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Previous Service field: Difference between revisions

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{{Data_element
Collection stopping as per [[Task_Team_Meeting_-_Rolling_Agenda_and_Minutes_2022#ICU_Database_Task_Group_Meeting_%E2%80%93_August_24,_2022]]. [[User:Ttenbergen|Ttenbergen]] 16:00, 2022 September 7 (CDT)
| field_name = Previous_Service
 
| CCMDB_label = Previous Service
{{Data element
| CCMDB_tab = Dispo
|field_name=Previous_Service
| element_description = The most recent "originating service" which sends the patients to their [[Service/Location field| current service location]].
|CCMDB_label=Previous Service
| in_table = L_Log table
|CCMDB_tab=Dispo
| data_type = number
|in_table=L_Log table
| datafield_length = long integer
|data_type=number
| program_collecting = Med and CC
|datafield_length=long integer
| created_raw = Raw
|program_collecting=Med and CC
| data_element_start_date = 2016-07-01
|created_raw=Raw
| data_element_sort_index = 38
|data_element_start_date=2016-07-01
|data_element_end_date=2022-09-07
|data_element_sort_index=38
|element_description=The most recent "originating service" which sends the patients to their [[Service/Location field| current service location]].
}}
}}


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** For pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
** For pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
** For pt direct from '''ambulatory''' not via ER, code "not applicable" if no other specific service is documented
** For pt direct from '''ambulatory''' not via ER, code "not applicable" if no other specific service is documented
* Patients admitted after having a problem during an outpatient procedure are more complicated  
* Patients admitted after having a problem during an outpatient procedure are more complicated:
**Such procedures include outpatient:  GI endoscopy, bronchoscopy, cardiac cath, invasive radiology, procedures done at surgicentres, etc.
**Such procedures include outpatient:  GI endoscopy, bronchoscopy, cardiac cath, invasive radiology, procedures done at surgicentres, etc.
**If the patient goes DIRECTLY from the outpatient procedure area to a Medicine ward or an ICU, then code the type of physician who was doing the procedure:
**If the patient goes DIRECTLY from the outpatient procedure area to a Medicine ward or an ICU, then code the type of physician who was doing the procedure:
***e.g. if it was a GI endoscopy, then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list is as "other"
***if, for example, it was a GI endoscopy, then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list it as "other"
**If before being admitted to hospital the patient was sent from the procedure area to the ED:
**If before being admitted to hospital the patient was sent from the procedure area to the ED:
***e.g. if the patient was actually an ED patient (under the care of the ED docs) then code "Emergency Medicine"  
***if the patient was actually an ED patient (under the care of the ED docs) then code "Emergency Medicine"  
***e.g. if it was a GI endoscopy and the was not actually an ED patient, but instead was taken care in ED by the GI service which did the procedure) then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list is as "other"
***if, for example, it was a GI endoscopy and the patient was not actually under ED care, but instead was directly admitted to the ED on the Medicine ward service, then the previous service was "Medicine"
* If the service is not listed, code "other (known but not on list)"
* If the service is not listed, code "other (known but not on list)"
** in these cases we don't care about the details; if we see too many others we may add additional options in future (as of January 2022 we checked and these account for <1% of all previous services)
** in these cases we don't care about the details; if we see too many others we may add additional options in future (as of January 2022 we checked and these account for <1% of all previous services)
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===From Cardiac Cath Lab===
===From Cardiac Cath Lab===
*A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. Julie would like the sending service to be Emergency Medicine in these cases (not cardiology).   Discussed at the task group meeting on July 20, 2017.
*A patient goes to emergency, then is sent to the cardiac cath lab for an angiogram. Julie would like the sending service to be Emergency Medicine in these cases (not cardiology). Discussed at the task group meeting on July 20, 2017.
*Most patients come to CCU or ICU via the heart cath as a code stemi, in which case the previous service is cardiology because they bypass ER and go direct to the heart cath lab.  
*Most patients come to CCU or ICU via the heart cath as a code stemi, in which case the previous service is cardiology because they bypass ER and go direct to the heart cath lab.  
    
    
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We treat patients that went through the HSC/GRA Nursing Home as having been discharged. So, admission from there should be as if admitted from home, so put "not applicable" into the [[Previous Service field]].  
We treat patients that went through the HSC/GRA Nursing Home as having been discharged. So, admission from there should be as if admitted from home, so put "not applicable" into the [[Previous Service field]].  
This does not affect the [[Visit Admit DtTm field]] definition - remember, that is defined by EPR entry.
This does not affect the [[Visit Admit DtTm field]] definition - remember, that is defined by EPR entry.
===Admit from home===
===Admit from home===
For an admission directly from home bypassing the ER enter Previous Service = 'Not applicable'.
For an admission directly from home bypassing the ER enter Previous Service = 'Not applicable'.
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=== admission from a nursing station ===
=== admission from a nursing station ===
*For direct admission from a nursing station, put "other (known, but not on list)".  
*For a direct admission to a collection unit from nursing stations, put "other (known, but not on list)".  
*If from a nursing station, patient dropped by ER , put "Emergency Medicine".
*If from a nursing station, patient dropped by ER , put "Emergency Medicine".


=== [[Direct admit]] ===
=== Direct admit ===
If a pt is physically in ER and officially under the care of primary service eg Neurology, then code [[Previous Service]] as Neurology.
For a direct admit via the ER, the [[Previous Service]] will be the primary service looking after the patient, prior to admission at your facility. 
 
{{Ex|
If pt was not yet accepted, code [[Previous Service]] as Emergency Medicine.
* direct admit from Steinbach ER, [[Previous Service]] = emergency
* direct admit from Steinbach ward, [[Previous Service]] = medicine or family medicine
}}


=== Urgent Care ===
=== Urgent Care ===
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*see updated minutes dated August 24, 2017.
*see updated minutes dated August 24, 2017.


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




[[Category: 2016 Time and Place changes]]
[[Category:2016 Time and Place changes]]
[[Category: Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category: Data Collection Guide]]
[[Category:Data Collection Guide]]
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