Important Content Update Message
We are currently updating the OP Help Center content for the release of OP 20. OP 20 (official version 20.0.x) is the certified, 2015 Edition, version of the Office Practicum software. This is displayed in your software (Help tab > About) and in the Help Center tab labeled Version 20.0. We appreciate your patience as we continue to update all of our content.

Medical Record Disclosure Tracking

Version 14.19

About Medical Record Disclosure Tracking (Access Patient Records)

Path: Log In/Out dropdown > Emergency Override

The Medical Record Disclosure Tracking window has two purposes (for access to a patient's records). The first provides a staff member, who normally does not have access to a patient’s information, emergency access privileges to the patient’s record. The staff member must enter a user name, password, and reason for why the information was accessed.  This action is logged.

Medical Record Disclosure Tracking Map (Access Patient Records)

Number

SectionDescription

1

User CredentialsUser Credentials (user name and password) are required to access the patient’s information.

2

Reason DropdownThe Reason dropdown logs the reason why the patient’s record was accessed.

3

Additional InformationThe Additional Information box inputs further clarification details about why the patient’s record was accessed.

About Medical Record Disclosure Tracking (Print Patient Records)

The second type of Medical Record Disclosure Tracking window (for printed records) provides tracking for any items printed from a patients electronic chart.  This is able to be tracked through the audit trail.

Medical Record Disclosure Tracking Map (Print Patient Records)

Number

SectionDescription

1

Medical Record to be PrintedSelects the areas of a patient's medical records to be printed.  Select the record from the complete record list (left box) and click the Copy button.  Clicking the Copy button will  copy the record from the patient's complete record list (left box) to the records to be printed list (right box).

2

Recipient of the Records Being ReleasedThe Recipient of the Records Being Released drop down selects the recipient of the printed records.  

3

Additional Recipient InformationThe Additional Recipient Information box inputs further clarification details about the recipient (and why the patient's account was accessed).
4Who Authorized this RequestThe parent or guardian who authorized the patient records to be printed/released.
5Staff MemberIndicates the Staff Member that processed the release of the patient's records.
6Function ButtonsThe Function buttons accept (by clicking the OK button) or deny (by clicking the Cancel button) the Medical Records from being printed.
Version 14.10

About Medical Record Disclosure Tracking (Access Patient Records)

Path: Log In/Out menu > Emergency Privileges Override Log In ([Alt][L][E])

The Medical Record Disclosure Tracking window has two purposes (for access to a patient's records). The first provides a staff member, who normally does not have access to a patient’s information, emergency access privileges to the patient’s record. The staff member must enter a user name, password, and reason for why the information was accessed.  This action is logged.

Medical Record Disclosure Tracking Map (Access Patient Records)

Number

SectionDescription

1

User CredentialsUser Credentials (user name and password) are required to access the patient’s information.

2

Reason DropdownThe Reason dropdown logs the reason why the patient’s record was accessed.

3

Additional InformationThe Additional Information box inputs further clarification details about why the patient’s record was accessed.

About Medical Record Disclosure Tracking (Print Patient Records)

The second type of Medical Record Disclosure Tracking window (for printed records) provides tracking for any items printed from a patients electronic chart.  This is able to be tracked through the audit trail.

Medical Record Disclosure Tracking Map (Print Patient Records)

Number

SectionDescription

1

Medical Record to be PrintedSelects the areas of a patient's medical records to be printed.  Select the record from the complete record list (left box) and click the Copy button.  Clicking the Copy button will  copy the record from the patient's complete record list (left box) to the records to be printed list (right box).

2

Recipient of the Records Being ReleasedThe Recipient of the Records Being Released drop down selects the recipient of the printed records.  

3

Additional Recipient InformationThe Additional Recipient Information box inputs further clarification details about the recipient (and why the patient's account was accessed).
4Who Authorized this RequestThe parent or guardian who authorized the patient records to be printed/released.
5Staff MemberIndicates the Staff Member that processed the release of the patient's records.
6Function ButtonsThe Function buttons accept (by clicking the OK button) or deny (by clicking the Cancel button) the Medical Records from being printed.