Here's a guide we are using for our scanning of paper charts:
Sorry for the poor formatting, word docs do not copy and paste well......
OV NOTES- ONE YEAR “OV NOTES 1/1/08 – 9/15/09)
Item type “OFFICE VISIT”
LABS- ONE YEAR “LAB NOTES (1/1/08 – 9/15/09)”
Item type “LABORATORY”
PAPS (in back of LAB) scan separate- ALL PAPS
“PAPS (1/1/05 - 1/1/08)”
Item type “PATHOLOGY”
XRAY/EKG – ALL “IMAGING (1/1/08 – 9/15/09)”
Item type “RADIOLOGY”
CONSULTATIONS- ALL “CONSULTATIONS (1/1/08 -9/15/09)”
Item type- “CONSULT”
HISTORY AND PHYSICAL- ONE YEAR “HISTORY AND PHYSICAL (1/108 - 9/15/09)”
Item type “HISTORY AND PHYSICAL”
APROS and PRESCRIPTIONS “RX”
Item type PRESCRIPTION
INSURANCE- MOST RECENT INSURANCE CARD
“INSURANCE” or “BIA”
Item type PT INFORMATION
REGISTRATION- PT REGISTRATION FROM 2009 ONLY
“REGISTRATION” Item type PT INFORMATION
HIPPA SIGNATURE IN VERY BACK OF CHART, one only
“HIPPA” Item type PT INFORMATION
LOOK AT ALL NAMES AND DATES
MAKE SURE IT’S IN CHRONOLOGICAL ORDER
