Document Designer Data Item Commands
General Demographics
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The General Demographics data item list includes:
- Account Number - inserts the patients billing account number
- Address - inserts the patients address
- Age - inserts the patients age
- Birth date - inserts the patients date of birth
- Care Team Members - Inserts the name of the care team members that are indicated in the patients demographics chart section
- Cell Phone - Inserts the patients cell phone number
- Chart Number - inserts the patient's chart number
- Citizen ID - inserts the citizen ID number from the patients Demographics
- E-Mail Address - inserts the patients email address
- Financial Class - inserts the financial class from the patients Demographics
- First Name - inserts the patients first name
- Guarantor Name - inserts the patients guarantor name
- Home Phone - inserts the patients home phone number
- Last Name - inserts the patients last name
- Marital Status - inserts the patients marital status
- Masked SSN - Inserts the SSN in a masked fashion (ex: xxx-xx-1234)
- Middle Initial - inserts the patients middle initial
- Name Suffix - inserts the patients name suffix (ex: Dr., Ms., Mrs., etc.)
- Patient Name - inserts the patients full name (ex: Last, First M.)
- Patient Picture - inserts the patients picture
- Patient Ethnicity - inserts the patients ethnicity
- Patient Language - inserts the patients primary language
- Patient Races - inserts the race(s) selected for the patient
- Patient Gender Identity - inserts the patients gender identity
- Patient Sexual Orientation - inserts the patients sexual orientation
- Preferred Name - inserts the patients preferred name
- Preferred Pharmacy 1, 2, & 3 - inserts the pharmacy selected as preferred pharmacy 1, 2 or 3 for the patient
- Primary Care Physician - inserts the primary care physician that is selected for the patient
- Primary Physician - inserts the patients primary physician
- Referring Provider - inserts the referring provider that is selected for the patient
- Sex - inserts the patients gender
- Social Security - inserts the patients Social Security number (unmasked)
- Title - inserts the patients title
- Work Phone - inserts the patients work phone number
Miscellaneous Data Items
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The Misc. Data Items list includes:
- Active User - inserts the name of the SOAPware user who prints the design
- 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 clinics full address and provider's name
- Clinic Phone - inserts the clinics phone number
Contacts:
- Address - inserts the selected contacts address
- Fax - inserts the selected contact's fax
- First Name - inserts the selected contacts first name
- Last Name - inserts the selected contacts last name
- Name - inserts the selected contacts full name
- Phone - inserts the selected contacts phone number
- Select - not properly functioning at this time
- Suffix - inserts the selected contacts name suffix
- Specialty - inserts the selected contacts 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 Only - inserts the current time (ex: 14:42)
Clinician:
- Full Name - inserts the clinicians full name
- First Name - inserts the clinicians first name
- Last Name - inserts the clinicians last name
- DEA - inserts the clinician's DEA number
- State ID - inserts the clinicians State ID number
- Signature - inserts the clinicians signature
- NPI - inserts the clinicians NPI
Supervising Provider:
- Full Name - inserts the supervising provider's full name
- First Name - inserts the supervising provider's first name
- Last Name - inserts the supervising provider's last name
- DEA - inserts the supervising provider's DEA number
- State ID - inserts the supervising provider's State ID number
- Signature - inserts the supervising provider's signature
- NPI - inserts the clinicians NPI
SOAP Note
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The SOAP Note data item list includes:
- Encounter Date - inserts the encounter date
- Encounter Time - inserts the encounter time
- Signing Provider - inserts the name of the clinician who signed the document
- Signed Date/Time - inserts the date/time the document was signed
- 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
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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
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The Vital Signs data item list includes:
- Blood Pressure - inserts the patients blood pressure
- BMI - inserts the patients BMI
- Head Circumference - inserts the patients head circumference
- Height - inserts the patients height
- Pulse - inserts the patients pulse
- Respiration - inserts the patients respiration
- Temperature - inserts the patients temperature
- Weight Circumference - inserts the patients weight circumference
- Weight - inserts the patients weight
Health Maintenance
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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
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The Custom Demographics data items will allow the user to insert information from any of the custom demographics fields.
Insurance
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The Insurance data items will allow the user to insert information about the patients insurance policies.
Macros
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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
- Clinical Summary Provided - DO NOT USE - this field was used in 2011-2013 to indicate that the document design was a clinical summary. This macro no longer counts towards Meaningful Use objectives.
Rx's
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The Rx data items list includes:
- Insert Rx's - inserts the medications that are inserted into the patients 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
- Numeric (Alpha) Dispense Value - inserts the dispense number in alpha format (ex: Two)
- Sig Value - inserts the medication dose, frequency and route
- Refills Value - inserts the medication refills
- Substitutions Value - inserts "Substitutions Allowed" or "Substitutions Not Allowed"
- Prescription ID - inserts a unique ID number for each prescription that is printed or faxed through Rx Manager. *Note: This data command will present a null value on prescriptions printed through Available Document Designs.
- Notes Value - inserts the notes to the pharmacy
Orders
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The Insert Order data item allows the orders that are listed in Order Manager to be inserted.
Scheduling
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The Scheduling data items include:
Next Visit
- Scheduplate - inserts the scheduplate for the patients next visit
- Date - inserts the date of the patients next visit
- Time - inserts the time of the patients next visit
- Resources - inserts the resources selected for the patients next visit (ex: Dr. Randall Oates or Lab, etc.)
- Facility - inserts the facility for the patients next visit
- Referring Provider - inserts the referring provider selected for the patients next visit
Previous Visit
- Scheduplate - inserts the scheduplate for the patients last visit
- Date - inserts the date of the patients last visit
- Time - inserts the time of the patients last visit
- Resources - inserts the resources selected for the patients last visit (ex: Dr. Randall Oates or Lab, etc.)
- Facility - inserts the facility for the patients last visit
- Referring Provider - inserts the referring provider selected for the patients last visit
Billing
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Billing document designer codes include:
Current Balance
- Personal, Insurance Balance: lists the patients personal and insurance balance
- Personal, Patient Balance: lists the patients personal and patient balance
- Family, Insurance Balance: lists the patients family insurance balance
- Family, Patient Balance: lists the patients family patient balance
- Total Insurance Balance: lists the total insurance balance
- Total Patient Balance: lists the total patient balance
- Personal Balance: lists the personal balance
- Family Balance: lists the family blanace
- Total Balance: lists the total balance
- Payments Posted Today: lists the payments that have been posted on the current date
- Charges Posted Today: lists the charges that have been posted on the current date
- Last Statement Date: lists the date that the last statement was generated for the patient
Immunizations
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- New Immunizations: lists all of the new immunizations that are in the patients immunizations chart section
- Historical Immunizations: lists all of the historical immunizations that are in the patients immunization chart section
- Refused Immunizations: lists all of the refused immunizations that are int he patients immunization chart section