Minimal Data Set: Difference between revisions

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This is a data collection '''priority.''' Minimal Data Set, parts A & B below, must be entered '''DAILY''' onto the [[Laptop Setup | laptop]] for '''ALL NEW admissions''' as soon as possible each day you are in to collect data.
The '''Minimal Data Set''' is the least amount of data that needs to be collected for a new patient when they are first [[adding a patient | added]] to the database. This data is [[Sending Patients | sent]] every shift worked for '''all patients''', not just those you are sending. This data needs to be entered for '''all newly admitted patients''' during '''every data collection shift'''. With the exception of special requests from the [[:Category:Main Office | main office]], it is more important to collect this data than to complete collection for existing patients, '''especially for incomplete files'''.  


If you '''try to send''' with any of the Minimal Data Set Elements '''incomplete for any patient''' (even ones you are not sending), the [[CCMDB.accdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.


If '''part A''' of the '''minimal data set''' is not complete for '''any''' patient, the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.
== Minimal Data Set Elements-Primary==
For all '''new''' patients at every shift enter the following from EPR:
* [[Serial number]]
* [[Service/Location]]
* [[First Name]]
* [[Last Name]]
* [[PHIN field|PHIN]]
* hospital [[Chart number]]
* hospital [[Visit Admit DtTm field | Visit Admit DtTm]]
* [[Date of Birth| Date of Birth (DOB)]]
* first [[Boarding Loc]] - start_dt and start_tm
* first [[Service tmp entry]] - start_dt and start_tm


==Minimal Data Set Elements ==
*A. '''Daily, ALL NEW patients''':
** serial number
** hospital
** unit / location
** first name
** last name
** hospital chart number
** unit admit date (time not necessary)


* [[Postal Code]] should be included if available from [[Cognos]] but is known to sometimes change during the admission; we don't expect collectors to quality check this on incomplete records
*B. Daily also, when you are in collecting data , the following also need to be entered onto the [[Laptop Setup | laptop]] as soon as it is available: 
* [[Previous Location]] should be entered if easily available from Cognos data, but is not required if it requires further data review
** '''admit time'''
** '''discharge date and time ''' 


*** [[Admit, Transfer and Discharge date and time#Priority_collection_before_sending | Importance of discharge DATE]]
NOTE: The absence of these two items in Part B, will not stop the [[CCMDB.mdb|CCMDB]] from sending files from your [[Laptop Setup | laptop]] to the [[Regional Server]].


*** How discharge date is used in [[PDA_Pending.mdb | Pending.mdb]]
== Reason why data is required for patients with [[RecordStatus]] incomplete ==
** data for those '''TmpV2''' entries where instructions say that all data is sent at every send
Data in the minimal data set is sent for all patients as soon as available, even before the patient's [[RecordStatus field]] is set to "complete". This allows us to include counts of longer-stay patients who have not yet been discharged in our statistics and reporting.


Data on '''ALL PATIENTS''' gets sent to the Regional Server each week that files are sent; see [[Sending Patients]] for details.
==Instruction for STB Med Minimal Data Set - Primary Source for the Admit date/time to Medicine Service:==
*a. For Acute Care Medicine patients at STB, use the Doctors orders on the EPR as date/time accepted to Medicine Service.--[[User:TOstryzniuk|TOstryzniuk]] 17:26, 21 September 2010 (CDT)
*b. for Non Acute Care - C service medicine patients at STB, use EPR's registration tab/visit location/location history, for date/time accepted to medicine service.
== Reason why data is required for patients that are not complete yet ==
Data from patients who are not yet complete is used for the following:  
Data from patients who are not yet complete is used for the following:  
* to generate occupancy statistics
* to generate occupancy statistics
* to be able to finalize temporary studies before long-stay patients are eventually discharged
* to monitor the number of outstanding patients
* to monitor the number of outstanding patients


=== Removal of DOB and PHIN from the list ===
Minimal dataset information can be used for reporting; we will include a caveat that it is preliminary and not yet quality checked. We will not do additional cross checks to validate minimal dataset data on incomplete records. <!-- 2022-08-03 JALT decision -->
We removed PHIN and DOB from this list because it was causing problems entering patients admitted to our ICUs without identification. Chart Number and location should allow us to identify any such patients conclusively anyway.
 
== Cross Checks ==
{{Data Integrity Check List}}
 
== Related articles ==  
{{Related Articles}}




[[Category: Registry Data| *]]
[[Category: Data Collection Guide]]
[[Category: Data Collection Guide]]
[[Category: IT Instructions]]
[[Category: 2016 Time and Place changes]]

Latest revision as of 12:45, 2022 August 24

The Minimal Data Set is the least amount of data that needs to be collected for a new patient when they are first added to the database. This data is sent every shift worked for all patients, not just those you are sending. This data needs to be entered for all newly admitted patients during every data collection shift. With the exception of special requests from the main office, it is more important to collect this data than to complete collection for existing patients, especially for incomplete files.

If you try to send with any of the Minimal Data Set Elements incomplete for any patient (even ones you are not sending), the CCMDB.accdb will give an "incomplete minimal data set" error and list the patient, and you will not be able to send any patients.

Minimal Data Set Elements-Primary

For all new patients at every shift enter the following from EPR:


  • Postal Code should be included if available from Cognos but is known to sometimes change during the admission; we don't expect collectors to quality check this on incomplete records
  • Previous Location should be entered if easily available from Cognos data, but is not required if it requires further data review


Reason why data is required for patients with RecordStatus incomplete

Data in the minimal data set is sent for all patients as soon as available, even before the patient's RecordStatus field is set to "complete". This allows us to include counts of longer-stay patients who have not yet been discharged in our statistics and reporting.

Data from patients who are not yet complete is used for the following:

  • to generate occupancy statistics
  • to monitor the number of outstanding patients

Minimal dataset information can be used for reporting; we will include a caveat that it is preliminary and not yet quality checked. We will not do additional cross checks to validate minimal dataset data on incomplete records.

Cross Checks

Data Integrity Checks (automatic list)

 AppStatus
Query check minimal data set incompleteCCMDB.accdbimplemented

Related articles

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