Previous Service field: Difference between revisions

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** For pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine

** For pt direct from '''ambulatory''' not via ER, code "not applicable" if no other specific service is documented

* Patients admitted after having a problem during an outpatient procedure are more complicated

* Patients admitted after having a problem during an outpatient procedure are more complicated:

**Such procedures include outpatient: GI endoscopy, bronchoscopy, cardiac cath, invasive radiology, procedures done at surgicentres, etc.

**If the patient goes DIRECTLY from the outpatient procedure area to a Medicine ward or an ICU, then code the type of physician who was doing the procedure:

***~~e.g.~~ if it was a GI endoscopy, then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list is as "other"

***if, for example, it was a GI endoscopy, then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list it as "other"

**If before being admitted to hospital the patient was sent from the procedure area to the ED:

***~~e.g.~~ if the patient was actually an ED patient (under the care of the ED docs) then code "Emergency Medicine"

***if the patient was actually an ED patient (under the care of the ED docs) then code "Emergency Medicine"

***~~e.g.~~ if it was a GI endoscopy and the was not actually an ED ~~patient~~, but instead was ~~taken care in~~ ED by the GI service ~~which did the procedure)~~ then the previous service was "~~GI", but as GI is not specifically listed in the dropdown list of services, then list is as "other~~"

***if, for example, it was a GI endoscopy and the patient was not actually under ED care, but instead was directly admitted to the ED on the Medicine ward service, then the previous service was "Medicine"

* If the service is not listed, code "other (known but not on list)"

** in these cases we don't care about the details; if we see too many others we may add additional options in future (as of January 2022 we checked and these account for <1% of all previous services)

@@ Line 19: / Line 19: @@
 ** For pt from ER, code "Emergency Medicine" unless a different service had accepted them and is handing them off to Medicine
 ** For pt direct from '''ambulatory''' not via ER, code "not applicable" if no other specific service is documented
-* Patients admitted after having a problem during an outpatient procedure are more complicated
+* Patients admitted after having a problem during an outpatient procedure are more complicated:
 **Such procedures include outpatient:  GI endoscopy, bronchoscopy, cardiac cath, invasive radiology, procedures done at surgicentres, etc.
 **If the patient goes DIRECTLY from the outpatient procedure area to a Medicine ward or an ICU, then code the type of physician who was doing the procedure:
-***e.g. if it was a GI endoscopy, then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list is as "other"
+***if, for example, it was a GI endoscopy, then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list it as "other"
 **If before being admitted to hospital the patient was sent from the procedure area to the ED:
-***e.g. if the patient was actually an ED patient (under the care of the ED docs) then code "Emergency Medicine"
+***if the patient was actually an ED patient (under the care of the ED docs) then code "Emergency Medicine"
-***e.g. if it was a GI endoscopy and the was not actually an ED patient, but instead was taken care in ED by the GI service which did the procedure) then the previous service was "GI", but as GI is not specifically listed in the dropdown list of services, then list is as "other"
+***if, for example, it was a GI endoscopy and the patient was not actually under ED care, but instead was directly admitted to the ED on the Medicine ward service, then the previous service was "Medicine"
 * If the service is not listed, code "other (known but not on list)"
 ** in these cases we don't care about the details; if we see too many others we may add additional options in future (as of January 2022 we checked and these account for <1% of all previous services)