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Septic Shock Onset Time Criteria
The Reporting system uses the following criteria to define a time, referred to as Septic Shock Onset Time (also known as Time Zero), that denotes when a patient is suspected of having Septic Shock, to support Sepsis bundle compliance reporting.

Customer Digital Health Portal User Guide
- The Digital Health Portal
  The Digital Health Portal page enables you to launch all Digital Health Platform applications that you are authorized to access. If you are not authorized to access an application, you cannot launch it from this page.
- Logging into the Digital Health Portal
  The Digital Health Platform enables you to authenticate using your organization's Single Sign On (SSO) provider.
- Entity Selection
  An Entity is the Digital Health Platform representation of a physical location or a logical grouping of physical locations within a user's organizational infrastructure.
- About Administration
  Users who have access to the Administration portal will see the Administration tile within the Digital Health Platform Portal when they log in.
- About Dashboard
  The Dashboard enables caregivers to monitor a facility’s patients within each configured nursing unit.
- About Reporting
  - Reporting Browser Recommendations
  - Reporting Controls
  - Generating and Printing Reports
  - Understanding Report Parameters
    Report parameters enable users to filter the data returned in the report to what is most relevant to their needs.
  - Reporting Data Retention: PHI vs. Non-PHI
  - Sepsis Onset Time Criteria
  - Septic Shock Onset Time Criteria
    The Reporting system uses the following criteria to define a time, referred to as Septic Shock Onset Time (also known as Time Zero), that denotes when a patient is suspected of having Septic Shock, to support Sepsis bundle compliance reporting.
  - Sepsis Bundle Compliance Criteria
    The Reporting system uses the following Sepsis bundle tasks to determine Sepsis bundle compliance, in order to support Sepsis bundle compliance reporting.
  - Standard Reports
    This section provides a description of all available reports.
- About Voalte Family Administration
  The Voalte Family Administration portal within the Digital Health Platform enables you to configure Voalte Family™ Messaging.
- About the Virtual Care Solution

Septic Shock Onset Time Criteria

The Reporting system uses the following criteria to define a time, referred to as Septic Shock Onset Time (also known as Time Zero), that denotes when a patient is suspected of having Septic Shock, to support Sepsis bundle compliance reporting.

Septic Shock Time Zero is identified as follows:

Septic Shock Diagnosed Condition onset date, if present.
If the Septic Shock Diagnosed Condition onset date is not present, the earliest of the following dates is used:
- Septic Shock Diagnosed Condition first appearance using the system last modified date.
- The latest date among the Septic Shock Criteria that identified the condition (only identified when the Lactate occurred, up to 6 hours before Severe Sepsis Time Zero, or anytime afterward in the active encounter).
  - Severe Sepsis Time Zero (refer to the previous section, Sepsis Onset Time Criteria.
  - Lactate greater than or equal to 4.0 mmol/L (observation effective date, or issued date if effective date is not present).

Note: A patient without a Septic Shock diagnosis could have a lactate level greater than or equal to 4 every 4 hours for a 12 hour period without having satisfied the Severe Sepsis criteria. This patient would not be considered to be in Septic Shock. If the patient satisfies the Severe Sepsis Criteria at hour 10, then the lactate reading at hour 8 (the second reading) should be used to determine Septic Shock Time Zero.