ClinicalNoteEncounterInformation
This table contains information from overtime single-response items about General Use Notes (HNO) records. Contact creation logic for clinical notes is as follows: 1. If a note doesn't exist, a new note is created. This represents the first contact on that note. 2. If a revision is filed by the incoming transcription interface, a new contact is created on the note being revised regardless of note status.
| Column Name | Type | Description |
|---|---|---|
| NoteLastEditSource | INTEGER | This column shows the source from which the note was last edited. |
| NoteFiledInstant | DATETIME | UTC formatted instant of when a note is filed. |
| NoteContactType | VARCHAR | This column shows what type the note was for a given version if the note type has been changed since being signed. |
| NoteCosignLocalInstant | DATETIME | The instant in local time when the note was cosigned. |
| TranscriptionDocumentType</blockquote> | VARCHAR | The document type of the transcription. |
| UnmergedSourceMedicationProblemIdentification | NUMERIC | The unique ID of the Med Problem List record. |
| CosigningUserIdentifier | VARCHAR | The user who cosigned the note. |
| NoteTypeCategoryBeforeUcnConversion | VARCHAR | This virtual item is populated with a category value from the note type (I HNO 50) according to the following logic: * if the note type (I HNO 50) is populated, use the value directly * if the note type (I HNO 50) is null and the note is not ambulatory, return null * if the note type (I HNO 50) is null and the note has an ambulatory encounter context, obtain a category from the UCN note type (I HNO 34033) and map that value to an equivalent category from the note type (I HNO 50), if possible |
| NoteDictationPriorityCategory | INTEGER | The dictation priority category number for the transcription. |
| DictatingProviderIdentifier | VARCHAR | The unique ID of the provider who is the originator of the dictation. |
| NoteAuthorLastUpdateLocalDatetime | DATETIME | Update by author instant in local format. |
| ElectrocardiogramDiastolicBloodPressure | VARCHAR | The diastolic blood pressure taken from the Electrocardiogram (ECG/EKG). |
| UnmergedPatientSourceNoteIdentification | VARCHAR | The source note ID before patient merge. |
| ElectrocardiogramComments | VARCHAR | Comments about the Electrocardiogram (ECG/EKG). |
| PartialDictationTranscriptionActivityDateTime | DATETIME | The activity date and time of the partial dictation/transcription. |
| SpirometryBronchodilatorType | VARCHAR | Stores the type of bronchodilator given to the patient (ex: Albuterol). |
| NoteBlockReasonComment | VARCHAR | Stores a free text comment with additional information about why a note was blocked from the patient. |
| CarePlanContactSerialNumber | NUMERIC | Link to care plan contact. Used to recreate historic versions of care plan. |
| NoteDictationDateTime | DATETIME | The dictation date and time. |
| NoteContactCreationSourceCode | INTEGER | This column shows who created the contact on a note. |
| NoteDraftStatus | INTEGER | Stores if the note is a draft or final version. |
| NoteAuthorUserIdentifier | VARCHAR | The unique ID associated with the user who is the author of the note. |
| NoteCosignedInstant | DATETIME | The instant when the note was cosigned. |
| ResultNoteStatementStatus | INTEGER | Holds the statement status of a result note, which indicates whether the author intends to add more documentation to the result. |
| NoteContactSerialNumber | NUMERIC | The contact serial number (CSN) of the contact. |
| CosigningAttendingNoteContactSerialNumber | NUMERIC | A note contact serial number (CSN) that points to the attending's note that cosigned this one. |
| NoteContactDate | DATETIME | The date of this contact in calendar format. |
| NoteSpecifiedDateTime | DATETIME | The note's specified date paired with the specified time. |
| ElectrocardiogramQTInterval | VARCHAR | The interval from the start of the QRS complex/wave to the end of the T wave on the Electrocardiogram (ECG/EKG). |
| NoteAuthorClinicalService | VARCHAR | The author's clinical service. |
| TreatmentSummaryEndDate | DATETIME | This column saves the end of treatment date for a treatment summary. |
| NoteLastUpdatedByAuthorInstant | DATETIME | The instant when the note is updated by the author. |
| ElectrocardiogramTWaveAxis | VARCHAR | The T wave axis for the Electrocardiogram (ECG/EKG). |
| ElectrocardiogramPWaveAxis | VARCHAR | The P wave axis on the Electrocardiogram (ECG/EKG). |
| NoteFileTimeLocal | DATETIME | Note file time in local format. |
| ContactDateNumber | FLOAT | A unique, internal contact date in decimal format. The integer portion of the number indicates the date of the contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc. |
| ExternalDocumentIdentifier | VARCHAR | This item stores the external document identifier assigned by the third party transcription system. |
| IsNotePrechartedFlag | VARCHAR | This indicates whether or not the note is currently a pre-charted note (in appointment encounter). |
| NoteTranscriptionEditDateTime | DATETIME | This is the transcription edit date and time. |
| TranscriptionCharacterCountRecordedDateTime | DATETIME | Date and time that the transcription character count was recorded. |
| NoteEditEncounterContactSerialNumber | NUMERIC | This column stores the patient encounter contact serial number (CSN) in which the note was edited. Used for persistent notes to determine in which encounter the note was edited. |
| NoteTextFormat | VARCHAR | The format of the note text like Plain Text, Rich Text, HTML etc. |
| ChartCorrectionIdentifier | NUMERIC | CCA id of the chart correction flag. |
| TreatmentSummaryGivenToPatientInstant | DATETIME | This column stores the UTC instant that a treatment summary note is given to the patient. |
| NoteSummaryRequirementCode | INTEGER | This item stores whether or not the note requires a summary based on the note author. |
| ElectrocardiogramSystolicBloodPressure | VARCHAR | The systolic blood pressure taken from the Electrocardiogram (ECG/EKG). |
| NoteHoverBubbleCharacterCount | INTEGER | This item stores the total number of characters in hover bubbles within the note. |
| NoteStatus | VARCHAR | The status of the note. |
| NoteUniversalConversionStatus | INTEGER | The status of the UCN conversions for this note. |
| NoteIdentifier | VARCHAR | The unique identifier for the note record. |
| DeletedNoteUserID | VARCHAR | The unique ID associated with the user record for this row. For a note deleted by the IP Note Deletion utility, this item stores the last editing user of the note before it was deleted by the utility. This column is frequently used to link to the CLARITY_EMP table. |
| LastUpdateUserId | VARCHAR | The id of the user who updated this contact of the note. |
| ElectrocardiogramQrsComplexDuration | VARCHAR | The duration of the QRS complex/wave on the Electrocardiogram (ECG/EKG). |
| TranscriptionDocumentSourceCategory | INTEGER | The category number for the transcription document source, as found on table ZC_DOCUMENT_SOURCE. The release range is from 1 to 2. 1. Interface 2. User |
| NoteSensitiveStatusCode | VARCHAR | Sensitive status of a note. |
| NoteEntryLocalInstant | DATETIME | Note entry instant in local format. |
| TranscriptionDocumentAvailabilityStatus | INTEGER | The availability status of the transcription. |
| CarePlanGoalProgressNoteIdentifier | VARCHAR | Progress note ID for the careplan goal note. |
| NoteCosignRequirementStatus | INTEGER | The cosign requirement for the current note contact. |
| IsNoteContentResolved | VARCHAR | This item displays whether or not all SmartLists and wildcards are resolved in a note. The default value is 0-No. |
| ElectrocardiogramCorrectedQTInterval | VARCHAR | The corrected QT interval for the Electrocardiogram (ECG/EKG). |
| NoteReaderContactSerialNumber | NUMERIC | Link to the DXR contact that holds the NoteReader data for this note's contact. |
| NoteAuthorUpdateInstant | DATETIME | UTC instant of update by a specific user. |
| NoteCharacterCount | INTEGER | This item stores the total number of characters of the note. |
| NoteAuthenticationStatus | INTEGER | The authentication status category number for this activity if this note is a transcription. This is also known as the completion status. |
| ExternalTranscriptionTypeCode | VARCHAR | Raw TXA2 values from incoming transcriptions. |
| ElectrocardiogramHeartRate | VARCHAR | The heartrate from the Electrocardiogram (ECG/EKG). |
| DocumentChangeReason | VARCHAR | This is the document change reason, as found on table ZC_DOC_CHG_REASON. There is no release range. |
| NotePhysicalInstanceOwnerCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance that owns this record or line. This is only populated if you use IntraConnect. |
| MultiPartDocumentName | VARCHAR | Contains the name of the multi-part document. |
| ElectrocardiogramEditedByPersonIdentifier | VARCHAR | The person who edited the Electrocardiogram (ECG/EKG). |
| NoteContactNumber | VARCHAR | Contact number for the record. |
| TranscriptionWorkCopyNoteIdentifier | VARCHAR | Pointer to an HNO record containing text edited from a transcription message. This text should not be available until accepted as part of the transcription process. |
| NotePatientPortalBlockReasonCategory | INTEGER | Stores a discrete reason why a note was blocked from the patient. |
| DeprecatedActivityDateTime | DATETIME | |
| TranscriptionistName | VARCHAR | This is the name of the transcriptionist for this transcription. |
| NoteSourceCommunityIdentifier | VARCHAR | The Community ID (CID) of the instance from which this record or line was extracted. This is only populated if you use IntraConnect. |
| TreatmentSummaryProvidedToFollowUpProviderDateTime | DATETIME | This column stores the UTC instant that a treatment summary note is given to the follow-up provider. |
| NoteAuthorProviderType | VARCHAR | Author's provider type on a specific contact. |
| NoteAuthorLinkedProviderIdentification | VARCHAR | The author's linked provider record. |
| DeletedNoteLastAuthorUserId | VARCHAR | The unique ID associated with the user record for this row. For a note deleted by the IP Note Deletion utility, this item stores the last author of the note before it was deleted by the utility. This column is frequently used to link to the CLARITY_EMP table. |
| NoteContentsSummaryText | VARCHAR | This item stores a plain text summary of the note contents. |
| TranscriptionCharacterCount | FLOAT | The transcription character count metric, i.e. the number of characters found in this transcription. This column is only populated for transcriptions. |