Section | Data Elements |
---|---|
1. Patient Personal Information | Age; Gender; Ethnicity; Residential area; Mode of arrival; Time intervals between emergency, arrival in ED, and start of care |
2. Reason for Visit | Presenting complaints |
3. Injuries | Intentionality; Cause of injury; Nature of Injury |
4. History of Care | Treatment sought from any other physician in last 72 hrs; Discharged from any hospital in last 7 days; Episode of care; Number of ED visits in past 12 months |
5. Triage | Temperature; Pulse Rate; Respiratory Rate; Glasgow Coma Scale; Blood Pressure; Oxygen saturation; Pain Scale |
6. Diagnostic/screening Services | Physical Examinations; Imaging; Other tests |
7. Procedures | IV Fluids, Casts, Sutures/staples, dressing, incision & drainage, nebulized, cardiopulmonary resuscitation etc. |
8. Diagnosis | Provisional Diagnosis; Co-morbidities; Treatment for Co-morbidities |
9. Care Providers | Paramedics; Nurse; Clinical Intern; Post graduate trainee Physician; Consultant Physician |
10. Disposition | Left without being seen; Follow-up planned; Return if required; Referred to other hospital; Referred to outside physician; Admitted to inpatient; etc. |
11. Total reported cost of episode of care | In Pakistani Rupees (PKR) |
12. Discharge | Time and Date |