(Topic Last Updated On: 05/05/2010)
This report displays a formal transfer summary for a patient transferred on the Discharge/Transfer screen. Basic Patient Profile and Dosing Information is presented for the patient, as well as the patient's drug screen result history. The transfer summary entered is then presented, including a summary of the patient's active treatment plan goals at time of transfer. This report is generally printed for each patient transferred from a facility, signed by the doctor, then filed in patient charts.
Patient
This field displays the 'Patient ID' number and full name of the patient who was transferred.
SSN
This field displays the 'SSN' of the transferred patient as entered on the Patient Profile screen.
Phone
This field displays the 'Phone' number of the transferred patient as entered on the Patient Addresses window for the 'Patient' address type.
CID #
This field displays the 'State ID (CID)' number of the transferred patient as entered on the Patient Profile screen.
Address
This field displays the transferred patient's 'Street Address', 'City', 'State', and 'Zip' as entered on the Patient Addresses window for the 'Patient' address type.
Transferring To
This field displays the facility selected in the 'Transfer to' field on the Discharge/Transfer screen. This field displays the 'Clinic Name', 'Street Address', 'Street Address (2)', 'City', 'State', 'Zip', 'Phone Number' and 'Fax' for the facility the patient is transferring to, as entered on the Clinic Information screen for the selected facility.
Discharge Date
This field displays the 'Discharge Date' selected on the Discharge/Transfer screen when the transfer was entered.
Dose (mgs)
This field displays the total daily dosage amount of the transferred patient as entered on the Dosing Information screen.
Intake Date
This field displays the 'Intake Date' of the transferred patient as entered on the Dosing Information screen.
Intake Dose (mgs)
This field displays the 'Intake Dose' of the transferred patient as entered on the Dosing Information screen.
Drug Type
This field displays the 'Drug Type' of the transferred patient as entered on the Dosing Information screen.
Dose Type
This field displays the 'Dose Type' of the transferred patient as entered on the Dosing Information screen.
Phase Level
This field displays the 'Phase Type' of the transferred patient as entered on the Dosing Information screen.
Dosing Schedule
This field displays the 'Present Day(s)' of the week the transferred patient was scheduled to attend the facility, as entered on the Dosing Information screen.
Last Contact
This field displays the 'Last Contact' date selected on the Discharge/Transfer screen when the transfer was entered.
Patient Balance
This field displays the transferred patient's 'Patient' balance at the time of transfer, as calculated on the Patient Payments screen.
Last Dose Date/Takeouts
This field displays the last 'Dosed On' date the transferred patient attended the facility and received medication at the dosing window, as well as the number of takeouts the patient received on the 'Last Dose Date'.
Last Dose Amount (mgs)
This field displays the amount of mgs the patient ingested at the dosing window on the 'Last Dose Date'.
Last Drug Screens
This section of the report displays the transferred patient's drug screen result history as entered on the Drug Screen Results screen. Refer to the Patient Drug Screen Results report topic for more details on the drug screen results grid.
Patient's Birthdate
This field displays the transferred patient's 'Birth Date' as entered on the Patient Profile screen.
Race
This field displays the transferred patient's 'Race' as selected on the Patient Profile screen.
Marital Status
This field displays the transferred patient's 'Marital Status' as selected on the Patient Profile screen.
Physical Description
This field displays the transferred patient's 'Height', 'Weight', 'Hair Color', 'Eye Color', and 'Other Descriptive Information' as entered on the Patient Profile screen.
Patient's Condition at Admission
This field displays the text entered in the 'Patient Admission Condition' field on the Discharge/Transfer screen when the transfer was entered.
Patient's Current Condition
This field displays the text entered in the 'Current Patient Condition' field on the Discharge/Transfer screen when the transfer was entered.
Treatment Summary
This field displays the text entered in the 'Treatment Results Summary' field on the Discharge/Transfer screen when the transfer was entered, followed by a grid summarizing the transferred patient's active treatment plan goals at the time of transfer. Refer to the 'Report Column Explanations' section below for information on the 'Treatment Summary' grid.
Reason for Discharge
This field displays the selection made in the 'Discharge due to' field, followed by the text entered in the 'Additional Reasons' field on the Discharge/Transfer screen when the transfer was entered.
Follow-up Plans
This field displays the text entered in the 'Follow-up Plans' field on the Discharge/Transfer screen when the transfer was entered.
Date
This column displays the 'Target Date' for each active Goal on the transferred patient's treatment plan at the time of transfer, as entered on the Treatment Plan screen.
Goal Description
This column displays the 'Goal Text' for each active Goal on the transferred patient's treatment plan at the time of transfer, as entered on the Treatment Plan screen.
Notes
This column displays the 'In Patient's Own Words' text for each active Goal on the transferred patient's treatment plan at the time of transfer, as entered on the Treatment Plan screen.
Outcome Status
This column displays the 'Outcome Status' for the Outcome for each active Goal on the transfered patient's treatment plan at the time of transfer, as entered on the Treatment Plan screen.
Patient ID
This parameter allows users to limit the report's data to only display transfer summaries for the patient whose 'Patient ID' is entered here.
Transfer Date
This parameter allows users to limit report data to display only transfer summaries with the 'Discharge Date' selected here.
Show SNAP
This checkbox determines whether or not a discharged patient's last SNAP profile will be included on this report.