When the viewerвЂ™s expanded, additional categories are visible.To get started, highlight the text in your Word document that youвЂ™d like to use to create your new AutoText entry. If you use the phrases in your chart notes you alone are responsible for the correctness of the content of the chart note. Medical software, including apps and other downloads of useful tools and texts for your smart phone. Topics dot phrase EHR epic epic dot phrases epic smart phrases epic training smart phraseTip: To customise the Character Viewer, expand the viewer, then click the Action pop-up menu in the upper-left corner of the viewer.

Next, type a memorable name (within the 32-character limit) for your AutoText entry, and then click OK. Your AutoText entry is now saved.Search the worlds information, including webpages, images, videos and more. Google has many special features to help you find exactly what youre looking for.For some emoji, such as those for people, you can click and hold an emoji to see other variations.Search for a character or symbol: Enter a commonly used word or phrase (such as question mark) or code (such as U+003F) in the search field, then press Return.To insert a character or symbol in a document, position the insertion point in the document where you want the item to appear, then click the item in the viewer. If the viewer is expanded, double-click the item. Tags are colors and identifying phrases you can slap onto icons, wherever they.Dynamic Documentation - Autotext. Dot phrases Ctrl+F to search Abbreviation System Description More Details 1tab 1 tablet daily Family friendly zone escalation 2tabdecadron 2 tablets daily for 2 days Family friendly zone escalation 3tabdecadron 3 tablets daily for 2 days Family friendly zone escalationHere are the instructions to create your own dot phrases: Step 1: Select the Tools heading, choose Smart Tool Editors and select smart phrase'.

I also appreciate the editing support of Mark McFarlane.FOREWORD In 2016, Gerardo was a resident at the Dignity Northridge Family Medicine Residency where I had the good fortune of being his program director. 1 will always be grateful for your support and kindness. To my lovely children Marco, Emilia and Mateo.11 Musculoskeletal (ortho/sports/podiatry)ACKNOWLEDGMENTS Special thanks to all my career mentors for their profound influence in my personal and professional life. To my best friend and the love of my life Lauren.

This past year our group followed his lead and started using remote scribes for full-time physicians. Gerardo graduated and today is a practicing family medicine physician. His findings revealed that most patients understood the benefit to have an off-site virtual scribe help with computer documentation. He was diligent when there were barriers to his project, revised his goals as needed and persevered. Many chose diabetes or hypertension, but Gerardo decided to do his assignment on the patientвЂ™s perception of the physician utilizing an off-site scribe to type notes in real time through technology used during the office visit. All residents were required to complete a scholarly project.

When I asked him how he did it, he showed me some templates he used that were part of the Electronic Health Record (EHR) system. I noticed that all his notes were completed by the time he left the clinic. I was amazed he was able to leave the office at five (sometimes earlier to go play golf). During residency I was baffled when my associate residency director treated patients in the hospital in the morning, treated patients in clinic in the afternoon, and in between handled administrative responsibilities. Pamela Davis, MD Program Director, Dignity Health Family Medicine Residency at Northridge Hospital, Northridge, CaliforniaPREFACE Early in my career 1 became frustrated by the additional time 1 spent completing my clinic notes. This compilation of dot phrases is another example of his hard work, dedication and desire to help us have work-life balance, so we have time to have dinner with our families or even play golf.

I typically leave the clinic on time after 1 have completed my notes. After six years I accumulated more than 1,000 boilerplate templates that I now use regularly in my practice. Every time I found myself writing the same thing over and over, I took extra time to write a boilerplate template for that condition.

My goal is to help physicians, residents and other healthcare providers spend more time with their patients and less time in front of the computer.INTRODUCTION The templates found in StatNote were designed for the primary-care setting. I hope you find these templates useful, and they enable you to have a more sustainable work-life balance. They also help you manage your inbox by providing personalized template messages for patient labs and imaging results. They facilitate billing by providing the required documentation and simplifying billing codes. The dot phrases help you document office visits and procedures. This book was written to make medical documentation more efficient and help physicians avoid burnout.

This book will help familiarize you with all the templates available. The phrase file works with a third-party text expander software that can be used with any EHR system. These templates are located in the phrase library and can be purchased at statnote.com. Toward the end of this book, there is a section of patient message templates that helps communicate lab and imaging results.

The dot phrase for the A/P part usually has # as a suffix. Dot phrase suffixes and prefixes Most conditions have two dot phrases: one that pertains to the history of present illness (HPI), or subjective part of the note, and one that pertains to the assessment and plan (A/P) part of the note (i.e. This should help avoid triggering your EHRвЂ™s autotexts/smartphrases vs.

Dot phrase suffix and prefix legend -hpiAssessment/plan injection - procedure documentation procedure documentation CPT codesSome dot phrases are used as only documentation for billing purposes. Note how the -hpi suffix was not used in this case. Carpal-tunnel-inj.carpaltunnel*). Carpal-tunnel-PE.carpal-tunnel#. Some conditions have up to five different templates, (i.e.carpaltunnel. Some dot phrases have a -PE suffix for the physical exam section (i.e.

For some complex patient presentations, it is better to dictate or write the old-fashioned way. You should always edit the templates in order to document accurately. The templates have concise and relevant information regarding the different conditions being documented.

Medications are not interfering with ADLs. Including: alprazolam Psychosomatic symptoms including anxiety, depression and insomnia are being treated.Denies any side effects from medication including sedation. Present for discussion: patient only.chronic-bzd Chronic use of benzodiazepines Indication: Hours able to sleep w/ med: Hours able to sleep w/o med: Symptoms reduction w/ med: % Taking medication as directed. Face-to-face voluntary discussion for 16 minutes were spent during this encounter. Discussed and filled-out POLST form. Discussed and filled-out Advance Healthcare Directive form.

Using lowest effective dose. Does not mix with alcohol.chronic-bzd# Chronic use of benzodiazepines Medications providing over 30% improvement of Severity of panic attacks. Denies negative consequences as a result of using controlled substances.

Medications are not interfering with ADLs. Denies any side effects from medication including sedation and constipation. Including: hydrocodone, Tylenol, NSAIDs Psychosomatic symptoms including depression and insomnia are being treated. No suspected aberrant drug-taking behaviors.Chronic-pain Chronic pain Location: Pain w/o med: _/10 Pain w/ med: _/10 Taking medication as directed.

Good sleep quality/quantity. No side effects of medications or substance misuse. No stress.Fatigue# Fatigue History and physical exam do not suggest any organic illness associated with fatigue. Denies negative consequences as a result of using controlled substances.Chronic-pain# Chronic pain Medications providing over 30% improvement of pain and function.

Dot Phrases For Mac