Medical Intervention Information

The Medical Intervention Information screen allows users to enter medical intervention and discharge information. This screen appears in the Incident Final Section if there was a medical intervention for an individual.

Note: Mandatory fields are marked with an asterisk. In addition, some fields are conditionally mandatory, or in other words, become mandatory based on the response to a previous field. All mandatory fields (including conditionally mandatory fields) must be completed on a screen.

Field Name	Field Description
Date of Intervention/Admission	Enter the date of the intervention/admission.
Medical Provider/Center Name	Enter the name of the Medical Provider/Center Name where the individual is admitted.
Initial Diagnosis	Enter the individual’s initial diagnosis.
What was provided during the event? (Select all that apply)	Select all the treatments and activities from the checkbox list that were provided during the medical intervention.
If other, please specify	If 'Other' was selected as a treatment or action that was provided during the medical intervention, describe what was provided during the medical intervention.
What was the extent of treatment?	Select from the drop-down the extent of treatment.
Please explain	Enter details regarding the extent of treatment.
Has the individual received any medical interventions in the last 48 hours prior to this incident?	Select from the drop-down whether the individual has received any medical interventions in the last 48 hours prior to this incident.
If yes, please explain	If the individual has been seen for a medical treatment prior to the last 48 hours, provide an explanation.
Discharge Date/Medical Intervention End Date	Enter the date of the individual's discharge/medical intervention end date.
Length of the admission (days)	Calculated field which populates at the time of document submission based on entries in the ‘Date of Intervention/Admission’ and ‘Discharge Date/Medical Intervention End Date’ fields.
Discharge Diagnosis	Enter the diagnosis that the individual was given upon discharge.
Did you get the discharge instructions upon discharge?	Select from the drop-down whether the individual was provided with discharge instructions at discharge.
If no, please explain	If the individual was not provided with discharge instructions at discharge, provide an explanation.
Additional Diagnosis	Select any additional diagnoses with which the individual was diagnosed.
Add additional information not captured above	Enter any additional information related to the medical intervention, discharge, and follow-up not captured in the above questions.