Core concepts

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    • End Date: Only applies if the condition is no longer active.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 Any conditions that are no longer active should be marked as inactive.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    • End Date: Only applies if the medication is no longer active.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.

Coming soon!

Create care plan

Update care plan

Previous
Generate PDF