How do I find a previous medical record that is no longer in old records on patients Record tab? I have billing info and a prescription but on a specific date the medical record is no longer there. The patient is requesting a copy of his record. What do I do? Is there a way to retrieve it? Help.
Post by friscoeyeassociates on Nov 29, 2017 16:05:09 GMT -6
In my experience the only way to lose a med rec is to delete it manually. You can go to the patient chart and then go to the files tab and then click on show patient log. Here you will be able to see if there has ever been a record deleted for that patient... If it was not deleted then there is likely some other small detail that is being missed, unless you have noticed this issue happening on more than just this patient. Potentially the record's date could have been changed after the fact? Is it possible that the technician, scribe or doc who initially pulled up chart in the room pulled up the wrong patient and an exam was done under another patients chart? Maybe there is another patient with same or similar name and the exam was done in that patient's chart? Did you already have Crystal PM at the time this patient was seen, or could this be a transfer issue from a previous EMR?
You may have check and balance systems in place to make sure none of those things happened, as we do, however these are the places I would look first.
If it was deleted, we may be able to get it back. Create a new record in that patient, type test into one of the fields and then backdate it to the DOS in question. Go back into the patient's records, click on old records and choose the DOS and then edit the record. EHR Settings->Record Information->Display Change Log->Restore All Deleted Values Go back into the patient's records, click on old records and choose the DOS and see what information the system was able to restore. It's not always able to restore the record but is worth a try.
If you are not comfortable doing this, Support->Request support at the top of Crystal and we can give you a call.