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Previous Location field: Difference between revisions

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{{DISPLAYTITLE:Previous_Location field}}
{{Data_element
{{Data_element
| field_name = Previous_Location
| field_name = Previous_Location
| CCMDB_label = Previous Location
| CCMDB_label = Previous Location
| CCMDB_tab = Dispo
| CCMDB_tab = Dispo
| element_description = The most recent previous '''physical location''' (except [[#Bed Borrows]]) of a patient before arriving at the collection location.
| element_description = The most recent previous '''physical location''' (with [[#exceptions]]) of a patient before arriving at the collection location.
| in_table = L_Log table
| in_table = L_Log table
| data_type = number
| data_type = number
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| data_element_sort_index = 37
| data_element_sort_index = 37
}}
}}
For exceptions, see
* [[EMIP]]
* [[Parked in ER]]


== Collection Instruction ==
== Collection Instruction ==
For each patient,  
For each patient,  
* enter the option that most closely matches
* enter the option that most closely matches:
{{PrePrevDispo listing}}
* if the patient is a direct admission use <site>_UC, <Site>_ER, <site>_ward, <site>_Med, <site>_ICU or temporary location depending on the scenario (see direct admit scenarios below)
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if the situation is unknown, enter '''Not known'''
* if the situation is unknown, enter '''Not known'''
 
* if the patient is in ER under a service we do not collect ie. cardiology, surgery etc use <site>_ER
If you know the location exactly, you can type it. Otherwise press the "?" button to take you to the [[S dispo chooser‎]] to help filter options if desired.
{{DL | what is the [[Pre-admit Inpatient Institution]] entry for this case? --[[User:JMojica|JMojica]] 13:37, 29 July 2025 (CDT)
 
* That is what we need to decide we should probably keep it consistent with EMIP concept, however, for SICU we generally disregard the surgical service (when in ER) unless they were truly an inpt on a ward [[User:Lkaita|Lisa Kaita]] 13:59, 30 July 2025 (CDT)}}
For wards where we don't collect, enter e.g. HSC_ward. For wards where we do collect enter the actual ward as available in the dropdown.
If you know the location exactly, you can type it, otherwise click on the dropdown button to view the options
{{ex|For example, a patient arriving from Selkirk Hospital via the local ER would have the ER coded in the [[Previous Location field]] and Selkirk coded in the [[Pre-admit Inpatient Institution field]].}}


=== Where to find this information ===
=== Where to find this information ===
If patient came from a different Winnipeg hospital this should be recorded in the  “Visit History” on the EPR, but sometimes it is missing. Can also use paper chart sent to your hospital from the sending hospital for information.
If patient came from a different Winnipeg hospital this should be recorded in the  “Visit History” on the EPR, but sometimes it is missing. Can also use paper chart sent to your hospital from the sending hospital for information.


=== Exceptions ===
=== Borrowed Bed Or Pt Boarding On Other Unit ===
==== [[Boarding Loc]]ation (bed borrows) ====
* Use the [[Boarding Loc]] of the service taking care of the patient:<site>_Med, GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.
If a patient '''admitted to ''' your [[Service Location]] came from one of our collection locations which was borrowing a bed elsewhere, i.e. not physically located there, then '''use the collection location''' as previous location, not the physical location.  
{{Discuss|
{{DiscussTask|
* for consistency, should this also use the [[Template:PrePrevDispo listing]]? Actually, what does this even mean for previous location? And what do you do if the patient comes from med?  
* In the event that both the bed and the service are borrowed: ie. STB MICU borrows a bed in CICU under CICU service then patient is transferred to STB medicine units-for the medicine profile does the Previous Location mean Pre Admit Inpatient Institution ie. STB_MICU? Does previous service mean Critical care in these instances?
** Good question.  I think for the service borrowed, we still need to '''use the collection location''' for the [[Previous Location]] is equal to [[Pre-admit Inpatient Institution]].  For the [[Previous Service]], I am not so sure but for your example the '''Critical Care''' makes more sense to enter than '''Cardiac surgery''' and so we need to check with Tina if this is allowed in her integrity checks. --[[User:JMojica|JMojica]] 09:59, 2020 January 23 (CST)
*** If I understand you right you suggest that the '''first entry''' will be [[Service/Location]] [[STB_MICU]] with a [[Boarding Loc]] entry telling that they are in CICU, and the second entry will be [[Service/Location]] [[STB_MICU]] and [[Previous Service]] would be "Critical Care". If so, that is the same as any normal STB_MICU patient, no? So, yes this should work as far as queries are concerned. But is this really the thing we want to enter? How is this patient at all still a STB_MICU patient if both service and bed have moved on? How is this not a transferred patient?  
**** this is a case where the '''first entry''' is [[Service/Location]] [[STB_CICU]] with a tmp ICUOtherService has 'MICU under CICU service' with the second entry STB Medicine wards.  Let us ask the TASK what is the appropriate Previous Service -'''Critical Care''' or  '''Cardiac surgery'''  ? 
}}
}}


{{ex |
=== Direct Admit Scenarios ===
MICU patient borrows a bed in SICU. The patient goes to D4. D4 should then put MICU as the previous location NOT SICU (which is the actual physical location). }}
*inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the [[Pre-admit Inpatient Institution]] and [[Previous Location]] will be <site>_ward, even if the patient spends time in that site's UC prior to transfer. If not yet an inpatient from CON/OAK/VIC and transfer is from their UC, then previous location is the <site>_UC. 
*For direct transfers from HSC/STB/GRA, if an inpatient, and no in-between temporary location, the [[Pre-admit Inpatient Institution]] is the same as [[Previous Location]] (e.g. GH_med, or HSC_MICU)
**if there is a temporary location in-between, then [[Previous Location]] is equal to the temporary location (e.g. OR, RR, Cath Lab, Dialysis, IR or Other procedure location) and [[Pre-admit Inpatient Institution]] would be the previous <site>_inpatient location
**If not yet an inpatient from HSC/STB/GRA and coming from <other site> ER then previous location is <other site> ER, and the [[Pre-admit Inpatient Institution]] would be not applicable
*If a [[homeless]] patient is admitted directly then code them as admitted from home.
*If a patient is admitted directly from prison, jail or a correctional institution, code this as an admission from '''"Institution NOS"'''. See [[Prison / Jail / Correctional Institution]] for additional info.


==== direct admit / transfer ====  
=== Exceptions ===
see [[Direct admit]] / [[Parked in ER]]
*We have a few units in the Region that have a mix of different services (internal medicine, surgical, family medicine etc). For patients from these units:
 
** If patient was under internal medicine service, enter <site>_Med
==== from psych unit ====
** If '''not''' under internal medicine service, enter the <site>_Ward
Code patient from POU (pysch evaluation unit @ HSC) as "HSC ambulatory care" - it's not an inpatient ward.
*for Riverview and [[Deer Lodge (DLC)]], see [[Chronic Health Facility]] see [[Pre-admit Inpatient Institution field]] or the various wards that are considered an inpatient location
 
*patients from POU (psych evaluation unit @ HSC) as "HSC ambulatory care" - This is not an inpatient ward.
==== Dialysis unit as previous location ====
*patients admitted from day surgery units, enter <site>_ambulatory care, e.g. this is not considered to be an inpatient location see [[Pre-admit Inpatient Institution field]]
For patient from Dialysis unit, use that unit as previous location. [[Pre acute living situation field]] would be the unit they came from right before, if applicable.


==== Heart Cath Lab vs OR as previous location ====
{{Pre-admit, Previous content}}
When a procedure (e.g valve replacement) is done in the cath lab before the pt arrives on your unit, enter Cath Lab if done in Cath Lab and put OR if done in OR.


==== Data collection units that have a '''mix''' of different physician serve types ====
{{Location dropdown cleanup}}
We have a few units in the Region that have a mix of 2 different services (internal medicine, surgical, family medicine etc).
 
*HSC_B3 - is a mix of day surgery & internal medicine patients
* any others?
 
For patients from these units:
 
* If patient is '''not''' a internal medicine patient, enter the generic hospital ward (e.g. VIC Ward); this will allow you to enter the [[Previous Service field]] with a physician service other than "Medicine".
 
==== Patients from day surgery ====
For patients admitted from day surgery units, enter:
*Previous Location - <your hospital> Ward, e.g. HSC Ward
*[[Previous Service]] - General Surgery (or other surgical service listed in drop down.
 
==== [[Homeless]] Patients ====
If a homeless patient is admitted directly then code them as admitted from home. Usually they would be via ER, of course, and you'd code them as that.
 
==== [[Prison / Jail / Correctional Institution]] ====
If a patient is admitted from prison, jail or a correctional institution, code this as an admission from '''"Institution NOS"'''.
 
See [[Prison / Jail / Correctional Institution]] for additional info.


== Data Use ==
== Data Use ==
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== Legacy ==
== Legacy ==
{{Change to collecting prison as "Institution NOS"}}
=== pre-2016 ===
This field is part of the [[2016 Time and Place changes]].
This field is part of the [[2016 Time and Place changes]].


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{{Related Articles}}
{{Related Articles}}


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