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eNcounter®: Performing Patient Consults

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eNcounter®

Administrator Articles

This article explains how to initiate consults using institutions that are configured using the default configuration, institutions configured to an EHR, and institutions that are configured using Case Manager.

 

Initiating Consults (Default Configuration)

Start New Consult

  1. Selecting this option prompts the user to select one of three options, Select an Existing Patient, Create New Patient, and Proceed Anonymously.

  1. Select an Existing Patient: Allows users to choose from a list of existing patients with records stored in eNcounterCloud or another configured PACS.
    • Select ‘Search in DICOM Worklist’ to allow eNcounter to access the worklists in the DICOM database.
    • Search for an existing patient by entering the known patient information in one of the available search criteria fields and clicking the Search button.
      • Alternatively, users can leave the search fields blank and click the Search button to access a list of all patient profiles in the pending worklists.
  • Click the applicable patient profile to select it and proceed.

  1. Create New Patient: Allows users to enter information to create a new patient profile.
    • Enter all the applicable patient information and select Create and continue to proceed.

  1. Proceed Anonymously: Allows users to initiate a consult using an anonymous patient profile, which will create an anonymous patient record that can be edited during/after the consult is completed.
    • Selecting Proceed Anonymously when initiating a consultation will bypass the initial patient profile steps and direct users to the case management screen.

Start Video Conference

  1. Selecting this option on the ‘What would you like to do’ screen, displays the conferencing panel and will begin initiating a video conference. 

 

Direct Patient Exam

  1. Selecting this option will bypass the initial patient profile steps and direct users to the Consult Screen. To associate the information gathered in a Direct Patient Exam with a specific provider and patient, the relevant details will need to be updated on the eNcounter Information tab found on the Write Report panel.

Initiating Consults (Configured for EHR)

Start New Consult

  1. Selecting this option will direct the user to the ‘Patient Search’ page.

  1. Patient Search: Allows users to perform a custom search for a specific patient.
    • Primary Fields: these fields are required to access the search button.
    • Secondary Fields: these fields provide additional options to refine the search results.
    • Clicking the ‘Search’ button display the applicable search results.

  • Clicking View Details will provide access to the ‘Patient Summary’ panel that allows users to toggle between multiple tabs that display additional patient information.

Critical Note: If error messages are displayed when viewing patient data or if a data category is not populated, this is due to an incompatibility with the configured EHR. If you have additional questions, please contact your system administrator.

  • If previous encounters are available for the selected patient, the “Please select an eNcounter” screen will be displayed.
    • Utilize one of the available tabs to sort the encounters, select an encounter from the list and then click “Next” to continue.

Note: Only encounters that are currently in open status will be displayed in the list.

  • If the “Skip” option is selected when initiating a consultation, an encounter must be selected to successfully complete the consultation and upload the data.

Start Video Conference

  1. Selecting this option on the ‘What would you like to do’ screen, displays the conferencing panel and will begin initiating a video conference. 

Initiating Consults (Case Manager Enabled)

Start New Consult

  1. Selecting this option prompts the user to select one of the two options, Select an Existing Patient and Create New Patient.

  1. Select an Existing Patient: Allows users to choose from a list of existing patients with records stored in eNcounterCloud or another configuredPACS.
    • Select ‘Search in DICOM Worklist’ to allow eNcounter to access the worklists in the DICOM database.
    • Search for an existing patient by entering the known patient information in one of the available search criteria fields and clicking the Search button.
      • Alternatively, users can leave the search fields blank and click the Search button to access a list of all patient profiles in the pending worklists.
  • Click the applicable patient profile to select it and proceed to the ‘Case Manager’ screen. 

  1. Create New Patient: Allows users to enter information to create a new patient profile.
    • Enter all the applicable patient information and select Create and continue to proceed to the ‘Case Manager’ screen. Reference the "Case Manager" section for more information.


 

 

Start Video Conference

  1. Selecting this option on the ‘What would like to do’ screen, displays the conferencing panel and will begin initiating a video conference. 

Case Manager

The Case Manager allows users to create a record for each unique patient health condition or medical event. Each case consists of all the corresponding consults and supporting data for only that specific health condition or medical event.

  1. To create a new case, select New Case in the top right corner of the window. To access an Active Case, identify the relevant case from the list and select it to proceed.

  • When creating a new case users will be prompted to enter a brief description of the health condition or medical event. Select Create and continue to proceed.