The Patient Chart is the central repository of clinical information for the patient.
Introduction to the Patient Chart
The Patient Chart contains important information regarding the patient. This information can typically be viewed by visit, by MPI, or both. The Patient Chart contains the following areas of functionality, each with their own button on the Hospital main page. These areas can also be accessed using the tabs from any of the Patient Chart pages:
Contains vital sign data for the patient. Vital signs can be entered, edited, and graphed from this page. |
||
Contains clinical body system assessment documentation for the patient. Options on this page include adding, viewing, editing, and comparing clinical assessments. |
||
Contains clinical progress notes. Options on this page include adding, viewing, and editing. |
||
Rounds View |
Provides a quick view of patient information for the current day. You can view and/or print a summary of the patient information, including Intake/Output values, Vitals, recent Lab Results, and recent Medication Orders. |
|
Contains intake and output data for the patient. Intake and Output values can be viewed, entered, and edited from this page. |
||
Contains lab result documentation, where lab results can be viewed and graphed. |
||
Contains patient education, transcribed, radiology result, and scanned documents. Options on this page include viewing, editing, and printing. |
||
Contains a list of existing orders (active and inactive) and their status. Information on this page includes order and administration details, frequency, conflicts, and start and completion date and time. Orders can be filtered by department and verified from this page. |
||
|
Care Plan |
Contains a list of suggested and existing care plans for the patient. |
To access these areas of the Patient Chart, use one of the following methods:
(Preferred method) From the main page, click Select to display the patient Visit Search box. Begin typing the patient's information (last name, SSN#, or D.O.B) in the blank field. See Selecting Patients for additional information about using this feature. Once you select the appropriate patient, the available visits are displayed. Select the appropriate visit by clicking it. Then, click Select. The patient's name, medical record number (MR#), visit #, and attending doctor are displayed at the top of the main page. Then, click the desired function button. The selected page is displayed with the appropriate patient information displayed in the yellow bar at the top of the screen.
OR
Click the desired area button button on the Main page.
The Patient Visit Search box is displayed. Begin typing the patient's information (last name, SSN#, or D.O.B) in the blank field. See Selecting Patients for additional information about using this feature. Once you select the appropriate patient, the available visits are displayed. Select the appropriate visit by clicking it. Then, click Select. The selected page is displayed with the appropriate patient information displayed in the yellow bar at the top of the screen.
The Image Viewer is a tool used to scan and upload documents to the Patient Chart and typically used by Admin staff and/or super users. Using the Image Viewer, you can also view multiple images at once. From any of the Patient Chart pages, you can access the Image Viewer. To access the Image Viewer, click the small yellow gear button located at the far right of the Patient Chart pages. For details regarding the Image Viewer, see the Document Viewer Application Help from the Image Viewer window.
Note: If the Image Viewer doesn't launch when you click the button, you may need to click the Update All button on the CAH (Application Host).
Patient Chart: Rounds View |
Patient Chart: Plan of Care |
Using the Shortcut Tabs: Search, Demographics, Summary, and Allergy |