Face Sheet report fields

Patient Basic Information

Patient's code, name, date of birth, sex, and marital status as entered in Patient>General>Basic.

Address

Address of the patient's home as entered in Patient>General>Basic.

Latest Admit Date

Latest admission date entered in Patient>General>Admissions & Status.

SSN

Patient's Social Security Number.

Age

Patient's age.

Admission Information Date

Admission date, patient's class, acuity, status, and associated facility or location as entered in Patient>General>Admissions & Status.

Demographics

Patient's demographics (for example, preferred name, gender identity, preferred pronoun, ethnicity, living status, language, county) enteredin Patient>General>Demographics.

Medical Diagnosis

Medical diagnoses, special diagnosis options, and the start date of each diagnosis (Patient>General>Diagnoses).

Procedure

Procedures and the start date of each listed procedure (Patient>General>Diagnoses).

Caregiver

Caregiver types entered in Patient>General>Admissions & Status.

SNF

Skilled nursing facility entered in Patient>General>Admissions & Status.

Ref

References to hospitals entered in Patient>General>Admissions & Status.

Team

Patient's team entered in Patient>General>Admissions & Status.

W

Phone number of the hospital entered in Patient>General>Admissions & Status.

Patient General Clinical Information

Patient's directives, allergies, safety properties, diet, supplies, functional limits, activities permitted, mental status, and prognosis as entered in Patient>Clinical>General Clinical.

MD#1, MD#2, MD#3

Doctors' names entered in Patient>General>Admissions & Status.

MD CTI

First and last name of the physician certifying terminal illness. The MD CTI is taken from the active CTI document as of the reporting date. If there is no active CTI documents as of the reporting date, MD CTI is taken from Patient>General>Admissions & Status.

Addr

Physician's address entered in Resource>General>Address & Phones.

W

Physician's work phone entered in Resource>General>Address & Phones.

Family and Friends

Information about the family and friends of the patient, their home, mobile, and work phone numbers. It is entered in Patient>General>Family & Friends. Friends and family who are denoted as "Emergency Contact" appear on the face sheet with "(EC)" after the contact name.

Patient Payer Information

Active pay sources (code and name), insurance company plan, insurance ID or MBI code, insurance group number, patient's relationship to the ensured person (the Rel field), other insured people, pay source status (the S field), and billing flags (the F field) entered in Patient>General>Payers.

Patient Care Team

Care Team description, name, home and work phone of the resources responsible for the corresponding care team entered in Patient>Clinical>Care Team.