Clinical E-Doc Tabs
The DME/Supplies tab is used to keep a record of equipment being used by the Patient as well as the condition of the equipment.
To add new supplies, select the desired checkbox and then use the dropdown to specify what type of supply it is.
For example:
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Click the Cane checkbox to open the dropdown menu.
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Select Straight Cane or Quad Cane.
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Repeat this process for every DME and/or Supply item.
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Click Save to finalize.
Values in these dropdowns are managed by the Agency, not HHAeXchange. Contact the Agency Representative if a value is not listed.
If the Patient already has equipment in their home, use one of the checkboxes in the Equipment In Home section to specify what equipment they have:
If the Patient has equipment that is not listed by one of the available checkboxes, use the Other fields to manually type in the DME/Supply item. Specify the condition of the Patient’s equipment in the Condition of Equipment In Home section:
The Medication tab is used to record medication assessments and maintain a history of the Patient’s medication regimen. When a Patient’s medication is added, edited, discontinued, or deleted in the eDoc or MD Order, the change syncs displaying in the Patient Med Profile page under Patient > Med Profile. When a medication is changed to a different one, then the new medication information replaces the older one. If deleted, then the medication is deleted from the Med Profile.
Information only syncs from the Patient’s Med Profile to the eDoc/MD Order one time; when created. If information is added or changed on the Patient’s Med Profile after the eDoc or the MD Order is created, then it does not sync to either the eDoc or MD Order.
This section covers entering medication assessments and updating the Med Profile.
Medication Assessment
Complete the following steps to enter a new medication assessment.
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Select Yes for the Medication Assessed This Visit field. This prompts the system to generate 5 additional questions.
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Answer questions 2 through 6 to complete the assessment. Depending on the answers, additional clarification in the provided text box may be required.
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If No is selected for a medication assessment, then further clarification is required. Enter information in the text box . Questions 2 through 6 are not required in this case.
The Nutrition tab is used to record and keep notes on the Patient’s diet. Some fields, such as GM Sodium and GM Carbohydrates, require an additional value if selected. The requirement for each of these fields varies.
The Paraprofessional Supervision tab is used to enter an assessment when a Non-Skilled Caregiver is assessed or supervised during a visit.
The fields provided are used to document the Non-Skilled Caregivers Name and designation, their competency performing POC tasks, any instructions provided to them, and their response to instructions. At the top of the page:
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Select |
To… |
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Yes |
complete all required fields before continuing to the next page. |
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No |
if a supervisor did not assess another Caregiver or complete an assessment to save and continue. |
The Visit Info tab is automatically opened when adding a Clinical e-Doc. The Visit Start Time and Visit Date must be entered prior to going to any other page.
The Vital Signs tab contains fields to record Blood Pressure, Pulse, Temperature, Respiration, Lungs, and Weight. If Patient’s Blood Pressure, Pulse, or Temperature was not assessed, select the Not Assessed checkbox in the applicable sections.
