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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===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.

*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]].

This does not affect the [[Visit Admit DtTm field]] definition - remember, that is defined by EPR entry.

===Admit from home===

For an admission directly from home bypassing the ER enter Previous Service = 'Not applicable'.

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=== 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".

=== [[Direct admit]] ===

=== Direct admit ===

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.

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|

* direct admit from Steinbach ER, [[Previous Service]] = emergency

* direct admit from Steinbach ward, [[Previous Service]] = medicine or family medicine

}}

~~{{Discuss |~~

* I had always thought as Previous service only applying to local services, rather than services at a different site. [[#Data use]] only talks about inpatient locations. Do we really want to use these for services from outside? [[User:Ttenbergen|Ttenbergen]] 11:05, 2022 January 19 (CST)

* We have always captured it this way, I had tweaked the instructions as Iris had noticed that it was confusing [[User:Lkaita|Lisa Kaita]] 11:24, 2022 January 19 (CST)

}}

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*see updated minutes dated August 24, 2017.

== 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]]

@@ Line 1: / Line 1: @@
-{{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]].
 }}
@@ Line 44: / Line 47: @@
 ===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.
@@ Line 57: / Line 60: @@
 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.
 ===Admit from home===
 For an admission directly from home bypassing the ER enter Previous Service = 'Not applicable'.
@@ Line 67: / Line 71: @@
 === 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".
-=== [[Direct admit]] ===
+=== Direct admit ===
-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.
+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|
 * direct admit from Steinbach ER, [[Previous Service]] = emergency
 * direct admit from Steinbach ward, [[Previous Service]] = medicine or family medicine
-}}
-{{Discuss |
-* I had always thought as Previous service only applying to local services, rather than services at a different site. [[#Data use]] only talks about inpatient locations. Do we really want to use these for services from outside? [[User:Ttenbergen|Ttenbergen]] 11:05, 2022 January 19 (CST)
-* We have always captured it this way, I had tweaked the instructions as Iris had noticed that it was confusing [[User:Lkaita|Lisa Kaita]] 11:24, 2022 January 19 (CST)
 }}
@@ Line 105: / Line 105: @@
 *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]]