Contents >
V4.0 1999/2000 VEMD User Manual
PATIENT MANAGEMENT DATA
REASON FOR TRANSFER
Definition: Reason for transfer to another hospital or health service.
One character numeric field.
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.
Select the first appropriate category.
|
|
|
|
|
ICU bed not available |
|
|
CCU bed not available |
|
|
General bed not available |
|
|
Specialty not available |
|
|
Previous patient of destination hospital |
|
|
Insured/Compensable |
|
|
Patient preference |
|
|
Other reason |
ESCORT SOURCE
Definition: The work location or source of the medical or nursing assistant(s) accompanying a patient whilst being transferred to another hospital.
Up to two character numeric field.
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.
Select the first appropriate category.
|
|
|
|
|
Emergency Department |
|
|
ICU/CCU |
|
|
Ward |
|
|
Retrieval Service |
|
|
Nil (no escort) |
|
|
Other |
DEPARTURE TRANSPORT MODE
Definition:Transport used in transferring the patient from the Emergency Department.
Up to two character numeric field.
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 or 8, indicating that the patient was Dead on Arrival.
Field should be left blank if transfer does not apply, if transfer is to a Nursing Home, or if patient was not Dead on Arrival (DOA).
Select the first appropriate category.
PRIMARY DIAGNOSIS
Definition: The diagnosis primarily responsible for presentation to the Emergency Department.
Up to six character alpha/numeric field.
Primary Diagnosis is a mandatory field. If Diagnosis is an injury, it should be further specified by utilising Injury Surveillance fields. The Body Region Matrix, Appendix 7.1 & 7.2, identifies the appropriate Nature of Main Injury, Body Region and Primary Diagnosis combinations. Software suppliers should note the ideal implementation would be to automatically insert the appropriate Primary Diagnosis code for associated injuries by utilising the Body Region Matrix.
The Primary Diagnosis is derived from and must be substantiated by clinical documentation. (National Health Data Dictionary, Version 8.0)
Diagnosis codes should be submitted in ICD-10-AM format. Omit punctuation from
ICD-10-AM codes, that is, no decimal points or obliques will be accepted.
Diagnosis codes Body Region Matrix and associated edits.
ADDITIONAL DIAGNOSES 1 and 2
Definition: Additional diagnoses are those which:
- existed at the time of presentation
- arose while patient was in the emergency department
- are expected to affect treatment plan or length of stay in the emergency department.
Additional diagnoses give information on factors which result in increased length of stay, more intensive treatment or the use of greater resources. Additional diagnosis can include a disease, condition, injury, poisoning, sign, symptom, abnormal finding, complaint, or other factor influencing the patients health status.
Additional diagnoses are derived from and must be substantiated by clinical documentation. (National Health Data Dictionary, Version 8.0)
Up to six character alpha/numeric field.
Diagnosis codes should be submitted in ICD-10-AM format. Omit punctuation from
ICD-10-AM codes, that is, no decimal points or obliques will be accepted.
Diagnosis codes Body Region Matrix and associated edits.