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Non-admitted patient emergency department service episode—service commencement date, DDMMYYYY

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termEmergency department date of commencement of service event
METeOR identifier:Help on this term390398
Registration status:Help on this termHealth, Superseded 30/01/2012
Tasmanian Health, Draft 24/03/2014
Definition:Help on this termThe date on which a non-admitted patient emergency department service event commences, expressed as DDMMYYYY.
Context:Help on this termEmergency Department care
Data Element Concept:Non-admitted patient emergency department service episode—service commencement date

Value domain attributes

Representational attributes

Representation class:Help on this termDate
Data type:Help on this termDate/Time
Format:Help on this termDDMMYYYY
Maximum character length:Help on this term8

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

An Emergency Department service event can be commenced by a doctor, nurse, mental health practitioner or other health professional, when investigation, care and/or treatment is provided in accordance with an established clinical pathway defined by the Emergency Department. Placement of a patient in a cubicle and observations taken to monitor a patient pending a clinical decision regarding commencement of a clinical pathway, do not constitute commencement.

 

The following examples illustrate the commencement of an Emergency Department service event.

 

Example 1

  • A patient presents at the Emergency Department with mild asthma. At triage, the patient is categorised as category three and returns to the waiting area.
  • The patient has a more severe asthma attack in the waiting area, is re-triaged to category two and shown to a cubicle where standard observations are taken.
  • A nurse comes to the cubicle and commences treatment based on an acknowledged clinical pathway of the Emergency Department. At this point : Emergency Department service event has commenced.

Example 2

  • A patient presents at the Emergency Department in an agitated, delusional state. At triage, the patient is categorised as category two and placed in a cubicle and the mental health practitioner notified.
  • Observations are taken and nursing staff continue to observe the patient.
  • The mental health practitioner arrives, assesses the patient and develops a management plan. At this point : Emergency Department service event has commenced.

Example 3

  • A patient presents at the Emergency Department with an ankle injury from football. At triage, the patient is categorised as category four and moved to the 'fast track area'.
  • The physiotherapist attends, examines the patient, makes an assessment (including diagnostic imaging requirements) and determines a treatment plan. At this point : Emergency Department service event has commenced.

Example 4

  • A patient presents at the Emergency Department with a sore arm, following a fall, with limited arm movement possible.
  • The patient is categorised as category three at triage and placed in a cubicle.
  • A nurse provides analgesia and assesses the patient, including ordering diagnostic imaging. At this point : Emergency Department service event has commenced.

Example 5

  • A patient presents at the Emergency Department feeling vague and having been generally unwell for a day or two.  The patient has a slight cough. At triage, the patient is categorised as category three.
  • The patient is placed in a cubicle where standard observations are taken.  Respiration is 26 bpm, BP is 90/60 and the patient is hypoxic. The patient is given oxygen, and the treating clinician attends and provides instruction regarding patient care. At this point : Emergency Department service event has commenced.

Example 6

  • A patient presents at the Emergency Department with chest pain. Triage category two is allocated. The patient is placed in a cubicle and a nurse gives oxygen and Anginine, takes blood samples and conducts an ECG. The ECG is reviewed. At this point : Emergency Department service event has commenced.
  • A doctor subsequently arrives and the patient is transferred to the catheter lab after examination.

Example 7

  • The Emergency Department is notified by ambulance that a patient is being transported having severe behavioural problems.
  • The patient is taken to an appropriate cubicle and restrained.
  • A clinician administers sedation and requests the attendance of a mental health practitioner. At this point : Emergency Department service event has commenced.
Collection methods:Help on this termCollected in conjunction with emergency department service commencement time.

Source and reference attributes

Submitting organisation:Help on this termAustralian Government Department of Health and Ageing

Relational attributes

Related metadata references:Help on this term

Has been superseded by Non-admitted patient emergency department service episode—clinical care commencement date, DDMMYYYY Health, Superseded 19/11/2015, Tasmanian Health, Archived 27/05/2020, Independent Hospital Pricing Authority, Standard 01/11/2012

See also Non-admitted patient emergency department service episode—clinical care commencement date, DDMMYYYY Health, Superseded 30/01/2012

Supersedes Non-admitted patient emergency department service episode—service commencement date, DDMMYYYY Health, Superseded 22/12/2009

Implementation in Data Set Specifications:Help on this term
All attributes +

Non-admitted patient emergency department care NMDS 2010-11 Health, Superseded 18/01/2011

DSS specific attributes +

Non-admitted patient emergency department care NMDS 2011-12 Health, Superseded 30/01/2012
Commonwealth Department of Health, Candidate 16/07/2015

DSS specific attributes +
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