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99-1-1 Verify Patient Details
CMed – Verify Patient Details
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HID Traffic Source
this variable shows where traffic came to this form from. Query string variable is checkinid
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Visit ID
visit id passed to this form by booking
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HID Current Hour
hideme {current_hour}
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HID Current Minutes
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HID Decimal Time
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Today Date
captures the date of entry for use in calculations
MM slash DD slash YYYY
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Tomorrow Date
captures the date of entry for use in calculations
MM slash DD slash YYYY
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HID Pull Visit
this pulls the visit record written by booking based on the Visit ID
– Fill Out Other Fields –
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Location_ID
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Patient ID
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Patient Lookup Multiple Matches Flag
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Patient Lookup Multiple Matches Array
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HIDDEN New Patient Flag from Booking
if 1, new patient, if 0 then existing patient
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HIDDEN Guid from BOOKING
This is the temp GUID written by booking into the visit record
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HIDDEN FLAG Test for ANY GUID
look in patient records for matching guid to temp guid from booking – return the patient ID if there is a match RETURNS PAT ID from lookup of patient db filtered by pat_guid is Hidden guid from booking
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HIDDEN book record frm pat database
this pulls in the basic patient demographics written in the booking record because it was not yet written to patient record
– Fill Out Other Fields –
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HIDDEN Pat Name
First
Last
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HIDDEN pat Phone
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HIDDEN Pat Email
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HIDDEN Pat DOB
MM slash DD slash YYYY
New Registration – The next step will be to capture your personal information and method of payment
We Found a Matching Patient Record
We Found multiple Matching Patient Record
Go ahead through the phone number verification to verify your information.
The next step will be to capture your personal information and method of payment
Verify Patient Records
For verification – Please select the correct name and last 4 digits of the phone number
(Required)
Please note it may be a spouses mobile number used if you don’t see yours below. If duplicates, pick the last correct duplicate.
Please fill out other fields.
For your security, Please enter FULL 10 digit phone number from the selection above
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Existing Patient FD Lookup
Enter patient cell number to lookup existing patients
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Select Patient First name based on cell phone lookup
— Select Patient First Name IF SHOWN —
– Fill Out Other Fields –
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HIDDEN Patient ID
IF THIS PATIENT is an existing patient, This is populated with the patient ID from MySQL from a historical patient lookup
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HID PAT ID if numbers match
returns patient ID if the numbers match
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HID FLAG exist patient and confirmed
returns a 1 if the hid patient id numbers match from the phone verification above and it is an existing patient, otherwise should be 0 for new patient
Number Verification
The numbers do not match…
Please select “Previous” below and re-enter the full number again, or click on “I do not recognize the number” to proceed. You can also just proceed to create a new registration with a new patient record
The numbers match – WELCOME BACK
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click next below to proceed
CHECK HERE FOR QUICKREG
We will email the patient a link to pickup where you left off
Save booking and Send patient link to continue
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Section Break
St-1.5 P-2