Minimal Data Set: Difference between revisions

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== Minimal Data Set Elements ==

For all '''new''' patients at every shift enter and check against the addressograph the following:

* ~~serial~~ number

* [[Serial number]]

* ~~hospital~~

* [[Location field|Location]]

* unit / location

* [[First Name and Last Name fields | First Name and Last Name]]

* first name

* hospital [[Chart number]]

* ~~last name~~

* hospital ~~chart~~ number

* [[Admit%2C_Transfer_and_Discharge_date_and_time#Admit_Date_and_Time | admit date]]

** time should be entered if available, but will not generate an error if not entered since it is often not available immediately.

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=== Other data that is required early ===

For existing patients at every shift, add as they become available, enter and check against the addressograph the following:

* admit '''time'''

* [[Admit,_Transfer_and_Discharge_date_and_time#Admit_Date_and_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.)

* [[Admit,_Transfer_and_Discharge_date_and_time#Discharge_Date_and_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.)

* PHIN

* DOB

@@ Line 5: / Line 5: @@
 == Minimal Data Set Elements ==
 For all '''new''' patients at every shift enter and check against the addressograph the following:
-* serial number
+* [[Serial number]]
-* hospital
+* [[Location field|Location]]
-* unit / location
+* [[First Name and Last Name fields | First Name and Last Name]]
-* first name
+* hospital [[Chart number]]
-* last name
-* hospital chart number
 * [[Admit%2C_Transfer_and_Discharge_date_and_time#Admit_Date_and_Time | admit date]]
 ** time should be entered if available, but will not generate an error if not entered since it is often not available immediately.
@@ Line 16: / Line 14: @@
 === Other data that is required early ===
 For existing patients at every shift, add as they become available, enter and check against the addressograph the following:
-* admit '''time'''
+* [[Admit,_Transfer_and_Discharge_date_and_time#Admit_Date_and_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.)
+* [[Admit,_Transfer_and_Discharge_date_and_time#Discharge_Date_and_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.)
 * PHIN
 * DOB