(Topic Last Updated On: 05/05/2010)
This report displays a summary of each patient's Patient Profile, Payment and Dosing Information, providing a broad overall demographic and treatment profile for each patient. This report is generally used for reference, periodically printed and filed in each patient's chart, and/or provided to other facilities when transferring or guest dosing a patient.
(Photo Frame)
This field displays each patient's photo, as saved on the Patient Profile screen for each patient.
Patient is ACTIVE/INACTIVE
This field displays whether or not each patient is Active or Inactive, as saved on the Patient Profile screen for each patient.
Patient ID
This field displays each patient's 'Patient ID' number, as saved on the Patient Profile screen for each patient.
Patient Name
This field displays each patient's Name, in 'Last Name, First Name' format, as saved on the Patient Profile screen for each patient.
Patient CID
This field displays each patient's 'State ID (CID)' number, as saved on the Patient Profile screen for each patient.
Patient SSN
This field displays each patient's Social Security Number, as saved on the Patient Profile screen for each patient.
Physical Description
This field displays each patient's 'Other Descriptive Information', as saved on the Patient Profile screen for each patient.
Home Clinic
This field displays each patient's 'Home Clinic', as saved on the Patient Profile screen for each patient.
Counselor
This field displays each patient's assigned 'Counselor', as saved on the Patient Profile screen for each patient.
Modality
This field displays each patient's treatment 'Modality', as saved on the Patient Profile screen for each patient.
DL Number
This field displays each patient's Driver's License number, as saved on the Patient Profile screen for each patient.
DL State
This field displays each patient's Driver's License state, as saved on the Patient Profile screen for each patient.
Birthdate
This field displays each patient's 'Birth Date', as saved on the Patient Profile screen for each patient.
Gender
This field displays each patient's 'Gender', as saved on the Patient Profile screen for each patient.
Marital Status
This field displays each patient's 'Marital Status', as saved on the Patient Profile screen for each patient.
Employment
This field displays each patient's 'Employment' status, as saved on the Patient Profile screen for each patient.
Race
This field displays each patient's 'Race', as saved on the Patient Profile screen for each patient.
Patient Address
This field displays each patient's address, as saved on the Patient Addresses window for each patient.
Emergency Contact Address
This field displays each patient's Emergency Contact address, as saved on the Patient Addresses window for each patient.
Intake Date
This field displays each patient's 'Intake Date', as saved on the Dosing Information screen for each patient.
Current Phase
This field displays each patient's 'Phase Type', as saved on the Dosing Information screen for each patient.
Dose Type
This field displays each patient's 'Dose Type', as saved on the Dosing Information screen for each patient.
Drug Type
This field displays each patient's 'Drug Type', as saved on the Dosing Information screen for each patient.
Frequency (Hours)
This field displays the Drug Type's duration for each patient. '24' indicates that a Drug Type is administered to the patient every 24 hours.
Intake Dosage (mgs)
This field displays each patient's 'Intake Dose' amount in mgs, as saved on the Dosing Information screen for each patient.
Current Dosage (mgs)
This field displays each patient's total daily dosage amount in mgs, as saved on the Dosing Information screen for each patient.
Payment Option
This field displays each patient's 'Payment Option', as saved on the Payment Information screen for each patient.
Payment Type
This field displays each patient's 'Acceptable Payment Type', as saved on the Payment Information screen for each patient.
Charge (charge option)
This field displays each patient's Patient balance 'Charge Amount', as saved on the Payment Information screen for each patient. The Patient balance 'Charge Option' for each patient is displayed in parentheses, also from each patient's saved Payment Information.
Insurance Charge (charge option)
This field displays each patient's 3rd-Party/Billing balance 'Charge Amount', as saved on the Payment Information screen for each patient. The 3rd-Party/Billing 'Charge Option' for each patient is displayed in parentheses, also from each patient's saved Payment Information.
Patient ID
This parameter allows users to limit the report data to just one particular patient's profile. If this field is left blank and the report is generated, a Patient Profile report will be generated for all active patients in your facility, each patient beginning on a new page of the report.