Encounter notes can be started from the Dialysis Schedule or the Patient Chart.
| Patients > Dialysis Schedule | Patient Chart |
Starting a Note
Via the Dialysis Schedule: Click the modality-specific +C or +L button or the blue plus sign to view a full list of note types. The comprehensive note includes the specific modality type in the encounter name to ensure consistency in documentation. Selecting a note type will open a new note in the patient's chart.
Via the Patient Chart: Click the NOTE button to view a list of note options and start a note. The NOTE button is visible in all sections of the Patient Chart, and the note options are the same.
Encounter Note Types
After selecting to add a note, you will select the type of note. The note types have the same fields and basic functionality except for the following differences:
The level of documentation detail is up to the provider’s discretion.
Click to view the differences
| Encounter Type |
Differences |
| ICHD Comprehensive Note | Labs not for the treatment of ESRD is available, if applicable |
| PD and HHD Comprehensive Note |
|
| AKI Note |
|
| Transition of Care |
Contains only hospitalization dates, post discharge follow up, and plan of care sections to document the transition of care process following a patient being discharged from the hospital |
| Home Training Note |
|
| Non Visit Note |
Contains only the date of activity and note comment sections and is used to document a patient interaction that doesn’t result in a billable activity |
Encounter Date and Facility
The date the encounter occurred and Facility where the encounter was performed are required fields in the encounter note. The Date of Encounter will default to today's date when a new note is created. The date can be modified. You can backdate up to 180 days from today, but no future dates are available for selection.
|
Click the calendar to select a date prior to today.
Click the Facility dropdown to change the facility. |
Encounter Completed With Telehealth
| The “Encounter Completed With Telehealth” statement allows a provider to document that the encounter was completed with telehealth. |
The option is available in all note types except Transition of Care and Non Visit Note.
|
For home encounter types (PD, HHD, and Home Training), a blue Telehealth hyperlink is available. |
When clicked, the Telehealth link will take you directly to DaVita Care Connect (DCC) to allow you to complete a telehealth visit. DCC will open in a new browser with you already logged in.
Sections of the Encounter Note
For more information on the fields in the encounter note, reference this article.
Encounter Note Efficiency
For more information on ways to create an encounter note more efficiently using the tools built into OneView, reference this article.
Managing Encounter Notes
For more information on creating and managing encounter notes to support accurate documentation and workflow efficiency, reference this article.