Definition of a Medicine Laptop Admission

• For Critical Care, see Definition of a Critical Care Laptop Admission

Included patients

• The following situations ARE included for the Regional Medicine Database.
• Collection for internal medicine patients starts at Accept DtTm ie possibly while in ER, regardless of where they are, including if they are still in the ER (i.e. EMIP).

Inclusion based on service

• Admitted under a Medicine service attending physician anywhere in the hospital (including, for example, if they are remaining in ED because there is no medicine ward bed yet). (see #excluded patients)

Inclusion based on location

• Admitted to a Medicine ward location but rather than being cared for by the regular ward team, the primary care service is
  • Nephrology
  • Neurology (includes "HSC Internal Med / Neurology" patients admitted to HSC HOBS)
  • Oncology -- EXCEPT if admitted ONLY for chemotherapy (if complications occur and Medicine service takes over, admit the pt starting at medicine service acceptance)
• For these inclusions based on location, once pt is transferred out of the Medicine ward location, we no longer follow the patient. (see #excluded patients)

Seeking clarification regarding inclusion patients ie. a patient under internal med /nephrology admitted to mixed "off ward"/mixed displaced units or mixed covid suspect/mixed covid units either from ER or as a direct admission? When ie. med/neph patients are transferred from "regular" internal medicine units to mixed displaced/mixed off ward/mixed covid suspect/mixed covid units are collectors to continue to follow patients under these circumstances? Thank you, Pamela Piche 10:21, 2020 December 3 (CST)

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Excluded patients

• The following situations ARE NOT included for the Regional Medicine Database:
  • Oncology patients admitted only for chemotherapy. These are short stay patients with only nursing IPN entries.
  • Nephrology, Oncology or Neurology patients whose primary care service is (respectively) nephrology, oncology or neurology -- who are NOT on a Medicine ward location.
  • Patients admitted to HSC_H6 under "HSC Internal Med / Respiratory" or "HSC Internal Med / Neurology" -- actually this fits into the above rules, as HSC_H6 is not a Medicine ward location.
  • Interventional radiology pts admitted for an overnight procedure (not on Cognos EPR Report so easy to exclude)

Not excluding HSC counterparts for now although they were listed here also. Can HSC tell if they should come off the list? "HSC Oncology / Radiation" "HSC Oncology / Medicine"

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