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Admit From & Discharged To: Difference between revisions

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The '''Admit From''' value defines the '''location''' from where a patient was admitted from.
{{LegacyContent
|explanation=This data was replaced as part of the [[2016 Time and Place changes]].
|successor=[[Previous Location field]] and [[Dispo field]]
|content=


The '''Discharged To''' value defines the '''location''' that a patient was discharged to.  
Deleted content so it does not pollute searches and backlinks; see history tab if you need details.  


[[S AdmitDischarge]] is the table which contains the list of the most current values in [[HanDBase]] on the [[PDA]] and in ACCESS [[CCMDB.mdb]].  
<onlyinclude>[[Admit from]] is a '''legacy field''' that used to encode the hospital and ward from where a patient was admitted. See [[Previous Location field]].
The [[Discharge to]] is a '''legacy field''' that used to encode the hospital and ward that a patient was discharged to. See [[Dispo field]].</onlyinclude>


Content of this article was deleted to prevent results showing up inadvertently in searches. To see content, look at history of article for 2016-06-30.


== Acceptable Data ==
}}
These values always consist of '''two''' characters. The first letter designates the facility, the second letter the location in the facility.
 
The meanings for the codes are as follows.
*Special Note:  For patients who were admitted from a hospital outside of Winnipeg, also see the entry for [[hospital previous]].
 
=== First Letters / Hospitals ===
{| class="wikitable" border=1
|-
|'''Hospital/Site''' || '''First Letter'''
|-
| HSC ||H
|-
| St Boniface || B
|-
| Grace || G
|-
| Victoria || V
|-
| Concordia || C
|-
| 7 Oaks || K
|-
| Children's Hospital || P
|}
 
=== Second Letters / Locations ===
{| class="wikitable" border=1
|-
|| '''Location''' || '''Code Key''' || '''Notes'''
|-
||Ambulatory Care || A || Out pt dialysis, Day clinic, Day surgery, Cancer Clinic etc. (added Nov 24.04)
|-
|| Ward || W ||
|-
|| CICU || V || St Boniface only
|-
|| Emerg || E ||
|-
|| CCU || C || HSC and STB only
|-
|| Operating Room || P ||
|-
|| SICU || S || Only at HSC and StB
|-
|| MICU || M ||
|-
|| IICU || U || HSC only
|-
|| Recovery Room || R ||
|-
|| Location Unknown|| X ||
|}
 
=== Special Locations where only limited combinations are allowed ===
{| class="wikitable" border=1
|-
||Misericordia Urgent Care || ME
|-
||Misericordia Ward || MW
|-
||Nursing Home || NW
|-
||Deer Lodge || DW
|-
||Riverview Center || RW
|-
||St Amant || AW
|-
||HOME || ZZ
|}
 
=== Non-Winnipeg Codes ===
*For any non-Winnipeg codes, the '''“[[hospital previous]]” number code''' must also be entered.  (see Hosp number code table).
{| class="wikitable" border=1
|-
||Outside City || X*
|-
||Outside Province || Y*
|}
 
==== Discussion ====
* what are acceptable second letters for X and Y?
 
==Special Cases==
=== STEMI===
Occasionally a patient is picked up by paramedics at home and transferred directly to the heart cath lab at St. Boniface Hospital.  They will not go to ER first to facilitate a very rapid "primary" PTCA.  These patients are then sent from the heart cath lab to CCU at STB or HSC.  In this scenario, code 'admit from' home and # diagnosis is angiogram or angioplasty (only exception is a cardiac arrest or cardiogenic shock which would be #1 and the angio would be #2).    --[[User:LKolesar|LKolesar]] 19:11, 1 November 2008 (CDT)
 
==== Discussion ====
{{discussion}}
* what does STEMI stand for?[[User:Ttenbergen|Ttenbergen]] 15:53, 1 October 2009 (CDT)
 
=== From other hospital via ER ===
If a patient is admitted to another hospital first, then transferred to your ER, then is sent up to unit, code that they were admitted from another hospital not your ER. Also indicate this in the Hospital Number Code box.   
If a patient comes from another hospital, goes to ER, then to OR, then to your unit code as admitted from OR, but in the [[hospital previous]] field put the center that they had been sent from.
 
====Discussion ====
Since we are no longer coding hospital codes in town, does this instruction still stand? [[User:Ttenbergen|Ttenbergen]] 15:39, 22 August 2008 (CDT)
 
*Does this apply to medicine wards as well because I notice at STB they always use ER as the admit from even if the patient may have been somewhere else prior (like a northern nursing station). Then, if we use the nursing station (in my example)as the admit from, then how do we formulate the moves?  Would ER be the first move and then the medical ward the second move? Please clarify Trish!--[[User:LKolesar|LKolesar]] 13:30, 28 January 2009 (CST)
 
=== From other hospital via Angio ===
If a patient comes from another center to angiography in your center, then to your unit, please record which site the patient was from prior to angiogram and in the hospital number code box put the center that they had been sent from.
 
==== Discussion ====
* Since we don't code hospital codes for in-city hospitals any more, this instruction can't be followed and needs to be revised. [[User:Ttenbergen|Ttenbergen]] 09:38, 18 August 2008 (CDT)
 
=== Direct to Medicine from Ambulatory Care ===
DIRECT to Medicine are patients who the medicine service attending Dr. has already accepted to their service, but the patient is sent to the ER to wait for a ward bed.
 
Example of Direct to medicine from ambulatory care clinic:
Admit FROM: HA
Medicine service Accept date (date and time admitted to medicine service): is the date and time patient came to ER
MOVE 1 – date and time patient actually arrived on the ward
Comment for MOVE 1– type in as follows:  parked in ER
 
If a patient is sent to ER from ambulatory care to be assessed by Medicine Service in ER to see if he should or should not be admitted to a med ward bed, then this is not a direct admission to medicine.  Admit from is HE.
 
== Data Integrity Rules ==
* No discharge to current hospital's ER from anywhere (implemented by Function DisTo_Emerg())
* If medicine patient admit from ward, we need [[Med Var 1 - Admit-from Ward]] (implemented by Function AdFrom_Var1_reconcile())
* If medicine patient discharge to ward, we need [[Med Var 2 - Discharge-to Ward]] (implemented by Function DisTo_Var2_reconcile())
* For survived patients, Discharged-to should never be blank (implemented by Function DisTo_Dead()))
{{discussion}}
 
==Discussion==
* I have seen a few patients in the database, who have admit from ZZ, yet they have a moved date a few days after being accepted to medicine.  Admit from should be HE not ZZ if there is a move.  If I see this then it is being interpreted as a direct to medicine from home but parked in ER.  Does this happen?  Let me know. (as per note from Trish from Dec 10.07)
** Before I left for mat leave the Moves were not yet collected. I was collecting for D4 at HSC who admit patients preop for renal transplants.  I would code admitted from ZZ, because they were not seen in ER, they were pre-screened for admission, and came directly to the ward to receive their kidney and presented directly from home.--[[User:JHutton|JHutton]] 09:44, 6 June 2008 (CDT)
 
**We have an interesting twist at the Vic: EMIP patients which stands for Emergency Medical In Patient. This occurs when a patient comes in to emerg, is admitted to medicine but physically remains in ER due to bed shortage. If sick enough, ICU is consulted & pt is transferred to ICU. So they are coded:admitted to medicine from ER per medicine data collectors, then transferred to ICU- in ICU we code admit from medicine ward NOT ER. --[[User:NMiller|NMiller]] 12:05, 19 December 2008 (CST)NMiller
 
{{stub}}
[[Category: Data Collection Guide]]
[[Category: Registry Data]]
[[Category: Data Integrity Rules]]
[[Category: Questions]]
[[Category:Questions General Collection]]
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