Orders
There are a series of orders that you can take from the visit note.
Add an order
To add an order:
- Go to the EMR (e.g. emr.avonhealth.com)
- Click on the hamburger menu on the top left corner > Patients > Click on "View chart" for the appropriate patient
- Find the note that you want add an order to
- Select the action you want
Add a condition
Set:
- Condition: Name of condition
- Active: Whether this condition is still active
- Onset Date: Onset date for condition
- End Date: Only applies if the condition is no longer active. End date for condition.
- Comment: Any comments you want to add
Press "Add Order"
This new condition will appear on the visit note and in the patient profile. Any changes made on one will sync to the other.
Press "X" to delete the newly added condition. This will delete the condition from the patient profile as well.
Notes:
- Any conditions added through an order on a visit note can only be deleted through the visit note (you'll be unable to delete the condition through the patient profile).
- You can still modify the details of the condition through the patient profile but won't be able to change the name of the condition.
- Once a note is locked and signed, the condition can no longer be deleted. Any conditions that are no longer active should be marked as inactive.
Mark condition inactive
Set:
- Condition: Currently active condition to mark inactive
Press "Add Order"
This new condition will be marked inactive and the end date will be set to today.
Press "X" to delete the mark condition inactive order. This will remark the condition as active.
Start a medication
Set:
- Medication: Name of medication
- Active: Whether this medication is still active
- Sig: Sig for medication
- Start Date: Start date for medication
- End Date: Only applies if the medication is no longer active. End date for medication.
Press "Add Order"
Go to the Dosespot UI and add a prescription for this medication
This new medication will appear on the visit note and in the patient profile. Any changes made on one will sync to the other.
Press "X" to delete the newly added medication. This will delete the medication from the patient profile as well.
Notes:
- Any medication added through an order on a visit note can only be deleted through the visit note (you'll be unable to delete the medication through the patient profile).
- You can still modify the details of the medication through the patient profile but won't be able to change the name and dosage of the medication.
- Once a note is locked and signed or a prescription is added to a medication, the medication can no longer be deleted. Any medications that are no longer active should be marked as inactive.
Stop a medication
Set:
- Medication: Currently active medication to stop
Press "Add Order"
This medication will be marked as inactive and the end date will be set to today.
You will no longer be able to write prescriptions for this medication.
Any existing prescription request will not be modified or canceled. To cancel any existing prescription requests, go to Dosespot UI and cancel.
Press "X" to delete the stop medication order. This will remark the medication as active.
Review medications
- Press "Add Order"
- You'll see a table of all current medications with their sigs, start dates, and prescriptions (this list is in sync with external patient panel).
- Presss "X" to delete the reviewed medications order.
Update patient
Set:
- Field to Update: Which field on the patient object you want to update. You can currently only update custom fields throgh orders.
- New Value: New value you want to set the field to - Reason: Reason for making the update
Press "Add Order"
The updated field will appear on the visit note and in the patient profile. Any changes made on one will sync to the other.
Press "X" to delete the update patient order. This will set the field back to it's old value.
Notes:
- You can also modify all the details of the patient object via the patient profile.
Add vitals
- Set:
- Height:
- Weight:
- Blood Pressure:
- Temperature:
- Pulse:
- Respiratory Rate:
- Oxygen Saturation:
- Pain: Pain scale out of 10.
- Press "Add Order"
- These new vitals will appear on the visit note and in the patient profile. Any changes made on one will sync to the other.
- Press "X" to delete the newly added vitals. This will delete the vitals from the patient profile as well.
- Notes:
- Any vitals added through an order on a visit note can only be deleted through the visit note (you'll be unable to delete the vital through the patient profile).
- You can still modify the details of the vitals through the patient profile (e.g. change blood pressure values).
- Once a note is locked and signed, the vitals can no longer be deleted or edited.