Difference between revisions of "Example of Scan Folders"
(Created page with "'''Scan Folders''' 1. Notes (internal, non-electronic, scanned)<br> 2. Diagnostic (Lab, Path – all except Colonoscopy Path)<br> 3. Imaging (x-rays, DEXA, Ultrasound, CT, ESI*...") |
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22. Child Development (Consult notes age range from 0-18)<br> | 22. Child Development (Consult notes age range from 0-18)<br> | ||
23. Psychiatry/Substance Abuse (Consult notes, Drug & Alcohol Rehab) – EXTRA SECURITY REQUIRED<br> | 23. Psychiatry/Substance Abuse (Consult notes, Drug & Alcohol Rehab) – EXTRA SECURITY REQUIRED<br> | ||
| − | 24. Administrative (Facesheet, Insurance Cards, Driver’s License, | + | 24. Administrative (Facesheet, Insurance Cards, Driver’s License, HIPAA, Release of Records, Authorizations, Advanced Directives, Living Wills, Do Not Resuscitate (DNR), Power of Attorney (POA), Referrals, Other = Disability forms – FMLA paperwork, Medical leave, Death certificate, etc.)<br> |
25. Clinical Archive ( Paper: Problem lists, Office progress notes, Flow sheets, Physicals, Health history form, Old immunization records, Outside records)<br> | 25. Clinical Archive ( Paper: Problem lists, Office progress notes, Flow sheets, Physicals, Health history form, Old immunization records, Outside records)<br> | ||
26. Telephone notes (Includes on-call notes)<br> | 26. Telephone notes (Includes on-call notes)<br> | ||
Revision as of 18:48, 28 June 2011
Scan Folders
1. Notes (internal, non-electronic, scanned)
2. Diagnostic (Lab, Path – all except Colonoscopy Path)
3. Imaging (x-rays, DEXA, Ultrasound, CT, ESI* - Epidural Steroid Injection*, MRI, Mammography, Nuc Med, Carotid IMT, PET Scan)
4. Cardiology (Consult notes, EKG, Stress Tests, Echo, Other Cardiology – ABI, Angiogram, Arterial Doppler, Holter monitor, etc.)
5. Dermatology (Consult notes)
6. Endocrine/Diabetes (Endocrine Consult, Diabetic Consult)
7. GI (Consult notes, EGD, Colonoscopy Report and Path/Flex Sig, ERCP)
8. GU/OB/GYN (Consults GU/OB/GYN, OB Visits)
9. Hematology/Oncology (Consult notes)
10. Infectious Disease (Consult notes)
11. Nephrology (Consult notes)
12. Neurology (Consult notes, EEG, EMG/NCS)
13. Ophthal/ENT/Dental (Ophthal/Ent Consult notes, Dental documents)
14. Ortho/Podiatry (Consult notes)
15. Pain Management (Consult notes, Narcotic contracts, ESI* Pain Mgmt.)
16. Allergy/Pulmonary/Asthma (Consult notes, PFT, sleep studies)
17. Rheumatology (Consult notes)
18. Surgery (Consult notes, Operative reports)
19. Hospital (Admit H&P, D/C Summary, Neonatology, Other - pertinent data from hospital)
20. PT/OT/ST/Hospice/Home Health (All notes from Physical, Occupational, Speech Therapy, Hospice, and Home Health)
21. Consent Forms (Various types & immunization detail)
22. Child Development (Consult notes age range from 0-18)
23. Psychiatry/Substance Abuse (Consult notes, Drug & Alcohol Rehab) – EXTRA SECURITY REQUIRED
24. Administrative (Facesheet, Insurance Cards, Driver’s License, HIPAA, Release of Records, Authorizations, Advanced Directives, Living Wills, Do Not Resuscitate (DNR), Power of Attorney (POA), Referrals, Other = Disability forms – FMLA paperwork, Medical leave, Death certificate, etc.)
25. Clinical Archive ( Paper: Problem lists, Office progress notes, Flow sheets, Physicals, Health history form, Old immunization records, Outside records)
26. Telephone notes (Includes on-call notes)
27. Correspondence (Back to work/school, Certified letters, Patient dismissals, Recall notices, etc.)
28. Clinical Research
Pre-op orders – Scan to appropriate specialty requesting the pre-op.
ESI - Epidural Steroid Injection – Scan to either the Imaging CT folder or the Pain Management folder depending on where the document is coming from.