Lost/missing chart: Difference between revisions
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== Deferral period == | |||
*A chart should be considered lost or missing, and "written off", when medical records still cannot find it 6 months (same day number, 6 months later) after the patient has been discharged from the hospital or died in hospital. | |||
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*A chart should be considered lost or missing, and "written off", when medical records still cannot find it 6 months ( | |||
== Instructions for finishing off the profile == | == Instructions for finishing off the profile == | ||
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** I would rather have a missing APACHE Score when any of the APACHE elements are missing due to Lost or missing chart. Entry of zero for numeric or blank for character on any of the elements results to blank APACHE Score (but this refutes the guideline for APACHE Physiologic Not available). Normal values result to Zero APACHE Score (when age pts is zero). }} | ** I would rather have a missing APACHE Score when any of the APACHE elements are missing due to Lost or missing chart. Entry of zero for numeric or blank for character on any of the elements results to blank APACHE Score (but this refutes the guideline for APACHE Physiologic Not available). Normal values result to Zero APACHE Score (when age pts is zero). }} | ||
* When you have entered all available information, and when the [[#Deferral period has passed | * When you have entered all available information, and when the [[#Deferral period]] has passed, contact Pagasa and tell her the profile is a missing/lost chart | ||
* Once Pagasa has confirmed that this is understood, delete the chart using the [[♻️ button]] | * Once Pagasa has confirmed that this is understood, delete the chart using the [[♻️ button]] | ||
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{{Discuss | who = Pagasa | question = | {{Discuss | who = Pagasa | question = | ||
*Pagasa, please let Tina know if these | *Pagasa, please let Tina know if these profiles with [[RecordStatus]] "Discontinued" are falsely triggering any cross checks in CFE. [[User:Ttenbergen|Ttenbergen]] 14:36, 2021 June 15 (CDT) | ||
Julie says Pagasa keeps a list of old lost charts. Could you do a one-time update to set the relevant records to Discontinued in CFE and then get rid of that list. | Julie says Pagasa keeps a list of old lost charts. Could you do a one-time update to set the relevant records to Discontinued in CFE and then get rid of that list. | ||
Revision as of 13:44, 15 June 2021
Deferral period
- A chart should be considered lost or missing, and "written off", when medical records still cannot find it 6 months (same day number, 6 months later) after the patient has been discharged from the hospital or died in hospital.
Instructions for finishing off the profile
An profile for a missing chart might trigger CCMDB.accdb Data Integrity Checks, so it can't be sent the normal way and the following process applies instead.
Instructions for Collectors
- Try to enter all available info and to check the complete boxes; this will make sure that data is internally consistent as far as possible
- This includes any diagnostic imaging and procedure counts and results, lab results, etc
- Where you can not get past a cross check because data is not available, explain that in the Notes field
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- When you have entered all available information, and when the #Deferral period has passed, contact Pagasa and tell her the profile is a missing/lost chart
- Once Pagasa has confirmed that this is understood, delete the chart using the ♻️ button
Instructions for Data Processor
The Data Processor will manually set the RecordStatus for these to "Discontinued"; information on the lost chart status can be entered into the Notes field.
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Julie says Pagasa keeps a list of old lost charts. Could you do a one-time update to set the relevant records to Discontinued in CFE and then get rid of that list. |
| click expand to see list |
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