Recent Updates

  • Updated on: Dec 06, 2022

    Alcohol

    Getting Started with Your Own Documentation - SUMMARY - Alcohol Documentation

    This lesson will demonstrate how to insert the Alcohol Starter Pick List if your Summary docuplate does not already contain the Starter Pick List.  This lesson will also describe how to use the Alcohol Starter Pick List.

    The Alcohol field in the Summary chart section is used to record the past and present alcohol use history.

  • Updated on: Dec 06, 2022

    Tobacco

    Getting Started with Your Own Documentation - SUMMARY - Tobacco Documentation

    This lesson will demonstrate how to insert the Tobacco Starter Pick List if your Summary docuplate does not already contain the Starter Pick List.  This lesson will also describe how to use the Tobacco Starter Pick List.

    The Tobacco field in the Summary chart section is used to record the past and present tobacco use history.

    *THIS LESSON CONTAINS A MEANINGFUL USE (MU) CORE REQUIREMENT - SEE TOBACCO STARTER PICK LIST

  • Updated on: Dec 06, 2022

    Family History

    Getting Started with Your Own Documentation - SUMMARY - Family History Documentation

    This lesson will demonstrate how to insert the Family History Starter Pick List if your Summary docuplate does not already contain the Starter Pick List.  This lesson will also describe how to use the Family History Starter Pick List and how to insert an Item Comment.

    The Family History field in the Summary chart section is used to record the patients family medical history.

  • Updated on: Dec 06, 2022

    Allergies

    Getting Started with Your Own Documentation - SUMMARY - Allergy Documentation

    This lesson will demonstrate how to insert the Allergy Starter Pick List is your Summary docuplate does not already contain the Starter Pick List.  This lesson will also describe how to use the Allergy Starter Pick List and how to insert Allergies that are not drug related allergies.

    The Allergy field in the Summary chart section is used to record a list of the patients allergies and intolerances.  This list is used when e-Prescribing to alert the physician of any possible allergy to drug interactions.

    *THIS LESSON CONTAINS A MEANINGFUL USE (MU) CORE REQUIREMENT - SEE ALLERGIES STARTER PICK LIST

    *REQUIRED FOR MEANINGFUL USE CORE REQUIREMENT - MEDICATION ALLERGY LIST

    Click here to view Meaningful Use criteria

  • Updated on: Dec 06, 2022

    Surgeries

    Getting Started with your Documentation - SUMMARY - Surgeries Documentation

    This lesson will demonstrate how to insert the Surgeries Starter Pick List if your Summary docuplate does not already contain the Starter Pick List. This lesson will also described how to use the Surgeries Starter Pick List.

    The Surgeries field in the Summary is for recording the patients past Surgical and procedural history.

  • Updated on: Dec 06, 2022

    Medications

    This lesson will demonstrate how to insert the patients current medications in the Medications field on the Summary side using the Shift + F11 searching method.

    The Summary Medications field is for all the medications the patient is currently taking.

    *REQUIRED FOR MEANINGFUL USE CORE REQUIREMENT - MAINTAIN ACTIVE MEDICATIONS LIST & MEDICATION ORDER ENTRY

    Click here to view Meaningful Use criteria - Maintain Active Medications List

    Click here to view Meaningful Use criteria - Medication Order Entry

    *REQUIRED FOR MEANINGFUL USE (MU) OPTIONAL MENU SET - MEDICATION RECONCILIATION

    Click here to view Meaningful Use Criteria

  • Updated on: Dec 06, 2022

    Inactive Problems

    This lesson will demonstrate how to insert the Inactive Problems Starter Pick List if your Summary docuplate does not already contain the Starter Pick List.

    The Inactive Problems field in the Summary is for recording all the medical problems the patient has had in the past but is not currently being treated for at this time.

  • Updated on: Dec 06, 2022

    Active Problems Documentation

    Getting Started with your Documentation - SUMMARY - Active Problems Documentation

    This lesson will demonstrate how to insert the Active Problems Starter Pick List if your Summary docuplate does not already contain the Starter Pick List. This lesson will also describe how to use the Active Problems Starter Pick List.

    The Active Problems field in the Summary is for recording all medical problems the patient is currently being treated for.

    *REQUIRED FOR MEANINGFUL USE CORE REQUIREMENT - PROBLEM LISTS FOR PATIENT CONDITIONS

    Click here to view Meaningful Use criteria

    *REQUIRED FOR MEANINGFUL USE OPTIONAL MENU SET (CHOOSE 5 OF 10) - PATIENT LISTS BY CONDITION

    Click here to view the Meaningful Use criteria

  • Updated on: Dec 06, 2022

    SMARText Data Entry Methods

    This lesson will demonstrate the various ways to search for and use SMARText in your documentation.  

    The various data entry methods include:

    *  SMARText Items Manager

    *  Shift + F11

    *  F11

    *  Shortcut Code

    *  Quick Access Location Pick List

    *  Quick Access SMARText Pick List

    Note: For purposes of demonstration we will be using a limited number of fields within SOAPware.  The data entry methods discussed can be used in all fields within the Summary and SOAPnote.

  • Updated on: Dec 06, 2022

    Intro to Summary

    This lesson will cover how to access the Summary chart section and a description of each of the fields contained within the Summary.

    The Summary chart section is used for documenting the patients medical history.