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Template Library (EHR)

New Notes and Patient Forms

We are happy to announce the release of the following new notes and patient forms to the Family Practice and Pain Management specialty folders in the Template Library.

Family Practice

Go to EHR | Admin | Templates | Library | Family Practice.

Notes

  • Visit – Pain – New
    Use this template to document pain symptoms during a patient’s first visit. The template includes fields to assess pain history, symptoms, impact of pain on activities, and previous pain treatments. This note includes fields for vitals, exam, and plan, as well as front and back images that are ‘draw-enabled’ to note the patient’s specific pain location. The note has an associated word merge document you can use to print images and comments because images do not display in the Abbreviated Visit Summary or Visit Summary word merge documents.
  • Visit – Pain – Established
    Use this template to document pain symptoms during an established patient’s visit. The template includes fields to assess if the treatment plan is effective in reducing or eliminating a patient’s pain. The template also includes fields to assess a patient’s current level of functioning and opioid therapy. Along with fields for vitals, exam, and plan, there are also front and back images that are ‘draw-enabled’ to note the patient’s specific pain location. The note has an associated word merge document you can use to print images and comments because images do not display in the Abbreviated Visit Summary or Visit Summary word merge documents.
  • Visit – Comprehensive Male – New
    Use this template to document the exam during a male patient’s first visit. The template includes medical history, vitals, and a comprehensive male exam. Additional fields include point of care testing, labs, and E&M service codes.
  • Visit – Comprehensive Male – Established
    Use this template to document the exam during an established male patient’s visit. The template includes medical history, vitals, and a comprehensive male exam. Additional fields include point of care testing, labs, and E&M service codes.

Patient Forms

  • Visit – Pain Hx – New
    New patients can use this form to document current pain symptoms, treatments, and history. This form also includes fields for documenting family and social history.
  • Visit – Pain Hx – Established
    Established patients can use this form to document current pain symptoms. This form also includes fields for documenting current opioid therapy and social history.
  • Visit – Comprehensive Male Hx – New
    New male patients can use this form to document family, medical, and social histories. This form also includes fields for a review of systems and health screenings.
  • Visit – Comprehensive Male Hx – Established
    Established male patients can use this form to document updates to allergies, medical tests, medication, and social history. This form also includes fields for a review of systems and health screenings.

Pain Management

Go to EHR | Admin | Templates | Library | Pain Management.

Notes

  • Visit – Pain – New
    Use this template to document pain symptoms during a patient’s first visit. The template includes fields to assess pain history, symptoms, impact of pain on activities, and previous pain treatments. This note includes fields for vitals, exam, and plan, as well as front and back images that are ‘draw-enabled’ to note the patient’s specific pain location. The note has an associated word merge document you can use to print images and comments because images do not display in the Abbreviated Visit Summary or Visit Summary word merge documents.
  • Visit – Pain – Established
    Use this template to document pain symptoms during an established patient’s visit. The template includes fields to assess if the treatment plan is effective in reducing or eliminating a patient’s pain. The template also includes fields to assess a patient’s current level of functioning and opioid therapy. Along with fields for vitals, exam, and plan, there are also front and back images that are ‘draw-enabled’ to note the patient’s specific pain location. The note has an associated word merge document you can use to print images and comments because images do not display in the Abbreviated Visit Summary or Visit Summary word merge documents.

Patient Forms

  • Visit – Pain Hx – New
    New patients can use this form to document current pain symptoms, treatments, and history. This form also includes fields for documenting family and social history.
  • Visit – Pain Hx – Established
    Established patients can use this form to document current pain symptoms. This form also includes fields for documenting current opioid therapy and social history.

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La Loma Medical Center

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Practice Management Resource Group

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Office manager