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About the Admission Section
N o t e
The name of this section may be different in your configuration (see “Overall
Configuration of the Patient Folder” on page 41 in the Configuration chapter).
The Admission section consists of two pages containing administrative information about the admission. Primary information is on the main page and secondary information is on the page.
1. Click the Admission section tab.
2. Type in the appropriate data or use the selection lists.
3. If necessary, enter data on the page.
4. If you make a mistake, click [Undo] to clear entries just made.
5. Click [Close] to save your changes.
Additional Information
Field
Date
Operation
Description
Date and time of admission. Fields are preset with current date and time. Note: Date of hospital admission can be entered on the second page.
Specifies whether the patient was admitted after an operation or for other medical reasons.
Using the Patient Folder Module 3-7
Patient Category
Primary Hospital
Diagnosis
Age
Defines the type of nursing effort required (this is the same as the list in the Nursing section).
Primary diagnosis from when the patient was admitted to the hospital. Note: This is on the second page. (This note is not ICD-coded.)
The age used throughout Documentation Center is the age at the date of admission.
3-8 Using the Patient Folder Module
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