Encounter Details tab (claim)

Control Name

Type

Description

Claim ID

text field

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.

1. If setting ID Prefix is empty, then Claim ID / Request ID is generated as [value from setting Provider ID]-[auto-generated value].
2. If setting ID Prefix has value, then ID is generated as [value from setting Provider ID]-[value from setting ID Prefix]-[auto-generated value].
3. Claim ID must be unique.

Encounter start

date picker

Visit start date. The latest saved Encounter start is preselected by default in new requests and claims.

Encounter end

date picker

Yes, if Encounter type = 3 or 4

No, otherwise

Visit end date. Encounter end must be greater than or equal to Encounter start. If the user sets Encounter start > Encounter end, then Encounter end adjusts to Encounter start automatically.

The field becomes mandatory if the user selects Encounter type = 3 or 4).

Set today as encounter start date

link 

On clicking the link Encounter start switches to today's date.

Encounter type

drop-down list

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 Encounter type will be preselected by default in new requests and claims.

Encounter start type

drop-down list

Yes, if Encounter 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 Encounter type = 3 or 4.

Encounter end type

drop-down list

Yes, if Encounter 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 Encounter type = 3 or 4.

Yes, if Encounter 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 Encounter 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.

Yes, if Encounter 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 Encounter 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.

Diagnosis type

drop-down list

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

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

All diagnoses added to a claim. The grid contains the following columns:

• Type - shows the value selected from Diagnosis type drop-down list;
• Code - shows the value set in ICD10 diagnosis field.

Add this diagnosis to your favourites

link 

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 the link disappears.

Search for your favourite diagnosis

link 

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 

On clicking the link (or pressing Ctrl + N) an empty row adds to the Selected diagnoses grid.

Remove this diagnosis (Ctrl + D)

link 

On clicking the link (or pressing Ctrl + D) the highlighted row removes from the Selected diagnoses grid.