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#48238 08/30/2012 1:46 PM
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It seems it would be very handy to have some way to search the entire patient chart for items entered into the chart after a certain date (typically the last encounter.) Thus, it would be possible to quickly review all messages, labs, imported items, etc. that had been put in the chart since the patient was last seen. Does this strike a responsive chord in anyone else?


David Grauman MD
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Commonwealth Health Center
Saipan, Northern Mariana Islands
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That would be great!


Mike
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David,

This is not exactly what you want, but this is something I use. When I started AC, for a visit, I wanted to be able to review all information that had arrived after the last visit. When I mentioned this at our local users group, one of our members gave me the idea (thanks, Gino!). We created a folder for each patient's II called *New Info, and added a blank document to it (to keep it present). Using the * keeps it at the top of the II folder list. For any new document, my secretaries drop it in this folder. So, before seeing the patient, I quickly review all documents there. Afterward, we drag and drop the documents from new info into the appropriate folders (Radiology, Consults, etc). Our labs are not yet codified, so lab PDFs are in new info also. So, a quick look at new info and the prior encounters gives me all the data since the last visit. And, even though I have already signed off these documents, it is nice to review them again just before the visit so they are fresh in my mind.


Donna
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Thanks, Donna. Good thought. I would worry, however, that imported items are getting bigger and slower all the time. Some complex patients are so slow it is almost impossible. I'm afraid of making it worse.


David Grauman MD
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Commonwealth Health Center
Saipan, Northern Mariana Islands
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David,

Great suggestion, especially for those of us over 50 who need extra help refreshing our memories. I always hate it when I go in to see a patient and I've forgotten that they've had surgery, an MRI, gotten divorced, and lost their job since the last visit.

John


John Howland, M.D.
Family doc, Massachusetts

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