Minimal Data Set: Difference between revisions

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The '''Minimal Data Set''' is the least amount of data that needs to be collected for a new patient when they are first [[adding a patient | added]] to the database. This data is [[Sending Patients | sent]] every week for '''all patients''', not just those who are [[Final Check]]ed. This data needs to be entered for '''all newly admitted patients''' during '''every data collection shift'''. With the exception of special requests from the [[Category:Main Office | main office]], it is more important to collect this data than to complete collection for existing patients, '''especially for incomplete files'''.  
The '''Minimal Data Set''' is the least amount of data that needs to be collected for a new patient when they are first [[adding a patient | added]] to the database. This data is [[Sending Patients | sent]] every week for '''all patients''', not just those who are [[Final Check]]ed. This data needs to be entered for '''all newly admitted patients''' during '''every data collection shift'''. With the exception of special requests from the [[Category:Main Office | main office]], it is more important to collect this data than to complete collection for existing patients, '''especially for incomplete files'''.  


If you '''try to send''' with part A of the minimal data set '''incomplete for any patient''' (even ones who are not [[Final Check]]ed), the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.
If you '''try to send''' with any of the Minimal Data Set Elements '''incomplete for any patient''' (even ones who are not [[Final Check]]ed), the [[CCMDB.mdb]] will give an "incomplete minimal data set" error and list the patient, and you will not be able to send '''any''' patients.


==Minimal Data Set Elements ==
== Minimal Data Set Elements ==
*A. For all new patients at every shift:
For all new patients at every shift:
** serial number
** serial number
** hospital
** hospital
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*** time should be entered if available, but will not generate an error if not entered since it is often not available immediately.
*** time should be entered if available, but will not generate an error if not entered since it is often not available immediately.


*B. For existing patients at every shift, add as they become available:  
=== Other data that is required early ===
For existing patients at every shift, add as they become available:  
** admit '''time'''
** admit '''time'''
** discharge date and time (this should be entered within '''ONE week''' of discharge - this date is important for occupancy report which includes reporting the number of outstanding incomplete files.)
** discharge date and time (this should be entered within '''ONE week''' of discharge - this date is important for occupancy report which includes reporting the number of outstanding incomplete files.)
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** DOB
** DOB
The absence of these two items in Part B, will not stop the CCMDB from sending files. These items are allowed to be empty since they may not be available initially, but they should be filled in '''as soon as available.''' '''The Discharge Date''' is most important to enter into data ASAP.
The absence of these two items in Part B, will not stop the CCMDB from sending files. These items are allowed to be empty since they may not be available initially, but they should be filled in '''as soon as available.''' '''The Discharge Date''' is most important to enter into data ASAP.
==Instruction for STB Med Minimal Data Set - Primary Source for the Admit date/time to Medicine Service:==
*a. For Acute Care Medicine patients at STB, use the Doctors orders on the EPR as date/time accepted to Medicine Service.--[[User:TOstryzniuk|TOstryzniuk]] 17:26, 21 September 2010 (CDT)
*b. for Non Acute Care - C service medicine patients at STB, use EPR's registration tab/visit location/location history, for date/time accepted to medicine service.
{{discussion}}
=== Minimal data set only??===
Do these instructions apply to the minimal data set only, or to all Admit date/time entries? If so, [[Admit%2C_Transfer_and_Discharge_date_and_time#Definition_for_Medicine]] should be amended with this and it should be removed from here. [[User:Ttenbergen|Ttenbergen]] 14:40, 1 November 2010 (CDT)


== Reason why data is required for patients that are not complete yet ==
== Reason why data is required for patients that are not complete yet ==
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== {{Data Integrity Rules}} ==
If Minimal Data Set isn't there you can't send.


[[Category: Data Collection Guide]]
[[Category: Data Collection Guide]]
[[Category: IT Instructions]]
[[Category: IT Instructions]]