Home Health Reports User Guide - CPSI Application Documentation

Patient Functions Forms 17Date: Date pulls from Patient Evaluation Information page 1.Time: Time pulls from Patient Evaluation information page 1.Nurse Number: Nurse number pulls from Patient Evaluation Information page 1.Admit to Service: Admit to service pulls from Patient Evaluation Information page 1.Reason not Admitted: Reason not admitted pulls from Patient Evaluation Information page 1only if the "Admit to Service" field is answered “N”. If answered "N" additional prompts present tostate reason for patient not being admitted to service.Refer to Other Agency: Refer to other agency pulls from Patient Evaluation Information page 1only if the "Admit to Service field is answered "N". If answered "N" additional prompts present toidentify where the patient is being referred.Advance Directive?: Advance directive pulls from Patient Evaluation Information page 2.DNR: DNR pulls from Patient Evaluation Information page 2.Comments: Comments pull from Patient Evaluation Information page 1.© 2014 Computer Programs and Systems, Inc.