Example of Scan Folders
Revision as of 14:35, 26 November 2012 by John.Buckley (talk | contribs)
Scan Folders
- Notes (internal, non-electronic, scanned)
- Diagnostic (Lab, Path – all except Colonoscopy Path)
- Imaging (x-rays, DEXA, Ultrasound, CT, ESI* - Epidural Steroid Injection*, MRI, Mammography, Nuc Med, Carotid IMT, PET Scan)
- Cardiology (Consult notes, EKG, Stress Tests, Echo, Other Cardiology – ABI, Angiogram, Arterial Doppler, Holter monitor, etc.)
- Dermatology (Consult notes)
- Endocrine/Diabetes (Endocrine Consult, Diabetic Consult)
- GI (Consult notes, EGD, Colonoscopy Report and Path/Flex Sig, ERCP)
- GU/OB/GYN (Consults GU/OB/GYN, OB Visits)
- Hematology/Oncology (Consult notes)
- Infectious Disease (Consult notes)
- Nephrology (Consult notes)
- Neurology (Consult notes, EEG, EMG/NCS)
- Ophthal/ENT/Dental (Ophthal/Ent Consult notes, Dental documents)
- Ortho/Podiatry (Consult notes)
- Pain Management (Consult notes, Narcotic contracts, ESI* Pain Mgmt.)
- Allergy/Pulmonary/Asthma (Consult notes, PFT, sleep studies)
- Rheumatology (Consult notes)
- Surgery (Consult notes, Operative reports)
- Hospital (Admit H&P, D/C Summary, Neonatology, Other - pertinent data from hospital)
- PT/OT/ST/Hospice/Home Health (All notes from Physical, Occupational, Speech Therapy, Hospice, and Home Health)
- Consent Forms (Various types & immunization detail)
- Child Development (Consult notes age range from 0-18)
- Psychiatry/Substance Abuse (Consult notes, Drug & Alcohol Rehab) – EXTRA SECURITY REQUIRED
- 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.)
- Clinical Archive ( Paper: Problem lists, Office progress notes, Flow sheets, Physicals, Health history form, Old immunization records, Outside records)
- Telephone notes (Includes on-call notes)
- Correspondence (Back to work/school, Certified letters, Patient dismissals, Recall notices, etc.)
- 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.