2016 Time and Place changes: Difference between revisions

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Our current system of collecting admit and discharge information is convoluted because it has slowly evolved and never really been updated since the start of collection. We have looked at all the fields involved (incl. concepts like "AMA") and are planning to implement a new system sometime next year. Please have a look at the new system below. We are looking forward to comments. If you see something that will be ambiguous or likely unavailable during your collection, make sure you let us know.
Our previous system of collecting admit and discharge information was convoluted because it has slowly evolved and never really been updated since the start of collection. We looked at all the fields involved (incl. concepts like "[[AMA]]") and implemented the [[Registry collection changes 2016-07-01]].  
Like all changes this will cause some disruption. As you review it, try to think of it from the perspective of a new collector you are training. We are hoping that, from that perspective at least, the new system will be clearer than the old.  
Many of the fields will draw from the [[S dispo table]].  
Many of the fields will draw from the [[S dispo table]].  


[[File:CCMDB 2015 timePlace.svg | 400px]]
Data entry screen for this change:
[[File:CCMDB 2015 timePlace.png | 400px]]


== Pre-acute living situation field ==
== Fields ==
One of the following:
The following fields are being introduced as part of this change:
* home (possibly broken into apartment, house, supportive housing, assisted living, etc)
* [[Pre acute living situation field]]
** {{discussion}} Julie will confirm with Dr Roberts whether granularity is required.
* [[Pre-admit Inpatient Institution field]]
* Personal Care Home
* [[Previous Location field]]
* Chronic Health Facility (ie Deel Lodge, River View, St Amant)
* [[Previous Service field]]
* homeless
* [[Off ward field]]
* Prison / Jail / Correctional Institution
* [[Service/Location field]]
* other
* [[Dispo field]]
* location missing/unknown
* [[Visit Admit DtTm field]]
* Accept_DtTm field
* Arrive_DtTm field
* [[Dispo_DtTm field]]
* [[Transfer_Ready_DtTm field]]
* [[Postal_Code field]]
Also related
* [[EMIP]]
* [[OVER]]
Functions
* LOS()


== Pre-admit Inpatient Institution field ==
== Forms ==
If the "Previous" location field contains a "temporary" location like an ER, OR or Cath Lab you will need to enter the "Previous Inpatient Location" field. This will be a dropdown that allows an appropriate subset of the contents of s_dispo.
* [[Patient Viewer]]


== Previous Location field ==
== Tables ==
The "Previous Location" is very similar to the current "Admit From" field, essentially the last physical location the patient was before being admitted to your collection location. This will be a dropdown that allows an appropriate subset of the contents of s_dispo.
* [[S_dispo table]]
* [[S_pre_acute_living_situation table]]
* [[S_previous_service_table]]


=== Arrive DtTm field ===
The time of the change from "Previous Location field" to "Service/Location". Date and Time combined in single field with form to edit.
== Previous Service field ==
For all patients admitted from within the current institution (or another where we collect?) , the service they were with before.
Dropdown as current [[Service Sending to ICU]]:
* Cardiac surgery
* Cardiology
* Family Medicine
* General surgery
* Medicine
* Neurosurgery
* Ob/Gyne
* Ortho surgery
* Plastic surgery
* Psych
* Thoracic surgery
* Urologic surgery
* Vascular surgery
* z_not applicable
=== Accept DtTm field ===
The time of the change from "Previous Service" to "Service/Location". Date and Time combined in single field with form to edit.
== Service/Location field ==
Collection location a patient is admitted to, very similar to current "Location" field. This will be a dropdown that allows an appropriate subset of the contents of s_dispo.
Patients boarding on other wards or units are coded as the home unit. Collectors can use "record" field for tracking actual location.
=== Dispo DtTm ===
The time patient physically changes to the state in the dispo field. Date and Time combined in single field with form to edit.
== Dispo field ==
''see also [[Dispo field (proposed)]]
Disposition of patient upon leaving unit/ward. Could be another ward or home or a state like AMA, deceased, organ donor. This will be a dropdown that allows an appropriate subset of the contents of s_dispo.
== S_Dispo table ==
Put contents here when ready
== Questions... ==
* is [["copy patient demographics for questioning" button]] relevant to this?
* Address all questions in [[S dispo table]] and [[S dispo legacy codes table]]
* do we need a dispo concept for PCH in addition to what is available?


[[Category: 2016 Time and Place changes]]
[[Category: 2016 Time and Place changes]]

Latest revision as of 18:32, 16 November 2024

Our previous system of collecting admit and discharge information was convoluted because it has slowly evolved and never really been updated since the start of collection. We looked at all the fields involved (incl. concepts like "AMA") and implemented the Registry collection changes 2016-07-01. Many of the fields will draw from the S dispo table.

Data entry screen for this change:

Fields

The following fields are being introduced as part of this change:

Also related

Functions

  • LOS()

Forms

Tables