2 MINUTE PEARLS Default Template

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Transcript 2 MINUTE PEARLS Default Template

2 MINUTE PEARLS
Copy Forward Function
• The Copy Forward function of AHLTA is a valuable time
saver that easily brings information from a previous
encounter forward to your current encounter eliminating
need to reenter duplicate information.
• The information that is carried forward includes bullets
from the S/O portion of the note as well as items from
the A/P module including diagnoses, procedures,
orders, and other therapies.
• This function works best for patients involved in serial
visits for the same problem (i.e. post procedure visits,
chronic wound care visits, obstetrical visits, chronic
disease follow up, etc…) where similar clinical items
need to be documented.
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USING COPY FORWARD
Two Requirements:
1) A Completed Previous Encounter for the patient
2) Current Open Encounter for the same patient
Accessing Copy Forward
Function
Start by selecting Previous
Encounters to access a list of
available encounters to copy
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Selecting Previous Note to
Copy
Forward
2) Select Copy Forward Button
1) Select previous note that
you would like to copy
Can Preview Note Below
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If a patient has multiple
encounters open, you will be
prompted to choose your
desired encounter
Select Current Encounter
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When you enter the S/O Module,
the bullets from your previous
encounter will automatically load
and will appear in yellow
USING COPY FORWARD
Using Copy Forward in the S/O
Module
You can then either:
1) Choose the bullets you want
individually
OR
2) Use the Auto Enter button to
insert all of the bullets with a
single click
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The Copy Forward Template can
contain information for all tabs of
the S/O Module, but you need to
select the Auto Enter key on
each tab separately.
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Previous Note
Using Copy Forward
in the S/O
Note initial measurements from
previous note
Module
Current Note
You can edit free
text portion of bullets
to reflect clinical changes
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The A/P Module is also
pre-populated with the diagnoses,
orders and procedures from the
previous encounter to aid efficient
documentation
Using Copy Forward in the A/P
Module
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Once you have completed the Copy
Forward template, you can load another
template to augment your documentation,
if necessary
Using Other Templates to Augment
Documentation
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For More Information…
• AMEDD AHLTA Homepage
– https://www.us.army.mil/suite/page/406 (AKO password required)
• AHLTA Video Tutorials
– http://wwwnmcp.mar.med.navy.mil/AHLTA/AHLTA%20Training%20Tools/index.html
****(If you would like to receive future versions of the
AHLTA 2 Minute Pearls directly, please email Lakia
Brockenberry at [email protected] to be
added to the distribution list)
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