STB Electronic Patient Record: Difference between revisions
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=== Data only documented in EPR === | === Data only documented in EPR === | ||
* data listed at [[EPR#Data in EPR]] | |||
<!-- anything else? Only list here if not already documented in general --> | |||
* Physician orders | * Physician orders | ||
* laboratory | * laboratory | ||
Revision as of 17:01, 23 October 2019
This page documents specific info about EPR data as used by our collectors at STB. For information common to all sites, see EPR.
ICU admission time...
- We still access time of icu admission
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is that still true? Only for ICU or also Med? Emailed Laura request for update. Ttenbergen 16:54, 2019 October 23 (CDT) |
Implementation Status
All sites are at different stages of EPR implementation. It is fully implemented at STB.
Data only documented in EPR
- data listed at EPR#Data in EPR
- Physician orders
- laboratory
- pharmacy data (MAR)
- integrated progress notes
- nurses operative report
- physicians OR notes
- Central line insertions
Data documented in paper and EPR
- endoscopy has a paper version and an EPR version.
- heart cath has both paper and EPR versions of the report.
Data still recorded only outside of EPR / on paper
- continuous medication infusions
- vital signs for apache from icu flowsheets,
- amount of blood products delivered from the blood transfusion record sheet
- TEE reports for patients having OHS
- echo reports
- anesthesia record
- blood product sheets
- nurses flow sheets
- intake and output sheets
- CRRT sheets
- GCS sheets
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