Visit Admit DtTm field
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 first entry in the visit location history in EPR for current visit at your site.
Purpose
The field is used as an identifier of the start of a hospital encounter at your site. The info is use to:
- link together ICU and Ward admissions during the same hospital visit
- uniquely identify patient visits to Manitoba Health when we exchange data with them
Collection Instruction
(in progress. Any collector can continue to rewrite to help make clearer - Thank you!)
For each patient,
- In EPR find Patient
- Under Patient Info tab
- in the Summary Views on the left, click on Visit History
- find the earliest entry of an Inpatient Type for your current hospital admission
- enter the Admit/Reg date/time from the first column as your Visit Admit DtTm field in ccmdb.mdb
Questions?
- Hi all, I completed the above steps on EPR and end result is the time that corresponds to the Emergency Treatment Record Time which may or may not be exact (occasionally a few minute discrepency) with the Triage Assessment Time. In other words the time a patient physically arrives in ER and is triaged. For clarificatin, did Dr. Garland indicate he would like data collectors to use the date/time a patient is accepted to a service entered as the Visit Admit Date/Time? If so, could the instructions be updated? Thanks, Pamela Piche 14:10, 2016 April 29 (CDT)
- in our EPR Visit History=ER Triage Time; the date and time the pt is accepted by Medicine for admission is not entered into the EPR, but is found on the admission/separation registers
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.