Previous Service field

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Revision as of 15:31, 12 May 2016 by Ttenbergen (talk | contribs) (direct admits we won't code specifically for now, if we find the numbers are high we may reconsider.)
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This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. 

The Previous_Service field contains info about the physician service the patient was admitted under prior to admission to the current location.

Collection Instruction

For each patient,

  • enter the option that most closely matches
    • for medicine ward-to-ward moves, code "medicine" as previous service
    • for ICU-to-ICU moves, code "Critical Care" if no other specific service is documented
    • 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 care not via ER, code "not applicable"
  • 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

from OR

If a patient comes from an OR/RR, code the responsible surgical service as previous service.

Nursing Home Wards (HSC/GRA)

Template:Discussion

  • currently we treat these pts as discharges or readmits from Grace Nursing Home ie not as a continuous admission or interhospital transfer. These pts are covered by one of the Medicine attendings while here. Do you want the previous service to be entered as Medicine then? [User:SCortilet|Scortilet]]
    • still waiting to hear back from Julie on that. Ttenbergen 13:23, 2016 May 11 (CDT)

Data Use

Used to be:

Template:CCMDB Data Integrity Checks

Can't be empty.

Implementation

The field is populated with options from the s_previous_service table.

Legacy

For medicine this concept is related to ER Wait.

For critical care this concept is related to Service Sending to ICU.