[Tagging] Clinic that does admit inpatients

Mon Oct 25 08:25:05 UTC 2021

Yes, they are all healthcare facilities that treat patients, & some of them have in-patient facilities, but none of them are places that you can go to in search of emergency medical treatment

That’s not an issue because amenity=hospital does in no way imply that any type of emergency services are provided.

If a hospital does provide emergency services, it should also have the tag emergency=yes, and there should be one or more node on the building outline tagged with entrance=yes/main/secondary/* (as appropriate) and emergency=emergency_ward_entrance and emergency_ward_entrance=walk-in/rescue_service/all.

Data consumers should direct people to such emergency_ward_entrance=walk-in/all nodes belonging to an amenity=hospital or amenity=clinic with emergency=yes when looking for emergency services.

There may be an issue with rendering if the current rendering gives the impression that places that don’t match that pattern provide emergency services.

There is also significant use of healthcare:speciality=emergency which should probably generally be co-tagged with emergency=yes on amenity=hospital/clinic/doctors

It might also be worthwhile to add some global MapRoulette tasks:

a.	Any amenity=hospital/clinic/doctors that does not have an explicit emergency=yes/no tag should be checked and explicitly set the tag
b.	Any emergency=emergency_ward_entrance which isn’t tagged on a node of a building=* should be checked (I’ve seen it wrongly tagged on buldings themselves)
c.	Any building=* + amenity=hospital/clinic/doctors with emergency=yes that does not have an entrance=* + emergency=emergency_ward_entrance node on it’s outline should be checked to add that

Cheers,

Thorsten

From: Graeme Fitzpatrick <graemefitz1 at gmail.com> 
Sent: Monday, 25 October 2021 16:57
To: Tag discussion, strategy and related tools <tagging at openstreetmap.org>
Subject: Re: [Tagging] Clinic that does admit inpatients

On Sun, 24 Oct 2021 at 09:16, Sebastian Gürtler <sebastian.guertler at gmx.de <mailto:sebastian.guertler at gmx.de> > wrote:

Short answer before (after a lot of reading...): According to the wiki and the meaning of the english word "clinic": A "clinic" that admits inpatients is an "amenity=hospital; healthcare=hospital" ...

Additionally there is the term "Tagesklinik", quite similar to English "day hospital" according to wikipedia, an institution which offers a typically 5/7 days continuous treatment but without staying there at night (e.g. psychiatric or psychosomatic treatment). In Germany it is formally a special form of inpatient treatment "teilstationäre Behandlung" with the legal status of normal inpatient treatment "vollstationäre Behandlung" for employed patients ...

But one problem remains: what about the day hospitals. In the original English wiki page there is no mention of day hospitals but in the german "translation" it's written that "amenity=clinic" includes outpatient institutions AND day hospitals (which are in Germany formally inpatient institutions). The current tagging makes no differences between an "clinic" (german: "Ambulanz") and "day hospital" (german: "Tagesklinik") ... 

I looked at the tagging practice in Germany: Of 284 Objects with "Tagesklinik" in the name there were 103 with amenity=clinic and 25 with amenity=hospital; 88 with healthcare=clinic 14 with healthcare=hospital.  Other taggings: health_facility=hospital/clinic. Of 78 Objects with a given speciality there are 52 of the psychiatric area, which are clearly "teilstationär" - closer to inpatient than to outpatient treatment, as a day hospital, not a "clinic".

I raised concerns about the overriding use of "hospital" some time ago, after looking at them & finding things like normal medical centres (including 1 dentist's office!), ambulance stations & even a vet all mapped as hospitals!

Yes, these are all clearly errors, but we also then have dental hospitals, day-surgery centres, psychiatric hospitals & such places as drug & alcohol addiction clinics all tagged as hospitals as well.

Yes, they are all healthcare facilities that treat patients, & some of them have in-patient facilities, but none of them are places that you can go to in search of emergency medical treatment.

Is a (possibly?) simple answer to this changing the rendering?

At the moment, all hospitals render with the white cross on a red circle background, &, in a number of cases, people have tagged the Emergency / Casualty Ward as another hospital, purely so that it will render.

How about changing it so that "hospital" renders as a white H on a blue square background (similar to, but also different to, the helipad symbol of a white H on a blue circle); & then either using the existing white cross on red (or possibly even changing it to the internationally recognised white on green first aid symbol?) for Emergency?

Would that work?

(& yes, I know we're talking about ~200000 existing tags!)

Thanks

Graeme

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