Outpatient Batch Cover Sheet - The Townsville Hospital And Health Service
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1
2The Townsville Hospital and Health Service
OUTPATIENT Batch Cover Sheet
(not to be used for sending batched Referrals)
HBCIS OPD Clinic Code: _____________________ (eg, TSFRAC)
Encounter / Appointment Date: ___/____/____
Clinic Administrative Staff to Complete
Prepared by:
Date:
Signature:
Correct encounter label on each page
Documents meet preparation criteria
please refer to reverse page
Remaining encounter labels placed behind this form
Batch placed in encounter wallet
Medical Records Scanning Unit Use Only
EW Receipted in Medical Records Department
Tracking number:
Date:
/
/ 2016
Time:
Name:
Batch Processing
Date
Time
Name
Prep
/
/ 2016
Scan Batch Name: TTH
/
/ 2016
:
:
Batch Class:
Same Form
(Batch consists of documents for all the same forms but different patients, eg loose sheet)
Same Patient
(Batch consists of documents for all the same patient, eg inpatient discharge)
Colour Forms:
Yes
No
Scanned
QC
Validation
Date of Service: ________________________
Number of pages within batch:________
Batch Audit Quality Assurance
Correct Patient
Correct Encounter
Correct OOF 100% / <100 %
Number of errors:
Auditor Assessment: Pass QA?
Yes
No
Auditor Comments:
Name:
Date:
Signature:
DO NOT SCAN
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Reprints must be on Cream A4 paper – OfficeMax Product Code: 1932314
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