Hospital Encounters Flashcards
What does an ADT event represent?
An ADT event represents a change in a patient’s bed or the encounter’s billing drivers, and contains information relating to the patient’s status at that time.
What application maintains a history of events for each patient hospital encounter in the ADT master file?
Grand Central
What is the main table for reporting on ADT events in Clarity?
CLARITY_ADT
Are preadmissions and expected arrivals considered EPT contacts?
Yes
Are preadmissions and expected arrivals considered ADT events?
No
When does the system create an ADT event?
Once the patient is admitted.
What are created to track Hospital Outpatient Visits (HOVs)?
HOV events
What is a leave of absence?
A time where a patient physically departs a bed but the bed remains assigned to the patient.
What are the two most common definitions of an inpatient admission?
The moment when the patient first entered an inpatient bed with an inpatient reporting base class or The moment when the patient first had an inpatient reporting base class
How would you filter to the first event where a patient received an inpatient reporting base class during their encounter?
Filter to ADT events where I ADT 81 (Incoming Event Type) = 1 (Admission) and I ADT 83 (Incoming/New/To Base Class) = 1 (Inpatient)
Which of the following would create only one ADT event record? Choose ALL answers that apply.
A. A patient enters a bed for the first time
B. A patient is transferred from one bed to another
C. A patient is transferred from one department to another
D. A patient is discharged from the hospital
E. A patient stays in the same bed overnight
F. A patient’s preadmission is confirmed
a, d, e
A patient update event is edited for the first time. How many rows in CLARITY_ADT have ever represented this patient update? Choose only ONE answer. A. 0 B. 1 C. 2 D. 3
c
A discharge ADT event stores a value of 2 – Canceled in I ADT 35. What must be true about this
event?
A. It is the only event in its encounter to represent a discharge
B. It is the update to an event that represents a discharge
C. Its information is not considered valid
D. Another event will update and replace it
c
An ADT event record stores its own ID in CLARITY_ADT.ORIGINAL_EVENT_ID. What must be true about this ADT event? Choose just ONE of the following. A. It has a subtype of 1 (Original) B. It has a subtype of 2 (Canceled) C. It has a subtype of 3 (Update) D. None of the above
d
At 4:05 PM, an ADT user initially documents that a discharge occurred at 4:00 PM. At 4:10 PM, the ADT user edits the discharge to document that it occurred at 3:55 PM instead. What is the delete time of the ADT record that currently represents the discharge?
A. 3:55 PM
B. 4:00 PM
C. 4:05 PM
D. 4:10 PM
E. This ADT event would not store a delete time
e
R ADT 12345 stores a value of 12346 in I ADT 1100. Which of the following must be true?
A. R ADT 12345 is a Transfer Out event, and R ADT 12346 is its following Transfer In event
B. R ADT 12345 is a Transfer Out event, and R ADT 12346 is its preceding Transfer In event
C. R ADT 12345 is a Transfer In event, and R ADT 12346 is its following Transfer Out event
D. R ADT 12345 is a Transfer In event, and R ADT 12346 is its preceding Transfer Out event
a
For which of the following scenarios would V_PAT_ADT_LOCATION_HX. PAT_OUT_DTTM return a value? Choose just ONE of the following.
A. A patient enters a bed and has remained in the bed ever since
B. A patient enters a bed and has departed the bed
C. A bed has been assigned to the patient, but the patient has not yet entered the bed
D. A census ADT event record was created for the bed while a patient still occupied the bed
b
A report filters to I ADT 80 = 2 (Discharge). Which of the following best describes the result set? Choose only ONE answer. A. Each row is an ADT event that is a discharge event B. Each row is an ADT event that is an out event C. Each row is an ADT event that was the last event in its encounter to have its reporting base class D. Each row is a patient encounter where the patient had more than one reporting base class
c
A report filters to I ADT 82 = 4 (Observation). Which of the following best describes the result set? Choose just ONE of the following. A. Each row is an ADT event where the patient had an observation patient class B. Each row is an ADT event where the patient had an observation reporting base class C. Each row is an ADT event where the preceding reporting base class was observation D. Each row is an ADT event where the preceding patient class was observation
c
In which database object would you find every time an HOV was marked as Completed? Choose only ONE answer. A. PAT_ENC_HSP B. PAT_ENC_STAT_HX C. EncounterFact D. HospitalAdmissionFact
b
What does HOV stand for?
Hospital Outpatient Visits
What master file stores information about a hold placed on a bed?
PND
What are the three event sub-types in ADT?
1 - Original
2 - Cancelled
3 - Update
What item in Clarity points to the original event?
CLARITY_ADT.ORIGINAL_EVENT_ID
Which event is the inpatient admission?
Answers will vary, but most respondents select the patient update that causes the patient to enter the patient class of inpatient OR the transfer in that causes the patient to enter an inpatient unit with an inpatient class.
