Document Designer Commands (2012)
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
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
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
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
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
Custom Demographics
Insurance
Macros
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
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