Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.): SECTION 7 - ED MEDICATION DATA: 8.23 ED DISPOSITION DIAGNOSIS DESCRIPTION

Data Elements for Emergency Department Systems - Release 1.0 (Centers for Disease Control and Prevention, 1997, 274 p.)

SECTION 7 - ED MEDICATION DATA

		7.01 DATE/TIME ED MEDICATION ORDERED
		7.02 ED MEDICATION ORDERING PRACTITIONER ID
		7.03 ED MEDICATION ORDERING PRACTITIONER TYPE
		7.04 ED MEDICATION
		7.05 ED MEDICATION DOSE
		7.06 ED MEDICATION DOSE UNITS
		7.07 ED MEDICATION SCHEDULE
		7.08 ED MEDICATION ROUTE
		7.09 DATE/TIME ED MEDICATION STARTS
		7.10 DATE/TIME ED MEDICATION STOPS
		7.11 ED MEDICATION ADMINISTERING PRACTITIONER ID
		7.12 ED MEDICATION ADMINISTERING PRACTITIONER TYPE
		8.01 DATE/TIME OF RECORDED ED DISPOSITION
		8.02 ED DISPOSITION
		8.03 INPATIENT PRACTITIONER ID
		8.04 INPATIENT PRACTITIONER TYPE
		8.05 FACILITY RECEIVING ED PATIENT
		8.06 DATE/TIME PATIENT DEPARTS ED
		8.07 ED FOLLOW-UP CARE ASSISTANCE
		8.08 REFERRAL AT ED DISPOSITION
		8.09 ED REFERRAL PRACTITIONER NAME
		8.10 ED REFERRAL PRACTITIONER ID
		8.11 ED REFERRAL PRACTITIONER TYPE
		8.12 ED REFERRAL ORGANIZATION
		8.13 ED DISCHARGE MEDICATION ORDER TYPE
		8.14 ED DISCHARGE MEDICATION ORDERING PRACTITIONER ID
		8.15 ED DISCHARGE MEDICATION ORDERING PRACTITIONER TYPE
		8.16 ED DISCHARGE MEDICATION
		8.17 ED DISCHARGE MEDICATION DOSE
		8.18 ED DISCHARGE MEDICATION DOSE UNITS
		8.19 ED DISCHARGE MEDICATION SCHEDULE
		8.20 ED DISCHARGE MEDICATION ROUTE
		8.21 AMOUNT OF ED DISCHARGE MEDICATION TO BE DISPENSED
		8.22 NUMBER OF ED DISCHARGE MEDICATION REFILLS
		8.23 ED DISPOSITION DIAGNOSIS DESCRIPTION
		8.24 ED DISPOSITION DIAGNOSIS CODE
		8.25 ED DISPOSITION DIAGNOSIS PRACTITIONER ID
		8.26 ED DISPOSITION DIAGNOSIS PRACTITIONER TYPE
		8.27 ED SERVICE LEVEL
		8.28 ED SERVICE LEVEL PRACTITIONER ID
		8.29 ED SERVICE LEVEL PRACTITIONER TYPE
		8.30 PATIENT PROBLEM ASSESSED IN ED OUTCOME OBSERVATION
		8.31 ED OUTCOME OBSERVATION
		8.32 DATE/TIME OF ED OUTCOME OBSERVATION
		8.33 ED OUTCOME OBSERVATION PRACTITIONER ID
		8.34 ED OUTCOME OBSERVATION PRACTITIONER TYPE
		8.35 ED PATIENT SATISFACTION REPORT TYPE
		8.36 ED PATIENT SATISFACTION REPORT

8.23 ED DISPOSITION DIAGNOSIS DESCRIPTION

PART OF THE ED DISPOSITION DIAGNOSIS GROUP (8.23 - 8.26)*

*The ED Disposition Diagnosis Group includes data elements 8.23 - 8.26. A single iteration of this group is used to report each disposition diagnosis.

Definition

Practitioner’s description of condition or problem for which services were provided during patient’s ED visit, recorded at time of disposition.

Uses

These data are needed for continuity of care, and they are useful for quality-of-care monitoring, public health surveillance, and clinical, health services, and epidemiologic research.

Discussion

A practitioner’s reported diagnosis is the basis for diagnostic coding and classification. In most instances, a clinical description will provide more detail than a diagnostic code and its associated rubric. Practitioners and other authorized data users may need to read unaltered text or search it electronically for words or phrases of interest.

Data Type (and Field Length)

ST - string data (400).

Repetition

Yes; if more than one disposition diagnosis is made, this data element repeats with the ED Disposition Diagnosis Group.

Field Values

Enter free-form text.

Examples:

Acute pancreatitis probably due to gall bladder stones.
Closed head injury with coma due to fall from height.

Data Standards or Guidelines

None.

Other References

None.