Intended1stSrvc: Difference between revisions

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=== Changes during the ICU stay ===

* only consider the ~~[[Intended1stSrvc]]~~ for each new profile (see [[#Changes within an ICU service admission]] and [[#Changes between successive ICU service admissions]] )

* only consider the '''initial intent''' for each new profile (see [[#Changes within an ICU service admission]] and [[#Changes between successive ICU service admissions]] )

=== Data Entry Instructions ===

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* Patient with acute MI admitted via ED. He should have been under the ACCU service in ACCU but ACCU was full. So he was admitted to ICMS instead '''''under the ICMS Service'''''. Thus here [[Intended1stSrvc]] = ACCU. }}

* If this same patient is then changed to the ACCU service, while still in ICMS, do not create a new profile, ignore this service change and leave [[Intended1stSrvc]] as initially entered

* If the same patient, has a service change to ACCU and is physically moved to the ACCU, then a new profile would be created and ~~there is no need for~~ [[Intended1stSrvc]], as the patient is under the intended service}}

* If the same patient, has a service change to ACCU and is physically moved to the ACCU, then a new profile would be created and we would ''not'' code [[Intended1stSrvc]], as the patient is under the intended service}}

=== Changes between successive ICU service admissions ===

@@ Line 17: / Line 17: @@
 === Changes during the ICU stay ===
-* only consider the [[Intended1stSrvc]] for each new  profile (see [[#Changes within an ICU service admission]] and [[#Changes between successive ICU service admissions]] )
+* only consider the '''initial intent'''<!-- turning this into a reference to this project is circular, the point is that _the_intent_ a t the beginning of the admission counts --> for each new  profile (see [[#Changes within an ICU service admission]] and [[#Changes between successive ICU service admissions]] )
 === Data Entry Instructions ===
@@ Line 63: / Line 63: @@
 * Patient with acute MI admitted via ED.  He should have been under the ACCU service in ACCU but ACCU was full. So he was admitted to ICMS instead '''''under the ICMS Service'''''. Thus here [[Intended1stSrvc]] = ACCU. }}
 * If this same patient is then changed to the ACCU service, while still in ICMS, do not create a new profile, ignore this service change and leave [[Intended1stSrvc]] as initially entered
-* If the same patient, has a service change to ACCU and is physically moved to the ACCU, then a new profile would be created and there is no need for [[Intended1stSrvc]], as the patient is under the intended service}}
+* If the same patient, has a service change to ACCU and is physically moved to the ACCU, then a new profile would be created and we would ''not'' code [[Intended1stSrvc]], as the patient is under the intended service}}
 === Changes between successive ICU service admissions ===