TGI Medical Progress Note (TGI_PND)

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Form Details

• Form Properties
  1. Form Title: TGI Medical Progress Note
  2. Start from an Existing Form – No
  3. Copyrighted Form – No
  4. Billable Progress Note – Yes
  5. Have multiple versions open at same time – No
  6. Open Blank on new version – Yes
• Required Fields – Yes
• Lookup Tables – Yes
  1. Visit Type will pull from Visit Types
  2. ICD-10 Diagnosis will pull from ICD 10/DSM 5
• Pre-Fill Logic – Yes
  1. Goals will prefill from the most recent completed Treatment Plan.
• Fill to Logic – None
• Signatures
  1. Staff Signature (Non-QHP)
     • Sig type: Any
     • Signature locks the form.
  2. 2 – Clinical Staff Member (QHP) signature
     • Sig type: QHP
     • Route-to is available.
     • Signature locks the form.

Progress Note Tab

1. Indicate Date of Service, Length of Service, Start Time, and select Visit Type.
2. Prefill - Goals will prefill from plan.
3. Describe the content of the session and the results of the service.
4. Enter any diagnoses for the visit.
   • The diagnoses do not transfer to Patient Details.

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Signatures Tab

Signature Credentials (see Credentials - Create, Assign & Edit)

1. Staff Signature (Non-QHP)
   • Sig type: Any
   • Signature locks the form.
2. Clinical Staff Member (QHP) signature
   • Sig type: QHP
   • Route-to is available.
   • Signature locks the form.

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History Tab

1. No user input. History of Medical Progress Notes will display.

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