Previous Location field

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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 Location field contains the most recent previous physical location of a patient before arriving at the collection location. (exception, see #EMIP)

For example, a patient arriving from Selkirk Hospital via the local ER would have the ER coded in the Previous Location field and Selkirk coded in the Pre-admit Inpatient Institution field.

Collection Instruction

For each patient,

  • enter the option that most closely matches
  • if you know the situation but nothing on the list matches closely, enter 'other - known but not listed
  • if the situation is unknown, enter location missing/unknown

If you know the location exactly, you can type it. Otherwise press the "?" button to take you to the S dispo chooser‎ to help filter options if desired.

For wards where we don't collect, enter e.g. HSC_ward. For wards where we do collect enter the actual ward as available in the dropdown.

Where to find this information

If patient came from a different Winnipeg hospital this will be recorded in the “Visit History” on the EPR.

  • Sometimes it is missing from the Visit History. Can also use paper chart sent to your hospital from the sending hospital for information.

For all wards where we collect data you will have a specific entry. For all other wards just code as e.g. HSC_ward. Template:Discussion

    • Need clarification of "cath lab" which is listed for STB and HSC hospitals. Gail already asked this question and we need clarification for both hospitals. Is this just the heart cath lab??--LKolesar 13:13, 2016 May 27 (CDT)
      • Yes, my understanding is Cardiac cath lab. But if there are other type, does it matter? Will the previous service or pre-admit inpatient institution become a problem? JMojica 13:22, 2016 May 31 (CDT)

direct transfer

For patients who get parked in the ER during a inter-facility transfer, enter the previous ward in Pre-admit Inpatient Institution field and enter your ER in Previous Location field. (In the past you would have entered the hospital and ward as the admit from.)

EMIP

If a medicine patient who was an EMIP is admitted to an ICU, use e.g. GRA_EMIP in Previous Location field.

Example: transfer from out-of-town ER

  • How would you capture a pt that was examined & treated in the selkirk ER (but not admitted as an in pt.) & then sent as a direct admit to HSC but stopped in HSC ER & was treated there till a ward bed was ready? Judy K apr

19, 2016

from psych unit

  • pt came from POU (pysch evaluation unit @ HSC). This is a temporary location but cannot capture it. It is not part of ER.--CMarks 13:42, 2016 May 4 (CDT)
    • I was wrong before, treat as "HSC ambulatory care" - it's not an inpatient ward. (as discussed with Julie and Trish) Ttenbergen 16:09, 2016 May 16 (CDT)

from out-of-town OR

Template:Discussion

  • I have a patient admitted directly from Selkirk OR, but that option is not listed in "Previous Location" drop-down, and there is no N/A. What do I put?--Jpeterson 11:10, 2016 May 5 (CDT)
    • I will add the dropdown options for out of town hospitals to the dropdowns. Ttenbergen 16:09, 2016 May 16 (CDT)

Data Use

This data is used for tracking where most of the traffic on our units/wards comes from. For starters it will be reported to Critical Care (Randy Martin), who was also the requestor of this data.

Template:CCMDB Data Integrity Checks

Following might still need to be implemented: Template:Discussion

  • Check ORDx; or not? Would have to be done for ICD10, so can it wait? Ttenbergen 16:26, 2016 May 25 (CDT)

Implementation

The field is populated with options from the s_dispo table.

Legacy

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

It a combination of our previous