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[ Help Main ] > [ Main Menu ] > [ Patient Search ] > [ Patient Search Results ] > [ Patient Menu ] > [ Conducting a New Office Visit ] > A/P
AutoComplete Tips:
- You can quickly edit dropdown lists by using "Edit..." at the bottom of every dropdown list or auto complete list.
- Use the Up and Down arrow keys to scroll the autocomplete list
- Use the Tab button to most to the next autocomplete field if you want to leave the text as it is in the textbox.
- Use the Enter button to select what's highlighted in the autocomplete list.
If you have a dictation that is in queue to be transcribed, click the transcription checkbox. You must have a transcription user set in [ Physician's Profile ] to see the transcription checkbox.
This section summarizes the patient's office visit. The print function requires the free Acrobat Reader. The pop up window will prompt you for a password. Please enter your login password to see the PDF printout preview.
| Functionality | Description |
|---|---|
| Procedure Results | Procedures added in the Lab & Procedures tab show up in this section. |
| Blood Test To Be Scheduled | To order a new blood test, click Order New Blood Test. To delete the test after it's been added, click the checkbox to the left of the blood test and click Delete. |
| Test & Procedures To Be Scheduled | The function is the same as the Blood Test To Be Scheduled section. |
| Medication Instructions | Items will appear in this section for changes made in the Medication section. This includes medication that's discontinued starting from current office visit and medications added during this office visit. |
IMPORTANT: There are two options at the bottom of this page:
- Save as Complete - You cannot make any edits in the future for this office visit. No further modifications are allowed accept for addendums.
- Save and Go To Main Menu - You are still able to edit an office visit at any time until the office visit is marked complete.
| Functional Items | Description |
|---|---|
| RTC (Return to Clinic) | You can enter the time the patient is scheduled to return for another office visit. |
| Comments | You can type directly in the text box, use the drop down comments or use a combination of both. If there are comments you'd like to mark for transcription, check the checkbox above this textbox. |
| Allows you to print the entire office visit note out in a professionally formatted PDF file, which you can output to a printer. The font size can be adjusted by going to [ Physician's Profile ] in [ Custom Settings ] from the [ Main Menu ]. You must be a physician to change the printout font size. | |
| [ Create Superbill ] | Click on the link to the left to learn more about how to create a Superbill in 3 easy steps. |
NOTE: Office visit information is saved every time you move onto a new tab or by clicking "Save and Go To Patient Menu". You may experience multiple listings of the same visit for a day. Select the session that you might have digressed from earlier and continue with that session. All other sessions for that day can be ignored or marked for deletion. Please exercise precaution when deleting office visit(s).
FAQ:
What’s the difference between “Order In-House Lab Test” and “Order Outside Lab Test”?
If you are not set up with outside lab connectivity yet, all lab tests should be ordered using the “Order In-House Lab Test” function. You can edit that menu to include your favorite lab tests using the Edit… function.
When scheduling a RTC, the patient often calls back with a desired date, how can he make sure that the patient has called to make the appointment?
Use RTC in office note, make a task that is addressed when the patient calls back.
Can I write referral letters and consultation letters in this application?
Yes, SynaMed allows users to draft various kinds of letters by clicking on Custom Printout in the Plan section of the office note.
Can we fax a letter to the referring doctor directly?
Yes you can through outgoing fax.
Is there a function where I can print envelopes?
The system is currently designed for window-envelopes, which we recommend. Printing in SynaMed is optimized for envelopes with windows (little plastic ones to see the recipient name/address), not for printing envelopes separately.
Can I have a library of plans of treatment for a particular diagnosis, and choose from the list which I will prescribe?
Go to decision support, and select a diagnosis from the menu on the left. On the top right frame, you will notice a text field called new decision where you can enter in plans of treatment. You can enter in multiple plans of treatment, and these will be made available for all patients with the same diagnosis. Next time, you can just select from the list which plans to prescribe and which not to. You can also cut and paste your library of plans in here, but please make sure that you don’t have paragraph breaks in them.
Can you change the header on print out notes?
The content of the header can be changed, and you can also add your own logo to the office note printouts. To add a logo, go to misc->administration->maintain group logo, and upload the image. To change the header, go to misc->administration->group settings, and fill in the address information.
Do you have a prescription writing feature to allow for “nonmedicine” prescriptions such as tests, labs, etc.?
Yes, we currently support this. In the Plan section of note, under "Test & Procedure To Be Scheduled", when you order an in-house or external procedure/test, there is a print button that appears next to it for printing the associated prescription.
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