Registry Patient Type: Difference between revisions

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{{Data_element
{{Data element
| field_name = R_Type
|field_name=R_Type
| CCMDB_label = Pt Type
|CCMDB_label=Pt Type
| CCMDB_tab = Dispo
|data_type=string
| element_description = Service of the attending physician for medicine data, and the type of admit diagnosis for critical care patients.  
|datafield_length=10
| in_table = L_Log
|program_collecting=Med and CC
| data_type = string
|created_raw=Raw
| datafield_length = 10
|data_element_start_date=1997-04-01
| program_collecting = Med and CC
|data_element_end_date=2018-05-09
| created_raw = Raw
|data_element_sort_index=18
| 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
}}
}}


This is currently being reviewed.
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==
==Medicine Wards==
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*Pt admitted from a SURGICAL WARD  
*Pt admitted from a SURGICAL WARD  
*Pancreatitis if surgery < =48 hrs of admission to unit
*Pancreatitis if surgery < =48 hrs of admission to unit
{{Discussion}}
** could you please clarify medical vs surgical pts who have upper GI bleeds If a pt is in ICU and is only being treated for hypotension and is given blood products and scoped are they surgical or medical. Do you code surgical if a pt is in ICU with an ICH but is not treated surgically?
***follow what is on the Wiki here.  This has not changed since we started collection.  Changes for patient registry type is still in discussions with TASK Team.[[User:TOstryzniuk|Trish Ostryzniuk]] 12:47, 2015 April 29 (CDT)


===M-Medical Type===
===M-Medical Type===
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===C-Cardiac Type===
===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.  
*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
*HSC in the MICU unit - if under the Care of Cardiology Service


Line 64: Line 65:


==== StB Cardiac patients ====
==== StB Cardiac patients ====
See [[STB Cardiac Care patients]]
Special rules used to apply


== Potential Change ==
== Data Use ==
{{Potential Change}}
Population
Change from having the data collectors coding '''admission category''' [[Registry Patient Type#Potential Change]] (as medical, surgical, cardiac), to a system where the admission diagnosis codes and pre-ICU location are used within a SAS module to create this field.


== {{CCMDB Data Integrity Checks}} ==
== CCMDB Data Integrity Checks ==
* entry is mandatory
have been removed when collection discontinued
* [[Check OR from but not Surgical Type]]


==Discussion==
== 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.  
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]].  


== Task meeting discussion ==
[[Category:Legacy Data Collection]]
{{Potential Change}} 
}}
May 6.15 - Task Team meeting: further discussion needed. 
Allan with Boyan P about details in regards to pre admit service type if detailed (ortho, neuro etc) or not.
This is stuck together with the locations discussion, will address as we deal with that.
{{discuss@task}}
 
 
[[Category: Registry Data]]
[[Category: Data Collection Guide]]
[[Category: Critical Care Review Group]]
 
[[Category: 1Main table]]

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.

}}