Transcript 2 MINUTE PEARLS Default Template

2 MINUTE PEARLS
AHLTA Encounter Templates
• Would you like to significantly decrease the
amount of buttons you need to select in order to
document patient care?
• Did you know you can customize AHLTA so that
the S/O template, diagnoses, orders, procedures
and other therapies (pt instructions) you
common use are immediately available?
• Encounter templates are one of the most
powerful, yet least utilized, functions of AHLTA.
This Pearl will outline how to create and edit your
own encounter templates.
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Encounter Templates
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What can an encounter
template do for you?
It allows you to combine your most common list of
diagnosis, orders, procedures and other therapies
with your favorite AIM Form to (or) template. It
loads this data for your ease of use.
Associated an AIM Form or
S/O Template
To use a favorite template,
select from drop down menu.
Other therapies can also be added
List of Diagnoses
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List of Common Orders
Encounter Templates
List of Procedures
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To access Encounter Template Management:
1) Open TOOLS folder
2) Select TEMPLATE MANAGEMENT
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Encounter Templates
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To access Encounter Template Management:
3) Select SEARCH Button
1) Open TOOLS folder
2) Select TEMPLATE MANAGEMENT
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Encounter Templates
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4) Fill out the Encounter Template Search window Search Menu to find the
template you wish to view and/or edit.
Two common quick search options:
a) If you want to edit a template that is listed in your favorites list (i.e. it
appears when you access the drop-down list the S/O or A/P module),
then you only need to check the box that says “Select from my
favorites only”
b) If you want to edit a template in one of your clinic folders, search by
clinic as owner type
5) Select SEARCH Button
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7) Select View/Edit button
6) Select the encounter template
that you wish to View/Edit
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From this page, you can customize the following areas
of your encounter template:
For clinical usefulness, I recommend focusing on the
following: Diagnoses, Procedures, Notes Templates
(S/O Template), Orders, and Other Therapies (include
Active Meds, Problem and Allergies in Autocite area)
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Encounter Templates
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You can add or remove a
Diagnosis, Procedure, S/O
template (notes template), or Other
Therapies as needed by clicking
the desired button associated with
the field(s)
Order(s) cannot be added, only
removed in the View/Edit module.
(see previous Pearl #4 -- Order Sets on
the Fly -- which describes how to add
orders to an encounter template directly
from the A/P Module)
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Encounter Templates
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To Add an item:
1) select ADD button (in this example,
we will add a diagnosis. The steps are
identical for adding an S/O Template
(notes template), Procedures, or Other
Therapies)
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2) The Diagnosis Search
window opens.
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3) Enter desired diagnosis
either by name or by ICD-9
code and click Search.
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4) Select the Diagnosis to be added
5) Click Add Items. If you wish to add
more than one diagnosis, simply repeat
steps 3, 4 and 5. Once you have added
all desired items, move to step 6.
6) Click Done.
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The edited Diagnoses
List now shows the
new addition.
You can reorder the
list by highlighting the
diagnosis and using
the up/down arrows to
move it.
Repeat the previous steps
for adding more diagnoses,
procedures, other therapies,
and note (S/O) templates.
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To remove an item from a list:
1) Highlight the item in the
respective list
2) Select Remove.
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Make sure you select Save or Save As once you
have made your changes!
You have now successfully
created/modified your
encounter template!
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In AHLTA 3.3 the Process is Similar
Terms and Sections
located from tabs
located on the side.
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Specific items found
from taps on the top
You can see the encounter template grow here.
You can link an AIM form or template to your
A/P encounter template section. The linked
item and the orders will work as one. This will
permit your using a favorite S/O documentation
tool at several MTFs. You just create local
orders.
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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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Encounter Templates
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