Home Health Reports User Guide - CPSI Application Documentation

Patient Functions Forms 15Listed below is an explanation of each column.Name: The patient name pulls from Patient Referral Information page 1.Address1: The address 1 pulls from Patient Referral Information page 1.Address2: The address 2 pulls from Patient Referral Information page 1.City/St: The city/st pulls from Patient Referral Information page 1.Zip Code: The zip code pulls from Patient Referral Information page 1.County: The county pulls from Patient Referral Information page 1.Account Number: The account number is assigned during Registration.Phone: The phone pulls from Patient Referral Information page 1.DOB: The DOB pulls from Patient Referral Information page 1.AGE: The age pulls from the Patient Referral Information page 1.Sex: The sex pulls from Patient Referral Information page 1.M/S: The marital status pulls from Patient Referral Information page 1.Race: The race pulls from Patient Referral Information page 1.Chief Complaint: The Chief Complaint pulls from Patient Referral Information page 1.Additional Complaints: The additional complaints pull from Patient Referral Information page1.Surgical Procedure: The surgical procedure pulls from Patient Referral Information page 1.Attending Physician: The attending physician pulls from Patient Referral Information page 1.NPI: The NPI pulls from Physician Maintenance page 1.Phone: The phone pulls from Physicians Maintenance page 1.Last Hospital Stay: Last hospital stay pulls from Patient Referral Information page 1.Fax: Fax pulls from Physician Maintenance page 3.Admitted: Admitted pulls from Patient Evaluation Information page 1.Discharged: Discharged pulls from Patient Evaluation Information page 1.D/C Summary Requested: D/C summary requested pulls from Patient Referral Informationpage 1.© 2014 Computer Programs and Systems, Inc.