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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.
=== Direct Transfers Scenarios ===
# From Outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER  (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If  they just stop by only  at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER)  as first boarding loc.
# From Within Winnipeg facilities - For transfers among HSC/STB/GRA, we are linking all the admissions so  we need to be specific for the sending and receiving service.  If already inpatients, and no in-between procedures,  pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology).  If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.
# When to use generic ward -  If the patient from our sending service (e.g. HSC SICU)  was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward).  For the case having in-between procedure, say, sending service is HSC Med  to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g.  HSC OR.
#For sites no longer collected ie. CON/OAK/VIC - inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the pre-admit inpt will  '''not''' be N/A and the previous location is the same as the pre-admit inpt even if the patient spends time in site's UC prior to transfer. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC. 
{{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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