Document a Patient Has No Known Procedures
You can document within a patient’s chart that the patient did not have any known procedures performed.
- Open the Procedures Module..
- Select the No Known Procedures check box.
Note:
- If Enterprise Chart is turned on, the information applies to all practices under that enterprise. If Enterprise Chart is not turned on, the information applies only to the currently selected practice.
- To meet regulatory guidelines, the information is extracted when a Consolidated Clinical Document Architecture (C-CDA) document is generated for reporting purposes. If procedures are listed and the check box has not been cleared, the check box is ignored when C-CDA data is extracted.
- The check box does not automatically clear when procedures are added to the patient chart. When the check box no longer applies, you must manually clear the check box.
- You must have View and Update permissions in the System Administrator. In System Administrator, open Rights > Modules > Medical Records > Procedures/Implantable Devices to be able to modify this check box. If you have only View permissions, you can see the check box, but not modify it.