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Clinical History displays the following information on a patient: transcriptions, lab results, physician documentation, nursing documentation, scanned images, and reports for all encounters.

 

NOTE: When printing a POC Report from an active account, it is defined by a date range spanning from the beginning of the stay through the date and time selected for inclusion in reports and attachments. This allows users to generate reports reflecting the most up-to-date information available. The Printed and Run Date fields within a POC Report denote the date and time the report is printed, providing a time stamp for reference. When printing a POC Report from an account that has purged, it will also maintain a date range, extending from the start of the stay to the last possible date any changes could have been made before purging to clinical history. For a purged account, the Printed and Run Date/Time field displays the date and time of purging, as this marks the final moment any alterations could occur. Once an account is purged, it transitions to a static state, and the last version of the report becomes the permanent record saved.

 

NOTE: Facilities outside of the United States may choose a date format of MMDDYY, DDMMYY, or YYMMDD to be used throughout the Clinical History application. A TruBridge Representative will need to be contacted in order for the date format to be changed.