Deleting records:
Incident:
FOO, FLYDOCL , DOB : 09/16/1932 : This pt is not in CPRS
FOO, FLYDOC , DOB 8/24/1937 : This pt is in CPRS . Incorrect Data was entered into FOO, FLYDOCDOB 8/24/1937, which belonged to FOO, FLYDOC , DOB : 13/16/XXXX.
Person Reported:
xxbb
Action by:
FLYDOC
Solution: Deleted Progress note recordof FOO, FLYDOCDOB 8/24/1937 or by going into MIS manager menu by Syed. And charted the print out to FOO, FLYDOCL , DOB : 13/16/XXXX chart because she was not in CPRS.
Deleted Progress note ( 2 ) , Vitals , Allergy , Problem and Medication (2)
PROCEDURE:
DELETED PROGRESS NOTES:
Used MIS manager menu
FOO,FLYDOC <A> F 08-24-1937 29221
A: Known allergies
A: Known allergies
Available documents: 09/25/2007 thru 09/25/2007 (2)
Please specify a date range from which to select documents:
List documents Beginning: 09/25/2007// t (SEP 25, 2007)
Thru: 09/25/2007// t (SEP 25, 2007)
1 09/25/2007 07:14 ADULT GENERAL VISIT PROVIDER 1
Visit: 09/25/2007
2 09/25/2007 07:12 ADULT SOCIAL HISTORY PROVIDER 2
Visit: 09/25/2007
Choose one or more documents: (1-2): 1
Opening ADULT GENERAL VISIT record for review...
Browse Document Sep 25, 2007@10:14:05 Page: 1 of 5
ADULT GENERAL VISIT
FOO,B 29221 PROVIDER 1 Visit Date: 09/25/2007 07:02
STANDARD TITLE: INTERNAL MEDICINE ATTENDING PROGRESS NOTE
DATE OF NOTE: SEP 25, 2007@07:14 ENTRY DATE: SEP 25, 2007@07:14:35
AUTHOR: WILLIAMSON,ELIZA EXP COSIGNER:
URGENCY: STATUS: COMPLETED
HISTORY AUTHOR: FOO
CHIEF COMPLAINT: HISTORIAN:Patient
1.RIGHT ARM/HIP PAIN
2.Rash/ITCHING ON RIGHT ARM AND BUTTOCKS for 1 month(s)
MEDICATIONS (OTC): CAMPO-PHENIQUE
SOCIAL HISTORY: SOCIAL HISTORY REVIEWED
+ + Next Screen - Prev Screen ?? More actions
DELETING ADULT GENERAL VISIT For FLYDOCFOO's 09/25/07 07:02 Visit.
Are you SURE you want to DELETE? NO// y YES
Reason for DELETION (Privacy Act or Administrative): PRIVACY ACT// Wrong Pt. , R
Enter a code from the list.
Select one of the following:
P privacy act
A administrative
Reason for DELETION (Privacy Act or Administrative): PRIVACY ACT// administrativ e
***********************************************************************
* This document will now be RETRACTED. As such, it has been removed *
* from public view, and from typical Releases of Information, *
* but will remain indefinitely discoverable to HIMS. *
***********************************************************************
Press RETURN to continue...
FOO,FLYDOC <A> F 08-24-1937 29221
A: Known allergies
A: Known allergies
Available documents: 09/25/2007 thru 09/25/2007 (2)
Please specify a date range from which to select documents:
List documents Beginning: 09/25/2007// t (SEP 25, 2007)
Thru: 09/25/2007// t (SEP 25, 2007)
1 09/25/2007 07:14 ADULT GENERAL VISIT (RETRACTED)
Visit: 09/25/2007
2 09/25/2007 07:12 ADULT SOCIAL HISTORY
Visit: 09/25/2007
Choose one or more documents: (1-2): 2
Opening ADULT SOCIAL HISTORY record for review...
Browse Document Sep 25, 2007@10:18:07 Page: 1 of 2
ADULT SOCIAL HISTORY
FOO,B 29221 PROVIDER 1 Visit Date: 09/25/2007 07:02
STANDARD TITLE: PRIMARY CARE H & P NOTE
DATE OF NOTE: SEP 25, 2007@07:12 ENTRY DATE: SEP 25, 2007@07:13:06
AUTHOR: PROVIDER 2 EXP COSIGNER:
URGENCY: STATUS: COMPLETED
No data available
Marital status:...... MARRIED
Employment:...... NO
Housing Arrangememts:...... 3/MEMBERS
School-Grades Completed:... 6TH GRADE
Ethnicity:...... HISPANIC
Siblings:...... 5
Travel:...... NO
+ + Next Screen - Prev Screen ?? More actions
DELETING ADULT SOCIAL HISTORY For FLYDOCFOO's 09/25/07 07:02 Visit.
Are you SURE you want to DELETE? NO// y YES
Reason for DELETION (Privacy Act or Administrative): PRIVACY ACT// administrativ e
***********************************************************************
* This document will now be RETRACTED. As such, it has been removed *
* from public view, and from typical Releases of Information, *
* but will remain indefinitely discoverable to HIMS. *
***********************************************************************
Press RETURN to continue...
DELETING VITALS:
FOO,FLYDOC <A> F 08-24-1937 29221
A: Known allergies
A: Known allergies
Select DATE (TIME optional) of this error: t (SEP 25, 2007)
CHOOSE FROM:
1 SEP 25, 2007@07:16:29
BP: 120/76
T: 98.5 F (36.9 C)
R: 20
P: 96
WT: 175 lb (79.55 kg)
Select VITAL/MEASUREMENT from the above list: 1
*** DATA TO BE ENTERED IN ERROR ***
SEP 25, 2007@07:16:29
BP: 120/76
T: 98.5 F (36.9 C)
R: 20
P: 96
WT: 175 lb (79.55 kg)
Select a VITAL type record, or press return to correct DATE/TIME, PATIENT or se
t INVALID for the record: bp BLOOD PRESSURE BP
1 INCORRECT DATE/TIME
2 INCORRECT READING
3 INCORRECT PATIENT
4 INVALID VITAL/RECORD
Select the reason(s) for entering this vital/measurement in error
or type '^' to exit: 4
.
1 Vitals/Measurement Data Entry ...
2 Vitals/Measurements Results Reporting ...
3 Edit a Vital/Measurement Entered in Error
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