Offroadin, I have not found the Addendum to be useful for much, as it is a note, that is not a note if you know what I mean. For the minor procedures that I do, I chart them in the assessment where I have a large library of templates for such stuff. So I code the condition, (ie: "Actinic Keratosis 702.0" and then I hit the assessment templates, and have "Proc. Cryo AK" to select which yields the following: "In usual fashion, lesions were frozen with liquid nitrogen with 1 mm border x 3. Discussed the expected course and need to follow up for skin check in 3 months. The patient understands."
Of course I have to modify the templates to suit the actual case, (1mm vs 2 mm border, or closed with 3-0 Nylon vs. 2-0 etc.) Overall it works for me. I hope this helps you get by.
I chart the description of the physical exam under "physical exam" where it belongs, but make a reference there, "see assessment for the procedure".
We bought Amazing Charts only as a temporary fix while we learned about the use of EMR's and got our infrastructure up to speed. So far the improvements have been coming faster than our ability to integrate the changes. (We are just that slow) We JUST got the lab interface working. Quest was very unhelpful, an employee retired and the responsibility fell on someone who took a while to get it moved to a high priority. (Me)
I don't think Ver 4 will be substantially different than what we have now, but FUNDAMENTALLY the change is huge, as it goes from access to sequl based. We will see.
