SOAPware Learning CenterSLC Clinical Manual Summary DocumentationUsing No Known SMARText Item Types in the Summary

Using No Known SMARText Item Types in the Summary

SOAPware now includes new No Known SMARText Item Types that may be used in the Summary to document a negative history for the Active Problems field, Surgeries field, Medications field, and Allergies field.

*THIS LESSON CONTAINS MEANINGFUL USE REQUIREMENTS

Updating or Re-Downloading the No Known SMARText Items

Updating or Re-Downloading the No Known SMARText Items

Previously used (SOAPware 2010 and earlier) Structured Text items for "No Problems", "No Medications" and "No Known Allergies" will not calculate properly for Meaningful Use.  A user must update or re-download these SMARText Items to capture the newly created "No Known Items" that are required for Meaningful Use when documenting.

To re-download the new "No Known Items", enter the shortcut code (shown below) and Press Shift F11 to search the SOAPware online library.  Double-click on the SMARText Item with the type of "No Known Items" to download it to your library.  If SOAPware prompts to overwrite the current item on the system, select "Yes" to replace the old "Structured Text" item.

Shortcut code

nopro = No Problems

nomeds = Current Meds: None

nkda = Drug Allergies: No Known

Entering Shortcut for No Known SMARText Items

Entering Shortcut for No Known SMARText Items

The Active Problems, Surgeries, Medications, and Allergies field of the Summary may not be left blank. Even if a patient has a negative history for these specific fields, it must be documented that No Known history has been determined.

Type the shortcut into the appropriate Summary field to extend the No Known SMARText Item Type for the field. If the item has never been used and not in the local database for the user, a Shift + F11 search will need to performed for the first time it is used. After the item has been downloaded to the database, the user will only need to Press the spacebar on the keyboard to extend the SMARText Item Type.

The shortcut for the following Summary fields for No Known SMARText Item Types:

Active Problems- "NoPro"

Surgeries- "SurNo"

Medications- "NoMeds"

Allergies- "NKDA"

 

Expanded No Known SMARText Items in the Summary

Expanded No Known SMARText Items in the Summary

Using No Known SMARText Item Types will record documentation as structured data.