Using No Known SMARText Item Types in the Summary
SOAPware now includes several "No Known" SMARText Item Types that may be used in the Summary to document a negative history for the Active Problems field, Surgeries field, Medications field, and Allergies field.
Updating or Re-Downloading the No Known SMARText Items
Free Text or Structured Text items for "No Problems", "No Medications" and "No Known Allergies" will not calculate properly for Meaningful Use/MIPS. A user must update or re-download these SMARText Items to capture the SOAPware created and coded "No Known Items" to use in your documentation.
To re-download the "No Known Items", enter the shortcut code (shown below) and press Shift + F11 to search the SOAPware Cloud Library. Double-click on the SMARText Item with the type of "No Known Items" to download it to your library. If SOAPware prompts to overwrite the current item on the system, select "Yes" to replace the old "Structured Text" item.
Shortcut code
- nopro = No Problems
- nomeds = Current Meds: None
- nkda = Drug Allergies: No Known
Entering Shortcut for No Known SMARText Items
The Active Problems, Surgeries, Medications, and Allergies field of the Summary may not be left blank. Even if a patient has a negative history for these specific fields, it must be documented that No Known history has been determined.
Type the shortcut into the appropriate Summary field to extend the No Known SMARText Item Type for the field. If the item has never been used and not in the local database for the user, a Shift + F11 search will need to performed for the first time it is used. After the item has been downloaded to the database, the user will only need to press the spacebar on the keyboard to extend the SMARText Item Type.
The shortcut for the following Summary fields for No Known SMARText Item Types:
- Active Problems- "NoPro"
- Surgeries- "SurNo"
- Medications- "NoMeds"
- Allergies- "NKDA"
Expanded No Known SMARText Items in the Summary
Using No Known SMARText Item Types will record documentation as structured data.