I am not really following totally, I'm afraid. I assume your letter writer will allow the use of letterhead by default? Will it be editable after saving? Will it allow me to have the chart note open so I can reference it while writing the letter? If the original is signed by a computer copy of my signature, will the signature still be there if the note is reprinted?

I really don't mind the windows that take me to the letter writer or select the encounter or recipient, and personally would not spend a huge amount of effort on them. Yes, yours are better, but the current ones work.

Like Bert, I don't want or need the letterwriter to open after each patient, so that option needs to be selectable.
It would be really nice to select what parts of the encounter get sent with a letter. When I refer a patient to Jon, he wants to know the HPI, exam, diagnosis, medication list and plan. Having the FH, SH, and ROS there obscures what I want him to know. "Complete" notes from the EHR have gotten so filled with textual diarrhea that when I import a note from many of my consultants I routinely select only the first and last page and toss the rest.

Last edited by dgrauman; 08/25/2011 2:58 AM.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands