Files > ED LOG

name

ED LOG

number

230

location

^EDP(230,

description

This file serves as the log of emergency department visits. It works together with the ED LOG HISTORY file to track when activities of a typical emergency department visit are done. It records where the patient went, who was responsible, and when key things happened (such as triage and disposition). This file serves as the key source of information for data that is displayed on the emergency department display board (an electronic "white board"). Patient visits that are currently active are shown on the display board. The display board is refreshed every 30 seconds. Many of the indexes in this file assist in making the refresh code as efficient as possible.

Fields

#	Name	Location	Type	Details	Index	Description
.01	log entry time(+)	0;1	DATE-TIME		B	This is the date/time that this log record was added to the file.
.02	institution(+)	0;2	POINTER	4		This allows the log entry to be associated with the station that originated it. It allows multiple institutions to be served by the same system.
.03	area(+)	0;3	POINTER	231.9		This is the area in the hospital for which this record applies. Initially, the only area is the emergency department. This field allows use to be expanded into other departments.
.04	patient name	0;4	FREE TEXT			This is the name of the patient. It allows a name to be entered in the case of humanitarian care when the patient has not been entered into VistA yet. LastName,FirstName is the name format that should be used.
.05	patient ssn*	0;5	FREE TEXT			This is the patient social security number in the case of humanitarian care for a patient that does not exist in VistA.
.06	patient id	0;6	POINTER	2		This is the patient in VistA for whom this log record is created.
.07	closed	0;7	BOOLEAN	1:YES 0:NO		This flag is set to YES when the patient has left the area (Emergency Department) and has been properly dispositioned. At this time, the entry no longer appears on the display board.
.071	closed date/time	0;15	DATE-TIME			This is the Date/Time when the 'CLOSED' field was set to true.
.072	closed by	0;16	POINTER	200
.073	removed in error	0;17	BOOLEAN	1:YES
.074	restored by	0;18	POINTER	200		This is the user who restored the patient to the board.
.075	restored date/time	0;19	DATE-TIME			Date/Time when a patient was restored to the board. This only occurs if the patient was 'Removed in Error'.
.08	time in	0;8	DATE-TIME			This is the time that the patient actually arrived at the emergency department. The length of the visit is measured from this point in time.
.09	time out	0;9	DATE-TIME			This is the time that the patient was discharged from the emergency department (sent home, admitted, transferred somewhere else).
.1	arrival mode	0;10	POINTER	233.1		This is the source of the emergency department visit. For example, the patient may have arrived from a nursing home, VA Hospital, walked in, etc.
.11	patient brief id	0;11	FREE TEXT			This is a patient identifier that shows on the display board. In the case of an ambulance or non-VA patient, this identifier may be constructed and stored here. The identifier should be in the format: last initial + last 4 of ssn. For example, given a fictional patient named TWENTY VEHU with an SSN of 000-00-0020, this field would be V0020.
.12	visit	0;12	POINTER	9000010	V	This is the VISIT associated with this emergency department encounter.
.13	creation source	0;13	SET OF CODES	0:EDIS 1:SCHEDULING 2:CPRS		This field identifies the route by which the visit was created.
.14	clinic	0;14	POINTER	44		This is the specific clinic within the department (if multiple clinics are used) that will be associated with this visit.
1.1	complaint	1;1	FREE TEXT			This is the complaint that the patient presents with. It is usually shown on the display board, so it should be brief enough to fit in the column on the display board.
1.2	disposition	1;2	POINTER	233.1		This is how the patient is dispositioned at the end of the visit.
1.3	disposition time	1;3	DATE-TIME			This is the time that the disposition field was last updated.
1.4	diagnosis time	1;4	DATE-TIME			This is the time that the diagnoses were last updated.
1.5	delay reason	1;5	POINTER	233.1		This is the reason for delay in the case where the visit has taken longer than the time recommended.
1.51	delay reason start time	1;6	DATE-TIME
1.52	delay reason end time	1;7	DATE-TIME
2	complaint (long)	2;1	FREE TEXT			This is an optional field that allows the complaint to be entered in a form that is longer than that allowed by the complaint column on the display board.
3.2	status	3;2	POINTER	233.1		This is the status of the patient during the course of the emergency department visit (awaiting triage, ed patient, etc.).
3.3	acuity	3;3	POINTER	233.1		This is the acuity of the patient. The acuity is based on the ESI scale with acuity levels 1-5.
3.4	loc	3;4	POINTER	231.8		This is the room / area where the patient is. This may be a physical room or a specific bed. It may also be a "conceptual area", such as the hallway, parking lot, x-ray, etc. It does not necessarily need to be a physical location.
3.5	md assigned	3;5	POINTER	200		This is the provider currently assigned to the patient.
3.6	nurse assigned	3;6	POINTER	200		This is the nurse assigned to the patient.
3.7	resident assigned	3;7	POINTER	200		This is the resident assigned to the patient.
3.8	comment	3;8	FREE TEXT			This is a comment that may be entered or updated for this particular visit. The comment may be optionally shown on the display board.
3.9	held loc	3;9	POINTER	231.8
4	discharge diagnosis	4;0	MULTIPLE	230.04		This multiple contains the diagnosis or diagnoses for the visit.
7.1	frequency	7;1	NUMERIC			This is the number of minutes desired between each set of repeated vital measurements taken.
7.2	timer on	7;2	BOOLEAN	1:YES 0:NO		This is an on/off switch, whether to continue taking vital measurements.
8	orders	8;0	MULTIPLE	230.08		This multiple tracks orders during the course of the patient stay in the emergency department.