PrognoCIS Help: Patient Encounter Close

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Introduction: From this screen, user can close the current encounter. The system ensures that the encounter is complete in all respects. The table at the top shows the count of Lab/Rad Orders that are Entered, Approved, Sent, and which are Ready to E-send. Also, the count of Drugs Prescribed, Letters, Consult, and Procedure which are Entered, Approved, and Sent are displayed in the table. A setting in property, Encounter close checks → enc.close.orderstatus, decides if it be essential that all orders are sent before the encounter is closed. The Order is shown in Red color if this is a mismatch. Some Doctors do not select ICD / CPT Codes, another setting, Encounter close checks → enc.close.Icd.must and Encounter close checks > enc.close.Enm.must, decide if Assessment and ENM are Mandatory. Likewise a check is made on the co-payment. If the property Encounter Close Checks → enc.close.pendingordersheet is set to Y, then it displays the Pending Order Sheet Tests and Pending Vaccines to be Administered. The encounter cannot be closed while these are pending.
Also, an additional check condition can be applied on Enocunter Close screen to define visibilty of Mark Encounter Complete / Sign Off visibilty checkbox from property enc.close.assessment.must. If this property is set to hyphen (-) then no check condition is applied here.

Note:

In procedural templates of Doctors form if any mandatory tests are unanswered then on Encounter close PrognoCIS displays an alert.
User is appropriately prompted with an alert whenever an ICD code starting with ‘E' (Procedural ICD) is attempted to be marked as the primary ICD.
When a user closes an Encounter, a letter is sent to the Referring Provider as a non-secured Email type which consists of a PDF file. This attached PDF file is password protected and its password will be sent in a trailing Email.

The list box for Referred by Doctor and Send For Referral To Doctor have an option for Add New. If this is selected, the user can create a New Referring Doctor in a pop up. The Doctor can ask the Patient to come back for a follow up after specified days selected from a list box and select the follow up reason from the search icon. The Attending Doctor can refer the Patient to any other doctor. The attending Clinical Staff selection can also be changed.

Review: Any User can click on this button to Read the Review Contents.
A User with Reviewer rights can add Review Comments. If the Attending Doc has his rights set as Mandatory, the encounter cannot be closed untill it is reveiwed.
The Review Check Box besides, is a provision to mark the encounter as reveiwed without explicitly reviewing it.

Note: It is enabled only if User is a Reviewer. Once the notes are added, the notes button is disabled.

Create Claim : If this is checked, then on Save a Billing entry is created, and is seen under Claims → Edit in Biller Login.

Resource Appointment Encounter: Resource appointment encounter can be closed ONLY if the attending doc is one of the eligible Providers. User is explicitly informed to change the Attending Provider with the message, "Please assign eligible Attending Provider to close the Encounter" Note that the Attending doctor cannot be the Resource and this information has to be edited or changed, in order to close an encounter.

Mark Encounter Confidential: The encounter can be marked as Confidential by selecting this checkbox. In which case the details are not accessible to other doctors.

Mark Encounter Complete / Sign Off: To close the encounter, user needs to select this checkbox and click on save button.

Note: User can delete the empty templates associated with the encounter from this screen. On checking the Mark Encounter Complete/Sign Off checkbox and clicking the save button displayed at the bottom this screen, a warning message, “The following template(s) are blank. Select Yes to delete the blank templates and close the encounter, else select No to go back and fill the blank templates. Note: Associated CPT/HCPC/ICD codes will also be deleted. ” is displayed. On this warning message popup, if the Yes button is clicked, the blank templates identified by the system that are displayed on the warning message popup are deleted. Once the blank templates are deleted, along with the warning message, the encounter is also closed. If the No button is clicked, the blank templates are not deleted and the warning message popup gets closed. The User is navigated back to the Encounter Close screen and the Mark Encounter Complete/Sign off checkbox is unchecked.
It is important to note that, this functionality takes place only for those Test Exec screens that are selected in the property enc.close.delete.blank.template. This property has the following options: VT - Vitals, RS - ROS, HP - HPI, SH - Social History, SC - Specialty, PH - Physical Exam.

Patient Declined Health Summary: Select this checkbox if the Patient does not want Health Summary.

Share Health Summary On Portal: Select this checkbox to share the Patient's health summary on Patient Portal.

Share Health Summary On API: Select this checkbox to share the Patient's health summary to the third party via exposed FHIR API (Fast Healthcare Interoperability Resources Application Programming Interface).

Referral Reason: Click on this button to enter the referral reason. The entered Referral reason would be saved and available in Health Summary only on save of Encounter Close screen.

Health Summary: Click on this button to view the Health Summary.

Action Buttons:
save: Click on the save button to save the changes on the Encounter Close screen.

reset: Click on the reset button to reset the changes before the last save on the Encounter Close screen.

delete: Click on the delete button to delete an Encounter.

reopen: Click on the reopen button to reopen a closed Encounter.