6.3. Enroll a Patient

Click on path: HOME > PATIENTS > Enroll Patient

or

HOME > Enroll patient

Enroll a new patient in your SMARTVIEW™.

6.3.1. Patient Information

* First Name
Required field. Enter the patient's first name. Up to 50 characters are allowed.
* Last Name
Required field. Enter the patient's last name. Up to 50 characters are allowed.
* Date of Birth
Required field. Select the patient's birth date from the pop-up calendar.
Sex
The patient's sex
Patient ID:
You have the option to enter the Patient ID Number that you use in your local records system to allow you to search for the patient as you would on your system.

6.3.2. Device Information

*Device Serial Number
Required field. Enter the device serial number and click Lookup to validate the number and display the model and type on the page.
*Implant Date
Required field. Select the patient's implant date from the pop-up calendar.
WARNING
The serial number of the defibrillator is used to attribute the data transmitted from the implanted device to the patient name. A wrong serial number can lead to lost information or misleading information. The look-up feature provides an automatic check that the serial number corresponds to an existing model of MicroPort defibrillators.

6.3.3. Contact Information

*Address
Required field. Enter up to 128 characters. This address will be used to deliver the monitoring device to the patient (when applicable).
*Country
Required field. Select the patient's country from the drop-down menu.
*State/Province
Required field. Select the patient's state or province from the drop-down menu.
*City
Required field. Enter up to 50 characters.
*Zip/Postal Code
Required field. Enter the patient's zip/postal code up to 10 numbers.
*Phone Number
Required field. Enter the phone number according to the following format. You may use spaces, periods, plus signs, parentheses and dashes.
Format: 1 nnn nnn nnnn (1 – area code – number)
Select the type of phone number from the drop-down menu: Home, Cell
Email
Enter the email address for this patient. Up to 256 characters are allowed. You may use "@" and "." along with letters and numbers.

6.3.4. Alternate Contacts

Enter additional phone numbers for relatives and friends you may contact for this patient.

Select the type of contact: Spouse, Parent, Sibling, Friend

6.3.5. Physician Information

Primary Physician
Select the primary physician for this patient from the drop-down menu.
Add Referral Physician
Select a referral physician for this patient from the drop-down menu.
You may add more than one referral by clicking the Add Referral button.
If you want to remove a referral from the list, click the Remove button.

6.3.6. Comments

Enter comments about this patient's condition and treatment. Up to 500 characters are allowed.

6.3.7. Save

Consent
Select the checkbox to indicate the patient's agreement to participate in remote monitoring and have their records stored electronically.
Cancel
Clicking the Cancel button will clear all fields on the page.
Save and Go to List
Clicking Save and Go to List will save the patient record and take you to the All Patients Search page, updated with the new patient record.
Save and Add Another
Clicking Save and Add Another will save the patient record and refresh this page with clear fields for you to add another patient.
Save and Customize Profile
Clicking Save and Customize Profile will save the patient record and take you to the patient's Alert Settings page for you to begin changing the patient's alert settings from the default clinic settings. From there, you can access other patient settings that you can modify such as follow up schedule.