Dispo field

Data Element (edit)
Field Name:	dispo
CCMDB Label:	Dispo
CCMDB tab:	not stated
Table:	L_Log
Data type:	integer
Length:	long
Program:	Med and CC
Created/Raw:	Raw
Start Date:	2016-07-01
End Date:	2300-01-01
Sort Index:	41

The Dispo field contains information about what happens to the patient at the end of their admission.

• SMW

Legacy implementation right in the table

• Cargo

• Categories

• Forms

Collection Instruction

If you know the location exactly, you can type it. Otherwise press the "?" button to take you to the S dispo chooser‎ to help filter options if desired.

surviving patients

For each patient,

• enter the location that most closely matches
  • 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
• consider bed borrows

AMA

• for patients who leave against medical advice, enter "AMA (left against medical advice)" (type "AMA" to open up drop down where you want it)

Homeless patients

If a homeless patient is discharged, either to a place like Siloam Mission or even without a specific plan, then code them as discharged to home. Consider whether they might have left AMA.

deceased patients

• for patients who expire, one of
  • "Died - Organ_Donor" (follow definitions in that article)
  • "Died - NOT Organ Donor"

Data Use

• Mortality Rate
• Intra or Inter Transfer Rate
• Discharges out of hospital
• Organ donor rate
• AMA Rate
• Linking admissions

Template:CCMDB Data Integrity Checks

• cannot use: not applicable
• location_NE_dispo() - Service/Location field can't be same as Dispo field

Following might still need to be implemented:

• Check organ donors must be dead - this is a dx cross check - can it wait for ICD10? Template:ICD10 Actually, I don't think this dx will be available in ICD10, since it's not a diagnosis. So, likely it will only be coded in dispo field once ICD10 is in place, at which point this comment could go. Ttenbergen 09:56, 2016 June 16 (CDT)

Implementation

The field is populated with options from the s_dispo table.

Legacy

This field is part of the 2016 Time and Place changes.

It a combination of our previous

• Discharge To
• Var 2 - Discharge-to Ward
• ICU Var 6 - AMA
• Survive / Expired

Data from these fields has been back-populated to the this field so data is available from the beginning of the database.

Related articles:

• Organ Donor/Braindead

Very early missing Discharge-tos

There were 6762 very old ICU records who are listed as survived but didn’t have a discharge-to. This is from HSC-only days when there simply were no checks.

When data was brought across from the old discharge to field the dispo fields of these records were set to 'survive(Legacy)'.