Visit Admit DtTm field: Difference between revisions
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*Visit admit remains unclear to me...clients present to ER and are waiting to be seen etc prior their actual admission point...do you want this field representing the D/T when they present to ER?--[[User:Llemoine|Llemoine]] 11:20, 2016 April 21 (CDT) | *Visit admit remains unclear to me...clients present to ER and are waiting to be seen etc prior their actual admission point...do you want this field representing the D/T when they present to ER?--[[User:Llemoine|Llemoine]] 11:20, 2016 April 21 (CDT) | ||
**yes | **yes | ||
== Background == | == Background == | ||
Right now you guys collect detailed to/from info in Var1/2. The details are primarily used for linking. Collecting the Hospital Admit DtTm will make that information irrelevant for wards where we don't collect, so we will be able to code "from" for wards where we don't collect just as "HSC Ward"(eg). | Right now you guys collect detailed to/from info in Var1/2. The details are primarily used for linking. Collecting the Hospital Admit DtTm will make that information irrelevant for wards where we don't collect, so we will be able to code "from" for wards where we don't collect just as "HSC Ward"(eg). | ||
Revision as of 11:22, 2016 April 22
This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear.
The Visit Admit DtTm field contains the date and time triaged/arrived/present in ER of the currrent hospitalization at your site.
I still need to implement this in CCMDB, but would welcome your comments already!
Collection Instruction
For each patient,
- open the patient in EPR
- click on location history (was that the name? Could someone sent me a screen shot of the button?)
- find the earliest date/time in the list; e.g. this might be the ER Triage date
- enter that date into the Visit Admit DtTm field.
Questions?
- Do you see any issues collecting this? Ttenbergen 15:35, 2016 April 18 (CDT)
- patient transferred from ICMS to ward, ICU would have captured the first date and time in the EPR, what should medicine capture? the same date/time that ICU captured? Lisa Kaita 09:37, 2016 April 21 (CDT)
- Medicine would code the "Accept D/T" as admission to hospital D/T. Patients are not admitted until a service accepts them and admit orders are reflecting this as such.
- My understanding is that no matter what, we put the first presentation to the hospital in the "visit admit dttm field". In Lisa's example, the visit admit date and time will be the same as the ICU one as the pt presented to the hospital at the same time. The accept date and time to medicine is not an issue for ICU transfers as this time is the same as the arrive time on the ward.--LKolesar 11:04, 2016 April 22 (CDT)
- So what would be a better worded definition for this data field at the top of this article? Thanks!
- My understanding is that no matter what, we put the first presentation to the hospital in the "visit admit dttm field". In Lisa's example, the visit admit date and time will be the same as the ICU one as the pt presented to the hospital at the same time. The accept date and time to medicine is not an issue for ICU transfers as this time is the same as the arrive time on the ward.--LKolesar 11:04, 2016 April 22 (CDT)
- Medicine would code the "Accept D/T" as admission to hospital D/T. Patients are not admitted until a service accepts them and admit orders are reflecting this as such.
- patient transferred from ICMS to ward, ICU would have captured the first date and time in the EPR, what should medicine capture? the same date/time that ICU captured? Lisa Kaita 09:37, 2016 April 21 (CDT)
- Visit admit remains unclear to me...clients present to ER and are waiting to be seen etc prior their actual admission point...do you want this field representing the D/T when they present to ER?--Llemoine 11:20, 2016 April 21 (CDT)
- yes
Background
Right now you guys collect detailed to/from info in Var1/2. The details are primarily used for linking. Collecting the Hospital Admit DtTm will make that information irrelevant for wards where we don't collect, so we will be able to code "from" for wards where we don't collect just as "HSC Ward"(eg).
Data Use
This data is used to understand Length of Stay and for linking.
Template:CCMDB Data Integrity Checks
- must be <= Arrive DtTm field
Legacy
This field is part of the 2016 Time and Place changes.
It is being added to simplify the old linking - if we have the hospital admit date and time, we are done linking, none of the previous complex process will be needed any longer.