Document Designer Commands (2012)

Data Items - General Demographics

Data Items - General Demographics

The General Demographics data item list includes:

  • Address - inserts the patient's address
  • Age - inserts the patient's age
  • Birth date - inserts the patient's date of birth
  • Chart Number - inserts the patient's chart number
  • E-Mail Address - inserts the patient's email address
  • First Name - inserts the patient's first name
  • Home Phone - inserts the patient's home phone number
  • Last Name - inserts the patient's last name
  • Marital Status - inserts the patient's marital status
  • Middle Initial - inserts the patient's middle initial
  • Name Suffix - inserts the patient's name suffix (ex: Dr., Ms., Mrs., etc.)
  • Patient Name - inserts the patient's full name (ex: Last, First M.)
  • Primary Physician - inserts the patient's primary physician
  • Sex - inserts the patient's gender
  • Social Security - inserts the patient's Social Security number
  • Title - inserts the patient's title
  • Work Phone - inserts the patient's work phone number

Miscellaneous Data Items

Miscellaneous Data Items

The Misc. Data Items list includes:

  • Ask User - allows a question to be asked to the User when the document design is printed (ex: Question: When can the patient return to work?)
  • Clinic Address - inserts the clinic's full address and provider's name
  • Clinic Phone - inserts the clinic's phone number

Contacts:

  • Address - inserts the selected contact's address
  • Fax - inserts the selected contact's fax
  • First Name - inserts the selected contact's first name
  • Last Name - inserts the selected contact's last name
  • Name - inserts the selected contact's full name
  • Phone - inserts the selected contact's phone number
  • Select - not properly functioning at this time
  • Suffix - inserts the selected contact's name suffix
  • Specialty - inserts the selected contact's specialty

Dates:

  • Current Date - inserts the current date (ex: 11/09/2011)
  • Current Date with Full Month - inserts the current date will full month (ex: November 9, 2011)
  • Current w/Time - inserts the date along with the time (ex: 11/09/2011 14:42)
  • Current w/Time and Full Month - inserts the date, time with full month (ex: November 9, 2011 14:42)
  • Time - inserts the current time (ex: 14:42)

Clinician:

  • Full Name - inserts the clinician's full name
  • First Name - inserts the clinician's first name
  • Last Name - inserts the clinician's last name
  • DEA - inserts the clinician's DEA number
  • State ID - inserts the clinician's State ID number

SOAPnote

SOAPnote

The SOAPnote data item list includes:

  • Encounter Date - inserts the encounter date
  • Encounter Time - inserts the encounter time
  • Subjective - inserts the encounter subjective field
  • Objective - inserts the encounter objective field
  • Assessment - inserts the encounter assessment field
  • Plan - inserts the encounter plan field
  • Medications - inserts the encounter medications field
  • Follow Up - inserts the encounter follow up field

Summary

Summary

The Summary data item list includes:

  • Active Problems - inserts the summary active problems
  • Alcohol - inserts the summary alcohol field
  • Allergies - inserts the summary allergies
  • Family History - inserts the summary family history field
  • Inactive Problems - inserts the summary inactive problems
  • Interventions - inserts the summary interventions field
  • Medications - inserts the summary medications
  • Physical - inserts the summary physical field
  • Review of Systems - inserts the summary ROS field
  • Social History - inserts the summary social history field
  • Surgeries - inserts the summary surgeries field
  • Tobacco - inserts the summary tobacco field

Vital Signs

Vital Signs

The Vital Signs data item list includes:

  • Blood Pressure - inserts the patient's blood pressure
  • BMI - inserts the patient's BMI
  • Head Circumference - inserts the patient's head circumference
  • Height - inserts the patient's height
  • Pulse - inserts the patient's pulse
  • Respiration - inserts the patient's respiration
  • Temperature - inserts the patient's temperature
  • Weight - inserts the patient's weight

Health Maintenance

Health Maintenance

The Health Maintenance data item list includes:

  • Date Performed - inserts the date the health maintenance item was performed
  • Next Due - inserts the date the health maintenance item is next due

Custom Demographics

Custom Demographics

The Custom Demographics data items will allow the user to insert information from any of the custom demographics fields.

Insurance

Insurance

The Insurance data items will allow the user to insert information about the patients insurance policies.

Macros

Macros

The Macros list includes:

  • Insert Chart Section - inserts the entire chart section
  • Insert CPT Codes - inserts the CPT codes
  • Empty Block Start - start command to remove a field if empty
  • Empty Block End - end command to remove a field if empty

Rx's

Rx's

The Rx data items list include:

  • Insert Rx's - inserts the medications that are inserted into the patient's SOAPnote Medications field
  • Queue Rx - this data item is not functioning properly at this time
  • Drug Name - inserts the medication name
  • Strength Value - inserts the medication strength
  • Dispense Value - inserts the medication dispense number
  • Sig Value - inserts the medication dose, frequency and route
  • Refills Value - inserts the medication refills
  • Substitutions Value - inserts "Substitutions Allowed" or "Substitutions Not Allowed"

Orders

Orders

The Insert Order data item allows the orders that are listed in Order Manager to be inserted.

Scheduling

Scheduling

The Scheduling data items include:

Next Visit

  • Scheduplate - inserts the scheduplate for the patient's next visit
  • Date - inserts the date of the patient's next visit
  • Time - inserts the time of the patient's next visit
  • Resources - inserts the resources selected for the patient's next visit (ex: Dr. Randall Oates or Lab, etc.)
  • Facility - inserts the facility for the patient's next visit
  • Referring Provider - inserts the referring provider selected for the patient's next visit

Previous Visit

  • Scheduplate - inserts the scheduplate for the patient's last visit
  • Date - inserts the date of the patient's last visit
  • Time - inserts the time of the patient's last visit
  • Resources - inserts the resources selected for the patient's last visit (ex: Dr. Randall Oates or Lab, etc.)
  • Facility - inserts the facility for the patient's last visit
  • Referring Provider - inserts the referring provider selected for the patient's last visit