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Question/Guidance
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Resolution: Resolved
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Moderate
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None
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None
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CMS0506v6
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Observation Order Date/Time vs Inpatient Order Date/Time Relevance
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Teresa Francis
During validation of the EHR and the QRDA for the above topic. I discovered that the admission orders in the EHR are as follows:
Patient Placement Order 9/5/24 @ 1605; Patient Class: Observation; Level of Care: Med-Surg
Transfer Order 9/5/24 @ 1736; Patient Class: Inpatient; Level of Care: Intensive Care Unit
Transfer Order 9/5/24 @ 1806; Patient Class: Inpatient; Level of Care: Intermediate Care
Update Patient Status Order 9/6/24 @ 1547; Patient Class: Inpatient; Level of Care: Intermediate Care
QRDA indicates the following:
2.16.840.1.113762.1.4.1111.143 | Observation Services |
Admission Source Code - NULL
Code - SNOMEDCT 448951000124107
DC Disposition - NULL
Principal Dx - NULL
Relevant Period/Interval Date/Time - 9/5/24 04:05 PM, 9/5/24 06:06 PM
2.16.840.1.113883.3.666.5.307 | Encounter Inpatient |
Admission Source Code - NULL
Discharge Disposition - NULL
Principal Dx - NULL
Relevant Period/Interval Date/Time - 9/5/24 06:06 PM, 9/7/24 01:35 PM
The Observation Information in the QRDA appears to be correct. However, the Inpatient Information has the date/time of the second "transfer order" instead of the first "transfer order". Which order is the accurate utilization of the inpatient date/time? Is the date/time for the initial inpatient order, correct? Which order is considered priority?