This lesson will demonstrate how to document in the Summary Inactive Problems field.
Summary Inactive Problems Field
The Inactive Problems field in the Summary is used to record all of the patients inactive or resolved diagnoses.
Placing of the Insertion Point
With a patient chart open and the Summary chart section visible:
- Place the insertion point to the right of the field header.
- Left-click the mouse to insert the cursor.
If the bold green brackets appear (as shown above), then the field is active and ok to begin entering data.
Entering an Inactive Problem Using Shortuct Codes
To enter a diagnosis using a SMARText Shortcut Code, type the diagnosis shortcut code and then press the space bar (example: type "Depres", then press the spacebar to insert Depression ICD#F32.9).
Entering a Diagnosis Using Keywords (Shift + F11 or F11 Searches)
To search for a SMARText diagnosis item by using a one word keyword, type the keyword into the Inactive Problems field (ex: "depression") and then press the Shift + F11 keys on the keyboard. The Shift + F11 search will allow the user to view list of diagnosis items that are located on the local library AND on the SOAPware Online Library. An F11 search may also be used to view only a list of SMARText items that are on the local library.
Double-click on the desired SMARText Item to enter it into the patient's Inactive Problems field.
*Note: Shift + F11 and F11 searches can only be performed on one word at a time. For example, if you are searching for Chronic Pain, perform your Shift + F11 or F11 search on either "chronic" or "pain". You can then filter your results if needed.
Entering a Diagnosis Using a Starter Pick List
The Inactive Problems starter pick list contains a list of some of the most common diagnosis items.
To insert the Starter Pick List for the Inactive Problems, type the shortcut code "ina-" into the Inactive Problems field then press the spacebar.
The Active Problems pick list may also be used within this field if the users wishes for the ICD9 code to be inserted along with the diagnosis. To insert the Starter Pick List for Active Problems, type the shortcut code "act+" then press the spacebar to expand the pick list.
*Note: The first time this pick list is used, it must be downloaded from the SOAPware Online Library. To download the pick list, Type "ina-" into the Inactive Problems field and Press Shift + F11 on the keyboard. Double-Click on the appropriate item in the search results window to download the Pick List to the database.
See this link for searching instructions: SMARText Data Entry Methods.
Accessing the Inactive Problems Pick List
In SOAPware, text that appears, Blue and Underlined indicates that a Pick List is attached to the SMARText Item.
- Left-click on the Pick List header (ie: Starter Inactive Problems)
- A list of item will appear in the SMARText Quick Access
Choosing Items from the Inactive Problems Pick List
With the Inactive Problems Pick List displayed in the SMARText Quick Access Dialog, users will Click in the box in the "Selected" column next to each of the items that he/she wishes to insert into the Inactive Problems field.
When the items are inserted, the Starter Inactive Problems header will disappear.
Resolving an Active Diagnosis
In SOAPware 2011+, users can select a menu item to Resolve an Active Problem diagnosis.
- Right click on the diagnosis within the Active Problems field
- Select "Resolve Dx"
- Enter the Resolved Date and any Notes to be associated with the Dx
- Click the Resolve button
Once the above steps are taken with the diagnosis, it will be automatically moved from the Active Problems field to the Inactive Problems field.
*Note: SMARText diagnosis can also be Cut & Pasted from the Active Problems field to the Inactive Problems field instead of using the above method, if desired.