Category: Charting & Charting Functions

GAD-7 Setup It is to be noted that this set up works only for Classic version. Select an encounter sheet and Create a Level-1 component for GAD-7. Provide Loinc Code: 69737-5 for the Level-1 component. Create Level-2 components for each query. The corresponding Loinc Codes should be as shown below. Item LOINC Code Feeling nervous, […]

This article elaborates on the Loinc Codes for automatic measure calculations and other specifications for Level-1 and Level-2 components. Waist-To-Hip Ratio Measurement Formula Used Level 2 Loinc Codes Needed Waist-To-Hip Ratio Level 2 Code: WHR Waist Circumference(cm)/Hip Circumference(cm) 97058-2 Waist circumference score for risk calculation 62409-8 PhenX – hip circumference protocol 020801   Body Surface […]

Clinical Reminders Clinical reminders inform providers when recommended actions are due for a particular patient. To set a new Clinical Reminder for a patient: 1. From the Clinical Desktop, select the patient for whom the Clinical Reminder is to be set. 2. Open the charting page for the patient and click on Alert & Reminder […]

To create a report of the Medical record of a patient, use CCR/CDD submenu under EHR Advanced menu. The CCR/CCD can be shared between providers and to the patients. About CCR The Continuity of Care Record (CCR) is a health record standard specification developed jointly by ASTM International, the Massachusetts Medical Society(MMS), the HIMSS, the […]

This article explains the steps to initiate charting for walk-in patients as well as for patients with appointments. Click on ‘Clinical Desktop’ on the main menu. This opens the Clinical Desktop screen which comprises of Dashboard and the Pending Charts section. To know more on Dashboard, click here. Points to be noted before charting A. […]

Completing a Chart Note To mark a chart as complete, select ‘COMPLETE’ from the Save As drop-down and click on Save As Button; see Image A. Image A   Editing a Chart Note The Visit Hx tab lists the previous visits of the patient. From here, the user can review the previous visits and edit […]

This article explains how to insert the electronic signature of a provider to the encounter sheet of patients. Uploading the Provider Signature A. On the main menu, click on Setup and then click on Provider. This opens the Provider setup screen. Select the provider from the list and click on the Signature button. B. Click […]

PracticeSuite provides users the facility to create Canned sheets, which allows them to make quicker work of common visit types charting. 1. To create a Canned Sheet, Start charting and enter the required details under the various Level-1 (component)s like Chief Complaint, Vitals, Diagnosis etc. arranged under different headings (For e.g. SUBJECTIVE, OBJECTIVE, ASSESSMENT, PLAN, […]

Create  a Level-1 component with Code ‘PATIENT_IMAGING’. 2. Select this level one component with the code “PATIENT_IMAGING” and pull up the needed images saved in the document section of the patient. 3. Do the necessary markings and save the images. This appends the images onto narration.  

PracticeSuite is an Integrated EHR & Practice management system. Superbill – ICD-10 & procedure codes with modifiers and units will automatically cross over from EHR to Billing. This article explains how to carry out the crossover and also how to prevent such crossovers. 1. Initiate Charting. To know more on how to initiate charting, click […]