How do I use templates for chart notes?
ChARM EHR allows you to create templates for most commonly used items, which you may write in the chart notes. You can create templates for most commonly treated ailments, where you can create canned items for chief complaints, recommendations, etc. At the time of encounter, you can pick up them from the template to fill up the soap chart, rather than typing it each time.
Does ChARM allow exporting complete medical history of a patient?
You can export all the encounter notes as a PDF from “Patient Dashboard -> Past Encounters” section. In addition, you can also export the medical records as HL7 CCD file.
I would like to generate a Referral Report for a patient visit. How to do that?
Go to “Settings -> Templates” section and create a “Reports” template. You can use the place holder strings to fetch the values from encounter chart note. There are a few referral templates under “ChARM Template Library”. You can import and change them as well. Once you have created the template, you can use it to generate a “Referral Report” for an encounter from “Patient Details -> Past Encounters” section.
Does ChARM allow generating CDC growth chart with reference percentiles?
Yes, you can generate CDC growth chart in ChARM. Go to “Patient Details->Health Vitals” section and click on the “Growth Chart” link.
Is it possible to do markings on medical images?
Yes, you can do markings on the medical images and store them as part of the chart note. This feature is available as part of comprehensive encounter. Go to “Physical Examination” section and use the “Add Image Annotation” feature.
I am consulting patients with chronic diseases. Most of the time, the chart is same as of previous visit with minor modifications. What shall I do?
You can use the “Repeat Previous Notes” feature in Encounter section. The repeat feature completely copies the previous visit notes to the new encounter and you can do modifications to that. In addition, we do have repeat option for individual section of chart notes, viz., Rx, Dx, etc.
Can a Nurse sign (finish) a Chart Note?
No. Nurse can start a chart note for some other physician. But, they cannot sign the chart note. Only the practice member on whose name chart note is created can sign the note.
Can a Nurse view/edit the unsigned Chart Note?
Yes. Nurse can view the unsigned chart notes from “Home -> Chart Notes” section. They can also edit the chart note, but only the sections they are authorized to work in.
Can one practice member access/modify/finish other practice member’s unfinished chart notes?
Yes. This can be done from “Home -> Review Charts” section. But, they can’t sign unless that chart is filed to that person for review.
Can I start an encounter without having an appointment scheduled
Yes. You can start the encounter, even if prior appointment is not scheduled with the patient. You can directly go to Patient Dashboard, click on “Open New Encounter” to start the encounter.