Registry Patient Type: Difference between revisions

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='''Medicine Wards'''=
{{Data element
|field_name=R_Type
|CCMDB_label=Pt Type
|data_type=string
|datafield_length=10
|program_collecting=Med and CC
|created_raw=Raw
|data_element_start_date=1997-04-01
|data_element_end_date=2018-05-09
|data_element_sort_index=18
|element_description=Service of the attending physician for medicine data, and the type of admit diagnosis for critical care patients.
|CCMDB_tab=Dispo
}}
 
The use of this field had changed over time, and it was found to no longer contain what was originally intended and was removed 2018-05-09.
 
Related data we continue to collect is:
* [[Previous Service field]]
* [[ICUotherService]]
 
==Medicine Wards==
The Patient Type on your registry page can take one of two values:  
The Patient Type on your registry page can take one of two values:  
==M-Medical Type==  
 
===M-Medical Type===  
Patient who is admitted under the care of a Medical Service attending physician
Patient who is admitted under the care of a Medical Service attending physician


==S-Surgical Type==
===S-Surgical Type===
*admitted from the OR but is under the care of the Medicine Service Attending Physician.
*admitted from the OR but is under the care of the Medicine Service Attending Physician.
*admitted from the RR and is under the care of the Medicine Service Attending Physician.
*admitted from the RR and is under the care of the Medicine Service Attending Physician.
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NOTE: if there is a surgical patient on an medicine ward bed that is under a Surgical Service care, we exclude from the database.  This is not a medicine service care patient.
NOTE: if there is a surgical patient on an medicine ward bed that is under a Surgical Service care, we exclude from the database.  This is not a medicine service care patient.


 
== Critical Care Units ==
= '''Critical Care Units''' =
===S-Surgical Type===
==S-Surgical Type==  
*admit from OR  
*admit from OR  
*admit from RR  
*admit from RR  
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*Pancreatitis if surgery < =48 hrs of admission to unit
*Pancreatitis if surgery < =48 hrs of admission to unit


==M-Medical Type==
===M-Medical Type===
*Cardiac or respiratory arrest
*Cardiac or respiratory arrest
*Cardiogenic shock
*Cardiogenic shock
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*don't fall into Surgical or Cardiac type category
*don't fall into Surgical or Cardiac type category


==C-Cardiac Type==
===C-Cardiac Type===
*STB and HSC in the MICU units - if under the Care of Cardiology Service
*STB in both MICU and CICU - if under the Care of Cardiology Service. This no longer applies when [[STB ACCU]] started July 6, 2016.
*HSC in the MICU unit - if under the Care of Cardiology Service
 
Other ICU's
Other ICU's
*MI
*MI
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*pacemaker insertions (temp or perm)
*pacemaker insertions (temp or perm)


== Note for HSC and STB only ==
==== Note for ICU at HSC and STB only ====
Patients in MICU under MICU attending physician service are that are "cardiac" type patients should always be coded as "M" for medical whether they are stable or not. The only exception is if a patient is a surgical patient, then mark as “S” and in [[ICU Var 5 - Overflow|Var 5]] put "SM".
Patients in MICU under MICU attending physician service that have a cardiac diagnosis should always be coded as medical type  whether they are stable or not. The only exception is if a patient is a surgical patient, then mark as surgical type.
 
===New for STB as of October 1, 2010 - Registry Patient type and [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Site_and_Location#NEW_-_STB_CCU_service_patients_in_STB_MICU_unit_-_Collection_Process_CHANGE_for_LOCATION_and_Registry_Patient_Type Site and Location ] ===


{{Discussion}}
==== StB Cardiac patients ====
*some of this information is repeated in link above.  Not sure how best combined since one article is about registry type and the other is about site location and Both are related "changes" for STB cardiology patient overflowing into CICU and MICU.--[[User:TOstryzniuk|TOstryzniuk]] 15:02, 10 December 2010 (CST)
Special rules used to apply
Registry Patient Type for cardiac patients only will be determined by the service.  Cardiac type means that Cardiology service is looking after the patient. If MICU takes over the patient, then Medical patient type will apply in these cases only.  --[[User:LKolesar|LKolesar]] 11:15, 21 October 2010 (CDT)
The same goes for when the cardiac patient is located in CICU:  Location will be CICU, patient type will be cardiac as Cardiology looks after these patients.  When the patient is transferred to CCU, a new profile is started. 
*Example:
**CCU patient in MICU bed or CICU under cardiac physician service care:
**Hosp_Loc: STB_MICU or STB_CICU
**Reg Pt Type: C
*This patient gets transferred to STB ICU Medicine service care physician but stays in same STB_MICU/SICU bed.  Discharge to: BM
**New profile
** Admit From: BM
**Hosp_Loc: STB_MICU
**Reg Pt type: M


***For all other patients, the patient type is still the old definition:  ie:  surgical patients are those coming from a surgical ward, PARR or OR, etc.  This applies to Post op cardiac surgery patients that are transferred to MICU from CICU or from the CSIU (cardiac sciences inpatient unit).  The type will be surgical regardless of attending.  --[[User:LKolesar|LKolesar]] 13:46, 22 November 2010 (CST)
== Data Use ==
Population


== CCMDB Data Integrity Checks ==
have been removed when collection discontinued


== Removal of field==
The discussion at task meeting in past was to wait until we migrate to ICU10 DX code then Julie and Garland can decide on pt type category.
*2018-May-7: [[Steering Committee]] meeting - reviewed and agreed to stop Registry Pt Type. Field removed from [[CCMDB.accdb]]. See [[CCMDB.mdb Change Log 2018#2018-05-09]].


[[Category: Registry Data]]
[[Category:Legacy Data Collection]]
[[Category: Data Collection Guide]]
}}

Latest revision as of 16:19, 2019 November 24

 
 
 
 

Legacy Content

This page contains Legacy Content.
  • Explanation: This is a legacy data field, its DataElementEndDate is in the past.
  • Successor: No successor was entered

Click Expand to show legacy content.

Data Element (edit)
Field Name: R_Type
CCMDB Label: Pt Type
CCMDB tab: Dispo
Table: N/A
Data type: string
Length: 10
Program: Med and CC
Created/Raw: Raw
Start Date: 1997-04-01
End Date: 2018-05-09
Sort Index: 18

Service of the attending physician for medicine data, and the type of admit diagnosis for critical care patients.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


The use of this field had changed over time, and it was found to no longer contain what was originally intended and was removed 2018-05-09.

Related data we continue to collect is:

Medicine Wards

The Patient Type on your registry page can take one of two values:

M-Medical Type

Patient who is admitted under the care of a Medical Service attending physician

S-Surgical Type

  • admitted from the OR but is under the care of the Medicine Service Attending Physician.
  • admitted from the RR and is under the care of the Medicine Service Attending Physician.

NOTE: if there is a surgical patient on an medicine ward bed that is under a Surgical Service care, we exclude from the database. This is not a medicine service care patient.

Critical Care Units

S-Surgical Type

  • admit from OR
  • admit from RR
  • all Trauma (fall, MVA, stabbing, etc)
  • all burns
  • all upper GI bleeds
  • all intracerebral bleeds
  • Pt who undergoes a surgery related to primary reason to ICU in the first 48 hrs of admission to ICU.
  • Pt admitted from a SURGICAL WARD
  • Pancreatitis if surgery < =48 hrs of admission to unit

M-Medical Type

  • Cardiac or respiratory arrest
  • Cardiogenic shock
  • Pancreatitis if surgery >48 hrs of admission to unit
  • don't fall into Surgical or Cardiac type category

C-Cardiac Type

  • STB in both MICU and CICU - if under the Care of Cardiology Service. This no longer applies when STB ACCU started July 6, 2016.
  • HSC in the MICU unit - if under the Care of Cardiology Service

Other ICU's

  • MI
  • rhythm disturbances
  • unstable angina / ACS
  • CHF
  • post angio/plasty
  • pacemaker insertions (temp or perm)

Note for ICU at HSC and STB only

Patients in MICU under MICU attending physician service that have a cardiac diagnosis should always be coded as medical type whether they are stable or not. The only exception is if a patient is a surgical patient, then mark as surgical type.

StB Cardiac patients

Special rules used to apply

Data Use

Population

CCMDB Data Integrity Checks

have been removed when collection discontinued

Removal of field

The discussion at task meeting in past was to wait until we migrate to ICU10 DX code then Julie and Garland can decide on pt type category.

}}