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The Medical Record Setup tab under Hospital Setup allows you to customize the appearance of the patient record.

Each section under this tab controls an aspect of the medical record, from the highest level (Medical record category) to the more granular components such as TPRs.

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titleMedical record Category Setup

Medical Record Categories are the "sections" of the electronic health record system within VetView.  These categories can hard coded "types" or simple document sections.  Hard coded categories are included with your VetView installation and cannot be removed.  You can make custom categories which you can use to create new sections within your medical record.

This tab also allows you to control the display of the EHR on the Hospital Portal.

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titleHard Coded Categories

The hard coded types are:  Assigned People, Pre-Admission, Labs, Imaging, SOAPs, Vitals / TPRs, Medication, Diagnosis, and Billing.  You will only need one of each type for your medical record to function properly.  You can add additional types for related documents to those categories, or you can keep the documents within the same category if you wish.  For example, you can create documents to be stored in your Assigned People (Personnel) category for field services that require additional travel forms, or you can create a custom document section called Travel Forms. 

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Label: The name of the category as it will appear on the medical record and on the Hospital Portal

Description:  Additional details about the category if the label needs elaboration

Type:  A more technical name or older name for a category

Owner:  Determines at what stage of approval the Owner of the patient can view this category on the medical record

RDVM/Clinic:  Determines at what stage of approval the RDVM/Clinic for this patient can view this category on the medical record

Active:  Whether this category is currently active.  To preserve historic information on patient records, categories cannot be deleted.


Note
titleCategories on Episode Types

This screen only controls the available categories for all medical records.  You can customize the categories used on each individual type of episode on the Episode Type Setup tab. 

Add Med Rec Category

To create a new category, click on the Add Med Rec Category button.

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To create a new category, click on the Add Med Rec Category button.

A window to build out the settings for your new category will open.

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Order on the Patient Record

The Move Up / Move Down arrows allow you to rearrange how the categories will appear on your patient records and on the Hospital Portal.

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For example, if pre-admissions should always come before all other documents, you can set them to be at the very top on this screen.

Many categories will not appear on the patient record until a request has been put in for documents or services of that type.  For example, Imaging will not display unless you have either requested Imaging be done for the patient, or if the Episode Type has the Imaging category always turned on.  


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titleMedical Record Transfer Reasons



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titleComm Log Setup



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titleDischarge Setup



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titleTPR Setup



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titleProblem Setup