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I have been losing little bits of data, whenever I save the chart with Ctrl-S before signing.
The last line that I typed will be lost UNLESS I click another field with my mouse before I hit Ctrl-S.
Here is an example:
If I type "test line 1" in the "plan" field of my record, then just hit Ctrl-S before clicking on anything else, and then reopen the chart, "test line 1" will not be there.
On the other hand, if I type"test line 1" in the "plan" field of my record, then click my mouse in the "assessment" field, then hit Ctrl-S, my last change will be there when I reopen the chart.
This seems to happen in every field except for the HPI and ROS.
Is anybody else having this problem?
Brian Cotner, M.D. Family Practice
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Brian, I don't used Ctrl-S at all, as early on it did nothing for me. It seems that I had to forward the chart to my box in order to save anything.
Barbara C. Phillips, NP Beachwater Health Associates Olympia, WA
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It's worse than I thought. I just clicked on about 9 templates, and modified two of them. Then I hit "ctrl-S" before clicking on another window, and when I reopened the file, all the template stuff *AND* all the modifications were missing. The whole field was empty. I have been using the "Ctrl-S" feature extensively for several weeks now, for a "one keystroke" method to clear the screen quickly when I wanted to bring up another chart. I wonder how much data I have lost. 
Brian Cotner, M.D. Family Practice
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Please forgive me before you even read this. And, I apologize as well, because it is probably not helpful.
But, I guess I am just a mouse guy. The only thing I use keyboard shortcuts for is CTRL - N. I just used the CTRL - S feature for a test, and it forwards the chart to me. It doesn't give a choice as the forward button does.
But, personally I always use the mouse. But, that's probably not that helpful. I hope you can get your data back.
Bert Pediatrics Brewer, Maine
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Thanks, Bert, but that data is gone, lost in the mists of time. I appreciate everyone who has testified to the superiority of forwarding my work versus saving my work.  However, this is still a bug. A "save" button should function to save 100% of your work, not 80 to 99% of it. Fear not, it has been submitted to the proper authorities! Justice will be served!
Brian Cotner, M.D. Family Practice
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I am so confused. As always. I don't use keyboard shortcuts much. Is CTRL + S supposed to be a save combination? I certainly don't ever forward charts to myself unless I need to save it for awhile while I do something else on another chart. When you say "button," are you equating using the shortcut keys as a button? Because, when I click on save it always saves. Please enlighten me. 
Bert Pediatrics Brewer, Maine
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Yes, when I said "save button", I meant it figuratively. I could have said "a combination of keystrokes which cause my data to be saved", but it didn't sound quite as snappy!
The function I am referring to can be found thusly:
1. Open a patient file. 2. Use your mouse to click on "File", in the vicinity of the upper left corner of the screen. 3. A dropdown menu will appear. At the bottom of the menu, you may select "Save Chart (to your message inbox)". The menu seems to indicate that you may also press the "Ctrl" key, and the "S" key simultaneously to activate this feature.
When I use the "Ctrl-S" function, the last group of words I type in a given field disappears, unless I click on another field before typing "Ctrl-S" (with the seeming exception of the HPI and the ROS).
I am not sure how to explain it any more clearly.
Brian Cotner, M.D. Family Practice
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OK, I am trying to help. And, from what I read, I am confused comparing the above scenario with the templates scenario. Whenever I try to help in a situation that I am not familiar with, I have to try to reproduce it and learn it first. So bear with me.
The way I see it, the Save Chart (to your message inbox) CTRL - S does just that. It saves the chart, whether it has been even typed in or not to the message area (not, of course, to the database).
From trying it several times, there is absolutely no difference between File -> Save Chart, CTRL - S and Forward Chart button. They all do the same thing. They all forward the chart, as is, to your inbox. The only thing one has to know is that the last field will not be saved to the inbox if it is still considered an active field, i.e. has a blinking cursor because the program will consider that field to be still active. When my MA puts in all of her data and then clicks Forward Chart rather than CTRL - S, the last bit of data is saved to the inbox BECAUSE she moves the mouse to the button and clicks and the window comes up and there is no longer an active field in the chart.
Hope this helps.
Bert Pediatrics Brewer, Maine
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I think your reasoning is correct, and it *could* be helpful to whomever fixes bugs.
This must be fixable, because the HPI and ROS fields don't have this problem (i.e. changes made there are saved with the CTRL-S command, even if there is a blinking cursor/active field).
Circumstances in my practice dictate that *every* patient I see currently has to be saved to my inbox when I finish seeing them (that's a whole 'nother topic), so this is an important thing to me right now.
Hitting "CTRL-S" is a lot easier than clicking "Forward", then scrolling and selecting my name from a combo box, then clicking "Send."
Thanks for your thoughts, Bert.
Brian Cotner, M.D. Family Practice
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Brian,
Sorry to get in the middle. I don't think I am being very helpful. Yes, I see where it would be faster to hit CTRL - S. Until you have it fixed, have you considered:
ALT - C then then the down arrow times one, then hit Enter. I tried it, and I could do it in about three seconds. Of course, I am assuming that Brian is the first on the list. If not, you will have to ask your MA to change her name from Ann to Brianne, lol.
You will HAVE to tell me what the circumstances are some time. I am very curious.
Bert Pediatrics Brewer, Maine
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ALT - C then then the down arrow times one, then hit Enter. I tried it, and I could do it in about three seconds. Bert: I did not know about the "ALT-C" shortcut. That is not quite as quick, but at least there is no data loss! Quite serviceable, really. I would still like to have the bug fixed, but in the meantime, that works very well. Thank you very much!
Brian Cotner, M.D. Family Practice
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Another of my infamous workarounds. Which, by definition, means it can be fixed. 
Bert Pediatrics Brewer, Maine
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UPDATE:
I have been using Bert's Alt-C shortcut for six months now, and it works very well.
I went back and tested this bug, and it has been fixed in every field except "Social History" and "Medications".
Go figure?!?!?
I suspect every other field was inadvertently fixed as a result of some other operation.
Brian Cotner, M.D. Family Practice
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However, this is still a bug. A "save" button should function to save 100% of your work, not 80 to 99% of it. Come now Brian, I ONLY like to save 75% of my work. The other 25% sucks up valuable space on my server. Best to get it outta there! I'd be P.O'd if my A.C. were saving as much as 80-99% of my work. What the f*ck! I think you should report this bug report "AC is saving as much as 80-99% of my work, but I only want it save 75%. What gives?" OK, I'm just joking. It was a tough day. My boys helped me spread topsoil on my wive's grave and plant grass seed. Memorial Day just around the corner. I needed a good laugh, and guess what......I gave myself one. Thanks Brian!
Adam Lauer, DO (solo FP) Twin City Family Medicine Brewer, ME
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