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globaldothealth / outbreak-data

For users of G.h data: notes, timelines, sources, etc.
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How to log multiple dates of consult + hospitalization? #24

Closed JacqSauer closed 4 months ago

JacqSauer commented 4 months ago

We are seeing multiple dates of medical consult and hospitalization for some human cases during this outbreak. For example, a case is reported to seek medical care multiple times since symptom onset or a case is re-hospitalized due to worsening of symptoms (see case 13 as an example). How should we handle these? Should we log all dates of consult/hospitalization? Should we log only the first consult/hospitalization date? Should we log only the most recent consult/hospitalization date?

sadiekelly commented 4 months ago

My thoughts would be to capture all dates of consultation and hospitalisation to build a full picture of the case. Readmittance to hospital has come up on the epi parameters review (more so for re-infection), so I think we do need a way of capturing multiple dates such as these. Maybe we should have date fields for first_consultation, first_hospital_admission - so these are kept clear. Then additional consultations or admissions are captured in additional_consulation, additionaladmission where available. Ideally these additional fields could be repeatable to allow entry for as many dates as needed for the case.

JacqSauer commented 4 months ago

curator discussion: read through source materials and see if any case was re-admitted for care for avian influenza. If so, then we should add additional columns to reflect multiple admissions