Visit Admit DtTm field: Difference between revisions

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suggestion to rename field: all clear now as discussed with Trish
all clear now as discussed with Trish
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**Location History
**Location History
***at the bottom of the page, you will see the specific hospital, and also the date/times in ER.   
***at the bottom of the page, you will see the specific hospital, and also the date/times in ER.   
***find the '''earliest date/time in the list; e.g. VGH-ED-Triage start.  Use that date/time as your Visit Admit DtTm.
***find the '''earliest''' date/time for '''your hospital for the current admission; e.g. VGH-ED-Triage start.   
* enter that date into the [[Visit Admit DtTm field]] in [[ccmdb.mdb]]
* enter that date into the [[Visit Admit DtTm field]] in [[ccmdb.mdb]]


== Questions? ==
== Questions? ==
=== Inter-Hospital Transfer ===
 
* If a patient is a direct admission from a different hospital (ie STB ward) to your ward (ie VIC ward), is your [[Arrive_DtTm field]] the same as your [[Visit Admit DtTm field]]?
** Use the EPR admit time to hospital. Some of you get your [[Admit DtTm]] from somewhere different. We want the Visit Admit DtTm to come from the EPR because then the exact same will be used throughout the admission, not something that might be slightly off. This may be the same, or it may not. Ttenbergen 17:44, 2016 April 25 (CDT)
*I need clarification!!! Are we using the visit admit date and time from our hospital only, or from the first time they visited any hospital within the current admission? For example, if they came to STB ER, and were sent from ER to VIC ICU, do I use the STB ER time as my visit admit, or my VIC admit time? Also, for patients coming from outside of the city, they don't have EPR time entries. MLagadi 10:43, 2016 April 26
*It is only your hospital.  When the pt first presented at your hospital.  --[[User:LKolesar|LKolesar]] 12:37, 2016 April 26 (CDT)


== Background ==
== Background ==

Revision as of 09:16, 27 April 2016

This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. 

The Visit Admit DtTm field contains the first entry in the visit location history in EPR for this visit.

Purpose

The field is used as an identifier of the start of a hospital encounter at your site. The info is use to:

  • link together ICU and Ward admissions during the same hospital visit
  • uniquely identify patient visits to Manitoba Health when we exchange data with them

Collection Instruction

(in progress. Any collector can continue to rewrite to help make clearer - Thank you!)

For each patient,

  • In EPR find Patient name
  • go to:
    • Registration
    • Visit Location
    • Location History
      • at the bottom of the page, you will see the specific hospital, and also the date/times in ER.
      • find the earliest date/time for your hospital for the current admission; e.g. VGH-ED-Triage start.
  • enter that date into the Visit Admit DtTm field in ccmdb.mdb

Questions?

Background

Right now you guys collect detailed to/from info in Var1/2. The details are primarily used for linking. Collecting the Hospital Admit DtTm will make that information irrelevant for wards where we don't collect, so we will be able to code "from" for wards where we don't collect just as "HSC Ward"(eg).

Data Use

This data is used to understand Length of Stay and for linking.

Template:CCMDB Data Integrity Checks

Legacy

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

It is being added to simplify the old linking - if we have the hospital admit date and time, we are done linking, none of the previous complex process will be needed any longer.