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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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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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*For a direct admission to a collection unit from nursing stations, 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".
{{Discuss|
* To clarify the first point above is this applicable to admissions from nursing stations direct to collection units?
** What makes you wonder, why would it not be applicable? [[User:Ttenbergen|Ttenbergen]] 11:42, 2022 March 24 (CDT)
**I added text to the first point, is this clearer now?
* To clarify the second point above is "Emergency Medicine" entered for direct admits to a collection service from nursing stations via ER? Thanks!
** What makes you wonder, why would it not be applicable? [[User:Ttenbergen|Ttenbergen]] 11:42, 2022 March 24 (CDT)
*** The questions were asked with new collectors in mind for clarification tweaking purposes in regards to phrasing such as "dropped by ER" if the patient is a direct admit to service via ER from a nursing station should the previous service entry also be "other (known, but not on list)"?.
**** What does "dropped by ER" mean in this context? Is it "dropped by" as in visited, or as in someone dropped the ball? [[User:Ttenbergen|Ttenbergen]] 10:47, 2022 April 7 (CDT)
* valid question thanks Pam, makes me wonder why we differentiate between the two situations, in my opinion they should be consistent and we should put Emergency Medicine for both situations.  The previous location will identify that they were from a nursing station, which in my mind functions like an urgent care/ER triage.  We (HSC) rarely get direct admits to the ward from a nursing station, but we get lot of direct admits via the ER from a nursing station.  Pull in Julie to see if/how she reports on this.  [[User:Lkaita|Lisa Kaita]] 12:41, 2022 April 13 (CDT)
** emailed Julie [[User:Ttenbergen|Ttenbergen]] 10:25, 2022 April 21 (CDT)
*** this is a case of direct admits from nursing station parked at ER, correct? we have the list of specific MB nursing stations and generic outside MB nursing stations. why put unknown?  In terms of previous service, this is seldom requested so  I have not quality checked this field.  Just did a quick browse on the  database and filter  previous location having '(parked)' - found 1269 entries and the previous service is not consistent.  There are 940 already  in-patients and 82 entered Emergency Medicine as previous service ( 67 out of 82 from HSC)  while the 858 entered the actual service or unknown.  With regards to the new process starting Oct2020, we won't know if direct admits even if already an inpatient. Example from Oct 2020,  I found 134 already an inpatient from other facilities with previous location  own ER and previous service Emergency Med  while 49 enter the actual service. If known as direct admit parked at ER waiting for available bed then enter the prior inpatient service. Otherwise enter Emergency Medicine.  --[[User:JMojica|JMojica]] 11:29, 2022 April 21 (CDT)  }}


=== Direct admit ===
=== Direct admit ===
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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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