Now we’ll look at the encounter view of the patient chart in the Provider module and get an overview of its functions.
You’ll recall from previous lessons that clicking on the summary icon opens the Appointment Patient Summary, and that clicking on the patient’s photo opens their patient Dashboard. To begin the encounter, LEFT click anywhere to the right of the photo on the appointment in Grid View. This opens the Patient Chart for this encounter.
- At the top of the screen you’ll find a summary of useful information. In the first section you’ll see the patient’s name, picture, and date of birth, followed by the Appointment Type, Subtype, status, room location, chief complaint, and any notes regarding this appointment made by staff members.
- In the Document Skeletonsection is a list of all document skeletons that are being used on this appointment. We’ll explore Document Skeletons in the Automated Route section of this course.
- In the next section you’ll find the patient’s most recently recorded Vital Signs.
- Hovering over the information icon displays a handy popup chart of normal vital sign ranges. Note that any values outside of normal ranges will be highlighted in Red. The bars icon here is a quick link to the Vital Signs tab. This means that no matter where you are working in the chart you can quickly navigate back to the Vital Signs tab.
- The Allergiessection displays only confirmedallergies. Allergies that have been confirmed as Severe will appear in Red. Hovering over the ellipsis will display a popup with more information on each allergy. Additionally, you can click on the ellipsis to display the allergy information in a popup window. This can be useful when reviewing long lists of allergies. As in the Vital Signs section, the bars icon is a quick link to the Allergies grid in the patient chart.
Note that the patient chart header remains visible when scrolling through the patient chart to give you easy access to all of its information.
Below the heading are the tabs that allow you to access each section of the chart as you continue to document your encounter. By default the Diagnosis tab is displayed when the patient chart is opened. We’ll explore these tabs and documentation workflow in the next section of this course.