Hi!,
Thank you in advance for your help.
For legal requirements, we need to separate the visit information in two different documents in Centricity. Is there a way to separate specific forms (their chart notes) to be recorded in a different document?
Thank you!!
Initial encounter-form contains all obs terms. Two derivative encounter-forms that contain the desired subsets of the obs terms. Respective obs term sets are loaded at form initialization.
I'm a little confused. Are you wanting to start an update, document everything but not have everything go to the chart note, sign this document, start another update, then have everything that was documented in the previous update but isn't in that document's note show up in the second update's note?
Thank you for your kind answers. I apologize for my confusing question.
We got the request to separate the information that the provider typed in one encounter type in two documents. The encounter type contains different forms, some forms contain protected information, that depending of a Release of Information, our clinic can or can't share with other agencies. Right now, all the information contained in the forms is printed in the chart note. So if an agency requests a patient's records, and the patient previously expressed that he/she doesn't want to share this information, that information would be there.
That's why they would like the providers to open an encounter type, fills out all the forms, and when it is a protected form, that information wouldn't go to the chart note but it will be saved in obs terms. When the provider signs the visit, they would have the document in Centricity with the visit information, except the protected information, and they would like to have an extra document added automatically (as it is added when a handout is printed) with the protected information, so we will have the information in the patient chart, but they will share only the records that don't contain the protected information in case the patient doesn't want us to share it.
I hope this would help to clarify the request.
Again, thank you so much for your attention and help.
There isn't a way to automatically add another document (without getting into SQL queries and interface engines). The best way to "automatically" add another document would be to have the provider document the visit and the forms don't translate to the note the protected information, After signing, start a second update whose forms only look at the protected info obs terms. Have a drop box that uses LIST_OBS to show a key obs term that would always be documented in the first visit. Choose the obs term with the date corresponding to the first visit where no protected info was sent to the note. Then, each field would call a function that pulls its obs term valye that matches the date on the "master" obs term that was selected by the provider to indicate the visit he is creating the second document for and that form or forms would push to the chart note.
The only other way I can think of would be to print a handout that contains all the protected info to PDF and index it into the chart as a separate document. You could even check the box to create a chart note when printing the handout and manually attach the PDF to that document.