Patient Visit tab (claim)

Control Name	Type	Default Value / State	Mandatory	Description
Claim ID	text field	empty / enabled	Yes	Claim number. Claim ID for a new claim is generated automatically if Greenrain Facility generates Claim ID automatically is selected in Settings > General; the field is disabled. Claim ID can be set manually if Allow user to enter Claim ID manually is selected in Settings > General; the field is enabled in this case. The automatic generation of Claim ID is performed as follows. If setting ID Prefix is empty, then Claim ID / Request ID is generated as [value from setting Provider ID]-[auto-generated value]. If setting ID Prefix has value, then ID is generated as [value from setting Provider ID]-[value from setting ID Prefix]-[auto-generated value]. Claim ID must be unique.
Payer Claim ID	text field	empty / disabled	-	Claim number from the payer. The field is not editable.
Visit Info
Start Date	date picker	checked (today) / enabled	Yes	Visit start date. The latest saved Start Date is preselected by default in new requests and e-claims.
End Date	date picker	unchecked (today) / enabled	Yes, if Visit Type = 3 or 4 No, otherwise	Visit end date. End Date must be greater than or equal to Start Date. If the user sets Start Date > End Date, then End Date adjusts to Start Date automatically. The field becomes mandatory if the user selects Visit Type = 3 or 4).
Set today as patient visit date	link		-	On clicking the link Start Date switches to today's date.
Visit Type	drop-down list	preselected (1 - No bed + No emergency room) / enabled	Yes	Patient visit type. Possible values: 1 - No bed + No emergency room; 2 - No bed + Emergency room; 3 - Inpatient bed + No emergency room; 4 - Inpatient bed + Emergency room; 5 - Daycase bed + No emergency room; 6 - Daycase bed + Emergency room; 7 - National screening; 8 - New visa screening; 9 - Renewal visa screening; 12 - Home; 13 - Assisted living facility; 14 - Mobile unit; 41 - Ambulance - land; 42 - Ambulance - air or water. The latest saved Visit Type will be preselected by default in new requests and e-claims (/wiki/spaces/GF/pages/1117093889).
Visit Start Type	drop-down list	empty / enabled	Yes, if Visit Type = 3 or 4 No, otherwise	Patient visit start type. Possible values: 1 - Elective; 2 - Emergency; 3 - Transfer admission from acute care; 4 - Live birth; 5 - Still birth; 6 - Dead on arrival; 7 - Continuing encounter; 8 - Transfer admission from non-acute care. The field becomes mandatory if the user selects Visit Type = 3 or 4.
Visit End Type	drop-down list	empty / enabled	Yes, if Visit Type = 3 or 4 No, otherwise	Patient visit end type (how the patient was discharged). Possible values: 1 - Discharged with approval; 2 - Discharged against advice; 3 - Discharged absent without leave; 4 - Discharged transfer to acute care; 5 - Deceased; 6 - Not discharged; 7 - Discharged transfer to non-acute care. The field becomes mandatory if the user selects Visit Type = 3 or 4.
Transfer Source	text field + [...] selection button	empty / disabled	Yes, if Visit Start Type = 3 or 8 No, otherwise	Healthcare facility from where a hospital transfer originated. Format: code: description (Facilities list). The field enables, mandatory if the user selects Visit Start Type = 3 or 8. If the facility is not in the list of licensed providers, the user can enter '@' followed by the name of the facility.
Transfer Destination	text field + [...] selection button	empty / enabled	Yes, if Visit End Type = 4 or 7 No, otherwise	Healthcare facility to which a hospital transfer is made at the end of an encounter. Format: code: description (Facilities list). The field enables, mandatory if the user selects Visit End Type = 4 or 7. If the facility is not in the list of licensed providers, the user can enter '@' followed by the name of the facility.
Diagnoses
Type	drop-down list	empty / enabled	Yes	Diagnosis type. Possible values: Principal; Secondary; Admitting; Reason For Visit. A claim may have: the principal diagnosis only; the principal diagnosis and from one to several secondary diagnoses.
ICD10 Diagnosis	text field + [...] selection button	empty / enabled	Yes	Diagnosis from ICD10 code set. Format: code: description. The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button. If Diagnosis Effective Date <= 31 December 2016, the label becomes ICD9 Diagnosis: and ICD9 code set is used.
Selected Diagnoses	grid	empty	-	All diagnoses added to a claim. The grid contains the following columns: Type - shows value selected from Type drop-down list; Code - shows value set in ICD10 Diagnosis field.
Add this diagnosis to your favourites	link	hidden	-	The link appears when ICD10 Diagnosis is set and this diagnosis is not in Favourites list yet. On clicking the link the diagnosis adds to Favourites list and link disappears.
Search for your favourite diagnosis	link	enabled	-	On clicking the link Your Favourite Diagnoses form opens where all diagnoses once added to favorites are listed. If the user selects any of them and clicks Select button, the form closes and the diagnosis appears in ICD10 Diagnosis field.
Add new diagnosis (Ctrl + N)	link	enabled	-	On clicking the link (or pressing Ctrl + N) an empty row adds to the Selected Diagnoses grid.
Remove this diagnosis (Ctrl + D)	link	enabled	-	On clicking the link (or pressing Ctrl + D) the highlighted row removes from the Selected Diagnoses grid.