Clinical Details in the Patient Chart

The Patient Care > Clinical Details section of the patient's chart will display read-only comprehensive treatment and lab data relative to the patient’s modality.

Navigating Clinical Details

The Clinical Details section of the chart is organized by care category. 

The care categories can be collapsed or expanded for added flexibility.

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.

If a care category is selected from either the "Go To" dropdown or from within the encounter note, you will be taken to that care category section with the data automatically expanded.

Care Categories

The Clinical Details section of the chart is organized by care category. Details about each care category are listed below.

Amount of Data Displayed

In some care categories, such as Fluid/BP, treatment data only displays if it is available for the patient's specific modality.  For instance, a PD clinical visit may only show Target Weight and BP Sitting, while an In-Center Hemodialysis patient may have Pre and Post values. Another example is when patients transition to PD from hemodialysis. Both parameters may be visible until the patients’ historical data is fully transitioned to PD. Similarly, a PD patient may have up to 70 lab results in the Adequacy care category, while an In-Center Hemodialysis patient may only have 12.

Lab Data

Up to 720 days of lab data can be retrieved in the Adequacy, Anemia, Nutrition, and MBD care categories.  

Hovering over a lab value will reveal a tooltip with the result value, test code, reference range, collection date and time, and laboratory name.

Peritoneal Equilibration Test

For PD patients, the PET (Peritoneal Equilibration Test) results and date are displayed in a section named “PET Transport Classifications” below the Adequacy care category. 

The section will include 5 ratios along with their corresponding values.

The 5 ratios are 0HR D/P, 2HR D/P. 4HR D/P, 2HR D/DO, and 4HR D/DO.  Each ratio will fall into a specific range of Low, Average Low, Average, Average High, or High.  

Click the ratio data to view the associated value ranges for that ratio.

To view all data for the PET profile, click the " SHOW FULL REPORT" link.

Prescribed Treatment Medications

Under the Anemia, Nutrition, and MBD care categories, the prescribed treatment medications that were active for that lab draw date will display.

An orange dot to the right of a medication dosage indicates that there are multiple active orders.

When you hover your cursor over the medication dosage, a tooltip will appear with the medication name, dose, unit, route, frequency, start date, discontinue date and reason, end date, and protocol, if available.

The "LABS" tab is the default view under the Anemia, MBD, and Nutrition care categories.  Hover over lab value to obtain additional information.

The "MEDS" view shows the actual date and dosage of a treatment medication given to a patient in a DaVita dialysis facility.

Study medications will be included but not any medications taken outside the treatment.

When you hover your cursor over the medication dosage, a tooltip will appear with the medication name, dose, unit, route, frequency, start date, discontinue date and reason, end date, and protocol, if available.

Clicking the Mircera informational tooltip will display details about the patient’s next dose of Mircera and an email address for questions or comments.

Treatment Details

Under the Adequacy, Nutrition, and MBD care categories, the following treatment details will show:  Tx Time, Last Delivered date which indicates the last treatment for which the listed treatment parameters were delivered, Dialysate Potassium, Calcium & Bicarb, Heparin Loading Dose and Heparin Hourly Dose, Heparin Concentration, and Prescribed BFR, Dialyzer for hemodialysis patients.

For CAPD or CCPD patients, Target Wt, Total Fill Vol 24, PD Type, Total Fills, Dry, and Tidal treatment parameters will display.  Click "SHOW MORE" to expand and see the full details. 

Care Activities and Patient Notes

The care activity and patient notes finalized in CWOW by the care team within the last 6 months are available in the Clinical Details section of the patient’s chart. 

They display within the notes carousel in the associated care category, along with the provider notes. The care activity and patient notes may contain a title, completed date, comments or details, and care category tags.

DaVita-approved education materials provided to the patient are documented with the associated care team note.

The Mandatory Reporting of Abuse or Neglect assessment is only visible to providers and will have a Sensitive information indicator.  Practice staff will not be able to view this assessment.

Click the information icon for additional information about the sensitive nature of the document.

Barriers

Barrier pathway care activities provide valuable insights into the specific obstacles your patients may encounter in accessing care.  The DaVita care team will document these barriers to offer detailed insights and additional comments.

The barrier status appears for in-progress care activities and allows you to view barrier data related to access, placement or removal, psychosocial reasons, transportation, and key obstacles that affect patients' completion of necessary steps and activities required for their care.  The barriers are displayed in the Patient Status section of the Clinical Details tab.

An orange dot indicates a New Barrier and  the green dot shows Barrier Resolved.  Regardless of the status, the barrier name, the date created or updated, optional additional teammate comments, and the name of the teammate who created or updated the barrier will be visible.