Patient Summary introduction
Introduction
In
collaboration with Canada Health Infoway and the Government of Alberta,
Healthquest has integrated Patient Summary submissions right from your EMR.
The Canadian Patient Summary (PS-CA) is a standardized collection of patient information used to enhance patient care by having multiple clinicians across disciplines able to contribute to a shared patient record.
Information from the patient's clinic health record is sent right into AB Netcare, enhancing patient safety, supporting transitions of care and helping to create better healthcare outcomes.
Requirements
- The provider must be signed up for
CII/CPAR. The data upload uses the same pathways as CII, this must be enabled
to submit patient data. A Privacy Impact Assessment (PIA) update may be
required.
- Healthquest's support team will need to enable the feature.
- Updated medical history templates will need to be added and completed for the patient's data to flow correctly.
What type of data is uploaded?
- Medications
- Allergies
- Problems
- Procedures or surgeries
- Vitals
- Social History
- Family History
Medications
By choosing to select all, you will upload all medications that have been prescribed to the patient, including inactive medications. Simplify this list by sending current medications and only important inactive medications.
Allergies
All recorded allergies should be uploaded regardless of severity.
Problems
Problem list items can be uploaded including the problem name, diagnostic code, status and start date. If a problem is resolved it can be uploaded unless you apply an end date to the item. Problem list is a mandatory field, if no problem list items are available you must select an empty reason.
*Note: Hypertension is not listed in the patient summary window because an end date has been applied to the problem.
Procedures
Procedures and surgeries should be uploaded via Patient Summary, especially if you have record of procedures completed out of the province or that are not available on Netcare. 
Vitals
Vitals can be selected from any of your charting templates. Blood pressure, height, weight, BMI and head circumference can all be uploaded. A full history of recorded vitals is not always necessary, upload as many as you deem clinically appropriate.
Social History
Tobacco use, alcohol use and other lifestyle information can be uploaded to Patient Summary.
Family History
Upload
family history including the relation to the patient, diagnosis, age at onset, death
age, cause of death and additional notes.
Incomplete Information
If an area of the summary
is blank, or you will not be uploading that information, select the reason that no information is being provided.
Sample Patient Summary Report
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Click the attached document for a complete manual of CII/CPAR in Healthquest.