Microsoft Word and Ms Word Document
HIT 141 – Lab Instructions II
Log in to Quadramed
Searching for Encounters
1. Click on Record Management tab located in the top portion of the screen
2. What are the various ways you can search for an encounter? Include this information on your MS Word document that you will be submitting in the dropbox. #1
3. Go to the help tab at the top right, click on contents, read about the features of the system.
4. Capture the below screen shot. Mark this as #2 of your MS Word document.
5.
6.
7. Search for the record by MR# or patient name. (make sure that “All statuses” is selected from the dropdown menu of the Search box.)
8. Locate the correct encounter as indicated in the list of patients assigned for analysis.
9. Click on the MRN (medical record number). You will be prompted with the following screen:
• If you have clicked on the wrong patient or encounter, click “Cancel” on the lower left of the screen. This action will take you back to the search screen.
10. Click on “Document Imaging” link underlined in blue locate in the top right portion of the screen. Patient documents will open. You may need to enlarge the new pop up screen for better view. (Make sure that Active X controls are enabled for proper functioning of this application.) • Scroll up and down as needed in the left section of this screen and locate patient documents loaded in the system. This is indicated by the blue link and the document type as shown in the figure above.
10. Locate necessary documents for record completion (such as History & Physical, Operative Report, Discharge summary, etc.)
11. Identify missing documents. Indicate what you feel should be in the medical record based on your readings in chapter 3 of the Johns Text book.
• The standard statuses are dictate, transcribe, write, sign, and complete. o For example indicate Operative Report – dictate and sign – Don’t worry about the semantics of dictate, transcribe, write or complete. Identifying there
Log in to Quadramed
Searching for Encounters
1. Click on Record Management tab located in the top portion of the screen
2. What are the various ways you can search for an encounter? Include this information on your MS Word document that you will be submitting in the dropbox. #1
3. Go to the help tab at the top right, click on contents, read about the features of the system.
4. Capture the below screen shot. Mark this as #2 of your MS Word document.
5.
6.
7. Search for the record by MR# or patient name. (make sure that “All statuses” is selected from the dropdown menu of the Search box.)
8. Locate the correct encounter as indicated in the list of patients assigned for analysis.
9. Click on the MRN (medical record number). You will be prompted with the following screen:
• If you have clicked on the wrong patient or encounter, click “Cancel” on the lower left of the screen. This action will take you back to the search screen.
10. Click on “Document Imaging” link underlined in blue locate in the top right portion of the screen. Patient documents will open. You may need to enlarge the new pop up screen for better view. (Make sure that Active X controls are enabled for proper functioning of this application.) • Scroll up and down as needed in the left section of this screen and locate patient documents loaded in the system. This is indicated by the blue link and the document type as shown in the figure above.
10. Locate necessary documents for record completion (such as History & Physical, Operative Report, Discharge summary, etc.)
11. Identify missing documents. Indicate what you feel should be in the medical record based on your readings in chapter 3 of the Johns Text book.
• The standard statuses are dictate, transcribe, write, sign, and complete. o For example indicate Operative Report – dictate and sign – Don’t worry about the semantics of dictate, transcribe, write or complete. Identifying there