Sr.No. |
Section Name |
Description |
|---|---|---|
| 1. | Advance Directives | 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 allergy SNOMED code, the substance, the reaction caused because of it, the level of severity, the date of creation of the allergy details and 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 Assessment screen. |
| 4. | Consultation Notes | This section displays the notes entered in the Response and Response Notes tab on Consult Order screen. |
| 5. | Chief Complaint and Reason for visit | This section displays information about complaint(s) marked as Chief on the HPI screen. |
| 6. | Encounters | This section displays the current encounter’s visit date and Primary ICDs details such as SNOMED code, ICD description, date and status. |
| 7. | Functional Status | Earlier for this section, tests answered on Review of System were sent as Functional Status. Now, this section displays the information for only those tests answered from ROS 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 will check if there are any tests answered with same test code suffixed as FD for From Date and UD for Upto Date. |
| 8. | Goals | This section displays the goals entered for patient on Care Plan screen. |
| 9. | Health Concerns | This section displays the concerns/risks entered for patient on Care Plan screen. |
| 10. | History And Physical | This section displays the notes entered in Notes field as well as any notes entered in the selected templates on History of Present Illness screen. |
| 11. | Imaging Narratives | This section displays the notes entered in the popup invoked by clicking Remarks  icon on 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 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 Lab Result screen. |
| 15. | Medical Equipments | This section displays all the active implanted devices present for the patient. Details such as SNOMED code, device name and the date of implant are displayed. |
| 16. | Medications | This section displays all the medications added for the patient on Current Medication screen. |
| 17. | Medications Administered | This section displays information about In-House drugs dispensed from Prescription screen. |
| 18. | Mental Status | Earlier for this section, tests answered on Review of System were sent as Mental Status. Now, this section displays the information for only those tests answered from ROS 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 will check if there are any tests answered with same test code suffixed as FD for From Date and UD for Upto Date. |
| 19. | Payers | This section displays Primary Insurance information selected for that Encounter. |
| 20. | Problems | This section displays problems marked as Existing as well as Recovered on 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 Procedure Order screen. |
| 22. | Procedures | This section displays information about Procedures associated to Implanted Devices. |
| 23. | Progress Notes | This section displays notes entered in the Plan section in the Notes tab on Assessment & Plan screen. |
| 24. | Reason For Referral | This section displays referral reason notes entered in the Reason for Referral Note popup invoked on clicking the Referral Reason button on Encounter Close screen. The entered referral reason is saved and is available in the CCD only on click of save button on the Encounter Close screen. |
| 25. | Results | This section displays Lab Result and Radiology result details in 2 separate tables. Details such as LOINC code, test name, result date, etc. 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 will check if there are any tests answered with same test code suffixed as FD for From Date and UD for Upto Date. |
| 27. | Treatment Plan | This section displays details of Prescriptions having Fill Date greater than Encounter Date, Lab/Radiology/Procedure in Due status on Health Maintenance screen, and future appointments details along with clinical instructions. |
| 28. | Vital Signs | This section displays the patient’s vitals entered from Vitals screen. Details such as LOINC Code associated with the test, encounter date, test name, value and units are displayed in the CCD. |
