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V4.0 1999/2000 VEMD User Manual

PATIENT MANAGEMENT DATA

INPATIENT BED REQUEST

Definition: Indication of whether a request has/has not been made for the allocation of an inpatient bed.

Definition of 'inpatient bed': An inpatient bed is a hospital bed outside the physical confines of the emergency department which is staffed by an inpatient team. It does not include beds in areas variously described by hospitals as emergency wards, observation wards or observation units.

One character, alpha field.

Select the first appropriate category.

Code Inpatient Bed Request
Y Yes. An inpatient bed has been requested for this patient.
N No. An inpatient bed has not been requested for this patient.

This field is utilised to indicate the emergency departmentâs intent to admit a patient to an inpatient bed. If there is no request for an inpatient bed then it can be assumed that the patient is to be fully treated within the emergency department, this would include those patients in observation wards or units. The date and time of this request are recorded in the Inpatient Bed Request Date and Time fields. Refer to Inpatient Bed Request Date & Time.

Further study of observation medicine will be undertaken in the 1999/2000 financial year.

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INPATIENT BED REQUEST DATE

Definition: Date request was made for the allocation of an inpatient bed.

Eight character numeric field.

Valid date (DDMMCCYY) or blank.

The Inpatient Bed Request Date is mandatory only where the Inpatient Bed Request field is completed with a Y-Yes. It would therefore be appropriate for software systems to be set up so that the Inpatient Bed Request Date field is triggered by the entry of a ÎYâ in the Inpatient Bed Request field.

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INPATIENT BED REQUEST TIME

Definition:Time request was made for the allocation of an inpatient bed.

Four character numeric field.

A valid time in 24-hour format or blank. Range: 0001-2359. [Following international convention midnight is either 2359 of preceding date or 0001 of following date (that is, 0000 and 2400 will not be accepted).]

The Inpatient Bed Request Time is mandatory only where the Inpatient Bed Request Date field has been completed. It would therefore be appropriate for software systems to be set up so that the Inpatient Bed Request Time field is triggered by the entry of a date in the Inpatient Bed Request Date field.

The Inpatient Bed Request Date and Time fields will provide an indication of the time taken to decide to admit a patient to an inpatient bed. These fields should, therefore be completed as much as possible in real time.

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DEPARTURE DATE

Definition:Date patient physically leaves the Emergency Department.

Eight character numeric field.

Valid date DDMMCCYY.

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DEPARTURE TIME

Definition:Time patient physically leaves the Emergency Department.

Four character numeric field.

A valid time in 24-hour format. Range: 0001-2359. [Following international convention midnight is either 2359 of preceding date or 0001 of following date (that is, 0000 and 2400 will not be accepted).]

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DEPARTURE STATUS

Definition:Status of patient at departure from the Emergency Department.

One character numeric field.

Select the first appropriate category.

Code
Departure status
1
Discharge to home, nursing home
2
Admission to ward (including HITH)
4
Transfer out of this hospital to another hospital (also record Transfer Destination)
5
Left at own risk, after treatment started
6
Left before being seen by doctor (or definitive service provider)
7
Died within ED
8
Dead on arrival

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TRANSFER DESTINATION

Definition: The acute health care facility to which the patient was transferred.

Four character numeric field.

This field includes all patients transferred to another hospital, whether admitted or not admitted at the transferring hospital and identifies the precise acute health care facility to which the patient was transferred from your hospital. It is used to analyse patient transfer patterns.

Mandatory if Departure Status code is 4, indicating transfer out of this hospital to another hospital except if to a Nursing Home within such a facility.

Field should be left blank if transfer does not apply or if transfer is to a Nursing Home.

Transfer Destination codes.

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REFERRED TO ON DEPARTURE

Definition: Agency patient was referred to for continuing care.

Up to two character numeric field.

Select the first appropriate category.

Code
Referral Agency
Includes
1
Review in ED - scheduled Planned return to ED
2
Review in ED - as required Return to ED if problems persist
3
Outpatients  
4
LMO Referred to local doctor
5
Medical Specialist  
6
Other Specialist Health Practitioner Physiotherapist, Dentist, etc.
7
Home Nursing Services RDNS
8
Specialised Community Service Detox Centre, Rape Crisis Centre, Crisis Assessment Team, etc.
16
No referral Treatment complete
17
Not known  
18
Other  
19
Not applicable Admitted to inpatient bed, Transferred, Died, Dead on Arrival, Left at own risk. Can include: Left before seen by doctor /nurse

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