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Previous Location field: Difference between revisions

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''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. ''
{{DISPLAYTITLE:Previous_Location field}}
 
{{Data_element
The [[Previous Location field]] contains the most recent previous '''physical location''' of a patient before arriving at the collection location.
| field_name = Previous_Location
 
| CCMDB_label = Previous Location
For example, a patient arriving from Selkirk Hospital via the local ER would have the ER coded in the [[Previous Location field]] and Selkirk coded in the [[Pre-admit Inpatient Institution field]].
| CCMDB_tab = Dispo
** How would you capture a pt that was examined & treated in the selkirk ER (but not admitted as an in pt.) & then sent as a direct admit to HSC but stopped in HSC ER & was treated there till a ward bed was ready? Judy K apr 19, 2016
| element_description = The most recent previous '''physical location''' (with [[#exceptions]]) of a patient before arriving at the collection location.
| in_table = L_Log table
| data_type = number
| datafield_length = long integer
| program_collecting = Med and CC
| created_raw = Raw
| data_element_start_date = 2016-07-01
| data_element_sort_index = 37
}}


== Collection Instruction ==
== Collection Instruction ==
For each patient,  
For each patient,  
* enter the option that most closely matches
* enter the option that most closely matches:
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed''
{{PrePrevDispo listing}}
* if the situation is unknown, enter '''location missing/unknown'''
* 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 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
{{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 press the "magic wand" button to take you to the [[S dispo chooser‎]] to help filter options if desired.
=== 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 this field contains a '''"temporary" location''' like an ER, OR or Cath Lab you will need to enter the [[Pre-admit Inpatient Institution field]].
 
For wards where we don't collect, enter e.g. HSC_ward. For wards where we do collect enter the actual ward as available in the dropdown.  


=== Where to find this information ===
=== Borrowed Bed Or Pt Boarding On Other Unit ===
If patient came from a different Winnipeg hospital this will be recorded in the “Visit History” on the EPR.
* 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.
*Sometimes it is missing from the Visit History.  Can also use paper chart sent to your hospital from the sending hospital for information.
{{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?
}}


For all wards where we collect data you will have a specific entry. For all other wards just code as e.g. HSC_ward.
=== Direct Admit Scenarios ===
*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.


== Questions ==
=== Exceptions ===
=== STB Fields NOT Missing ===
*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:
*In each location we need more options:  currently you only have ER, ward or ICU. We also need OR, RR, and ACF.--[[User:LKolesar|LKolesar]] 10:14, 2016 April 15 (CDT)
** If patient was under internal medicine service, enter <site>_Med
** They are there; do a look with the "?" button / [[S dispo chooser]] form. If you can then see them please remove this section. If not, please call me and lets figure out if I am misunderstanding. Ttenbergen 16:11, 2016 April 18 (CDT)
** 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]]


=== Vic N3F ===
{{Pre-admit, Previous content}}
* Not sure what is meant by [[VIC_N3F]], this area (N3) is the location of the Mature Women's Centre and is an outpatient area. Thanks very much, [[User:Ppiche|Pamela Piche]] 12:11, 2016 April 15 (CDT)
** We used to collect there, it should not show up in the dropdown. I will need to edit doesn't it. Ttenbergen 16:11, 2016 April 18 (CDT)


=== from doctor's office ===
{{Location dropdown cleanup}}
* "Do we need a Previous location from “Doctors office” or is home what we have to use? Some patients are sent to hosp from MDs office." (Lou)
** Code as from "home" as before Ttenbergen 18:32, 2016 April 18 (CDT)


== Data Use ==
== Data Use ==
This data is used for tracking where most of the traffic on our units/wards comes from. For starters it will be reported to Critical Care (Randy Martin), who was also the requestor of this data.  
This data is used for tracking where most of the traffic on our units/wards comes from. For starters it will be reported to Critical Care (Randy Martin), who was also the requestor of this data.  


== {{CCMDB Data Integrity Checks}} ==
== Cross Checks ==
* [[Check ORDx]]
{{Data Integrity Check List}}


== Implementation ==
== Implementation ==
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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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* [[Var 1 - Admit-from Ward]]
* [[Var 1 - Admit-from Ward]]


[[Category: 2016 Time and Place changes]]
== Related articles ==
[[Category: Admit/Discharge]]
{{Related Articles}}
 
[[Category:2016 Time and Place changes]]
[[Category:Admit/Discharge]]
[[Category:Registry Data]]
[[Category:Data Collection Guide]]
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