CHS

CUSTOMER: CHS (ALL SITES) OM: Roberta Huskey, roberta.huskey@nuance.com / Alydia Kardel, alydia.kardel@nuance.
com
MASTER ACCOUNT: CHS RH CLIENT CODE: Various (see below)
VERSION: 2.1 CLIENT WEBSITE: Various (see below)
SAMPLE SITE: FIESA ENTRY:
**FAILURE TO FOLLOW FORMATTING/UPLOAD PROTOCOL/ACCOUNT SPECIFIC NOTES WILL RESULT IN REMOVAL FROM THE ACCOUNT**
TEXT FORMATTING
AMPERSAND within acronym Separate acronyms with "and" (H and P, H and H, etc.)
ALLERGY Statements Uppercase for all allergy statements, positive or negative
CAPITALIZATION of Dept Names Do not capitalize any department names
CONTRACTIONS Expand all contractions except within direct quotes
DATES Numerics with 4-digit year xx/xx/xxxx (month/day/year)
HEADINGS Heading, colon, 2 spaces then text on same line
HEADINGS Formatting ALL CAPS
SUBHEADINGS Drop-down format
SUBHEADINGS Formatting ALL CAPS
THE JOINT COMMISSION REQUIRED LIST Required and Optional Lists
Enumerate only if speaker requests, otherwise comma-separated series. EXCEPTION: All medication lists should be
LISTS numbered.
NUMERICS
Dimensions Use an "x" with spaces (2 x 3 cm)
Numeric Units Separate the number from its unit with a space (5 mg)
Numeric Ranges Separate with a hyphen (3-4 months)
Frequencies Place "x" abutted to number (…oriented x3)
OB/GYN When dictated as abbrev., use a comma (G1, P2)
Vertebral Spaces Separate with a hyphen. Transcribe vertebral spaces literally, using hyphens: "L5-S1", "S1-2"
Roman vs. Arabic
Grades Arabic (Grade 2/6 murmur)
Stages Roman (Stage II cancer)
Cranial nerves Arabic (Cranial nerves 2-12)
Types Arabic (Diabetes mellitus type 2)
PATIENT name Transcribe name as dictated
Article "the" If sentence begins with "Patient" transcribe as dictated
VERBATIM Verbatim: Small changes to grammar okay.
UPLOAD PROTOCOL (see also Account Specific Notes below)

ADDENDUMS Transcribe ADDENDUM as first line of text, upload.
MLS pend for 1 or more blanks, (MLS to NTS QC). QC/Credentialed MLS upload directly. Do not pend to customer for
BLANKS blanks.
BLANKS - Credentialed MLS Credentialing authorizes MLS to bypass pending to NTS for all blanks
BLANKS Formatting 5 underscores. Example: _____
INCOMPLETE Dictations Transcribe Dictation Ends Here as last line of text and upload directly. Do not pend.
NO Dictation Type "No Dictation" as first line of text, change WT to No Dictation WT, and upload.
SIGNING Clinician Pend to customer to verify signing clinician if not dictated
WRONG Worktype Change to correct WT and upload as normal.
ACCOUNT SPECIFIC NOTES

ABBREVIATIONS Expand in IMPRESSION, ASSESSMENT, DIAGNOSES, and PROCEDURE sections if known.
DANGEROUS Do not expand Latin abbreviations except for those on the Joint Commission's dangerous abbreviations list.
LAB AND DIAGNOSTIC DATA Transcribe as dictated in all sections
MEASUREMENTS Abbreviate metric measures and spell out English measurements.
If ADT match cannot be found with dictated or entered patient information, pend to QA.
**IMPORTANT! If date of service autopopulates and NO date of service is dictated, DO NOT REMOVE IT! If date of
ADT INFORMATION service is dictated and is different from autopopulated date, change it to match dictated date of service.
NOTE: If admission/discharge is prior to go live on ESRH and no ADT match is available, pend to Staff Review queue with
comment saying "No ADT match for admit/discharge of xx/xx/xxxx."
WT 78 PSYCH THERAPY NOTE: The psych therapy notes dictated by Dr. James Morris have no ADT interface. Type what
ADT - MERIT HEALTH BILOXI ONLY
is dictated and upload directly. DO NOT pend to QA for missing patient information.
WT 27 DIABETIC EDUCATION PROGRESS NOTE: This work type is only used by by Dr. Dodson Cravens. There is no ADT
interface, DO NOT pend for missing ADT. IMPORTANT! If Dr. Cravens enters a different work type, change it to the
Diabetic Education Progress Note.
ADT - POPLAR BLUFF ONLY WT 35 PUXICO FAMILY CLINIC PATIENT NOTE: This work type is only used by Holly Reed, NP, and Dr. Angela Patterson.
There is no ADT interface, DO NOT pend for missing ADT.
WT 38 PIEDMONT FAMILY CLINIC PATIENT NOTE: This work type is only used by Dr. Joseph Toney. There is no ADT
interface, DO NOT pend for missing ADT.
ADT - SPARKS HEALTH SYSTEM ONLY WORK TYPE 45 CARDIOLOGY: A correctly matched ADT entry will show it is a TEE in the Order Information field.
CARBON COPIES Only add a cc if dictated. Spell phonetically if unable to find in database. DO NOT pend.
CC - MERIT HEALTH CENTRAL ONLY WT 12 CARBON COPY INSTRUCTIONS: Add a copy for JMS Burn Center to all Burn Center Clinic reports.
DO NOT remove any prepopulated copies for physicians. Some physicians have been set up to automatically receive a
CARBON COPIES, AUTO FAX copy of their reports via fax and the cc is required for delivery.
Ancillary staff members (PA, ARNP, NP, etc) dictating for supervising physicians require a cosigner. Pend to QA if cosigner
not dictated. Added 05/14/2018: This information may be dictated in a number of ways, such as "attending physician
COSIGNATURE is…" or "patient was seen with Dr.…", etc.
Mid-Level Providers requiring a cosigner:
1. Robert Soma
2. Scott Geer
3. Karen Lewis
4. Rebecca Ulrich
COSIGNATURE - MARY BLACK GAFFNEY
5. Angela Pitman.
ONLY
Mid-level providers listed above will be dictating for any one of the following hospitalists:
1. Richard Cutchin
2. Brian Lum
3. Troy Phillips (NOT FRANK PHILLIPS)
4. Kenneth Seymour.
COSIGNATURE - POPLAR BLUFF ONLY WT 35 PUXICO FAMILY CLINIC PATIENT NOTE: No cosignature is required for Holly Reed, NP
DATES IN BODY OF REPORT As dictated.
If date of service is dictated, add to DOS field AND add heading as first line of text (EXAMPLE - DATE OF SERVICE:
12/27/2017). DO NOT pend for missing date of service if not dictated.
DATE OF SERVICE Add heading for time seen if dictated (EXAMPLE - TIME SEEN: 8:30 a.m.)
**IMPORTANT! If date of service autopopulates and NO date of service is dictated, DO NOT REMOVE IT! If date of
service is dictated and is different from autopopulated date, change it to match dictated date of service.
DISCREPANCIES Identify discrepancies with a blank and follow blanks protocol.

NORMALS Add as requested by dictating physician. If normal not found, pend to QA with elaboration.
Spell out numbers if they begin a sentence. If number is part of a medication or lab value, unit of measure must be
NUMBER FORMAT spelled out too. EXAMPLE: Eighty-one milligrams of aspirin was given.
SUBHEADINGS PHYSICAL EXAM: Start each section with subheading on new line. REVIEW OF SYSTEMS: Paragraph format.
SYMBOLS - NOT ALLOWED DO NOT use the following symbols: @ # $ % ^ & * \ | + =
FAQs
QUALITY TEAM NOTES

For any formatting instructions outside of the above, please transcribe as dictated or refer to Nuance Transcription Guidelines for preferences. All instructions beyond
what is included in this document will not be scored as errors by the quality team.
THE JOINT COMMISSION DANGEROUS ABBREVIATIONS

U (unit) Write "unit"
IU (International Unit) Write "International Unit"
Q.D., QD q.d., qd (daily) Write "daily"
Q.O.D., QOD, q.o.d., qod (every other day) Write "every other day"
Trailing zero (X.0 mg)* (see note below) Write X mg
Lack of leading zero (.X mg) Write 0.X mg
*Exception to above: A "trailing zero" may be used only where required to demonstrate the level of precision of the value being reported, such as for laboratory results,
imaging studies that report size of lesions, or catheter/tube sizes. It may not be used in medication orders or other medication-related documentation.
MS Write "morphine sulfate"
MSO4 and MgSO4 Write "magnesium sulfate"
ug (for microgram) Write "mcg"
h.s., H.S., Q.H.S., q.h.s. Write out "half-strength" or "at bedtime"
T.I.W. (for three times a week) Write "3 times weekly" or "three times weekly"
S.C. or S.Q. (for subcutaneous) Write "Sub-Q", "subQ", or "subcutaneously"
D/C (for discharge or discontinue) Write "discharge" or "discontinue"
cc (for cubic centimeter) Write "mL" for milliliters
A.S., A.D., A.U. (Latin abbrev for L/R/both) Write: "left ear", "right ear" or "both ears"
O.S., O.D., O.U. (Latin abbrev for L/R/both) Write: "left eyes", right eyes" or "both eyes"
CLIENT NAME, CLIENT CODE, & CLIENT WEBSITE BY SITE

Alliance Health CLINTON
OM: Alydia Kardel, alydia.kardel@nuance.com
RH CLIENT CODE: CHSAHC
CLIENT WEBSITE: http://www.alliancehealthclinton.com/
Alliance Health SEMINOLE
RH CLIENT CODE: CHSAHS
CLIENT WEBSITE: https://www.alliancehealthseminole.com/locations
Bayfront Health BROOKSVILLE
OM: Roberta Huskey, roberta.huskey@nuance.com
RH CLIENT CODE: CHSBHB
CLIENT WEBSITE: http://www.bayfrontbrooksville.com/bayfront-health-brooksville/default.aspx
Bayfront Health DADE CITY (181)
RH CLIENT CODE: CHSBHDC
CLIENT WEBSITE: http://www.bayfrontdadecity.com/bayfront-health-dade-city/default.aspx
Bayfront Health PORT CHARLOTTE
RH CLIENT CODE: CHSBHPC
CLIENT WEBSITE: http://www.bayfrontcharlotte.com/bayfront-health-port-charlotte/default.aspx
Bayfront Health PUNTA GORDA
RH CLIENT CODE: CHSBHPG
CLIENT WEBSITE: http://www.bayfrontcharlotte.com/bayfront-health-port-charlotte/punta-gorda.aspx
Bayfront Health SPRING HILL
RH CLIENT CODE: CHSBHSH
CLIENT WEBSITE: http://www.bayfrontspringhill.com/bayfront-health-spring-hill/default.aspx
Bayfront Health ST. PETERSBURG
RH CLIENT CODE: CHSSP
CLIENT WEBSITE: http://www.bayfrontstpete.com/bayfront-health-st-petersburg/default.aspx
CHESTER Regional Medical Center
RH CLIENT CODE: CHSCR
CLIENT WEBSITE: http://www.chesterregional.com/chester-regional-medical-center/default.aspx
DAVIS Regional Medical Center
RH CLIENT CODE: CHSDR
CLIENT WEBSITE: http://www.davisregional.com/davis-regional-medical-center/default.aspx
EAST GEORGIA Regional Medical Center
RH CLIENT CODE: CHSEGR
CLIENT WEBSITE: http://www.eastgeorgiaregional.com/east-georgia-regional-medical-center/default.aspx
HEART OF FLORIDA Regional Medical Center
RH CLIENT CODE: CHSHFRMC
CLIENT WEBSITE: http://www.heartofflorida.com/heart-of-florida-regional-medical-center/default.aspx
Indiana University Health LA PORTE Hospital (GO LIVE scheduled for 02/03/2018)
RH CLIENT CODE: CHSIULP
CLIENT WEBSITE: https://www.laportehealth.com/
Indiana University Health STARKE Hospital (GO LIVE scheduled for 02/03/2018)
RH CLIENT CODE: CHSSTARKE
CLIENT WEBSITE: https://www.starkehealth.com/
LAKE NORMAN Regional Medical Center
RH CLIENT CODE: CHSLNR
CLIENT WEBSITE: http://www.lnrmc.com/lake-norman-regional-medical-center/default.aspx
MARY BLACK Health System - Gaffney
RH CLIENT CODE: CHSMBHG
CLIENT WEBSITE: http://www.maryblackgaffney.com/mary-black-gaffney/home.aspx
Merit Health BILOXI
RH CLIENT CODE: CHSMHB
CLIENT WEBSITE: https://www.merithealthbiloxi.com/
Merit Health CENTRAL
RH CLIENT CODE: CHSMHC
CLIENT WEBSITE: https://www.merithealthcentral.com/
Merit Health MADISON
RH CLIENT CODE: CHSMHM
CLIENT WEBSITE: http://www.merithealthmadison.com/merit-madison/default.aspx
Merit Health RANKIN
RH CLIENT CODE: CHSMHR
CLIENT WEBSITE: https://www.merithealthrankin.com/
Merit Health RIVER OAKS
RH CLIENT CODE: CHSMRO
CLIENT WEBSITE: https://www.merithealthriveroaks.com/
Merit Health WOMAN'S
RH CLIENT CODE: CHSMHW
CLIENT WEBSITE: http://www.merithealthwomanshospital.com/merit-womans-hospital/default.aspx
POPLAR BLUFF Regional Medical Center
RH CLIENT CODE: CHSPBRMCN
CLIENT WEBSITE: http://www.poplarbluffregional.com/poplar-bluff-regional-medical-center/hospitals.aspx
SEVEN RIVERS Regional Medical Center
RH CLIENT CODE: CHSSRR
CLIENT WEBSITE: http://www.sevenriversregional.com/seven-rivers-regional-medical-center/default.aspx
SHANDS LAKE SHORE Regional Medical Center
RH CLIENT CODE: CHSSLSR
CLIENT WEBSITE: http://www.shandslakeshore.com/shands-lake-shore/default.aspx
SHANDS LIVE OAK Regional Medical Center
RH CLIENT CODE: CHSSLOR
CLIENT WEBSITE: http://www.shandsliveoak.com/shands-live-oak/default.aspx
SHANDS STARKE Regional Medical Center
RH CLIENT CODE: CHSSR
CLIENT WEBSITE: http://www.shandsstarke.com/shands-starke/default.aspx
Sparks Regional Medical Center
RH CLIENT CODE: CHSSPARKSR
CLIENT WEBSITE: http://www.sparkshealth.com/sparks-health-system/default.aspx
Sparks VAN BUREN
RH CLIENT CODE: CHSVB
CLIENT WEBSITE: http://www.sparkshealth.com/sparks-health-system/sparks-medical-center-van-buren.aspx
ST. CLOUD Regional Medical Center
RH CLIENT CODE: CHSSCR
CLIENT WEBSITE: http://www.stcloudregional.com/st-cloud-regional-medical-center/default.aspx
Tennova Healthcare HARTON
RH CLIENT CODE: CHSTHH
CLIENT WEBSITE: http://www.tennova.com/tennova-healthcare/tennova-healthcare-harton.aspx
Tennova Healthcare JAMESTOWN
RH CLIENT CODE: CHSTHJ
CLIENT WEBSITE: http://www.tennova.com/tennova-healthcare/tennova-healthcare-jamestown.aspx
Tennova Healthcare JEFFERSON
RH Client Code: CHSJMH
CLIENT WEBSITE: http://www.tennova.com/tennova-healthcare/jefferson-memorial-hospital.aspx
Tennova Healthcare LAFOLLETTE
RH Client Code: CHSLMC
CLIENT WEBSITE: http://www.tennova.com/tennova-healthcare/jefferson-memorial-hospital.aspx
Tennova Healthcare LEBANON
RH CLIENT CODE: CHSTHL
CLIENT WEBSITE: http://www.tennova.com/tennova-healthcare/tennova-healthcare-lebanon.aspx
Tennova Metro KNOXVILLE
RH Client Code: CHSPRMCK
CLIENT WEBSITE: http://www.tennova.com/tennova-healthcare/north-knoxville-medical-center.aspx
TWIN RIVERS Regional Medical Center
RH CLIENT CODE: CHSTRRMC
CLIENT WEBSITE: http://www.twinriversregional.com/twin-rivers-regional-medical-center/default.aspx
VENICE Regional Bayfront Health
RH CLIENT CODE: CHSBHVR
CLIENT WEBSITE: http://www.veniceregional.com/venice-regional-bayfront-health/default.aspx
WILLIAMSON Memorial Hospital
RH CLIENT CODE: CHSWMH
CLIENT WEBSITE: https://www.williamsonmemorial.net/

CHS

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CUSTOMER: CHS (ALL SITES) OM: Roberta Huskey, roberta.huskey@nuance.com / Alydia Kardel, alydia.kardel@nuance.

UPLOAD PROTOCOL (see also Account Specific Notes below)

ACCOUNT SPECIFIC NOTES

DISCREPANCIES Identify discrepancies with a blank and follow blanks protocol.

QUALITY TEAM NOTES

THE JOINT COMMISSION DANGEROUS ABBREVIATIONS

CLIENT NAME, CLIENT CODE, & CLIENT WEBSITE BY SITE

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