Cognos [[Visit Admit DtTm]], should the first Service Start Dttm be made the same as the Cognos  [[Visit Admit DtTm]]  or keep the former DtTm? - --[[User:JMojica|JMojica]] 15:29, 2023 October 10 (CDT) }}

==== Code Blue ====
See [[Definition_of_a_Critical_Care_Laptop_Admission#From_Code_Blue]] for when a profile should start in case of a code blue. 

==== Specifically for STB Critical Care ====
'''Special rules apply to [[STB CICU Admissions start at Arrive DtTm]] '''

*at StB, the Service tmp date and time for ICU patients coming from ER is taken from the orders.  If the time is written after the patient has already arrived to the ICU, the Service tmp date and time is the same time as the [[Boarding Loc]] time
* if the patient is coming from the Cath Lab, or the OR, the time is obtained from the ICU flowsheet

=== Direct Admissions/Transfers ===
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the [[Visit Admit DtTm]] shown in [[Patient Viewer Tab Cognos ADT2]]. You can use the [["VA" button]] to fill it in. 

=== Which service to use when several are listed for the same timeframe ===
Use what you know to be correct from chart and your knowledge of your hospital.

{{Data Integrity Check List}}

== Data Use ==
This data is used to facilitate [[Using Cognos2 to keep track of patients]]. 

== Legacy / Background ==
This isn't so much a project as a change to [[Service/Location]] collection to allow us to collect more than one [[Service/Location]] per patient-program-stay. See [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] for why we needed to change to this. 
We initially planned to change to a single profile per program collection mode, but then gradually reverted to a single profile per service for all critical care profiles.

==Related articles ==
{{Related Articles}}

[[Category:L TmpV2 Data]]
[[Category:Project]]
[[Category:Overflow]]
[[Category:PatientFollow Project]]
[[Category:Cognos Report Integrator]]
[[Category:Admit/Discharge]]