anp quick reference how to view patient event history · the patient event history summarizes a...

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ANP Quick Reference How to View Patient Event History August 2020 Viewing a Patient’s Event History The Patient Event History summarizes a patient’s contact with an AHS zone’s health facilities. If the patient is currently an inpatient, the hospital site, patient care unit, room and bed number, plus the name of the Family Physician (if available) appears above the Event History table. Site Hospital location of event. Case Type Inpatient, Outpatient or Emergency patient. Program Name of program patient was associated with during the event. Provider Name of physician or care provider responsible for patient’s care at the time of event. Admission Event date (for outpatient) or the date of hospital admission (if inpatient or emergency). Discharge Discharge date; may include discharge code. Presenting Complaint / Most Responsible ICD- 10-CA Diagnosis The Presenting Complaint reflects the problem observed or stated by the patient when the patient was admitted (this is not a clinical diagnosis). The Most Responsible ICD-10-CA Diagnosis describes the diagnosis captured by the clinical coding staff, which is typically the primary reason for the patient’s length of stay in the facility. Inpatient, Emergency, and Day Surgery events will only have discharge diagnosis. Emergency Contact The Emergency Contact is captured at the time of admission and is populated by the admitting systems used within the hospital

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Page 1: ANP Quick Reference How to View Patient Event History · The Patient Event History summarizes a patient’s contact with an AHS zone’s health facilities. If the patient is currently

ANP Quick Reference

How to View Patient Event History

August 2020

Viewing a Patient’s Event History The Patient Event History summarizes a patient’s contact with an AHS zone’s health facilities. If the patient is currently an inpatient, the hospital site, patient care unit, room and bed number, plus the name of the Family Physician (if available) appears above the Event History table.

Site Hospital location of event.

Case Type Inpatient, Outpatient or Emergency patient.

Program Name of program patient was associated with during the event.

Provider Name of physician or care provider responsible for patient’s care at the time of event.

Admission Event date (for outpatient) or the date of hospital admission (if inpatient or emergency).

Discharge Discharge date; may include discharge code.

Presenting Complaint / Most Responsible ICD-10-CA Diagnosis

The Presenting Complaint reflects the problem observed or stated by the patient when the patient was admitted (this is not a clinical diagnosis). The Most Responsible ICD-10-CA Diagnosis describes the diagnosis captured by the clinical coding staff, which is typically the primary reason for the patient’s length of stay in the facility. Inpatient, Emergency, and Day Surgery events will only have discharge diagnosis.

Emergency Contact The Emergency Contact is captured at the time of admission and is populated by the admitting systems used within the hospital

Page 2: ANP Quick Reference How to View Patient Event History · The Patient Event History summarizes a patient’s contact with an AHS zone’s health facilities. If the patient is currently

August 2020 QR – How to View Patient Event History 2

To view a patient’s event history:

1 Search for your patient and open their EHR.

2 In the Context Menu, click the Patient Event History tab.

3 Review the results.

a Click Print to print the event history.

b Click Data Inquiry to report suspected problems with the data being viewed. An e- mail with the attached record is sent to the appropriate source.