New VTE Section in DEx

POE Discharge Diagnosis

A new section appears in DEx when a patient has one or more of the following discharge diagnoses:

• Deep venous thrombosis

• Pulmonary Embolism

• Thrombosis

New Section in DExThis new section displays when a patient has one or more of the above discharge diagnoses:

Documenting VTE Section

The provider selects when VTE diagnosis was confirmed:

• Prior to admission

• During this admission

• Unknown

When “Prior to admission” or “Unknown” is selected, no additional documentation is needed.

Documented as “During this admission”

When “During this admission” is selected, additional documentation is needed. Providers can select:

• Earliest study which confirms VTE (e.g. DVT, PE) diagnosis

• Additional Test/Report

• Unknown

Earliest Study When Earliest study which confirms VTE (e.g. DVT, PE) diagnosis is

selected, DEx will display available Cardiology/Radiology reports. It is required to select the test that confirmed the VTE diagnosis:

Clicking the report link displays the actual report detail:

Additional Test/Report

When Additional Test/Report is selected, the provider manually enters the test/results/findings. The date/time the VTE diagnosis was confirmed is required.

Unknown

If the test to determine the VTE diagnosis is not known, an “Unknown” option is available.

Sample Display of Documented Section

This new section prints on the paper discharge summary and is available in CDR/Results application in CAS.