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#20877
05/07/2010 8:13 AM
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Joined: Apr 2010
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I am new to AC .I would like to know how to save the data entered for patient in AC.eg: PMH. and how can we retrive information from previous encouter. I appreciate your help
Mohamed Salem MD, FACS General Surgery Northwest Ohio
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Joined: Oct 2004
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Salem, when you sign your note it will be saved. There is also a tab called Past Encounters where you can view any previous encounter.
Wayne New York, NY Hey, look! A Bandwagon! Let's jump on!
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Maybe I am reading too much into your post. Are you trying to transfer data into AC from the old Problem list / medical record after hours? I had a template that I used at that time for the Chief Complaint: "To Merge Records" (so that when you review "Past Encounters" you can skip this visit, you know it was just for booking), and then under HPI: "This entry does not reflect a patient visit, it was used to update data under Past Medical History, Family History, Social History while reviewing the old, paper chart." That was for myself when I can't remember what I this was 10 years from now, but also for any others, who might be trying to review the chart. Now you treat the entry like a visit, enter anything you want, including the diagnosis codes that this patient will be needing. That saves a ton of time later. Then sign the chart, with no charges. It will ask, do you want to add charges, you answer "No" and it will save just like a visit. This works, and it has the advantage of keeping a "paper trail?" of what was charted, and when.
Martin T. Sechrist, D.O. Striving for the "Outcome Oriented Medical Record".
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We are finding it helpful to do what Martin suggests in the evening or weekend for the coming week's scheduled visits. It relieves a lot of stress at the time of the visit.
David Grauman MD Department of Medicine Commonwealth Health Center Saipan, Northern Mariana Islands
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Have faith. You are thinking it is going to be a long year but in reality you start to see the first of these follow ups in as little as a month, and the payback in time, Rx's, Dx's etc. is Awesome. Makes the rest of year fly by! (Lying like a rug, but it does seem better the more second and third visits you see!)
Martin T. Sechrist, D.O. Striving for the "Outcome Oriented Medical Record".
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i appreciate the input from every one . I did not expect a quick response. I learned few tricks. Sepcially the one about merging records. My question was about simply trying to inport some data from previous encouter in amazing charts or previous vist. Occasionally, I open a patient chart I found no PMH Or Family history. Is this possible ?
Mohamed Salem MD, FACS General Surgery Northwest Ohio
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You have an option with respect to how to begin the note. There is a drop down box that lets you select a completely blank note, a prior note or just to save the allergies, PMHx, Fam and Soc Hx. Maybe you have a staff (or yourself on a different workstation) with the wrong option selected. (Don't forget, just click Ctrl-N for a new note).
Martin T. Sechrist, D.O. Striving for the "Outcome Oriented Medical Record".
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