Tabs in the row are Problem List, Medication, Trend View, Encounter Sheet, Soap Note and Annotation View. The Individual Tabs will be explained later in this chapter.
Immediate following the Tabs is a “Print Report” text command. Clicking this test command will cause the Encounter Document to be printed.
The date of service is displayed immediately following the “Print Report” text command.
ICONS on this row are Save Note to File, Authorize, Cardiovascular Risk Calculator (presently not active), Show/Hide Menu (presently not active), and Spell Check.
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Save Note to File
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Clicking this ICON will save the note to a temporary file and can be saved multiple times throughout the completion of the Encounter Template. When complete and authorized the Encounter will be saved in the patient’s file.
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Authorize
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Clicking this ICON will cause an authorization dialog to appear asking for the PIN (Personal Identification Number aka Electronic Signature) of the person authorizing the Encounter Template. Once the PIN is entered and OK is selected the encounter data will be filed in the patient’s chart. The document will be marked as authorized or pre-authorized depending on the practitioner’s authorization level.
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Import Findings
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This Annotation Note is not accumulative of all the Findings reported in previous Annotation Notes. Early Findings may not be as important in the current progress of a patient and is not brought forward. There are situations where some of the previous notes need to be brought forward again. Selecting a paragraph heading (or node) and clicking on this Import Findings will bring the latest reporting on the paragraph. It may take Findings from several paragraphs to compile a the complete finding history.
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Cardiovascular Risk Calculator
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Using the patient's current information, HPN Chart can advise the staff of the patient's cardiovascular risk.
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Show/Hide Menu
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This function is for building, editing, or deleting parts of the encounter templates.
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Spell Check
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Clicking this ICON will cause the Encounter Document to be checked against the HPN Chart’s Medical Dictionary for spelling errors.
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