Real-time validations compare physical assessment findings to OASIS items and automatically disable non-applicable items to prevent contradictory documentation. This functionality enables users to complete documentation faster and more accurately, and spend less time on QA review.
Once enabled, validations will happen in real time as clinicians complete documentation. Validations occur at all OASIS time points and for all disciplines.
For example, if a clinician documents Dyspnea in a patient’s Respiratory Assessment, the non-applicable options on M1400 will be disabled. Non-applicable items include:
Non-applicable items are grayed out and cannot be selected, as shown in the following screenshot:
If the clinician indicates in the OASIS assessment that a patient is not short of breath, non-applicable items are grayed out in the Respiratory Assessment. Non-applicable items include:
When a clinician documents Neuro/Behavioral Status, non-applicable OASIS options on M1700 and M1710 are disabled until the patient’s orientation is documented.
As soon as orientation is documented, these OASIS responses are enabled.
The example below shows real-time validations on a mobile application. When the user indicates that the patient has pain in the Pain Assessment, non-applicable items on M1242 are grayed out in the OASIS. Non-applicable items include: