What is ChartScript XML?
Once the facility has been chosen, the user must select a report Export Type which is the type of file the report will be exported as. ChartScript XML is one of report export types supported by PowerReader. Several different types type of fields in ChartScript XML are supported by PowerReader. These include:
- A = Alphanumeric
- N = Numeric
- F = Free Form
- D = Date
- T = Time
- V = Varies based upon the client's need
The following is table of fields in ChartScript XML and their corresponding fields in PowerServer:
| ChartScript XML Field | XML Tags | Field Width | Type | Corresponding Field in PowerServer |
|---|---|---|---|---|
| Document Type | DT | 2 | A | 4X |
| Dictation Date | DictDate | 10 | D | The Date portion of STUDYDATETIMEREAD of the WORKLISTDISPLAY table |
| Dictation Time | DictTime | 7 | T | The Time portion of STUDYDATETIMEREAD of the WORKLISTDISPLAY table |
| Patient Birth Date | Birth Date | 10 | D | The 'Birth Date' on the Patient Registration form |
| Service Date | SvcDate | 10 | D | The Date part of the Study Date Time field |
| Service Date and Time | <SDF Name="Svc Date Time"> | V | The Date & Time of the Study Date Time field | |
| Report Status | RptStat | 1 | N | 'S' for signed report, 'U' for unsigned report |
| Facility Code | Facility | 3 | F | (blank by request) |
| Patient Social Security # | SocSecNo | 11 | N | SSN value on the Patient Registration form |
| Patient Sex | Sex | 1 | A | Sex value on the Patient Registration Form |
| Transcriptionist ID | TrID | 3 | • Changed to hard coded value 'RAM' which can be configured by the 'Chart Script TrID Field Value' entry • UserFacilityMapID of the Transcriptionist in the Facility | |
| Medical Record Number | MRNo | 6-12 | A or N | PatientID value on the Patient Registration form |
| Billing Number | BillNo | 6-12 | A or N | • Changed to Account Number in Patient table. • Designated by - 'Billing ID Custom Edit Number' config entry, the corresponding Custom Filed value in 'Study Info Detail' -> 'Other' |
| Order Number | OrdNo | 11 | F | Access Number in the Study Info Detailed form |
| Patient Name | Name | 25 | A | Patient Name on the Patient Registration form |
| Dictator's ID Number | DMDNo | 4-6 | N | UserFacilityMapID of the ReadingPhysician in the facility |
| Physician ID Number | AMDNo | 4-6 | N | UserFacilityMapID of PerformingPhysician in the facility |
| Physician ID Number | RefPhys1 | 4-6 | N | UserFacilityMapID of ReferringPhysician in the facility |
| Physician ID Number | RefPhys2 | 4-6 | N | UserFacilityMapID of 1st consultPhysician in |
| Physician ID Number | RefPhys3 | 4-6 | N | UserFacilityMapID of 2nd consultPhysician in |
| Physician ID Number | RefPhys4 | 4-6 | N | UserFacilityMapID of 3rd consultPhysician in |
| Comments | Comments | 25 | F | Comments in 'Study Info Detailed' form |
| WhoRptStat | WhoRptStat | Chartscript ID of the signing physician from the User & Facilities table |
The Comments element has a required length of 25 characters. The users should ensure that the values entered confirm to the Width and Type format requested by ChartScript. The following are the terms used in ChartScript XML:
Dictation:
The client's digital dictation system provides the medical transcription service with the dictation date. This field is used to track the turnaround time of documents from dictation to transcription to ensure that the client is keeping within their guidelines. This field should be populated in the format MM/DD/YYYY.
Dictation Time:
This field is usually partnered with the dictation date to determine the exact turnaround time in hours and minutes rather than days. The medical transcription service should populate this field in the header in the format HH MM A/P. For example, a document that was dictated at 3:00 in the afternoon appears as <03 00 P> in an unstructured header. Military time is not acceptable in this field.
Transcriptionist ID:
This field identifies the person or entity that should receive credit for the document when imported into ChartScript. Some clients prefer that their medical transcription service use a single ID to identify all work it transcribes. For example, all transcriptionists for "General Transcription Service" would use the initials "GTS" as the Transcriptionist ID on their documents. This process enables the client to maintain a single line count for the medical transcription service. However, other clients allow their services to use a different Transcriptionist ID for each employee so that they can monitor individual line counts. This process requires more coordination between the service and the client so that the client is always up to date on which employees are servicing their account. The medical transcription service and the client should discuss the use of the Transcriptionist ID field to determine the best plan of action. This field can be populated with letters, numbers, or a combination of both. However, it cannot exceed three characters in width.
Medical Record Number:
The patient's medical record number is required for data verification and indexing purposes in the ChartScript database. It is the primary match field used to search for a valid data record from the patient registration or digital dictation systems. The client should notify the medical transcription service of the medical record number character width and whether the field is numeric or alphanumeric. The medical transcription service should not include dashes in this field; they are added after the document is imported, if necessary. If the medical record number is unavailable to the medical transcription service, leave the field blank in the header. If the medical record number is not present in the header, ChartScript looks for a valid billing number to match the document to a patient data or dictation record.
Billing Number:
The billing number is helpful in the verification process of the imported documents. It is the second field that is considered when attempting to match the document to a record from the patient registration system. ChartScript may find several records for the same medical record number and patient name, but it can narrow down the choices by looking for the correct billing number. The client should confirm the character width and type (numeric or alphanumeric) of the Billing Number field with the medical transcription service.
Order Number:
This field can be populated with up to 11 alphanumeric characters. It is typically used to specify a sequence number assigned to a diagnostic report, such as an x-ray, EEG, or Pathology report. The order number can be used to verify imported documents. It is the fourth field that is considered when attempting to match the document to a record from the patient registration system.
Patient Name:
The name of the patient is required. It should be formatted as Last Name, First Middle so that it can be verified and indexed correctly. This field is important in the data verification process because it assists in a patient name match with a corresponding medical record number.
Patient Social Security Number:
This data should be populated in the header as 999-99-9999.
Patient Sex:
This field should be populated in the header as F or M
Dictator's ID Number:
ChartScript requires that medical transcription services use provider identification numbers in the document header rather than provider names. Identification numbers are required because the client has assigned each provider a unique identification number, but each provider name may not be unique. For example, a client may have three Dr. John Smiths, but each of the three providers is assigned a unique identification number. Using identification numbers rather than names also avoids mismatches due to errors in typing or spelling. Therefore, the client must provide the medical transcription service with a current list of provider information, including names and identification numbers. The client should also confirm the character width of the provider identification number with the service.
Physician ID Number:
Five fields: Fields 9, 10, 23, 24, and 25 are listed as generic Physician ID Number fields. These fields are each used at the discretion of the client and represent different categories of providers, such as Referring Physician, Attending Physician, and Surgeon. These five fields correspond to the five entries found in the Physician Names table in ChartScript. For example, Physician ID Number, identified as field number 9, corresponds to the first row on the Physician Names table. The client should confirm the use of each of the Physician ID Number fields with the medical transcription service to ensure that the proper provider categories are used. The fields should be populated in the same manner as the Dictator's ID Number field using the provider's ID number rather than the name.
Comments:
This field can accept up to 25 alphanumeric characters. It can be used in a variety of ways at the client's discretion.
Facility Code:
This field is used by multi-facility health systems that share a ChartScript database. It should be populated using the client's standard list of codes to identify where a patient was treated within the health system.
XML Template Guidelines:
Empty tags are ignored; users need to type in data for only those fields which have data available