Assessments window - Revision History tab
Path: Patient>Clinical>Assessments
The clinician's electronic signature is applied when an assessment is completed, saved, and uploaded from Field to Host Mode.
Signed clinical documentation cannot be altered without corresponding privileges.
The signature of the assessment from Field Mode is logged in Audit Trail. If an assessment is created and saved in Host Mode, the electronic signature is applied (shown in the footer of the assessment). However, the signature is not captured through the Audit Trail.
For assessments, the complete audit trail is maintained:
- Original entry
- Date and time when the change was made
- The change itself
- Who made it
This information is shown on the Revision History tab. Revisions to assessments require that the assessment is reserved. For details about assessments revision history, see About assessment revision history.
You can copy the revision history content by right-clicking anywhere in the Revision History window.
Note: This tab provides the revision history for assessments only. To view the revision history of changes made to the patient's basic and clinical information, see Revision History Log Panel.
Associated pages
- About Assessments
- Assessments: Discipline
- Assessments: Patient Class
- Assessments: Age of Patient
- OASIS Assessments: Templates
- OASIS Assessments: Validation
- OASIS Assessments: Export
- About Abbreviated OASIS Assessment
- Setup Abbreviated OASIS Assessment
- Complete Abbreviated OASIS Assessment
- OASIS Key Icons
- OASIS patient condition changes
- OASIS condition change icon descriptions
- Assessment synchronization
- Initiate Care Plan through assessments
- Define Care Plan for patient
- View OASIS assessment HIPPS score
- Assessments window
- Assessments window fields
- Assessments window - Data Entry tab
- Assessments window - Notes tab
- New Assessment dialog
- Discharge/Transfer Summary Type dialog
- Create new assessment
- Create discharge or transfer summary
- Connect assessment to a visit or telephone call
- Enter notes for assessment
- Indicate normal values for patient in assessment
- Activate Assessment tab
- View progress of assessment
- View previous assessments for patient
- About assessment inactivation
- About editing assessment
- Modification to Locked Assessment dialog
- Edit assessment
- Delete assessment
- Run Acute and Emergent Care Risk assessment
- Change reasons for assessment (RFA)
- About reserving assessment
- When can an assessment be reserved
- Reserve Assessment dialog
- Reserve an Assessment
- About releasing reserved assessment
- Release reserved assessment
- About reserved assessment and synchronization
- About assessment revision history
- Review assessment revision history
- About validating assessment
- Validate assessment
- Condition Change report
- About report diagnoses in assessment
- Navigation/key combinations for defining Care Plan in assessment
