Victorian Emergency Minimum Dataset (VEMD)



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Transcription:

Victorian Emergency Minimum Dataset (VEMD) Accessible and Restricted Data Fields Department of Health

Victorian Emergency Minimum Dataset (VEMD) Accessible and Restricted Data Fields Updated July 2012 Department of Health Page 1

VICTORIAN EMERGENCY MINIMUM DATASET (VEMD) List of Data Fields ACCESSIBLE DATA FIELDS Public Hospital data only Activity When Injured Arrival Month Arrival Year Arrival Transport Mode Bed Request Did Not Wait Flag Length of Stay in ED Treated in Target Time Presentation fields The type of activity being undertaken by the person, at the moment the injury occurred. L Leisure S Sports (includes sport as a means of income) E Education W Working for income (excludes sports (S) C Other work N Being nursed, cared for V Vital activity, resting, sleeping, eating O Other specified activity U Unspecified activity Month patient first registered or triaged (whichever comes first), by clerical officer, triage nurse or doctor in the Emergency Department. Year patient first registered or triaged (whichever comes first), by clerical officer, triage nurse or doctor in the Emergency Department. Transport used to arrive at the Emergency Department. 1 Air Ambulance - fixed wing aircraft. 2 Helicopter 3 Road Ambulance service 6 Community/public transport, (includes council / philanthropic services) 8 Police Vehicle 9 Undertaker 10 Ambulance service - private ambulance car - MAS / RAV 11 Ambulance service - private ambulance car hospital contracted 99 Other (includes private car, walked) Y/N indicator if bed request was made. Text string indicating if patient did not wait for treatment. Length of stay of patient in Emergency Department (calculated in minutes) includes ALL departure status classes. Y/N flag to indicate if patient treated within target time for the relevant Triage Category. (Triage Cat 1 <= 1 min; Cat 2 <= 10 min; Cat 3 <= 30 min; Cat 4 <= 60 min: Cat 5 <=120 min). Time to Treatment (in minutes) Yes No N/A Meets Triage Category target. Does not meet Triage Category target. Not Applicable; used for patients who left prior to treatment or Dead on Arrival. Time to treatment is the difference between Arrival Time and Treatment Time in minutes for patients who waited for treatment. For reporting purposes, patients who leave ED prior to treatment or were Dead on Arrival are excluded from the calculation. Department of Health

Triage Category Type of Visit Type of Usual Accommodation Classification according to urgency of need for medical and nursing care, using National Triage Scale (Australasian College for Emergency Medicine). 1 Resuscitation 2 Emergency 3 Urgent 4 Semi-urgent 5 Non-urgent 6 Dead on arrival Reason patient presents to the Emergency Department. 1 Emergency presentation 2 Return visit - planned 8 Pre-arranged admission - clerical, nursing, clinical 9 Patient in transit 10 Dead on arrival Type of accommodation setting in which the patient usually lives. 1 Private Residence, living alone 2 Private Residence, living with other(s) 3 Residential aged care facility-includes both high care (nursing home) and low care (hostel) 4 Boarding/rooming house/hostel or hostel type accommodation (not including aged care hostel) 5 Community-based residential supported living facility or other supported accommodation 6 Psychiatric Hospital 7 Other Hospital Setting 8 Homeless Person s Shelter 9 Shelter/refuge (not including homeless person s shelter) 10 Public place (homeless) 11 Prison/Remand Centre/Youth Training centre 18 Unknown/unable to determine 19 Other accommodation, not elsewhere classified Five Year Age Group Referred By Demographic fields Five year age groups: 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ Source from which patient was referred to this Emergency Department. 0 Staff from this campus 1 Self, family, friends 2 Local medical officer, includes local GP/Doctor 4 Private specialist 6 Staff from another campus 8 Correctional Officer / Police 14 Nurse on Call Department of Health Page 3

VICTORIAN EMERGENCY MINIMUM DATASET (VEMD) List of Data Fields Sex Statistical Local Area 15 16 Other Nurse Mental health telephone assessment/advisory line 17 Telephone advisory line, not otherwise specified 18 Other mental health staff 19 Other 20 Other community services staff The sex of the patient. 1 Male 2 Female 3 Indeterminate (only for infants < 90 days old) 4 Intersex The patient s Statistical Local Area of residence. Based on Australian Standard Geographical Classification (ASGC) 2009 boundaries and derived from the locality and postcode. Departure Month Departure Year Departure Status Departure fields The month on which a patient completes a presentation. The year on which a patient completes a presentation. Patient destination or status on departure from the Emergency Department Departure Before Treatment Completed: 5 Left at own risk, after treatment started 7 Died within ED 8 Dead on arrival 11 Left at own risk, without treatment 10 Left after clinical advice regarding treatment options Procedure room at this campus: 27 Cardiac catheter laboratory 28 Other operating theatre/procedure room Ward Setting at this Hospital Campus: 3 Short Stay Observation Unit 14 Medical Assessment and Planning Unit 15 Intensive Care Unit this campus 18 Ward not elsewhere described 22 Coronary Care Unit this campus 25 Mental Health Observation/Assessment Unit 26 Other Mental Health Bed - this Campus Transfers to another Hospital Campus: 17 Mental Health bed at another Hospital Campus 19 Another Hospital Campus 20 Another Hospital Campus - Intensive Care Unit 21 Another Hospital Campus - Coronary Care Unit Returning to usual residence: 1 Home Department of Health

Departure Transport Mode Escort Source Reason for Transfer 12 Correctional/Custodial Facility 23 Mental health residential facility 24 Residential care facility The type of transport used to transfer the patient from the Emergency Department to another hospital. 1 Air ambulance - fixed wing aircraft (excludes where airplane is helicopter (2). 2 Helicopter 3 Ambulance service - MICA 4 Ambulance service - road car 6 Community/public transport (includes council/philanthropic services) 7 Private Car 8 Police vehicle 10 Ambulance Service private ambulance care-mas/rav contracted 11 Ambulance Service-private ambulance care-hospital contracted 19 Other The work location or source of the medical or nursing assistant(s) accompanying a patient being transferred to another hospital. 1 Emergency Department 2 ICU/CCU 3 Ward 4 Retrieval Service 5 Nil (no medical or nursing escort) 9 Other medical or nursing escort Reason for transfer to another hospital or health service. 1 ICU bed not available 2 CCU bed not available 3 General bed not available 4 Specialty not available 5 Previous patient of destination hospital 6 Insured/Compensable 7 Patient preference 9 Other reason Referred to on Departure Agency patient was referred to for continuing care. 1 Review in ED - scheduled 2 Review in ED - as required 3 Outpatients 4 LMO 5 Medical Specialist 6 Other Specialist Health Practitioner 7 Home Nursing Services 9 Aged Care Assessment Service 10 Drug and Alcohol Treatment Service 11 Mental Health Community Service 12 Other community service 16 No referral 17 Not known 18 Other 19 Another hospital campus (excludes for Mental Health and ICU or CCU transfer) Department of Health Page 5

VICTORIAN EMERGENCY MINIMUM DATASET (VEMD) List of Data Fields Body Region Human Intent Injury Cause Diagnosis and procedure fields The region of the body where the injury was sustained. Most likely role of human intent in occurrence of injury or poisoning as assessed by clinician. 1 NON-intentional harm 2 Intentional self-harm 3 Sexual assault 4 Child neglect, maltreatment by parent, guardian 5 Maltreatment, assault by domestic partner 6 Police, legal intervention or operations of war 7 Assault not otherwise specified 8 Adverse effect or complication of medical or surgical care 9 Intent cannot be determined 10 Other specified intent 11 Intent not specified Event, circumstances or condition associated with the occurrence of injury, poisoning or adverse effect. 1 Motor vehicle - driver 2 Motor vehicle - passenger 3 Motorcycle - driver 4 Motorcycle - passenger 5 Pedal cyclist - rider or passenger 6 Pedestrian 7 Horse related (fall from, struck or bitten by) 8 Other transport-related circumstance 9 Fall - low (same level or less than 1 metre, or no information on height) 10 Fall - high (greater than 1 metre) 11 Submersion or drowning - swimming pool 12 Submersion or drowning - other 13 Other threat to breathing (includes strangulation, asphyxiation) 14 Fire, flames, smoke 15 Scalds (hot drink, food, water, other fluid, steam, gas or vapour) 16 Contact burn (hot object or substance) 17 Poisoning - medication 18 Poisoning - other or unspecified substance 19 Firearm 20 Cutting, piercing object 21 Dog related 22 Other animal related 23 Struck by or collision with person 24 Struck by or collision with object 25 Machinery 26 Electricity 27 Hot conditions (natural origin, includes sunlight) 28 Cold conditions (natural origin) 29 Other specified external cause 30 Unspecified external cause Nature of Main Injury Place Where Injury Occurred Nature of the injury primarily responsible for presentation to Emergency Department. The physical location of the person when the injury occurred. Department of Health

A Athletics and sports area C Industrial or construction area F Farm H Home I Residential institution M Medical hospital O Other specified place P Place for recreation Q Mine or quarry R Road, street or highway S School, day care centre, public administration area T Trade or service area U Unspecified place Department of Health Page 7

VICTORIAN EMERGENCY MINIMUM DATASET (VEMD) List of Data Fields RESTRICTED DATA FIELDS Public and Private Hospital Ambulance Case Number Presentation fields Unique identifier to each ambulance transport occasion. Alternate codes: B Case number not available due to industrial action (including: bans, strikes) U Case number not available due to Ambulance Officer not providing the case number. Age in Years Campus Code Compensable Status Country of Birth Interpreter Required Preferred Language Demographic fields Age of patient in years at presentation date. Indicates the hospital campus in which the Emergency Department presentation occurred. Funding source, where the patient is entitled to compensation as a result of the injury sustained. 1 Transport Accident Commission 2 Department of Veterans' Affairs 3 WorkCover 4 Common Law, Public liability, Other compensable, Service personnel 5 Ineligible not compensable 6 Medicare patient/overseas eligible/ineligible hospital exempt 7 Compensable status unknown The country in which the patient was born, not the country of residence. The patient s need for an interpreter, as perceived by the patient or person consenting for the patient. 1 Yes 2 No 9 Not stated/inadequately described The language (including sign language) most preferred by the patient for communication. This may be a language other than English even where the person can speak fluent English. Transfer Destination Transfer Source Departure fields The hospital campus to which the patient was transferred. The acute health care facility from which the patient was transferred to this Emergency Department. Department of Health

Procedures ICD-10-AM Diagnosis Diagnosis and Procedure fields Specific interventions/treatments performed in the Emergency Department. Up to 30 procedure codes can be entered per presentation. Optional if the Primary Diagnosis item is completed. Diagnoses codes (as reported by the medical practitioner) reflecting injuries, disease conditions, patient characteristics and circumstances impacting this episode of care. One principal diagnosis and up to 2 additional diagnoses can be reported, using the International Classification of Diseases, 10th Revision, Australian Modification (ICD-10-AM) 7th Ed., in accordance with the Victorian Additions to the Australia Coding Standards. Department of Health Page 9