Definition of a Medicine Program Admission

• For Critical Care, see Definition of an ICU_admission

• The following situations ARE included for the Regional Medicine Database:
  • Admitted under a Medicine service attending physician anywhere in the hospital (including, for example, if they are remaining in ED because there is no medicine ward bed yet).
  • Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is Nephrology
    • Once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
  • Admitted to a Medicine ward location but rather than being cared for by the regular ward team, he primary care service is Neurology.
    • This includes "HSC Internal Med / Neurology" patients admitted to HSC HOBS -- once they are discharged/transferred out of HOBS, we no longer follow the patient. (per Dan Roberts, see also HSC Medicine Collection Guide)
    • More generally, once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
  • Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is Oncology -- EXCEPT if admitted ONLY for chemotherapy
    • A subtlety here is that if such a patient develop complications and is then transferred to Internal medicine service for the duration of hospital stay, we do collect them in the Medicine database beginning when that transfer occurs.
    • Once such a person is transferred out of the Medicine ward location, we no longer follow the patient.
  • As always, collection for internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. EMIP).

many to D5 (Low Level of care hierarchy) under service of nephrology, neurology, oncology (ward being a non-teaching medicine but those services continue to care for their patient unless accepted by Dr Dowhanic or Arneja (who won't handle the HD population)) not sure what that line means now with the new model; would collectors need to include any non-med-service patients for this? If not, what are we actually saying with it?

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• The following situations ARE NOT included for the Regional Medicine Database:
  • Oncology patients admitted only for chemotherapy. These are short stay patients with only nursing IPN entries.
  • Nephrology, Oncology or Neurology patients whose primary care service is (respectively) nephrology, oncology or neurology -- who are NOT on a Medicine ward location.
    • Patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology" -- actually this fits into the above rules, as HSC_H6 is not a Medicine ward location.
  • Interventional radiology service patients admitted for an overnight procedure -- clue that it's not an internal medicine is the attending physician. The attending physician will be an interventional radiologist, not an internal medicine doc. DPageNewton 08:11, 2020 November 19 (CST)

Not excluding HSC counterparts for now although they were listed here also. Can HSC tell if they should come off the list? "HSC Oncology / Radiation" "HSC Oncology / Medicine"

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In Cognos I don't see a service that makes me think interventional radiology, but it might just be a service not included in the dump. Collectors: Do these patients show up in Cognos, and if so, how do you decide that this is what they are and they should be excluded? Ttenbergen 16:39, 2020 November 2 (CST) At this point I have not come across an interventional radiology patient in cognos admitter. See above for how we determine if it's an interventional radiology patient. If there is a way to definitely exclude them from the admitter that would be helpful. There are enough other exclusion patients in there already. DPageNewton 08:11, 2020 November 19 (CST)

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