Accept DtTm field
This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear.
The Accept DtTm field contains the date and time when the attending physician accepts a patient, i.e. the date/time a patient changes status from what is documented in Previous Service field to Service/Location field.
Collection Instruction
For all patients, if there is a record of the date/time that the service physician accepted the patient, enter this as the Accept DtTm. Collect this wherever available, but it is especially important for patients coming from ER. If the patient is accepted and arrives at the same time, or if there is no clear record of the accept date/time, enter the Arrive_DtTm field and then click the "set accept_DtTm to Arrive_DtTm" button to copy the DtTm across.
Possible documentation locations:
- admission/separation registers
- Template:Discussion any others? Ttenbergen 11:52, 2016 May 5 (CDT)
- Physician Order sheet when being transferred ie: "May transfer to D5/ non-teaching" or in Progress note section MD may write transfer plan pending bed.--Llemoine 15:11, 2016 May 9 (CDT)
Questions
I think they should all be clear now with the updated instructions above, but if not please put here.
- When a pt moves from ward to ward do you want us enter the date & time the transfer order is written in the "Accept DtTM" or the time the pt actually arrived to the unit and comes under the care of the new unit? In ER, once an order is written for a pt to transfer to a ward the accepting service will care for the pt. in ER. Ward to ward transfers are different. When a pt transfers from ward to ward sometimes the service or physician will continue the care for the pt. on the new unit & sometimes they do not.
Feedback about date/time fields
Anything else? Ttenbergen 17:32, 2016 April 18 (CDT)
Data Use
Many things, need to pull them together Ttenbergen 12:59, 2016 March 21 (CDT)
Template:CCMDB Data Integrity Checks
- Function ADT_Chronological()
Legacy
This field is part of the 2016 Time and Place changes.
For medicine this concept is related to admit date and time (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER.
For critical care this concept is related to Service Sending to ICU. (There is no comparable field in ICU for this in the old system).