Practice User- Patient Chart
The Patient Chart will provide read-only clinical data regarding a particular patient. Non provider practice users must have "Clinical" access to view the patient's charts.
The patient information banner located at the top of the screen includes the patient’s name, age, date of birth, gender, dialysis facility where the patient’s last vitals were documented, shift, and patient's phone number.
The Patient Chart has three tabs- ESRD/AKI Mgmt, Clinical Summary, and Profile.
The ESRD/AKI Mgmt tab will display read-only comprehensive treatment and lab data relative to the patient’s modality. Care categories are: Status, Fluid/BP, Adequacy, Access, Anemia, Nutrition, MBD, Infection, and Other for the selected patient. Go directly to a specific care category by selecting it or scroll through the care categories using the scrollbar.
NOTE: The “Go To” navigational tabs under the ESRD/AKI Mgmt tab will not be available if you use Internet Explorer (IE) 11 or older versions of the web browser. Chrome is the preferred web browser.
The care categories in the ESRD/AKI Mgmt section can be collapsed or expanded for added flexibility. The dash will collapse the section and the plus will expand it. The dash/plus are located to the left of the section titles. The Patient Status, Fluid/BP, and Adequacy sections will be expanded by default. All other sections are collapsed but can be expanded by clicking the plus sign next to the section title. An orange notification displays to the right of the collapsed care category header when a patient has lab results within the past 30 days that are considered out of range.
For more details about the read-only data, click ESRD/AKI Mgmt care categories or ESRD/AKI Mgmt Labs.
Clinical Summary has the categories of Medications, COVID-19, Treatment, Vaccines, Allergies, Problems (CWOW only), Notes, and Patient History. The data displayed is read-only. To add, update, or remove an allergy or non-prescription medication, contact the patient’s DaVita care team.
Medications data include both treatment and home medications. To view all medications, active and inactive, select the All button. The inactive medications will appear in lighter grey and will be in italics.
COVID-19 status and event data that a DaVita care team member entered into the Risk Event Management system (REM) are accessible. An initial form is completed by the care team with the patient’s status and symptom information. As updates occur, follow-up records are entered. The initial entry and up to three of the most recent follow-up records of the patient’s COVID-19 status and event details will display.
A message located above the patient’s COVID-19 event records will include when the information was last updated from the REM system and to contact the DaVita care team if there is new or different information about the patient’s COVID status. A message stating that there is no information will appear for patients with no COVID-19 status information. The status information is pulled from REM every hour.
Treatment data for the patient, such as primary diagnosis, modality, dialysis start date, first day of dialysis ever, height, weight, BMI, access information, dialysis schedule, target weight, and treatment time can be referenced in this section in order to provide quality care and make informed medical decisions. If a patient is designated as being part of a clinical study, a link is available to obtain the study details.
The Treatment Details section includes links to the last delivered treatment. Treatment dates can be viewed by hovering over the days of the week on the treatment details link. If more than one treatment type has been provided within the last 5 dates of service, then details from those various treatments are available as a separate treatment details link.
To view details regarding the patient’s dialysis prescription, click on the treatment details link. All data is read-only and retrieved from Snappy.
Allergies will be visible for the patient when entered in Snappy. “No Allergies have been documented for this Patient” displays if no allergies are entered for the patient. “Patient Has No Known Allergies” will display for the patient with no known allergies.
Problems displays in the CWOW patient’s chart under the Clinical Summary tab in the “Problems” section. Both providers and DaVita care team members will create and maintain a patient’s problems list.
Vaccines administered in a DaVita clinic will be provided to show the patient’s vaccination history within the last two years. The vaccine name and date given will display with the most recent one listed first.
Notes contain OneView and Falcon Silver notes created for the patient. The notes list will include all finalized and in progress notes that were created in OneView, but only the finalized notes from Falcon Silver. The list defaults to the past 60 days of active notes but can be changed by selecting the dropdown to chose the past 6 months, year, or 2+ years or by selecting the Show Inactive checkbox.
The note detail will include the note type, date of the encounter, the physician who created the note, and note status. Encounters marked as having a completed H&P will show the HP indicator next to the encounter note type.
Patient History contains the patient’s medical, surgical, social, and family history along with the date it was last updated. History types with no history information will be blank.
The Profile tab will have read-only patient data for the selected patient. The current patient details, provider’s contact information for all facilities where the patient dialyzes, the patient’s primary, secondary, and tertiary insurance data will be shown, if available.
Click the “Pharmacy” link to view the patient’s current pharmacy data, as set in Rcopia.
Non provider practice users with “Practice Super User” access can edit the pharmacy information. The Pharmacy field will default to that patient’s most recently used pharmacy. Click the dropdown arrow to view all pharmacies. The pharmacy can be modified by using the pharmacy management options.