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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
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* enter the option that most closely matches:  
* enter the option that most closely matches:  
{{PrePrevDispo listing}}
{{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 the patient is in ER under a service we do not collect ie. cardiology, surgery etc use <site>_ER
 
{{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)}}
If you know the location exactly, you can type it, otherwise click on the dropdown button to view the options
If you know the location exactly, you can type it, otherwise click on the dropdown button to view the options
=== Borrowed Bed Or Pt Boarding On Other Unit ===
For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the [[Previous Location]] ?  No because these are only temporary location.  Use the service taking care of the patient : '''<site>_Med''', GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.
{{Discuss| To clarify for LAU inpatients ie. Oak, Conc, Vic, etc. often will be transferred to the facility UC for stabilization and sometimes be returned to originating unit in the LAU facility or will transfer out to STB ER for further assessment or as a direct to STB ER or a STB med unit. In the direct scenarios is the previous location coded as the LAU inpatient unit or the LAU UC? Thanks! ````
* Does LUA mean Lower Acuity Unit?  It is not specifically listed in the dispo table - can we consider it as '''generic <site> ward'''?  If LAU is an inpatient location, maybe the choice  for preadmit inpt location is '''<site> Ward'''  and the previous location is '''STB ER''' if transfer out to STB ER or '''STB Med''' if direct transfer to STB Med  or '''<site> ward''' if returning back to the LAU facility. --[[User:JMojica|JMojica]] 11:38, 2024 February 26 (CST)
Yes Julie the LAU locations include VIC_ward, CON_ward, etc. and yes, is the entry for the preadmit inpatient Institution. These patients almost always transfer to the facility UC area for advanced assessment and treatment then sometimes transfer back to the LAU unit in which case is not for the data base. What I'm asking is whether the previous location should be entered the same as the preadmit inpatient Institution ie. site_ward or should the entry be site_UC. Since UC/ER is not an inpatient unit but rather a temporary location should the previous location be site_ward to be congruent with the instructions above that state:
** Yes to simplify depending on the temporary location,  for this case previous location  can be <site> ward.
*** For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the Previous Location ? No because these are only temporary location. Use the service taking care of the patient : <site>_Med, GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.'' Should the examples include generic site_ward? Thanks, [[User:Ppiche|Pamela Piche]] 11:56, 2024 February 26 (CST)
**** yes, you are correct, we should use the service taking care of the patient as previous location.  When will generic ward be used - if the origin of the patient is not from the ward we are collecting. --[[User:JMojica|JMojica]] 14:41, 2024 February 26 (CST)}}
{{Location dropdown cleanup}}


=== 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 ===
==== Data collection units that have a '''mix''' of different physician serve types ====
* 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.
We have a few units in the Region that have a mix of different services (internal medicine, surgical, family medicine etc).  
{{Discuss|
* 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?
}}


*HSC_B3 - is a mix of day surgery & internal medicine patients
=== Direct Admit Scenarios ===
* any others?
*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.


For patients from these units:  
=== Exceptions ===
* If patient was an internal medicine there, enter <site>_Med
*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 '''not''' a internal medicine patient, enter the <site>_Ward
** If patient was under internal medicine service, enter <site>_Med
** If '''not''' under internal medicine service, enter the <site>_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.
*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]]


==== from HSC psych unit ====
{{Pre-admit, Previous content}}
Code patient from POU (pysch evaluation unit @ HSC) as "HSC ambulatory care" - it's not an inpatient ward.


==== Dialysis unit as previous location ====
{{Location dropdown cleanup}}
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 ====
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.
 
==== Patients from day surgery ====
For patients admitted from day surgery units, enter:
*[[Previous Location]] - <site>_Ward, e.g. HSC Ward
 
==== [[HSC Stepdown Units]] ====
 
==== [[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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