Most elderly patients have multiple chronic illnesses. Thus, Mr.Smith comes in for F/U of his multiple problems: DM,HBP,Hyperlipidemia, Arthritis,COPD,CAD, etc. The status of these conditions is of import. The visit might address a new problem, an exacerbation of an existing problem, or the F/U of multiple chronic problems.
The Diagnoses have been incorporated in Synapse, but they are not accessible to be entered in the text.
I would like to have a template that addresses these chronic conditions and their status. The manner in which Synapse is currently dealing with Templates does not allow us to do so.
Perhaps expanding my previous example might help:
F/U for multiple chronic problems: COPD (496), DM( 250.00), HBP(401.1), CAD (414.00), Hyperlipidemia (272.4)
Diabetes (250.02) <----last ICD-9 code used, Diabetes was uncontrolled the last time he was seen!
Status of chronic conditions:
Diabetes: FBS has remained WNL, 14d ave 109, PP 14d ave 156. Asymptomatic.
HBP: taking his meds, denies CP, palpitations, headaches, dizziness. BP has been controlled( pharmacy readings).
Hyperlipidemia:On Lipitor 10 mg. Refers that he is not feeling well, weak, aches and pain in calves and muscles (myalgias) , asthenia since he started Lipitor.
This hx is a high level hx!!
I would like to be able to design a template like the CC: template. It produces a "pro" output. I would like to be able to control the "hidden" text.
Can you do it?
DrO