Intended1stSrvc: Difference between revisions

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*Example#2: Patient admitted from HSC ED with severe pneumonia, and while in ED is officially admitted to MICU service (i.e. is ECIP). So this initial ICU record has: [[Service/Location]]=MICU, [[Intended1stSrvc]]=left blank as it doesn't apply for direct ICU service-to-ICU service transfers, [[Boarding Loc]]=HSC ED. But MICU but it is full, so decision is made for patient to go from ED (having already been admitted to the MICU service) to SICU on SICU service. For the SICU service record, [[Service/Location]]=SICU, [[Intended1stSrvc]]=left blank since it doesn't apply to direct ICU service-to-ICU service transfers, [[Boarding Loc]]=SICU, plus [[Transfer for bed management]] as an [[Admit Diagnosis]]. The earlier MICU service record should have [[Transfer for bed management]] as an [[Acquired Diagnosis]].

*Example#3: Patient in ED at Grace still on the ED service. Should go to Grace ICU but it's full, so is instead initially admitted to HSC MICU, upon which [[Service/Location]]=MICU, [[Intended1stSrvc]]=none, [[Boarding Loc]]=MICU. This example shows that the [[Intended1stSrvc]] can be at a different hospital altogether.

{{DiscussTask | I would like to clarify example 3, is this supposed to be intended1stservive GraceICU? -allyson Feb3 }}

*Example#4: Patient in ED at Grace but has been officially admitted to the Grace ICU service. So, for that Grace ICU record [[Service/Location]]=Grace ICU, [[Intended1stSrvc]]=Grace ICU, [[Boarding Loc]]=Grace ED . But Grace ICU is full, so decision is made for patient to go to HSC MICU. Upon admission to HSC MICU, that record has [[Service/Location]]=MICU, [[Intended1stSrvc]]=left blank since it doesn't apply to direct ICU service-to-ICU service transfers, [[Boarding Loc]]=MICU, and [[Transfer for bed management]] coded as [[Admit Diagnosis]]. The earlier Grace ICU service record should have [[Transfer for bed management]] as an [[Acquired Diagnosis]].

*Example#5: Patient with pneumonia was admitted from ED to HSC MICU, so [[Service/Location]]=MICU, [[Intended1stSrvc]]=left blank because this patient WAS admitted to the intended first service, [[Boarding Loc]]=MICU. Due to bed issues in MICU, later on the day of that initial MICU admission, patient is transferred to SICU on SICU service. For the SICU record, [[Service/Location]]=SICU, [[Intended1stSrvc]]=left blank since this is a direct transfer not an initial admission to an ICU, [[Boarding Loc]]=SICU, [[Transfer for bed management]] as an [[Admit Diagnosis]]. The earlier MICU service record should have [[Transfer for bed management]] as an [[Acquired Diagnosis]].

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 *Example#2: Patient admitted from HSC ED with severe pneumonia, and while in ED is officially admitted to MICU service (i.e. is ECIP). So this initial ICU record has: [[Service/Location]]=MICU,  [[Intended1stSrvc]]=left blank as it doesn't apply for direct ICU service-to-ICU service transfers, [[Boarding Loc]]=HSC ED.  But MICU but it is full, so decision is made for patient to go from ED (having already been admitted to the MICU service) to SICU on SICU service.  For the SICU service record, [[Service/Location]]=SICU,  [[Intended1stSrvc]]=left blank since it doesn't apply to direct ICU service-to-ICU service transfers, [[Boarding Loc]]=SICU, plus [[Transfer for bed management]] as an [[Admit Diagnosis]].  The earlier MICU service record should have [[Transfer for bed management]] as an [[Acquired Diagnosis]].
 *Example#3: Patient in ED at Grace still on the ED service.  Should go to Grace ICU but it's full, so is instead initially admitted to HSC MICU, upon which [[Service/Location]]=MICU,  [[Intended1stSrvc]]=none, [[Boarding Loc]]=MICU.  This example shows that the [[Intended1stSrvc]] can be at a different hospital altogether.
+{{DiscussTask | I would like to clarify example 3, is this supposed to be intended1stservive GraceICU? -allyson Feb3 }}
 *Example#4: Patient in ED at Grace but has been officially admitted to the Grace ICU service.  So, for that Grace ICU record [[Service/Location]]=Grace ICU, [[Intended1stSrvc]]=Grace ICU, [[Boarding Loc]]=Grace ED .  But Grace ICU is full, so decision is made for patient to go to HSC MICU.  Upon admission to HSC MICU, that record has [[Service/Location]]=MICU,  [[Intended1stSrvc]]=left blank since it doesn't apply to direct ICU service-to-ICU service transfers, [[Boarding Loc]]=MICU, and [[Transfer for bed management]] coded as [[Admit Diagnosis]].  The earlier Grace ICU service record should have [[Transfer for bed management]] as an [[Acquired Diagnosis]].
 *Example#5:  Patient with pneumonia was admitted from ED to HSC MICU, so [[Service/Location]]=MICU, [[Intended1stSrvc]]=left blank because this patient WAS admitted to the intended first service, [[Boarding Loc]]=MICU.  Due to bed issues in MICU, later on the day of that initial MICU admission, patient is transferred to SICU on SICU service.  For the SICU record, [[Service/Location]]=SICU,  [[Intended1stSrvc]]=left blank since this is a direct transfer not an initial admission to an ICU, [[Boarding Loc]]=SICU, [[Transfer for bed management]] as an [[Admit Diagnosis]].  The earlier MICU service record should have [[Transfer for bed management]] as an [[Acquired Diagnosis]].