Accept DtTm field: Difference between revisions

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{{Data_element
{{Todo
| field_name = Accept DtTm
| who = Tina
| CCMDB_label = Accept DtTm
| todo_added = 2022-06-30
| element_description = The date and time when the patient is accepted from the '''ER department ONLY'''.
| todo_action = 2023-05-04
| in_table = L_Log table
| question =  _ccmdb_dev
| data_type = date
* Field is legacy; once no longer used, remove it from sending and then from ccmdb_data.
| program_collecting = Med and CC
** remove from sending
| created_raw = Raw
** remove from CCMDB_data
| data_element_start_date = 2016-07-01
}}
| data_element_sort_index = 43
 
{{Data element
|field_name=Accept DtTm
|CCMDB_label=Accept DtTm
|in_table=L_Log table
|data_type=date
|program_collecting=Med and CC
|created_raw=Raw
|data_element_start_date=2016-07-01
|data_element_end_date=2022-04-22
|data_element_sort_index=43
|element_description=First [[Service tmp entry]] DtTm for pts who came from the '''ER department''' only
}}
}}
This concept is similar to '''[[Service tmp entry]]''', but {{PAGENAME}} is entered only for profiles originating in the ER.
== Collection Instruction ==
== Collection Instruction ==
'''Only for patients admitted from your own hospital's ER department ''' enter the date/time that the service physician accepted the patient, leave blank for all others.  
For each patient, enter First [[Service tmp entry]] DtTm for pts who came from the same hospital's the '''ER department''' only (i.e. who had an initial [[Boarding Loc]] of ER). Follow the instructions at [[Service tmp entry]].


*For admissions '''arriving via the ER''' the '''Accept DtTm''' is the Service Start DtTm in the [[Patient Viewer Tab Cognos ADT2]]; you can click on this DtTm to automatically populate it into the Accept_DtTm field
This means the {{PAGENAME}} should be equal to the first [[Service tmp entry]] DtTm if it is entered at all.
*at StB, the accept time for ICU patients coming from ER is taken from the orders.  If the time is written after the patient has alreday arrived to the ICU, the accept time is the same time as the arrive time
* at STB, the ICU team is considered as having accepted the patient when they arrive on the scene if the patient is successfully resuscitated and goes to a unit
* at STB, if the patient is coming from the Cath Lab, or the OR, the accept time and arrive time will be the same as this is when they are considered to have assumed care of the patient.  This time is obtained from the ICU flowsheet.


=== Direct Admissions/Transfers ===
== Planned elimination of this field ==
 
see [[Change to replace Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc]]
For patients who have been accepted from another hospital '''but have a wait time in ER''' (who used to be called Direct Admissions/Parked in ER), use the visit ID date and time for the {{PAGENAME}} as it is clearly marked in the EPR.
 
=== When does collection start? ===
see
* [[Definition of a Critical Care Laptop Admission]]
* [[Definition of a Medicine Laptop Admission]]


== Data Use ==
== Data Use ==
Patient flow
[[Patient flow]]
* medicine program: to monitor delays to move patient from ER to Med ward bed
* medicine program: to monitor delays to move patient from ER to Med ward bed
* as of July 2016 onward - ICU same purpose
* as of July 2016 onward - ICU same purpose
Accept DtTm is used as part of the formula to calculate delay in the transfer of patient from ER bed to Med ward or ICU bed - see [[ER Delay]]. This measures the amount of time for the patient already accepted in Medicine or Critical Care service but still using the ER bed and resources.
Accept DtTm is used as part of the formula to calculate delay in the transfer of patient from ER bed to Med ward or ICU bed - see [[ER Delay]]. This measures the amount of time for the patient already accepted in Medicine or Critical Care service but still using the ER bed and resources.


== Data Use==
== Data Integrity Checks ==
{{Data Integrity Check List}}
{{Data Integrity Check List}}


== Legacy ==
== Legacy ==
{{Collapsable
| always=Click to see legacy info
| full=
* related info: [[Change to start collection at accept rather than arrive time]]
* related info: [[Change to start collection at accept rather than arrive time]]
* 2017_January:  also enter lines in TMP for all [[AcceptDateSource]]s.
* 2017_January:  also enter lines in TMP for all [[AcceptDateSource]]s.
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**For '''medicine''' this concept is ''related'' to [[admit date and time]] (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER. Resp. field L_Log.R_AdmDate and L_Log.R_AdmTime
**For '''medicine''' this concept is ''related'' to [[admit date and time]] (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER. Resp. field L_Log.R_AdmDate and L_Log.R_AdmTime
**For '''critical care''' this concept is related to [[Service Sending to ICU]]. (There is no comparable field in ICU for this in the old system).
**For '''critical care''' this concept is related to [[Service Sending to ICU]]. (There is no comparable field in ICU for this in the old system).
}}


== Related articles ==  
== Related articles ==