Sr. No. |
Section Name |
Description |
| 1. |
Advance Directives |
There is no section in PrognoCIS. |
| 2. |
Allergies and Adverse Reactions |
This section displays any allergies and reactions present in a patient's record on the Allergy screen.
Details such as the allergy SNOMED code, the substance, the reaction caused by it, the level of severity,
the date of creation of the allergy details, and the status of the allergy are displayed in this section.
|
| 3. |
Assessments |
This section displays the notes entered in the Assessment section of the Notes tab on the Assessment screen. |
| 4. |
Consultation Notes |
This section displays the notes entered in the Response and Response Notes tabs on the Consult Order screen. |
| 5. |
Chief Complaint and Reason for Visit |
This section displays information about the complaint(s) marked as Chief on the HPI screen. |
| 6. |
Encounters |
This section displays the current encounter's visit date and Primary ICD details such as the SNOMED code, the ICD description, the date, and the status. |
| 7. |
Functional Status |
Previously, tests answered on the Review of System screen were sent as Functional Status.
Now, this section displays the information for only those tests answered on the ROS screen whose test code is selected in the property ccd.functionalstatus.testcode.
To send dates in the CCD for the tests mentioned in the property,
the system checks if there are any tests answered with the same test code suffixed with FD for From Date and UD for Up to Date. |
| 8. |
Goals |
This section displays the goals entered for the patient on the Care Plan screen. |
| 9. |
Health Concerns |
This section displays the concerns/risks entered for the patient on the Care Plan screen. |
| 10. |
History and Physical |
This section displays the notes entered in the Notes field as well as any notes entered in the
selected templates on the History of Present Illness screen. |
| 11. |
Imaging Narratives |
This section displays the notes entered in the popup invoked by clicking the Remarks icon on the Radiology Result screen. |
| 12. |
Instructions |
This section displays a list of all the education materials provided to the patient along with the date when they were given. |
| 13. |
Immunizations |
This section displays details about vaccinations administered to the patient.
Details such as the CVX code, the vaccine name, the date on which the vaccine was administered,
the status, and notes entered in the Administer popup are displayed. |
| 14. |
Laboratory Report Narratives |
This section displays notes entered in the popup invoked by clicking the Remarks icon on the Lab Result screen. |
| 15. |
Medical Equipment |
This section displays all the active implanted devices present for the patient.
Details such as the SNOMED code, the device name, and the date of implant are displayed. |
| 16. |
Medications |
This section displays all the medications added for the patient on the Current Medication screen. |
| 17. |
Medications Administered |
This section displays information about in-house drugs dispensed from the Prescription screen. |
| 18. |
Mental Status |
Previously, tests answered on the Review of System screen were sent as Mental Status.
Now, this section displays the information for only those tests answered on the ROS screen whose test code is selected in the property ccd.mentalstatus.testcode.
To send dates in the CCD for the tests mentioned in the property,
the system checks if there are any tests answered with the same test code suffixed with FD for From Date and UD for Up to Date.
|
| 19. |
Payers |
This section displays the Primary Insurance information selected for that encounter. |
| 20. |
Problems |
This section displays problems marked as Existing as well as Recovered on the PMH screen.
Details such as the code, the name of the problem, the diagnosis date, the recovery date, and the status of the problem are displayed.
|
| 21. |
Procedure Notes |
This section displays notes entered in the Procedure tab on the Procedure Order screen.
|
| 22. |
Procedures |
This section displays information about procedures associated with implanted devices. |
| 23. |
Progress Notes |
This section displays notes entered in the Plan section of the Notes tab on the Assessment & Plan screen. |
| 24. |
Reason for Referral |
This section displays referral reason notes entered in the Referral Note popup invoked by clicking the Referral Reason button on the Encounter Close screen.
The entered referral reason is saved and is available in the CCD only upon clicking the Save button on the Encounter Close screen. |
| 25. |
Results |
This section displays Lab Result and Radiology Result details in two separate tables.
Details such as the LOINC code, the test name, and the result date are displayed. |
| 26. |
Social History |
This section displays the information for only those answered tests whose test code is selected in the property ccd.smokinghistory.testcode.
To send dates in the CCD for the tests mentioned in the property,
the system checks if there are any tests answered with the same test code suffixed with FD for From Date and UD for Up to Date. |
| 27. |
Treatment Plan |
This section displays details of prescriptions having a fill date greater than the encounter date,
Lab, Radiology, or Procedure orders in Due status on the Health Maintenance screen,
and future appointment details along with clinical instructions. |
| 28. |
Vital Signs |
This section displays the patient's vitals entered on the Vitals screen.
Details such as the LOINC code associated with the test, the encounter date, the test name, the value, and the units are displayed in the CCD. |