Assuming that all of Amazingcharts is on Access database (a safe assumption, I suppose, as the medication database is on Access), I think the provider should be able to choose what they want in the description of the visit. I could even see that as a separate table where one can adopt cc: or Dx: as a default but allow us to tailor the description.
This will allow me to do more work inputting a new field, but will save me time in the long run... I can put what would be relavent for me in the future in the description box after the visit (CPE done, pap defer (menses)), or (WCC, Pediatrix not given (fever)), or (Pt abusive, fired from practice), or (third no show, DCd from practice), (lice, Rx Lindane), (multiple issues, see chart), (no more meds until labs), etc. It may or may not need to be part of the permanent record but would help in seeing what is being performed and what is not on a summary basis. This would also go well with the P4P type of guidance where there could be a spreadsheet where HbA1c, or urine microalbumin, when they are checked it's checked off in a box accompanying the description.
"Just a thought." -- Quote from storybook about the Little Pig who went to the Fox for Dinner.
