Multiple Encounter: Difference between revisions

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Patients may show up in our database repeatedly. ~~Because our~~ records are patient-ward-stay based~~, we do not have an inherent link to reflect this~~.

Patients may show up in our database repeatedly. Our [[L_Log]] records are patient-ward-stay based. Once the [[data processor]] completes the [[centralized data Vetting Process]] (i.e. [[PHIN field|PHINs]] are checked and PseudoPHINs are generated) the PHIN field can be used for linking L_Log records for the same patient. This combining data is stored in [[L Person table]] by [[Encounter processing]].

~~For patients encountered repeatedly some data should be consistent between stays.~~

If a patient is never discharged in between L_Log entries it may be a '''[[Continuous Stay]]'''.

~~The [[data processor]] runs a set of checks during vetting that attempts to find and make consistent the records for patients encountered previously. See ''which article''?~~

If a patient is never discharged in between ~~encounters, patient~~ may be a '''[[Continuous Stay]]'''. ~~See that article for definitions.~~

~~If a patient is discharged and then admitted again at a later time, but soon after the last hospital stay, they may qualify as '''[[Re-admission]]'''. See that article for definitions.~~

~~== Terminology and definitions==~~

~~''temporary parking during clean-up''~~

~~===== Encounter vs admission vs record =====~~

*Continuous Admission: patients that move between ICU's and wards within their own center or to other centers in the city during the same hospital admission. (Trish)

*New encounter: when a patient is discharged from the hospital system in the city back to the community and he then returns to the hospital from the community (generally through the ER), this is a new encounter to the hospital system in the city. (Trish)

** So, does "same encounter" mean the same as "same hospital admission"? We really can't use that since we don't collect on all wards. I was asking Julie about this before, but we didn't finish the discussion. [[User:Ttenbergen|Ttenbergen]] 14:53, 29 October 2008 (CDT)

***Isn't this going off onto a tangent? Depend on how you are looking at the data. Same encounter to one hospital or same encounter to hospital system in the city or new encounter to a hospital or new encounter to the hospital system in the city.

**** We are using the terms, and I need to be sure we are all using them in the same way. I don't think that's a tangent, is it? We are using "encounter" to mean different things at different times.[[User:Ttenbergen|Ttenbergen]] 14:24, 30 October 2008 (CDT)

*Example of one patient:

*1. From Home to HSC transf to CON, transf back to HSC discharged home:

**HSC enc 1

**CON enc 1

**HSC enc 2

**this is the first encounter to hospital system in city.

*2. same patient

*From home to HSC transf to VIC transf to CON transf back to HSC discharged home

**HSC enc 1

**VIC enc 1

**CON enc 2

**HSC enc 3

**this is the second encounter to hospital system in city.

(Tina says: this doesn't help. When qualified as "hospital encounter" or "hospital system encounter" it is all clear. I am concerned because "encounter" by itself could mean either unless apparent from the context. For a query I need to know which is meant, especially if the query then goes on to specify earlier and later encounters...)

If a patient is discharged and then admitted again at a later time, but soon after the last hospital stay, they may qualify as '''[[Readmission]]'''.

== Multiple encounter longitudinal consistency checks ==

For patients encountered repeatedly some data should be consistent between stays.

The [[data processor]] runs a set of checks during vetting that attempts to find and make consistent the records for patients encountered previously.

==~~Need to address~~==

== Related Articles ==

* check for inconsistencies like brain dead and ARF

[[Category: Statistical Analysis]]

[[Category:Statistical Analysis]]

[[Category: Multiple Encounter]]

[[Category:Multiple Encounter | * ]]

@@ Line 1: / Line 1: @@
-Patients may show up in our database repeatedly. Because our records are patient-ward-stay based, we do not have an inherent link to reflect this.
+Patients may show up in our database repeatedly. Our [[L_Log]] records are patient-ward-stay based. Once the [[data processor]] completes the [[centralized data Vetting Process]] (i.e. [[PHIN field|PHINs]] are checked and PseudoPHINs are generated) the PHIN field can be used for linking L_Log records for the same patient. This combining data is stored in [[L Person table]] by [[Encounter processing]].
-For patients encountered repeatedly some data should be consistent between stays.
+If a patient is never discharged in between L_Log entries it may be a '''[[Continuous Stay]]'''.
-The [[data processor]] runs a set of checks during vetting that attempts to find and make consistent the records for patients encountered previously. See ''which article''?
-If a patient is never discharged in between encounters, patient may be a '''[[Continuous Stay]]'''. See that article for definitions.
-If a patient is discharged and then admitted again at a later time, but soon after the last hospital stay, they may qualify as '''[[Re-admission]]'''. See that article for definitions.
-== Terminology and definitions==
-''temporary parking during clean-up''
-===== Encounter vs admission vs record =====
-*Continuous Admission: patients that move between ICU's and wards within their own center or to other centers in the city during the same hospital admission. (Trish)
-*New encounter: when a patient is discharged from the hospital system in the city back to the community and he then returns to the hospital from the community (generally through the ER), this is a new encounter to the hospital system in the city. (Trish)
-** So, does "same encounter" mean the same as "same hospital admission"? We really can't use that since we don't collect on all wards. I was asking Julie about this before, but we didn't finish the discussion. [[User:Ttenbergen|Ttenbergen]] 14:53, 29 October 2008 (CDT)
-***Isn't this going off onto a tangent?   Depend on how you are looking at the data. Same encounter to one hospital or same encounter to hospital system in the city or new encounter to a hospital or new encounter to the hospital system in the city.
-**** We are using the terms, and I need to be sure we are all using them in the same way. I don't think that's a tangent, is it? We are using "encounter" to mean different things at different times.[[User:Ttenbergen|Ttenbergen]] 14:24, 30 October 2008 (CDT)
-*Example of one patient:
-*1. From Home to HSC transf to CON, transf back to HSC discharged home:
-**HSC enc 1
-**CON enc 1
-**HSC enc 2
-**this is the first encounter to hospital system in city.
-*2. same patient
-*From home to HSC transf to VIC transf to CON transf back to HSC discharged home
-**HSC enc 1
-**VIC enc 1
-**CON enc 2
-**HSC enc 3
-**this is the second encounter to hospital system in city.
-(Tina says: this doesn't help. When qualified as "hospital encounter" or "hospital system encounter" it is all clear. I am concerned because "encounter" by itself could mean either unless apparent from the context. For a query I need to know which is meant, especially if the query then goes on to specify earlier and later encounters...)
+If a patient is discharged and then admitted again at a later time, but soon after the last hospital stay, they may qualify as '''[[Readmission]]'''.
+== Multiple encounter longitudinal consistency checks ==
+For patients encountered repeatedly some data should be consistent between stays.
+The [[data processor]] runs a set of checks during vetting that attempts to find and make consistent the records for patients encountered previously.
+{{Data Integrity Check List}}
-==Need to address==
+== Related Articles ==
-* check for inconsistencies like brain dead and ARF
+{{Related Articles}}
-[[Category: Statistical Analysis]]
+[[Category:Statistical Analysis]]
-[[Category: Multiple Encounter]]
+[[Category:Multiple Encounter | * ]]