16K views 2 years ago Epic EMR Hacks and Tutorials Today we talk about how to first outfit your Smart-Phrase toolbar with all the right tools. Last month: m-1. A discussion of each, including examples and use cases, is below. Watch for signs of fever, chills, warmth, redness, or drainage from your incision. You do not have a COVID-19 infection as far as this test can determine. SmartPhrases are abbreviations or words used to pull long phrases or paragraphs into a note. @FAMHX@ )ge9~_=tmv^vEAq}un>{wv~}.|}CGP;P?u`C.v For more information, please see our CBC BMP PT/INR The more general you can be the better. %%EOF (Ex: type "yes" to search for a yes/no drop list. 1677 0 obj <> endobj endobj /eC)5(+EGn_#k1FJ1I:$|,O+S\w~4E$2Bb[[l/zl$^zV-R. Before you arrive for a medical appointment, call and inform your physician or other 0 hbbd``b`$Z8`Mq@,?+DW n $Ab BHpE2> 5LbU`J 2. Instead of being available by default to all users in a given facility or location, they are accessible only by users to whom the owner designates as users. endstream endobj 1127 0 obj <>stream Heres your new peripheral brain. 0 g @LASTLABX(plt)@ @LASTLABX(ca)@ These smart phrases are submitted by users, and are not edited for completeness or correctness. Exercising. %PDF-1.6 % Maximize your use of templates and smart phrases. endobj The care team spends a few minutes to huddle and hand off patients between team members . . Patients are scheduled for follow-up appointments. CV: RRR Last year: y-1. JLV - Sorting Results At the bottom righthand corner of each Widget, you can select "More" which opens a pop- up @LASTLABX(rbc)@ @LASTLABX(k)@ @LASTLABX(ptinr)@ Managing and storing, Medical office software is helping the modern doctors office run more efficiently. access CareEverywhere on Epic. % Publish it. You have written, so are free of copyright restrictions. Efficiency means getting your work done quickly (but still accurately) so you can achieve a good work-life. Interns take note. Pre-visit planning is a team-based approach to planning for patient appointments. endobj SmartLinks are represented in your note templates surrounded by @ symbols, like @BSA@ to pull in the patient's most recent BSA. EHR use is growing quickly, and there are a lot of potential benefits of automation. 3. May apply dressing as needed, change dressing daily, Okay to shower but do not submerge in water for 2 weeks, pat incision dry (dont rub). Then we work on your first Full Note Template. @LASTLABX(creat)@, *** ,MD .FCncLL63#y. Compliant with medications. Swing to it. <> 1151 0 obj <>stream Some EHRs, like Epic, allow clinicians to share their smartphrases. 4 0 obj Admissions, discharges, consultsthese should rarely take more than 10 minutes. Commonly Used .dot Phrases/SmartLinks Pediatrics momob.pnoteMom's age, OB history, prenatal labs .momobtype.dictateMom's ABO and RH .birthweightchange birth/current % of difference .preoppeds pre op H&P .bmi calculated from ht/ and wt .wfa, .wfl, .wfs growth chart percentiles .diagx.dol days of life for baby All Rights Reserved. %PDF-1.7 Dot phrases and templates that enable you to capture the essentials of the visit with minimal effort. . Additionally considering making dot phrases specifically for female or males. Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. /GS0 gs Speaking to your provider if patient is concerned about falling or has recently suffered a fall . easier. Lf`qi0LH70d\Hed`200$3 ` q. In addition to the SAEM Patient Toolkit information, ACEP's SmartPhrases may also be useful to you as you manage your patient instructions in your Epic system. 2 0 obj Get Boosted! By posting information on Site users agree to be bound by and abide by Sites Terms of Use. Next week: t+7. Admissions, discharges, consultsthese should rarely take more than 10 minutes. 2. HlRn1+Fh6 v- K:N)}Iyk^9oWEjb|Lt{4-uA]~-?_Omw;zvbC]_{SAXp:+5XlEz18l{XQ|N-3:*d" V6R)7W;,\Y3T1eYu~SxY;(svvXpU%7_Jd!a?~r+[ l,MB2EUg#yLAoNH,JU"T"c gGc.##Umg5/9"2:<9s'[] F$ a(-yDH1P#T3Gi-k&GqWg^*hY;(hg];Eicad]q&G ' %%EOF To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. q To find tutorials on the app and advanced settings, press CTRL+H to open Booster, then click on link in upper righthand corner. 3. SmartLists can either be single-select or multi-select, and there commonly is an option for a free text choice, which is represented with a wildcard or three asterisks, "***".In some configurations of Epic, end users are able to create their own SmartLists, while some organizations choose to restrict SmartList creation to their administrators.SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. Some SmartLinks have user parameters, which means that the user needs to enter in some code within the @ symbols to tell the system which data to pull in.A common example of this is with the @FLOW@ SmartLink. Put Smart phrase in the subject line, and in the body of the email give a title for the phrase, the smart phrase itself, and a 1-2 description of the phrase. highlight the phrase, and click Edit. hVmoH+qW2/BpMMw{lA!AI8@H gl?'#F#^IdBF"dA%d('{G &Bq N#TDCn4DD3"_;?]cj>nrzL-sx rU`nw136$EOJ_lsGOS&c Can we add various dot phrases for different medical problems and share it here for people to benefit from it . I like to add this to my notes to force me not to forget things as well because you cannot close a note prior to addressing this. A discussion of each, including examples and use cases, is below. %%EOF No more staying after hours or working from home completing your notes. Name the smart phrase and paste the image in the content box by using the CTRL+V function on your keyboard or by right clicking and choosing paste from the pop-up menu 11. Neuro: no focal deficits, Labs: In the world of EHRs these are known as smart phrases or dot phrases. Use the "pick and stick" technique to speed navigation through Epic flowsheets. Have brief references so any equations or evaluations can be looked up. (Insert Pager Number), Your email address will not be published. Are short, being no longer than about 150-200 words. endstream endobj 1122 0 obj <>/Metadata 104 0 R/OCProperties<>/OCGs[1130 0 R]>>/Outlines 131 0 R/PageLayout/SinglePage/Pages 1114 0 R/StructTreeRoot 192 0 R/Type/Catalog>> endobj 1123 0 obj <>/Font<>/Properties<>/Shading<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1124 0 obj <>stream Typically, System SmartPhrases are configurable only be administrators, and they are available to all users (or can be restricted by location or department). <> So Epic is used in 34% of healthcare settings in the US. Templates should be used for physicals, routine office visits, televisits, procedures, patient instructions, specific parts of exams (e.g., knee . ]U}dT>3?>\B]07O!q_iD7>K1~4~C/G|E5T/1i)!e4UZ9 For example, if you wanted to pull in the patient's height, you'd enter in @FLOW(11)@, where "11" is the Flowsheet row ID where the patient's heigh is documented. last recorded cmp .lasttroponin - last recorded troponin level .emercnt - emergency contact on file !! To see all available phrases and links . Lymph: no inguinal LAD If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. The user's smart phrases will display 4. Include your name and affiliation, and a statement that you own the copyright on the smart phrase so can get credit for it. If not, when you go to SmartPhrase analyzer instead of putting your name in, put a co-workers and you can see all of their phrases and share them with yourself (you can't delete or edit them- only share). There are common SmartLists for things like numbers (0-10), durations (days/weeks/months/years), or symptoms, to name a few. So Epic is used in 34% of healthcare settings in the US. 2. Diabetes type 2 On metformin. Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. endstream endobj startxref SmartPhrases can save you time when you have to write the same note over and over. With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. You will likely not get through medical school and residency without using it at least once or definitively. This SmartLink has several user-entered parameters, the most important one being the ID of the Flowsheet row/group that you want to pull into your note. endobj endobj Open EPIC MySmartPhrases/Smart Phrase Manager and select New 10. Use the Filter tab to select the SmartTools you want to see. 0 We wrote it, thats all we wanted to do.. . Epic smart phrases are easy ways of putting in documentation that is either standard or can be filled in to make a complete document. So the dot phrase can be shared, include the statement: As copyright owner of this text, I grant permission for its royalty-free use to anyone., Or if you prefer, you can quote Woody Guthrie: This song is Copyrighted in U.S., under Seal of Copyright # 154085, for a period of 28 years, and anybody caught singin it without our permission, will be mighty good friends of ourn, cause we dont give a dern. I work with Epic. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Study with Quizlet and memorize flashcards containing terms like mental health patient dot phrase added to the bottom of HPI, tobacco use, prior hx of DVT/PE/cancer/clotting disorders, recent long travel, immobilization, surgeries, lower extremity trauma, family hx of clotting, tobacco use, hx of diabetes, high cholesterol, hypertension, PVD, family hx of cardiac problems, prior cardiac stents . For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. Privacy Policy. 4 0 obj Epic has a variety of tools that can make writing patient notes faster and easier: SmartPhrases Also known as "dot phrases," SmartPhrases allow commonly used chunks of text to easily be inserted into patient notes or discharge instructions by typing a period (the dot) followed by a short user generated phrase. Dot phrases are KEY to efficiency on both inpatient and outpatient medicine rotations. If you know Epic and have some interesting content that you want to contribute, get in touch with us. Whether its build, end-user assistance, or project management guidance, our experts can help, Get Epic Help is a knowledge database for all things Epic. %PDF-1.6 % It's easy to get started with dot phrases. @HXPMH@ Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. Nonetheless, I know how dot phrases can be a life saver and amazing tool to cut down on that note writing clutter. GI: soft, ND, NT, no CVAT Highlight the desired SmartPhrase. Click on the Library in Epic. Q 160 0 obj <>/Filter/FlateDecode/ID[<37A44A72C4CAB748A13A67B7AC6C8B80>]/Index[129 51]/Info 128 0 R/Length 124/Prev 108530/Root 130 0 R/Size 180/Type/XRef/W[1 2 1]>>stream Get and give smart phrases for EPIC charting system. stream Sing it. What are SmartTexts?SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. DRE: normal sphincter tone; prostate ***g, soft, smooth, no nodules 3 0 obj If I want to search for a patient called Peter Smith I type Pet Sm. Pre-visit lab testing and other diagnostics are arranged. MSK: no edema Write it. 1. Select the desired list). " **NEURO:** Sedated: Fentanyl, Propofol, Precedex Using pre-visit planning, at the end of the current visit:. For example if I want to search for aortic calcification I type ao cal. The dot phrases are user specific. hbbd```b``k@$S0dK"w"0[ Interns take note. User SmartPhrases, in contrast, can be created and updated by individual end users. endstream endobj 130 0 obj <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 127 0 R/StructTreeRoot 23 0 R/Type/Catalog>> endobj 131 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 132 0 obj <>stream h_O#7kJ'-RUB. Next . %PDF-1.3 << /Length 5 0 R /Filter /FlateDecode >> @LASTLABX(hct)@ @LASTLABX(bun)@ @LASTLABX(apttpat)@ %PDF-1.5 % Cerner Tips and Tricks - UPMC Children's Hospital of Pittsburgh endstream endobj startxref GU: circumcised, normal phallus, B descended testes, no masses @PTAMEDS@, Histories: The below article delves deeper into Flowsheet SmartLinks: How to Make a Flowsheet SmartLink in EpicFor a full list of SmartLinks available to you, you can open a note and click the icon with the person and a .? 4 0 obj Admissions, discharges, consultsthese should rarely take more than 10 minutes 0 [ take...: soft, ND, NT, no CVAT Highlight the desired SmartPhrase there are common SmartLists for like. > 100.4 F, increasing warmth, redness, swelling, drainage incision... And a statement that you want to search for aortic calcification I ao! In 34 % of healthcare settings in the US, * * * *, MD.FCncLL63 # y yes/no... 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