I am still trying to figure out how to implement AC for our holistic-oriented family practice and am wondering how others handle the documentation of the following:
1) Is there a way to retroactively date problems? For new patients who list significant problems - we like to record the date of onset of the problem. I see that problems are dated according to when they are added to AC. Can this date be changed to reflect a past date?
2) In our paper charts, we jot patient-specific notes next to the diagnosis. For example, we record the age of onset of certain problems, or write the dates of any live births, or record specific genes a patient has tested positive for (we do genetic testing) etc. I know you can edit ICD-9 Descriptions, but you can't create separate notes for each patient. How are others creating customizable problem lists? Excel spreadsheets?
Thanks,
S.K.
P.S. I just figured out that you can make fake codes with your own descriptions. This is very helpful, but doesn't solve the date problem or jotting lots of patient-specific details.
