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The Patients Tab

Patients Tab Use the Patients tab to view a list of patient appointments/encounters and create dictations.

By default, this tab is named 'Patients'. The account administrator can change this label to something more appropriate to the client.

The eSOne mobile app supports outpatient and inpatient schedules. By default, the app opens to schedule (outpatient) mode. The mode can be changed in Filters settings. This section of the user guide will focus on the outpatient schedule mode. See Inpatient Workflow for more information about inpatient mode.

Schedule

Patients and appointments will only appear in the Patients tab if the client is providing eScription One a data feed. If a data feed is not provided, users can create new dictations and input a patient identifier.

The schedule opens to the current date if the schedule was on the previous day's schedule in the prior session. Otherwise, the last date displayed in the schedule will open. Only one day will be displayed in the schedule at a time. To change the date tap on the calendar icon or date to open the date picker, or use the left or right arrows on either side of the date to move to the previous or next day, respectively.

Patient appointments are sorted by appointment time by default. Each appointment is separated by the appointment time, even if multiple patients share the same appointment time.

Each appointment displays the patient's full name, MRN, and a data field. This data field typically contains an appointment description, but depends on the data feed setup. An additional data field can be displayed when selected in the Settings tab.

The schedule will automatically refresh every 5 minutes. To manually refresh, swipe down on the schedule.

Dictation Status

An appointment may have one of several status icons and color coding. Appointments with dictations that have finished uploading, either on the current device or a different device or app will have a blue icon and coloring. Appointments with incomplete dictations or dictations in the process of uploading will have yellow icons and coloring.

Started Dictation The appointment has a dictation that has been started but not yet uploaded.

Uploading Dictation The appointment has a dictation that is currently uploading.

Uploading Dictation Status The appointment has a dictation that is currently uploading (longer dictations will show an upload status ring around the upload arrow).

Upload Complete The appointment has a recorded dictation and has been successfully sent to the transcription company.

Uploaded Elsewhere A dictation that is not on this device has been uploaded for this appointment.

Note

An appointment without a dictation file will not have an icon next to it.

Incomplete Dictations

A reminder will be presented the first time the Patients tab is open each day if there is at least one started dictation 3 or more days old (based on the appointment date) that has not yet been uploaded. This reminder will only be presented once per day.

Pending Dictations

Tap Ignore to continue to the schedule as normal, or tap Show to open the schedule to the date of the oldest started dictation.

Users can also tap the Earliest Started Dictation Earliest Started Dictation button at the top of the schedule list to open the calendar to the earliest date with a started dictation that has not yet been uploaded.

Filter and Sort Appointment List

Patients Filters To change the type or order of the appointments list, tap Patients Filter Icon Filters icon. Users can change the mode, filters and sorting. Press Done at the top of the Filters page to save changes.

Mode

If the client supports both inpatient and outpatient workflows, users can switch between them by tapping the desired mode. For more information regarding the inpatient workflow within the mobile app, please see Inpatient Workflow. The following information in this section assumes an outpatient workflow is being used.

Resources

Schedule resources are used to assign patient appointments or encounters to specific clinicians or groups of clinicians. If a clinician belongs to multiple resource groups they can filter their appointment list to only display the selected resources.

Sort

Users can change the order in which the patients/appointments appear based on the following criteria:

  • Appointment Time - appointments will be ordered based on the time of the appointment (earliest to latest), then alphabetically by patient first name.

  • Patient Full Name - appointments will be ordered alphabetically by the patients' full names (if the first names match then the middle initial and/or last names will be used to further order them).

  • Patient Last Name - appointments will be ordered alphabetically by the patients' last names, but will still appear in "First name Last name" format in the schedule list.

  • Patient First Name - appointments will be ordered alphabetically by the patients' first names.

Statuses

Users can minimize the number of appointments displayed on the schedule by filtering the list based on the dictation status. Statuses available for filtering are:

  • Dictation on other device - appointments with a dictation uploaded from a different mobile device or dictation source (InSync, InTouch, ShadowLink, etc.) or uploaded from this device but are no longer stored on this device. Dictations uploaded from other devices or apps cannot be played from this device.

  • Dictation uploading - appointments with an uploading dictation from this device.

  • Dictation completed - appointments with a completed dictation from this device.

  • Hidden appointments - appointments that the provider has hidden from the mobile app schedule.

Dictations that have a started dictation cannot be filtered out.

After all sorting and filtering changes have been made, scroll to the top of the page and press Done.

Dictating with eScription One Mobile for Android

Dictations can be recorded for scheduled inpatient and outpatient appointments as well as new encounters created in the app. Both scheduled and new encounters use the Recording screen to display patient and appointment information as well as provide recording controls.

Dictations for Appointments

If the client sends patient appointment information to eScription One a list of appointments will appear in the Patients tab. Selecting one of these appointments opens the Recording screen with all available patient and appointment details and dictations controls. The Recording screen opens to the Template sub-tab by default, unless changed in Settings tab > Recording Screen. If an appointment that already has an uploaded dictation from the same device is opened, the Recording screen will open to the History sub-tab.

Creating a New Dictation

Add Dictation New Dictation To create a new dictation without selecting a scheduled appointment, tap the Add button within the Patients tab. The Document Type, Location, Appointment Date and Time, and patient prompt fields are editable.

Tap the Document Type and Location fields to open the selection lists. These lists can be edited by selecting Favorites in the Settings tab. Tap the Appointment Date field to open the date picker. The patient prompt (Patient ID, Account Number, or Order Number) field will be editable and identified by a Clear button Clear Button in the data field. Depending on the client setup, this prompt field could change based on the selected document type. Tap on the patient prompt field to enter data. The appointment date will populate with the date that was loaded in the schedule, along with the current time stamp. The Templates tab is available for reference. The History tab will populate with any prior transcriptions related to that patient.

Note

The process for creating a new dictation for an inpatient encounter is different. Please see Inpatient Workflow for more information.


Recording Screen

Record Screen The Recording screen can be accessed from the Patients tab by selecting a patient/appointment or pressing the Add button.

The top header section of the Recording screen contains basic patient information, including the patient name, MRN, gender, birth date, and age. When a new dictation is created and a patient identifier has not been entered, the header information will display "New dictation" instead of a patient name. The screen has three tabs: Templates, Information, and History.

Templates Tab

The Templates tab displays Document and Dictation templates to be referenced during dictation. To view the full text of a template, tap the arrow to expand the list of available templates then tap the desired template. A document type must be selected in the Information tab to view the document template.

Templates List Template Selected

Information Tab

The Information tab contains information about the patient and appointment, divided into five sections.

Document Type - Allows user to edit the document type associated with this dictation. Tap on the field and make a selection from the provided list to add or change the document type. This field is highlighted in yellow when a selection has not been made and is required prior to uploading the dictation.

Location - Allows user to edit the location associated with this dictation. The facility scheduling software or EMR can also set the location for an appointment. This location will appear by default but can be changed. Tap on the field and make a selection from the provided list to add or change the location. This field is highlighted in yellow when a selection has not been made and is required prior to uploading the dictation.

Only the document type and location can be edited for dictations created from an appointment in the appointment list.

Tip

Use the Settings screen to set a default document type and location, and to set a list of favorite document types and locations. See Settings tab.

Demographic InfoDemographic Information - Displays patient information. The user cannot edit these fields for an existing appointment.

Appointment DetailsAppointment - Displays any additional information about this appointment. The user can make changes to Appointment Date and Time for new dictations, but not for appointments selected in the Patients tab.

Confirmation InformationConfirmation Information - Displays the Receipt Code and Transcription ID for this dictation. If more than one dictation has been uploaded for this appointment on this device, the most recent confirmation information will be displayed. eScription One Mobile fills in the Receipt Code and TID fields after uploading the dictation; these fields cannot be changed by the user.

The History Tab

Tap the History tab to display existing transcriptions that have the same Patient ID as the current patient. These transcriptions are available for reference while dictating, but cannot be edited from this screen.

History Tab History Transcription

Prior transcriptions are identified by document type, dictating clinician, and appointment date. Tap the desired appointment to view details, which are broken into the following sections:

  • Transcription - Displays the transcription text.

  • Demographic Information - Displays patient information.

  • Appointment - Displays appointment details, including document type and location.

  • Dictation Information - Displays Transcription ID, Date Dictated, and the Clinician.

  • Signatures - Lists signatures on the transcription and date signed (no date appears if the transcription has not yet been signed).

  • Associates - Lists all copied associates on the transcription.

  • Comments - Displays comments and comment tags on the transcription, if the user is granted permission to view comments.

To return to the list of prior transcriptions, tap the back arrow in the upper left corner of the screen, or the back button on the Android device.

Recording Controls

Recording ControlsThe recording and audio controls appear at the bottom of the Recording screen of all three tabs. There is a progress bar and buttons for Record, Play, Rewind, and Fast Forward. Tap the Record button (red microphone) to begin recording; the record button will then become a Pause button. Tap the Pause button to pause recording; recording can be resumed by tapping the record button again.

When a Bluetooth device is used for recording and the connection to the device is lost, recording will automatically pause and must be manually resumed when a recording device is available.

Tap the Play button to play back the dictation. Use the Rewind and Fast Forward buttons to navigate within the location of the dictation in increments of 5 seconds per button press. Alternatively, you can use the dictation slider to navigate to the desired dictation location.

Underneath the Record button, the Progress Bar shows which part of the dictation is currently playing or being recorded. The slider can be dragged to play different parts of the dictation or to insert or overwrite the dictation where desired.

STAT To the left of the record button is the STAT button. The STAT indicator can be toggled on and off at any time prior to uploading the dictation. If the STAT radio button is black-filled, the dictation is marked STAT.

Note

Marking a dictation as STAT may increase the price for the transcription. Please contact your transcription company for more information.

Record ModeThe current Record Mode is displayed to the right of the record button. Tapping the record mode opens a menu and allows the mode to be changed to one of the following options:

  • Append (the default mode) - Adds new dictation at the end of the existing dictation regardless of where the dictation playback is.
  • Overwrite - Allows the user to replace dictation from the selected playback position with new dictation.
  • Insert - Adds additional dictation by inserting new dictation at the playback position.

Recording must be paused to change the record mode. The last used recording mode will be automatically applied to the following dictation.

Voice DetectionThe Voice Detection bar replaces the progress bar while recording, showing the level of sound detected. The higher the volume of the dictation received, the further the colors progress from red to green. The Silence Detection option can be enabled in the Settings tab; recording will automatically be paused if continuous silence is detected for the set number of seconds while recording.

UploadThe Upload button submits a dictation for transcription. Uploaded dictations cannot be edited in the eScription One mobile app. This button only appears after a dictation has been started.

The back arrow, located in the top left corner of the record screen, allows the user to Save the dictation and return to the Patients tab without uploading the dictation. The Android device's back arrow also saves dictations. Saved dictations can be reopened, changed, and uploaded. If the user leaves dictations on the device for longer than three days without uploading, eScription One Mobile displays a reminder.

The Menu button appears in the upper right corner after recording has started. Tapping the Menu button opens a menu with the following option:

Delete Audio Delete Audio: Deletes the dictation file. eScription One Mobile displays a warning screen to confirm removal of the dictation. Note that only pending dictations can be deleted. Uploaded dictations will be automatically removed 14 days after upload.

An appointment from an uploaded schedule will remain on the Patients tab after audio has been automatically removed. Deleting audio on a new dictation removes the appointment from the schedule.

Multiple DictationsNew Dictation: If it is necessary to create an additional transcription for an appointment, return to the Patients tab and select the appointment.

Press the Menu button and select 'New Dictation'. Select Document Type and Location, then record normally.

Press the Upload button and eScription One Mobile will prompt for the dictation type:

  • Append: Attach this transcription to the end of the prior transcription.

  • Prepend: Attach the new transcription to the beginning of the prior transcription.

  • Upload as New Dictation: Upload this dictation as a standalone transcription. This transcription will not be attached to any prior transcriptions.

Note

The options available from the Menu button may change depending on the status of the dictation.